Title Page

  • Document No.

  • LAKE SHORE FIRE DISTRICT

  • Building Location:
  • Inspector:

  • SECTION I - GROUNDS

  • Are parking areas, walkways, stairs, driveways, etc. free from conditions that may cause slipping or falling?

  • Is exterior lighting adequate in all areas?

  • Are all exterior stairs provided with handrails which are in good condition?

  • Are exterior fire escapes in good condition?

  • Is exterior storage of trash and rubbish at least 25 feet away from the building?

  • SECTION II - INTERIOR DOORS & STAIRWAYS

  • Are all exit doors properly marked?

  • Are all exit doors easily accessible?

  • Do all exit doors open outward?

  • Are all exit doors equipped with panic hardware?

  • Are all doors easily opened, and closed?

  • Are all doorways and areas adjacent to them free of obstructions?

  • Are full length, clear glass doors and windows properly identified?

  • Do all interior stairs have anti-slip treads?

  • Are stairway and exit doors kept closed at all times?

  • Do all interior stairways have properly secured handrails?

  • Are interior stairways kept free of storage and obstructions at all times?

  • Are interior stairways kept lighted?

  • Is the emergency lighting system tested on a monthly basis?

  • Is the emergency power generator tested on a weekly basis?

  • SECTION III - HEATING & AIR CONDITIONING EQUIPMENT

  • Has heating equipment been thoroughly inspected by a qualified service man within the past year?

  • Is heating equipment (including flues and pipes) properly insulated from combustible materials?

  • Are heating and air conditioning equipment rooms free of storage?

  • Are heating and air conditioning rooms restricted areas?

  • Is air conditioning equipment cleaned and serviced annually?

  • SECTION IV - ELECTRICAL EQUIPMENT & CONTROL PANELS

  • Has the electrical system been inspected within the past five years by a certified electrician or electrical inspector?

  • Are electrical panels always kept closed?

  • Are electrical panels always kept clear of storage and obstructions?

  • Is circuitry adequate to handle load demand? (not requiring frequent fuse replacement, or circuit breaker resetting)

  • Was electrical system installed by a competent electrician?

  • Are all electrical appliances properly grounded and cleaned?

  • Are electric motors adequately ventilated to prevent overheating and are they cleaned regularly?

  • Are proper size electrical cords used and are they in good condition?

  • Is all commercial cooking equipment protected as recommend by NFPA #96?

  • Is hood and duct exhaust system installed accordingly to NFPA #96 guidelines?

  • Are grease filters U.L. listed for grease extraction and installed according to NFPA #96?

  • Are the hood and duct system cleaned at least on a semi-annual basis?

  • Are the kitchen appliances protected by an automatic fire extinguishing system?

  • Is the fire extinguishing system serviced and inspected at least on a semi-annual basis?

  • SECTION VI - HOUSEKEEPING

  • Are storage and supply rooms kept clean and orderly?

  • Are trash and rubbish stored in metal containers?

  • Are all flammable items (paint, lacquer, paint thinner, etc.) kept in safety containers and stored in approved metal cabinets?

  • Is ready disposal of combustible wastes provided?

  • Are areas used for public meetings or other functions always thoroughly checked before securing?

  • Are rags, cloths, etc. used in cleaning stored in an approved, self-closing metal container?

  • SECTION VII - FIRE PROTECTION

  • Are all the fire extinguishers tagged, serviced and inspected annually?

  • Are all fire extinguishers tagged with latest service record and inspection date?

  • Are fire extinguishers located within 75 feet from any point on each floor?

  • Are extinguishers properly protected from damage and freezing?

  • Is building protected with smoke/heat detection system?

  • Is the heat/smoke detection system tested and inspected on a monthly basis?

  • Is there a two inch drain test performed on the sprinkler system on a quarterly basis?

  • Any additional comments?

  • Photo documentation

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