Title Page
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Site conducted
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Prepared by
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Building
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Date of inspection
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Is the fire department connection accessible?
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Are caps in place?
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Is sign indicating connection present?
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Do caps thread freely?
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Do connections swivel freely?
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Are gaskets in good condition?
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Is piping free of obstruction and debris
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Are clapper valves operating properly?
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Facility management notified of identified deficiencies and a repair request has been entered?
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Signature of inspector
