Information

  • Document No.

  • Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Fire alarm system

  • Power on

  • Gamewell wound and set

  • FACP and gamewell free from obstructions

  • Troubles clear on panel

  • FAS maintainned and operational

Sprinkler system

  • Head clearance 18"

  • Main valve open

  • System pressure ok

  • Standpipes/valves/caps properly maintained

  • FD connections free from obstruction

  • PIV open and locked

  • Nothing suspended from sprinkler pipes

  • Stand pipe connections and valve accessible and operable.

Fire Extinguishers

  • Proper identification

  • Proper installation

  • Ready for use

  • Not obstructed

  • Hood system(s) semi annual inspection

  • Hood system(s) filters clean

Egress, Exits, Lighting

  • Exit lighting operational

  • Emergency lighting operational

  • Exit doors operational

  • No obstructions

  • No storage in stairwells

Electrical

  • Junction boxes & wiring O.K.

  • Extension cords, approved, NOT used in place of permanent wiring.

  • Space heaters, approved only

  • Electrical panels free from obstructions

  • Electrical wiring & equipment maintained properly

  • No circuit blanks in electrical panels

Elevators

  • Elevator tool(s) in box

  • Proper number of fire service keys

Room integrity

  • Ceiling tiles/penetrations

  • No holes:walls, ceilings, floors & chases

  • Fire doors, overhead operational, current inspections

  • Fire doors, swinging, operational

Miscellaneous

  • No excessive waste/housekeeping issues

  • Store room clean and orderly

  • Compresses gas cylinders secured

  • Flammable /combustible liquids in approved containers and flammable liquid cabinets

  • Access keys

  • Floors clear of slip & trip hazards

  • Laundry vent systems clean

  • Ceiling decorations acceptable

  • Wall decorations acceptable

  • Machinery guards installed and secured.

Notes

  • Other notes

  • Inspector signature

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.