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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Location
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Personnel
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Select date
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Will existing exits be imparted
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Yes No N/A
- yes
- no
- N/A
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Will alternative exits be impared?
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Yes No N/A
- Yes
- No
- N/A
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Will existing corridor width be reduced?
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Yes No N/A
- yes
- no
- N/A
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Will construction escape routes be needed?
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Yes No N/A
- yes
- no
- N/A
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Will existing fire systems be impared?
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Yes No N/A
- yes
- no
- N/A
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Will existing Fire Alarm System be impaired?
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Yes No N/A
- yes
- no
- N/A
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Will existing Fire Detection system be impaired?
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Yes No N/A
- Yes
- No
- N/A
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Will existing sprinkler system be impared?
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Yes No N/A
- Yes
- No
- N/A
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Will temporary or equivalent systems be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will additional fire fighting equipment be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will temporary smoke-tight construction partitions that are non-combustible or limited-combustible be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will increased hazard surveillance of patient buildings be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will hazard surveillance of buildings, grounds or equipment be necessary?
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Yes No N/A
- Yes
- No
- N/A
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Will special attention to excavations, construction storage or work areas be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will reduction in the flammable or combustible fire load be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will temporary construction storage be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will housekeeping or debris removal be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will additional fire response training be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will additional fire drills be needed?
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Yes No N/A
- Yes
- No
- N/A
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Will it be necessary to inspect and test temporary systems monthly and document inspection information?
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Yes No N/A
- Yes
- No
- N/A
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Will organizational training in Life Safety Code deficiencies , and construction hazards be needed?
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Yes No N /A
- Yes
- No
- N/A
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Will training to compensate for structural or compartmentation for fire safety deficiencies be needed?
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Yes No N/A
- Yes
- No
- N/A
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