SCMIRF Self Inspection Checklist

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

BUILDING EXTERIOR

• Building address or name clearly marked

  Yes

  No

  N/A

• Building accessible in an emergency

  Yes

  No

  N/A

• Fire hydrants accessible

  Yes

  No

  N/A

• Fire Dept. Connection marked/accessible

  Yes

  No

  N/A

• Building appears to be in good repair

  Yes

  No

  N/A

• Building free of vandalism

  Yes

  No

  N/A

• Exterior walls in good condition

  Yes

  No

  N/A

• Exterior doors in good condition

  Yes

  No

  N/A

• Roof in good condition

  Yes

  No

  N/A

• Chimneys/stacks in good condition

  Yes

  No

  N/A

• Walkways maintained

  Yes

  No

  N/A

• Parking lots maintained

  Yes

  No

  N/A

• Combustibles stored away from building

  Yes

  No

  N/A

• Vegetation cut back from building

  Yes

  No

  N/A

• Trash stored away from building

  Yes

  No

  N/A

• Exterior lights operating properly

  Yes

  No

  N/A

• Fencing in good condition

  Yes

  No

  N/A

• Gates in good condition, locks

  Yes

  No

  N/A

FIRE DOORS

• Fire doors in working condition

  Yes

  No

  N/A

• Fire Doors are kept closed

  Yes

  No

  N/A

GENERAL HOUSEKEEPING

• Building clean and well maintained

  Yes

  No

  N/A

• Storage areas neatly arranged

  Yes

  No

  N/A

• Non-combustible trash containers

  Yes

  No

  N/A

• Trash emptied daily

  Yes

  No

  N/A

• Stairs/halls clean and free of obstructions

  Yes

  No

  N/A

HEATING & AIR CONDITIONING

• Heating and A/C operating properly

  Yes

  No

  N/A

• Mechanical rooms kept locked

  Yes

  No

  N/A

• Mechanical rooms free of storage

  Yes

  No

  N/A

• All vents clear of combustible

  Yes

  No

  N/A

• Use of unapproved space heaters prohibited

  Yes

  No

  N/A

• Approved space heaters tested for auto shut-off

  Yes

  No

  N/A

SMOKING

• Workplace smoking ban enforced

  Yes

  No

  N/A

FIRE EXTINGUISHERS

• Proper type fire extinguishers provided

  Yes

  No

  N/A

• Extinguishers are readily accessible

  Yes

  No

  N/A

• Extinguishers inspected last year

  Yes

  No

  N/A

ELECTRICAL

• Electrical system operating properly

  Yes

  No

  N/A

• Electrical panels free of obstructions

  Yes

  No

  N/A

• Electrical panels kept locked

  Yes

  No

  N/A

• Boxes and panels free of obstructions

  Yes

  No

  N/A

• Electrical hoses, outlets, and panels covered

  Yes

  No

  N/A

• All circuit breakers/fuses clearly marked

  Yes

  No

  N/A

• Extension cords properly used

  Yes

  No

  N/A

• GFCI's on receptacles near water

  Yes

  No

  N/A

FIRE ALARM/DETECTION SYSTEMS

• Tested within the last month

  Yes

  No

  N/A

• System free of trouble/alarm signals

  Yes

  No

  N/A

• Smoke alarm available and tested

  Yes

  No

  N/A

• Detection systems cleaned regularly

  Yes

  No

  N/A

AUTOMATIC SPRINKLER SYSTEMS

• System tested within the last three months

  Yes

  No

  N/A

• All sprinkler supply valves open

  Yes

  No

  N/A

• Sprinkler controls free of obstructions

  Yes

  No

  N/A

• 18" clearance below sprinkler heads

  Yes

  No

  N/A

• Caps on outside Fire Dept. Connection

  Yes

  No

  N/A

BUILDING EVACUATION FEATURES

• Exit doors clearly marked

  Yes

  No

  N/A

• Travel routes clearly marked

  Yes

  No

  N/A

• Exit doors in working condition

  Yes

  No

  N/A

• Exit doors accessible and unlocked

  Yes

  No

  N/A

• Emergency lights are working

  Yes

  No

  N/A

• Evacuation diagrams posted in all areas

  Yes

  No

  N/A

SPECIAL HAZARDS - Is the building free of the following

• Flammable liquids storage

  Yes

  No

  N/A

• Compressed gas storage

  Yes

  No

  N/A

• Commercial type cooking

  Yes

  No

  N/A

• Large computer facility

  Yes

  No

  N/A

• Other hazardous chemicals/operations

  Yes

  No

  N/A

• Exterior fence/gates locked

  Yes

  No

  N/A

• Overhead power lines

  Yes

  No

  N/A

Other Hazards

• Is the facility free of other hazards or concerns?

  Yes

  No

  N/A