Information

  • Document No.

  • Business Name

  • Address

  • Conducted on

  • Prepared by

  • Location
  • Emergency Contacts (At least two):

  • The Address is Posted and Visible (6" min.).

  • Business license for city of North Little Rock

Egress

  • The means of egress is not obstructed.

  • The means of egress is illuminated at all times.

  • Egress doors are openable from the egress side without the use of a key or special knowledge.

  • Manually operated flush bolts or surface bolts are not present on egress doors.

  • Fire doors are not wedged open, self close and latch.

  • Exit signs are internally and externally illuminated at all times.

Electrical

  • Working clearance is present in front of electrical panels of 30"w X 36"d X 78"h.

  • Extension cords are not used as permanent wiring.

  • All junction, switch, and electrical outlet boxes have cover plates.

Fire Extinguishers

  • Fire extinguish is proper size

  • Portable fire extinguishers are inspected annually by a fire extinguisher company.

  • Portable fire extinguishers are mounted properly and are visible. Maximum of 60" above the floor.

Fire Sprinkler Systems

  • Sprinkler System is tested annually.

  • FDC is accessible & functional.

  • Storage is maintained 18" below the sprinkler head.

Fire Alarm System

  • Fire alarm system is tested annually.

Commercial Cooking Equipment

  • Kitchen Suppression System is serviced semi-annually.

  • Type K extinguisher is present within 30ft of cooking equipment.

  • Manual pull station is accessible.

  • The kitchen hood is cleaned properly and when required.

Fire Pump

  • Fire pump has weekly inspection/run log.

  • Fire pump has been inspected within the last 12 months.

Knox Box/Lock

  • A Knox box is present

  • Location

  • A Knox pad lock is in place on entry gate.

  • The keys in the Knox box are current.

Storage

  • Compressed gas cylinders are secured.

  • Combustible materials are not stored in electrical or mechanical rooms

  • MSDS sheets for hazardous materials are readily available on the premises.

  • Flammable/combustible liquids in excess of 10 gallons are stored properly.

Additional Information

  • Business representative

  • North Little Rock Fire Department Representative

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.