Information

  • Document No.

  • Conducted on

  • Prepared by

  • Business Name

  • Location (click locate to obtain GPS coordinates)

Occupancy Information

  • Physical address

  • Nearest cross street

  • Mailing address same as physical address?

  • Mailing address

  • Phone number

  • Phone number

  • Fax number

  • Fax number

  • Occupancy Type:

  • Normal Hours of Occupancy

  • Primary Contact Name, After-hours Phone and Email

  • Secondary Contact Name, After-hours Phone and Email

  • Third Contact Name, After-hours Phone and Email

  • Primary Water Source

  • Primary Source, Distance and GPM

  • Secondary Source, Distance and GPM

  • Approximate Sq Footage

  • Height in Stories

  • Occupancy Class Code

  • Construction Class Code

  • Roof Type

Building Features

  • Natural Gas

  • Shut Off Location

  • Electricity<br>

  • Inservice Location

  • Water

  • Shut Off Location

  • Local Alarm System

  • Control Panel Location

  • Monitored Alarm Service

  • Monitoring Company Name

  • Monitoring Company Phone Number

  • Basement

  • Elevator

  • Elevator Control Room

  • Fire Sprinkler System

  • System Type (Dry - Wet - Combo)

  • Riser Room Location

  • FDC Location

  • Standpipe System

  • Hose Station Locations

  • Standpipe FDC

Exposure and Hazard Information

  • Exposure Information

  • Target Hazards

  • Construction Hazards

Additional Information

  • Additional Comments

  • Business representative

  • Spanish Fort Fire Rescue Department Representative

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.