- Dorm Room Fire Inspection

• Title

• Dorm

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Dorm room fire and life safety inspection

• Add room

Room

• Room number

• Exit; must be able to exit to the hallway through only one additional room

  Compliant

  Non-Compliant

• Additional exit/egress issues

  Compliant

  Non-Compliant

• Fire detection; unaltered or tampered with, hindered in any way.

  Compliant

  Non-Compliant

• Fire protection; sprinkler heads not obstructed, or tampered with, or damaged.

  Compliant

  Non-Compliant

• Other life/fire safety issues visually identified.

  Compliant

  Non-Compliant

• Images

  Media

General building issues

• Other general building compliance issues:

Signatures

• Inspector signature

  Sign