Information

  • Document No.

  • Business Name:

  • Location Number

  • Conducted on

Last Inspection Date

  • Prepared by

  • Inspector/s

  • Priority Rating:

  • Add location

Property Name

  • Exterior Image (Not Required)

  • Business Name

Address

Owner/Manager

  • Name:

  • Email Address:

Business Phone Number

Emergency Contact (Primary)

  • Name:

Phone Number

Emergency Contact (Secondary)

  • Name:

Phone Number

Exterior

  • Is there Knox Box?

  • Are the keys in the Knox Box the current keys to the business?

  • Square Footage:

  • Is the street address posted with a minimum 4" numbers with contrasting background, and visible from the street?

  • IFC 2009 Fire Code Violation # 505.1

  • Are the fire apparatus access roads, fire hydrants, FDCs, etc are clear of all obstructions?

  • Add media

  • Roads: IFC 2009 Fire Code Violation # 503 FDCs & Hydrants 3' clearance around: IFC Fire Code Violation # 507.5.5

Building Services

  • Utilities

  • Are utilities in good working order?

  • Location of gas shut off:

  • Are there elevators?

  • Does the elevator have fire service recall?

  • Does the elevator/s have fire service control?

  • Have the elevator/s been inspected by elevator inspector?

  • What is the location of the fire service keys?

Fire Protection Systems

  • Is there a fire suppression system?

  • Date of annual inspection:

  • Coverage:

  • Type of system:

  • Is there a fire pump?

  • Is it in the automatic position?

  • Date of last fire pump test:

  • Is there clearance of at least 18" on all sprinkler heads?

  • IFC 2009 Fire Code Violation # 315.2.1

  • Notes

  • Is there a Fire Alarm?

  • Location of Panel:

  • Type of Monitoring System:

  • Date of last system inspection:

  • Type of initiation devices:

  • Fire Extinguishers Present

  • Has the extinguisher been inspected in the last 12 months?

  • NFPA Fire Code Violation #: 13.6.9.3.1.1.1

  • Are the fire extinguishers mounted properly?

  • NFPA Fire Code Violation # 13.6.8.1.3.8

  • Date of annual inspection:

  • Adequate Number?

  • NFPA Fire Code Violation # 13.6.8.1

  • Fire Code Violation #: 906.1

Means of Egress

  • Are there exit signs? (Required where more than one exit is required/occupant load greater than 50)

  • Are the exit signs illuminated?

  • IFC 2009 Fire Code Violation # 1011.2

  • Readily Visibile?

  • Clear and Unobstructed?

  • Two remote exits available in loads greater than 50?

  • Doors swing in direction of egress when required?

  • Panic/Fire exit hardware operable?

  • Doors open easily?

  • IFC 2009 Fire Code Violation # 1008.1.9.3

  • Self closure operable and closes completely and latches?

  • Doors closed or held open with automatic closers?

  • Corridors and aisles of sufficient size? 44" load greater than 50; 36" load less than 50

  • IFC 2009 Fire Code Violation # 1017.2

  • Stairwell re-entry?

  • IFC 2009 Fire Code Violation # 1008.1.9.10

Housekeeping

  • Are all areas free of excessive combustibles/clutter?

Electrical

  • 30" width/36" depth clearance maintained around electrical panels?

  • IFC 2009 Fire Code Violation # 605.3

  • Are extension cords being use as permanent wiring?

  • Add media

  • IFC 2009 Fire Code Violation # 605.5

Automatic External Defibrillators

  • Do they have an A.E.D.?

  • Location:

Summary

  • Notes

  • Representative of business

  • Inspector

  • Was a copy of the report emailed to business?

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