Mannville Fire and Protective Services

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by safety codes officer

• Location
  Address

• Owner/agent present

Contacts

• Name

• Title

• Phone Number and/or Email

Building Information

• Construction Type

  Fire-Resistive

  Noncombustible

  Ordinary

  Heavy Timber

  Wood Frame

• Detector Type

  Select Smoke Carbon Monoxide Rate of Rise Heat Flame Detector None

  • Smoke
  • Carbon Monoxide
  • Rate of Rise
  • Heat
  • Flame Detector
  • None

• Detectors connected to alarm company

  Yes

  No

  N/A

• Sprinkler System installed and inspected? N/A if not needed for building use.

  Yes

  No

  N/A

• Number of Stories Above Grade

  0

  1

  2

  3

  4

• Number of Stories Below Grade

  0

  1

  2

  3

  4

• Occupancy Use Grouping

  Select A-1 A-2 A-3 A-4 A-5 B E F-1 F-2 H-1 H-2 H-3 H-4 H-5 I-1 I-2 I-3 I-4 M R-1 R-2 R-3 R-4 S-1 S-2 U

  • A-1
  • A-2
  • A-3
  • A-4
  • A-5
  • B
  • E
  • F-1
  • F-2
  • H-1
  • H-2
  • H-3
  • H-4
  • H-5
  • I-1
  • I-2
  • I-3
  • I-4
  • M
  • R-1
  • R-2
  • R-3
  • R-4
  • S-1
  • S-2
  • U

• Occupancy Group Comments

• Pictures

  Media

Inspection Questions

• Fire Protection System Inspection Records

  Yes

  No

  N/A

• Inspection Records of Extinguishers

  Yes

  No

  N/A

• Inspection Records of standby power systems.

  Yes

  No

  N/A

• Combustibles

  Safe

  At Risk

  N/A

• Flammables

  Safe

  At Risk

  N/A

• Heat Appliances <br>

  Safe

  At Risk

  N/A

• Emergency Generator

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Extinguishers

  Safe

  At Risk

  N/A

• Compressed Gas Cylinders

  Safe

  At Risk

  N/A

• Hood / Duct Systems

  Safe

  At Risk

  N/A

• Ceiling tiles

  Safe

  At Risk

  N/A

• Occupancy posted

  Yes

  No

  N/A

• Exits / Aisles

  Safe

  At Risk

  N/A

• Emergency Lighting

  Safe

  At Risk

  N/A

• Interior Doors

  Safe

  At Risk

  N/A

• Exit Doors

  Safe

  At Risk

  N/A

• Stairways

  Safe

  At Risk

  N/A

• Exit Signs

  Yes

  No

  N/A

• Special Considerations / Operations

  Safe

  At Risk

  N/A

• Pictures

  Media

PrePlan

• PrePlan Photos

  Media

• Gas Meter Location

  Yes

  No

  N/A

• Electric Service Location

  Yes

  No

  N/A

• Annunciator Location

  Yes

  No

  N/A

• Fire Department Connection Location

  Yes

  No

  N/A

• Special Hazards

  Yes

  No

  N/A

Inspection Review

• Non Compliance with the Alberta Fire Code 2014

• Is the Building in compliance with the Alberta Fire Code 2014

  Yes

  No

  N/A

• Violations found need to be addressed as soon as possible. The re-inspection date will be:

  Date

• Special Notes

• Inspection Reviewed with:

  Sign

• Inspector:

  Sign

• Inspector Certification Number: