North Little Rock Fire Department

• Occupancy number

• Type of Inspection

• Name of Business

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Owner

Manager

Emergency Contact

Type of Occupancy

• New Occupancy?

  Yes

  No

  N/A

• Fire Hazards found?

  Yes

  No

  N/A

• Fire Extinguishers?

  Yes

  No

  N/A

• House Keeping?

  Safe

  At Risk

  N/A

• Combustibles stored away from ignition sources?

  Yes

  No

  N/A

• Flammable Liquids?

  Yes

  No

• Electrical Hazards

  Safe

  At Risk

  N/A

• Utilities location varified

  Yes

  No

• Location

• Fire Protection Equipment?

  Yes

  No

  N/A

• Fire Lanes?

  Yes

  No

• Exits

  Safe

  At Risk

  N/A

• Exit Signs present and operational

  Yes

  No

  N/A

• Emergency Lighting?

  Yes

  No

  N/A

• Fire and Smoke Doors present and operational?

  Yes

  No

  N/A

• No Smoking Signs?

  Yes

  No

  N/A

• Sprinkler and Stand Pipe System/ Caps, Connections, etc?

  Yes

  No

  N/A

• Last Inspection Date and Color of Tag.

Annul system in date (inspected bi annually)

• Yes

  No

  N/A

• Kitchen Hood System Clean And In Date?

  Yes

  No

  N/A

• Obstruction of Fire Hydrants or Fire Department Connections?

  Yes

  No

• Private Fire Hydrants Operate Correctly?

  Yes

  No

  N/A

• Last Hydrant Inspection Date.

Knox Box Location

Comments

• Add media

  Media

• Add drawing

  Drawing

• Property Representative

  Sign

• Reporting Officer

  Sign

• Date

  Date

• Re inspection Due

• Select date

  Date

• Fire Hazards Corrected

  Yes

  No

  N/A