Information

  • Document No.

  • Date of Inspection

  • School District

  • School Name

  • School Name

  • School Name

  • School Name

  • School Name

  • School Name

  • School Name

  • School Name

  • School Name

  • School Name

Inspector/s

  • HCFMO INSPECTOR

OCCUPANCY INFORMATION

  • Grade Levels

  • Design capacity

  • Current student count

  • Current staff count

GENERAL PRECAUTIONS

  • General housekeeping hazard - 304.1

  • Lint/combustibles in laundry dryer area - 305.1

  • Deficiency
  • Add media

  • Storage maintained 24 inches below ceiling (if non-sprinklered) - 315.2.1

  • Deficiency
  • Add media

  • Combustible material stored in electrical, boiler, or mechanical rooms - 315.2.3

  • Deficiency
  • Add media

  • Storage maintained 18 inches below sprinkler heads - 315.2.1

  • Deficiency
  • Add media

EMERGENCY PLANNING and FIRE SERVICE FEATURES

  • Fire safety and evacuation plans - 404

  • Deficiency
  • Date of last fire drill

  • Monthly fire safety drills and records - 405

  • Fire apparatus access clear (vehicles parked in fire lane) - 503.4

  • Deficiency
  • Add media

  • Address visible from street (minimum size 4 inches in contrasting color) - 505.1

  • Fire department able to gain access to fire protection equipment or fire hydrant - 508.5.4

  • Deficiency
  • Add media

  • Rooms containing fire alarm control panel, fire sprinkler controls, HVAC, and electrical panels/controls labeled

  • Deficiency
  • Add media

  • Fuel-fired equipment in accordance with mechanical code or manufacturers instruction - 603

  • Deficiency
  • Add media

ELECTRICAL

  • Electrical wiring in accordance with electrical code - 605

  • Deficiency
  • Add media

  • Covers in place for electrical panels, junction boxes, switches, and outlets - 605.6

  • Deficiency
  • Add media

  • Extension cords not used in place of permanent wiring - 605.5

  • Deficiency
  • Add media

  • Penetrations sealed in rated floors, walls, and ceilings (repair or replace missing/broken ceiling tiles) - 703.1

  • Deficiency
  • Add media

RATED CONSTRUCTION AND INTERIOR FINISH

  • Combustible items <10% hanging from ceiling - 807.1.2

  • Deficiency
  • Add media

  • Artwork and teaching materials <20% of wall coverage in corridors - 807.4.3.2<br>

  • Deficiency
  • Add media

  • Decorations/furniture clear of exit doors - 807.4.1

  • Deficiency
  • Add media

FIRE PROTECTION

  • Fire suppression equipment (cooking equipment) maintained in an operative condition - 901.6<br>

  • Deficiency
  • Add media

  • Cooking equipment/exhaust hood clear of excessive grease accumulation - 904.11.6.3

  • Deficiency
  • Add media

  • Fire alarm maintained in operative condition - 901.6

  • Deficiency
  • Add media

  • Fire sprinkler system maintained in operative condition - 901.6

  • Deficiency
  • Add media

  • Portable fire extinguishers maintained in operative condition - 901.6

  • Deficiency
  • Add media

  • Portable fire extinguishers not blocked/inaccessible - 906.6

  • Deficiency
  • Add media

  • Portable fire extinguisher mounted < 5 feet and > 4 inches from floor - 906.9

  • Deficiency
  • Add media

  • Access available to fire department connection (FDC) - 912.3

  • Fire department connection (FDC) labeled - 912.2.2 & 912.4

EGRESS

  • Means of egress unobstructed - 1003.6

  • Deficiency
  • Add media

  • Emergency lighting installed and maintained - 1006

  • Deficiency
  • Add media

  • Exit doors swing in direction of egress - 1008.1.2

  • Deficiency
  • Add media

  • Exit doors not locked - 1008.1.8

  • Deficiency
  • Add media

  • Additional locks not installed on exit doors - 1008.1.8.4

  • Deficiency
  • Add media

  • Panic and fire exit hardware maintained - 1008.1.9

  • Deficiency
  • Add media

  • Exit signs installed and maintained

  • Deficiency
  • Add media

OTHER

  • Spray booth installed and protected - 1503.1

  • Compressed gas cylinders secured from falling - 3003.5.3

  • Storage cabinet provided for storage of flammable liquids - 3404.3.2

SERVICE INSPECTIONS (Licensed providers)

  • Last gas test/inspection

  • Provider

  • Last fire alarm inspection date

  • Provider

  • FACP Location

  • Last fixed hood suppression system inspection date

  • Provider

  • Number of systems

  • Last fire sprinkler inspection date

  • Provider

  • Number of risers and location/s

  • Number of fire pumps and location/s

  • Last fire extinguisher inspection date

  • Provider

  • Controlled egress

  • Controlled egress

  • Number of portable buildings

  • Number of portable classrooms

Signatures

  • Received by:

  • Inspector:

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