Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Personnel
Functional testing of emergency/exit lighting is conducted during a monthly inspection for not less than 30 seconds, except as otherwise permitted per NFPA 101 7.9.3.1(2) Inspection of fire extinguisher includes checking that pin is still in place, seal isn’t broken, inspection tag isn’t past due, and tag is dated and signed by auditor.
Lower level common area
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Vestibule fire extinguisher<br>
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Vestibule exit light
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Vestibule emergency light
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Lobby exit light
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Lobby over elevator room door emergency light
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Emergency light on wall near door to suite 101
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Elevator room fire extinguisher
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Fire extinguisher in sprinkler room
Suite101
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Exit light over hallway door
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Waiting room ceiling emergency light
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Waiting room to outside door exit light
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Waiting room to outside door fire extinguisher
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Outside door emergency light
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Outside door exit light
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Hall to waiting room exit light
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Hall to waiting room ceiling emergency light
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Emergency light outside kitchen in hall
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Exit light kitchenette
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Emergency light ceiling front office
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Emergency light ceiling front office
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Exit light hall to office over front door
Suite 100
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Exit light over suite door
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Lobby emergency light near front door
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Fire extinguisher in lobby
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Emergency light in ceiling near treatment hallway
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Exit light over door going into treatment area
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Exit light inside of door in treatment hallway
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Emergency light in ceiling inside treatment hallway
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Emergency light in ceiling near bathrooms
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Fire extinguisher in kitchenette
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Exit light in center hallway
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Extinguisher in MRI control room
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Exit light at end of hallway near restroom
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Emergency light in ceiling near restroom end of hallway
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Exit/ emergency combo end of hallway near exit door
Suite 111/110
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Exit light over front door
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Exit light over receptionist desk
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Emergency light in lobby ceiling
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Exit light through door to treatment hallway
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Emergency light on wall through treatment hall door way.
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Exit light on wall at first T intersection
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Exit light going to side exit door
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Fire extinguisher at exit door
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Exit light over side exit door
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Emergency light on wall at end of hallway
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Exit light at end of hallway near exam rm 6
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Emergency light in ceiling back hallway
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Fire extinguisher in back hallway
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Exit light in back hallway over fire extinguisher
Upper level common area
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Fire extinguisher upstairs vestibule
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Exit light over outside doors in vestibule
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Emergency light in ceiling vestibule
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Exit/ emergency over main inside door
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Exit light in middle over directory
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Emergency light over directory
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Emergency light over top of stairs
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Emergency light over middle landing of stairs
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Exit light outside of suite 200
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Emergency light on wall near suite 200
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Emergency light on wall near suite 204
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Exit light over suite 204 door
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Fire extinguisher near side exit door
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Exit light over side exit door
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Emergency light over extinguisher near side exit door
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Exit light near restrooms
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Emergency light near restrooms
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Emergency light near suite 211 entrance on wall
Suite 211
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Emergency light on wall at entrance
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Exit light over entrance
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Exit light going towards front of building next to business office
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Fire extinguisher near lobby next to side door
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Emergency light in front of space near exam rm 3
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Exit light in front of space
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Exit light over side door 1
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Exit light over side door 2
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Emergency light on wall between side exit doors
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Exit/ emergency light in back right corner of space.
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Fire extinguisher in back of space next to bathroom
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Emergency light in ceiling in back of space near bathroom
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Fire extinguisher in rear lab
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Exit light over door near lab
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Emergency light on wall near exam rm 7
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Exit light over exam rm 7
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Emergency light in ceiling near bathroom and exam rm 7.
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Emergency light on wall near check out desk
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Fire extinguisher near rm 5
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Exit light near exam rm 5
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Exit light going to lobby near rm 5
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Emergency light on wall near exit to common area hallway
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Exit light over door to main hallway/ common area
Suite 200
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Exit light over door
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Emergency light in front lobby
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Fire extinguisher through lobby door
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Exit light through lobby door
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Emergency light through lobby door
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Emergency light through lobby door
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Emergency light in ceiling outside of exam room 1
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Emergency light in ceiling outside of exam room 6
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Emergency light at end of hallway in ceiling
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Exit light at end of hallway
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Fire extinguisher at end of hallway near exit
Suite 201
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Exit light over main suite door
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Emergency light in front lobby
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Emergency light in ceiling before back hallway door
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Fire extinguisher in main hallway by front desk.
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Exit light in ceiling near rear counter
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Emergency light in rear hallway near exam rm D
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Emergency light in ceiling near rear exit door
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Exit light over rear door to common area hallway.
Suite 204
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Exit light over front door
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Fire extinguisher next to front door
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Emergency light over front door
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Exit light through lobby into treatment area
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Emergency light in treatment hallway in ceiling by front lobby
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Exit light near exam rm 1
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Emergency light between exam rm 1 and 2.
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Exit light at end of hallway
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Exit light in rear hallway heading towards rear exit door
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Fire extinguisher near rear exit
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Emergency light over rear door.
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Exit light over rear door
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Emergency light in ceiling between exam 4 and 5
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Exit light over exam rm 6
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Emergency light between exam rm 6 and bathroom
Fire alarm panel
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Fire panel is in normal condition with no alarms<br><br><br>
Elevator phone
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Check elevator to ensure that operator picks up and is able to give a location of the building.
Inspection to identify all fire hazards, obstacles in evacuation routes, and other unsafe conditions
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Clear of all fire hazards, obstacles in evacuation routes, and other unsafe conditions
