Title Page

SITE INFORMATION

  • Document No.

  • Site Name

  • Site Address

  • Contact Name and Number

  • Conducted on

TECHNICIAN INFORMATION

  • Prepared by

  • Tech Name

SPRINKLER INFORMATION

  • Does the building have a fire sprinkler system?

  • If Yes, how many?

  • Do the risers have inspection tags?

  • IF Yes, when was it last inspected?

  • By whom?

FIRE ALARM INFORMATION

  • Does the building have a fire alarm system?

  • If Yes, who monitors the system?

  • If yes, what type?

  • Make and Model?

  • Does the panel have inspection tags?

  • If Yes, when was it last inspected?

  • By whom?

OTHER SERVICES TO PURSUE

  • Select other items to pursue.

Notes and Photos

  • Please add any notes that will be helpful.

  • Please upload any photos that will be helpful.

  • Please export, review and email this document to surveys@nextprotection.net

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.