Monthly Fire Extinguisher & Emergency Lighting Inspection - duplicate

• Site conducted

  Select

• Self-generate work orders to address any faults found that are within scope, contact property manager with any items that will require a 3rd party vendor

• Conducted on

  Date

• Please select and move forward

  MFX

• Prepared by

• Location
  Address

• VUE Work Order Number

Monthly General ~ Please provide detailed notes and create an action Item for all deficiencies

• Total number of exit signs on site

• Total number of fire extinguishers on site

• Last Annual Inspection date (This date is hole punched on the fire extinguisher tag)

  Date

• Last Maintenance Inspection date (Typically every 5 or 6 years - this date is located on the side of the extinguisher)

  Date

• 1) Visually Inspect all fire extinguishers at each site <br>a. Confirm extinguisher is visible, unobstructed & in designated location<br>b. Verify the locking pin is intact<br>c. Tamper seal is unbroken<br>d. Visually confirm the extinguisher is free of damage, corrosion, leaks, or clogged nozzle<br>e. Confirm pressure gauge is in the green<br>f. Ensure instructions are legible and facing outward<br>g. Provide the date extinguisher was last professionally serviced<br>

  Confirmed

  Not Confirmed

  N/A

• 2) Date and sign the tag on all fire extinguishers

  Complete

  Not Complete

  N/A

• 3) Visually confirm that all emergency exit signs are operating properly

  Confirmed

  Not Confirmed

  N/A

• 4) Check panic bars are operational and haven't been tampered with

  Confirmed

  Not Confirmed

  N/A

• Test ALL smoke detectors. Did you find any deficiencies?

  Deficiency

  No Deficiency Found

  N/A

• Replace smoke detector batteries during month of day light savings and recycle old batteries

  Complete

  Not Complete

  N/A

• Inspect fire alarm panel (visual only) for any troubles or visible alarms and path to panel is clear of any obstacles

  No Alarms

  Alarms

  Trouble Alarm

  N/A

• Check lockbox - is key present?

  Yes

  No

  N/A

• If key is missing, notify Property Manager

• Does this building have an elevator?

  Yes

  No

• Inspect operation of any elevator phones

  Not Operational

  Operational

  N/A

• Ask Banking Center Manager if the elevator monthly recall test has been completed

  Yes

  No

AED (Automated External Defibrillator):

• AED Defibrillator Device – Verify that the unit is present and document the expiration date

  Unit is Present

  Unit is Missing

• Expiration Date (MM/DD/YYYY)

• Has the AED defibrillator device date expired?

  Select No - device is within expiration date Yes - device has expired

  • No - device is within expiration date
  • Yes - device has expired

• Any failed condition (missing, damaged, red indicator, or expired) must be reported immediately to Property Manager & Operations Manager via email

• Take Photo

  Media

• Check the status indicator for a green check or red X mark

  Green Check

  Red X Mark

• Any failed condition (missing, damaged, red indicator, or expired) must be reported immediately to Property Manager & Operations Manager via email

• Any failed condition (missing, damaged, red indicator, or expired) must be reported immediately to Property Manager & Operations Manager via email

• Bleeding Control Kit – Verify that the kit is present and document the expiration date

  Unit is Present

  Unit is Missing

• Expiration Date (MM/DD/YYYY)

• Has the Bleed Control Kit date expired?

  Select No - device is within expiration date Yes - device has expired

  • No - device is within expiration date
  • Yes - device has expired

• Any failed condition (missing, damaged, red indicator, or expired) must be reported immediately to Property Manager & Operations Manager via email

• Take Photo

  Media

• Any failed condition (missing, damaged, red indicator, or expired) must be reported immediately to Property Manager & Operations Manager via email

• AED Paddles (Pads) - Verify they are present and document the expiration date

  Unit is Present

  Unit is Missing

• Expiration Date (MM/DD/YYYY)

• Has the AED Pads date expired?

  Select No - device is within expiration date Yes - device has expired

  • No - device is within expiration date
  • Yes - device has expired

• Any failed condition (missing, damaged, red indicator, or expired) must be reported immediately to Property Manager & Operations Manager via email

• Any failed condition (missing, damaged, red indicator, or expired) must be reported immediately to Property Manager & Operations Manager via email

Monthly - Emergency Light Test ~ Please provide detailed notes and create an action item for all deficiencies found

• Press test button on Emergency Lighting - did all lights come "ON"?

  Yes

  No

  N/A

• Check each light for physical damage. Note any damage and include photos if appropriate

  Damage

  No Damage

  N/A

• Check alignment of light beams and adjust if necessary. Light beams should be aligned so that it illuminates the egress path properly.

  Deficiency

  No Deficiency Found

  N/A

• Check AC voltage and battery charge lamps if applicable

  Pass

  Fail

  N/A

• Record inspection on on-site emergency lighting check list located in mechanical/electrical room

  Complete

  Not Complete

  N/A

• Please indicate any deficiencies or notes here. Escalate any out of scope items to Property Manager - provide detailed notes for all actions taken.