Information

  • Title

  • Dorm

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Alarm System

  • Fire Alarm System checks

  • Fire Alarm System compliant?

  • FAP Clear of Troubles

  • FAP Clear of Obstructions?

  • FAS Other maintained and operational?

  • Severity

  • Gamewell tripped and received by Dispatch successfully?

  • Corrected by FD?

  • Technician and Chief Officer Notified?

  • Severity

Sprinkler System

  • Fire Sprinkler System Compliant?

  • PIV Open and locked?

  • FD Connections free from obstructions?

  • Main valve open and locked?

  • System Pressure OK?

  • Standpipes/valves/connections/caps properly maintained?

  • Standpipe connections and valves accessible and operable?

  • Sprinkler head clearance 18"

  • Nothing suspended from Sprinkler pipes?

  • Severity

Egress

  • Exit Door(s) Compliant

  • Crash Hardware Operational

  • Door(s) UN Obstructed

  • Severity

  • Egress Compliant?

  • Egress/Exit path unobstructed

  • Severity

General building issues

  • Other general building compliance issues:

Signatures

  • Inspector signature

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