Title Page
SITE INFORMATION
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Document No.
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Site Name
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Site Address
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Contact Name and Number
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Conducted on
TECHNICIAN INFORMATION
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Prepared by
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Tech Name
SPRINKLER INFORMATION
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Does the building have a fire sprinkler system?
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If Yes, how many?
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Do the risers have inspection tags?
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IF Yes, when was it last inspected?
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By whom?
FIRE ALARM INFORMATION
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Does the building have a fire alarm system?
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If Yes, who monitors the system?
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If yes, what type?
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Make and Model?
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Does the panel have inspection tags?
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If Yes, when was it last inspected?
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By whom?
OTHER SERVICES TO PURSUE
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Select other items to pursue.
- Extinguishers
- E-Lights
- Backflows
- Hood Systems
- Hydrants
Notes and Photos
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Please add any notes that will be helpful.
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Please upload any photos that will be helpful.
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Please export, review and email this document to surveys@nextprotection.net