Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Lower level common area

  • Vestibule fire extinguisher<br>

  • Vestibule exit light

  • Vestibule emergency light

  • Lobby exit light

  • Lobby over elevator room door emergency light

  • Emergency light on wall near door to suite 101

  • Elevator room fire extinguisher

Suite101

  • Exit light over hallway door

  • Waiting room ceiling emergency light

  • Waiting room to outside door exit light

  • Waiting room to outside door fire extinguisher

  • Outside door emergency light

  • Outside door exit light

  • Hall to waiting room exit light

  • Hall to waiting room ceiling emergency light

  • Emergency light outside kitchen in hall

  • Exit light kitchenette

  • Emergency light ceiling front office

  • Emergency light ceiling front office

  • Exit light hall to office over front door

Suite 100

  • Exit light over suite door

  • Lobby emergency light near front door

  • Fire extinguisher in lobby

  • Emergency light in ceiling near treatment hallway

  • Exit light over door going into treatment area

  • Exit light inside of door in treatment hallway

  • Emergency light in ceiling inside treatment hallway

  • Emergency light in ceiling near bathrooms

  • Fire extinguisher in kitchenette

  • Exit light in center hallway

  • Extinguisher in MRI control room

  • Exit light at end of hallway near restroom

  • Emergency light in ceiling near restroom end of hallway

  • Exit/ emergency combo end of hallway near exit door

Suite 111

  • Exit light over front door

  • Exit light over receptionist desk

  • Emergency light in lobby ceiling

  • Exit light through door to treatment hallway

  • Emergency light on wall through treatment hall door way.

  • Exit light on wall at first T intersection

  • Exit light going to side exit door

  • Fire extinguisher at exit door

  • Exit light over side exit door

  • Emergency light on wall at end of hallway

  • Exit light at end of hallway near exam rm 6

  • Emergency light in ceiling back hallway

  • Fire extinguisher in back hallway

  • Exit light in back hallway over fire extinguisher

Suite 110 - currently under construction

Upper level common area

  • Fire extinguisher upstairs vestibule

  • Exit light over outside doors in vestibule

  • Emergency light in ceiling vestibule

  • Exit/ emergency over main inside door

  • Exit light in middle over directory

  • Emergency light over directory

  • Emergency light over top of stairs

  • Emergency light over middle landing of stairs

  • Exit light outside of suite 200

  • Emergency light on wall near suite 200

  • Emergency light on wall near suite 204

  • Exit light over suite 204 door

  • Fire extinguisher near side exit door

  • Exit light over side exit door

  • Emergency light over extinguisher near side exit door

  • Exit light near restrooms

  • Emergency light near restrooms

  • Emergency light near suite 211 entrance on wall

Suite 211

  • Emergency light on wall at entrance

  • Exit light over entrance

  • Fire extinguisher near lobby next to side door

  • Exit light going towards front of building next to business office

  • Emergency light in front of space near exam rm 3

  • Exit light in front of space

  • Exit light over side door 1

  • Exit light over side door 2

  • Emergency light on wall between side exit doors

  • Exit/ emergency light in back right corner of space.

  • Fire extinguisher in back of space next to bathroom

  • Emergency light in ceiling in back of space near bathroom

  • Fire extinguisher in rear lab

  • Exit light over door near lab

  • Emergency light on wall near exam rm 7

  • Exit light over exam rm 7

  • Emergency light in ceiling near bathroom and exam rm 7.

  • Emergency light on wall near check out desk

  • Fire extinguisher near rm 5

  • Exit light near exam rm 5

  • Exit light going to lobby near rm 5

  • Emergency light on wall near exit to common area hallway

  • Exit light over door to main hallway/ common area

Suite 201

  • Exit light over main suite door

  • Emergency light in front lobby

  • Emergency light in ceiling before back hallway door

  • Fire extinguisher in main hallway by front desk.

  • Exit light in ceiling near rear counter

  • Emergency light in rear hallway near exam rm D

  • Emergency light in ceiling near rear exit door

  • Exit light over rear door to common area hallway.

Suite 200- currently under construction

Suite 204

  • Exit light over front door

  • Fire extinguisher next to front door

  • Emergency light over front door

  • Exit light through lobby into treatment area

  • Emergency light in treatment hallway in ceiling by front lobby

  • Exit light near exam rm 1

  • Emergency light between exam rm 1 and 2.

  • Exit light at end of hallway

  • Exit light in rear hallway heading towards rear exit door

  • Fire extinguisher near rear exit

  • Emergency light over rear door.

  • Exit light over rear door

  • Emergency light in ceiling between exam 4 and 5

  • Exit light over exam rm 6

  • Emergency light between exam rm 6 and bathroom

Fire alarm panel

  • Status of panel

Elevator phone

  • Tested elevator

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