Information

  • Unit Inspected

  • Conducted on

  • Audit Title (Facility Number)

  • Facility Name

  • This should be what the Primary Occupants call the facility.

  • Facility Name Synonyms?

  • Other than main facility name, does the occupants call the building something else? More than one unit in facility - what do the secondary units call the building?

  • Facility Address

  • Facility Manager

  • Facility Manager Phone

  • Accompanying Person (if not Facility Manager)

Building Information

  • Occupancy Use Group (NFPA 101)

  • Occupancy Group Comments

  • Construction Type (per FRA)

  • Number of Stories Above Grade

  • Number of Stories Below Grade

  • Pictures

FRA

  • Separation

  • Area

  • Access

  • Occupant Load per the FRA

Fire Alarm System

  • Fire Alarm System Installed?

  • System Inspected within last 12 months

  • Date System Last Inspected

  • Is Green Power Light on?

  • Troubles and Alarms all Cleared?

  • Does Panel Appear in Good Condition?

  • Are Batteries in good condition without signs of corrosion

  • Are Manual Pull Stations adequate, clear, and unobstructed?

  • Does number and location of fire alarm notification devices appear adequate?

  • Does the MNS Panel (to include any LOCs) appear in good condition?

  • Does the MNS function properly from each panel and LOC?

Fire Sprinkler System

  • Sprinkler System Installed

  • Type Sprinkler System Installed

  • Fire Suppression System Inspection Records

  • Last Sprinkler Inspection Date

  • Sprinkler GPM Requirement

  • 100% Sprinkler Coverage

  • Fire Department Connection Location

  • Sprinkler System photos

  • Sprinker System Comments

Inspection Questions

  • Are Fire Exinguishers Required?

  • Are Extinguishers being inspected and maintained per NFPA 10

  • Are the extinguishers mounted properly and number/location appear adequate?

  • Flammables (AFI 91-203 and NFPA 30)

  • Combustibles (AFI91-203 and NFPA30)

  • Heat Appliances

  • Electrical

  • Ceiling tiles

  • Interior Doors

  • Exit Access and Discharge

  • Exit Doors

  • Stairways

  • Exit Signs

  • Emergency Lighting

  • Does the facility conduct Commercial Cooking

  • Are the Hoods/Ducts cleaned per contract?

  • Does it appear that the facility staff is cleaning within the hood each day?

  • Are Filters in place and Fan in operation during cooking operations?

  • Hood/duct system free of damage? (welds/seams/filters, etc...)

  • Class K Fire Extinguisher present and mounted correctly?

  • Suppression system inspected semi-annually?

  • Suppression system nozzles pointed correctly, clean, and capped?

  • Do the fusible links appear in good condition?

  • Workers receive semiannual training on suppression system?

  • Special Considerations

  • List Special Considerations here:

  • Pictures

  • Special Notes not addressed above.

PrePlan

  • Gas Meter Location and any special shutdown procedures?

  • Electrical Service Main shutdown location and any special procedures?

  • List any exposures

  • List any special hazards within the facility.

  • Ventilation?

  • Fire Department Access adequate?

  • Any drawing needed can be made here.

  • PrePlan Photos

Inspection Review

  • Inspection Reviewed with Facility Manager before departing?

  • Name/Signature of person inspection was reviewed with.

Post Inspection

  • 218/1487 Completed

  • ACES PreFire Plan updated

  • Water Flow Data verified

  • Risk Analysis Completed

  • 1487 Signed/Returned by Unit and uploaded into ACES

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.