Title Page

  • Business Name

  • Location
  • Date of Inspection

  • Inspector

Plans / Drawings

  • Verify approved plans / drawings are on-site or are available to the contractor.

Visual Inspection

  • Gate opens to a clear width of 20' across the entire fire apparatus access road, or 10' across each lane of traffic.

  • Electric gate operator / switch is installed in an appropriate location.

  • Red LED light installed and visible from fire apparatus access road.

  • Entrapment protection device is installed.

  • A manual override to open the gate is accessible from the exterior side.

Operational Test

  • Gate opens using approved electric gate operator / switch.

  • Red light turns on or flashes while emergency access / electronic gate switch is activated.

  • Manual override activated from the exterior and operates properly.

  • Entrapment protection device operates properly.

  • The gate automatically opens or swings freely upon loss of power.

Inspection Status

  • Inspection Status

  • Next Inspection

  • Owner / Representative

  • Phone #

  • Email Address

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.