North Little Rock Fire Safety Survey

• Document No.

• Business Name

• Address

• Conducted on

  Date

• Prepared by

• Location
  Address

• Emergency Contacts (At least two):

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

  Yes

  No

  N/A

• Business license for city of North Little Rock

  Yes

  No

  N/A

Egress

• The means of egress is not obstructed.

  Safe

  At Risk

  N/A

• The means of egress is illuminated at all times.

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Electrical

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

  Safe

  At Risk

  N/A

• Extension cords are not used as permanent wiring.

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Fire Extinguishers

• Fire extinguish is proper size

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Fire Sprinkler Systems

• Sprinkler System is tested annually.

  Yes

  No

  N/A

• FDC is accessible & functional.

  Yes

  No

  N/A

• Storage is maintained 18" below the sprinkler head.

  Yes

  No

  N/A

Fire Alarm System

• Fire alarm system is tested annually.

  Yes

  No

  N/A

Commercial Cooking Equipment

• Kitchen Suppression System is serviced semi-annually.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Manual pull station is accessible.

  Yes

  No

  N/A

• The kitchen hood is cleaned properly and when required.

  Yes

  No

  N/A

Fire Pump

• Fire pump has weekly inspection/run log.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Yes

  No

  N/A

Knox Box/Lock

• A Knox box is present

  Yes

  No

• Location

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

  Yes

  No

  N/A

• The keys in the Knox box are current.

  Yes

  No

  N/A

Storage

• Compressed gas cylinders are secured.

  Yes

  No

  N/A

• Combustible materials are not stored in electrical or mechanical rooms

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Additional Information

• Business representative

  Sign

• North Little Rock Fire Department Representative

  Sign