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
