McCoy's Egress Evaluation

• Document No.

• Store Number

• Store Address

• Enter Date

  Date

• Survey Prepared by

• Collect Coordinates Location
  Address

• Store Manager's Name

1. Photo of the Front of the Store

• Insert photo here.

  Media

2. Headroom and doorways

• Do all the following doorways and areas listed below measure at least 80 inches from the floor to the lowest point from the ceiling (ex: pipe, light fixture, etc.)?
  
  If there are no objects (ex: pipe, light fixture, etc.), does the floor to ceiling measure at least 90 inches?
  
  If no, describe the area in detail, enter measurement and insert picture.

• A. Manager's Office

  Yes

  No

  N/A

• B. Administrative Assistant Office

  Yes

  No

  N/A

• C. SIC Office

  Yes

  No

  N/A

• D. Break Room

  Yes

  No

  N/A

• E. Above Lumber Storage Bin

  Yes

  No

  N/A

• F. Above Restroom

  Yes

  No

  N/A

• G. Warehouse Mezzanine

  Yes

  No

  N/A

• H. Warehouse-Below Mezzanine

  Yes

  No

  N/A

• I. Pole Shed Pigeon Racking-Elevated Walking Surface

  Yes

  No

  N/A

• J. List any other area(s) not listed above.

  Yes

  No

  N/A

3. Other Egress Components

• 3. Is every door opening at least 28 inches wide? If no, describe location(s) and enter measurement(s) and insert picture.

  Yes

  No

  N/A

• 4. Are all exit discharge doors unlocked or can they be opened from the inside? If no, describe the location(s) and insert picture.

  Yes

  No

  N/A

• 5. Are all exit routes free of obstacles? If no, describe the location(s), obstacle(s) and insert a picture.

  Yes

  No

  N/A

• 6. Is there a handrail for each set of stairs? If no, describe location(s) and insert picture.

  Yes

  No

  N/A

• A. Does each handrail measure between 30 inches and 38 inches from the leading edge of the stair tread? If no, describe area(s), enter measurement(s).

  Yes

  No

  N/A

• 7. Does each set of stairs measure equal to or less than 8 inches rise and equal to or greater than 9 inches run? If no, describe the location(s) and enter dimension(s).

  Yes

  No

  N/A

• 8. Does each exit discharge door have an exit sign? If no, describe the location(s).

  Yes

  No

  N/A

• 9. Is each exit EXIT sign illuminated? If no describe location(s).

  Yes

  No

  N/A

• 10. Does each exit discharge door have hardware that requires only one motion to open? If no, describe location(s).

  Yes

  No

  N/A

• 11. Are all stand alone building(s) greater than 3000 square feet? If no, describe and insert picture.

  Yes

  No

  N/A

• 12. Are there at least two (2) exit discharges (walk doors) in all buildings greater than 3000 square feet?<br>

  Yes

  No

  N/A

• 13. Is the sales building equipped with an automatic fire sprinkler system?

  Yes

  No

  N/A

• 15. Is the warehouse building equipped with an automatic fire sprinkler system?

  Yes

  No

  N/A

• 16. Is the sales building attached to the warehouse building?

  Yes

  No

  N/A

• 17. Are all dead-enders less than 20 feet? If no, describe the area, enter measurement and insert picture.

  Yes

  No

  N/A

• Add sketch or hand written notes here if needed.

  Drawing