Town of Gates Public Assembly Inspection (2017-MARCH)

• Document No.

• Business Name
  Address

• Company Address

• Conducted on

  Date

• Prepared by

• Personnel

Prior to Inspection

• Previous years inspection reviewed

  Yes

  No

  N/A

• Test paperwork for systems on file in office?

  Yes

  No

  N/A

Company information: Contact, Email (for report) Emergency Phone Number, Business Phone Number

General Building Condition

• Address Number on building complies to Chapter 70 of Gates Town Code, at least 4" and visible from roadway.

  Yes

  No

  N/A

• Occupancy sign posted for assembly buildings

  Yes

  No

  N/A

• For permitted occupancies is last years permit displayed? Town of Gates Code Chapter 70

  Yes

  No

  N/A

• Exterior exits clear and unobstructed during drive around of property? Including snow and ice buildup.<br><br>

  Yes

  No

  N/A

• Sidewalks, paths of travel maintained; no tripping hazards

  Safe

  At Risk

  N/A

• Outside of the building in good shape? Ie no concrete spalling, missing siding, roof in good condition

  Yes

  No

  N/A

Additional Notes

Construction Type (IBC Chapter 6)

• Select Type I Type II Type III Type IV Type V

  • Type I
  • Type II
  • Type III
  • Type IV
  • Type V

Additional Notes

Business Type (IFC Chapter 2)

• Select Assembly Business Educational Factory High Hazard Institutional Mercantile Residential Storage Utility or Other

  • Assembly
  • Business
  • Educational
  • Factory
  • High Hazard
  • Institutional
  • Mercantile
  • Residential
  • Storage
  • Utility or Other

Additional Notes

Electrical Equipment (IFC Chapter 6 Section 605)

• 36" clearance in front of electrical panels

  Safe

  At Risk

  N/A

• Extension cords not being used in place of permanent wiring

  Yes

  No

  N/A

• Combustibles not being stored in electrical equipment rooms

  Yes

  No

  N/A

• No open wiring, splices or junction boxes present

  Yes

  No

  N/A

Additional Notes

Heating Systems (IFC Chapter 6 Section 603)

• Air Flow sufficient to support proper operation

  Safe

  At Risk

  N/A

• Chimneys and vent pipes intact and good condition

  Safe

  At Risk

  N/A

• Heat producing device/appliance not defective.

  Yes

  No

  N/A

• Safety devices in place and operational<br>

  Yes

  No

  N/A

• No storage of combustible with 18" of heat producing devices

  Yes

  No

  N/A

Additional Notes

Fire Alarm Detection System (IFC Chapter 9 Section 907)

• Fire Alarm System

  Yes

  No

  N/A

• Carbon Monoxide Detection installed as part of a system, or is there a 10 year lithium battery detector found?

  Yes

  No

  N/A

• Inspected within the last year

  Yes

  No

  N/A

• No deficiencies noted on report

  Yes

  No

  N/A

• All devices present and appear to be in good condition on visual inspection

  Safe

  At Risk

  N/A

• Fire alarm panel in normal or standby condition

  Yes

  No

  N/A

Additional Notes

Kitchen Suppression System (IFC Chapter 9 Section 904)

• Kitchen Suppression System

  Yes

  No

  N/A

• Inspected with the last 6 months?

  Yes

  No

  N/A

• No deficiencies noted in report

  Yes

  No

  N/A

• Kitchen hood clean and free from excess grease buildup?

  Yes

  No

  N/A

• Manual pull station unobstructed and visible

  Yes

  No

  N/A

• Class "K" extinguisher present?

  Yes

  No

  N/A

Additional Notes

Fire Sprinkler Systems (IFC Chapter 9 Section 903)

• Fire Sprinkler System

  Yes

  No

  N/A

• Inspected within the last quarter?

  Yes

  No

  N/A

• No deficiencies noted on the report

  Yes

  No

  N/A

• Sprinkler valves and riser accessible?

  Yes

  No

  N/A

• Visual inspection of components, not dust loaded, intact an in good condition

  Yes

  No

  N/A

• Proper number and type of spare heads in cabinet along with sprinkler wrench?

  Yes

  No

  N/A

• FDC is unobstructed, couplings work easily and show no sign of damage

  Yes

  No

  N/A

• Outside horn/strobe or bell appears to be in good condition and not obstructed in any way

  Yes

  No

  N/A

Additional Notes

Fire Pumps (IFC Chapter 9 Section 913)

• Fire Pumps

  Safe

  At Risk

  N/A

• Test paperwork available

  Yes

  No

  N/A

• No deficiencies noted on report

  Yes

  No

  N/A

• Fire pump room free from storage

  Yes

  No

  N/A

• No sign of leaks or other physical damage to pump during a visual inspection.

  Yes

  No

  N/A

Additional Notes

Fire Extinguishers (IFC Chapter 9 Section 906)

• Extinguisher tagged with an inspection tag, sealed and has the proper pressure

  Yes

  No

  N/A

• Extinguishers accessible and not blocked or impeded in any way?

  Yes

  No

  N/A

• Extinguishers mounted on the wall or in extinguisher cabinets

  Yes

  No

  N/A

• Extinguishers proper type and size for hazards present

  Yes

  No

  N/A

Additional Notes

Exiting & Emergency Lighting (Chapter 10 Section 1006)

• Exit signs illuminated during inspection

  Yes

  No

  N/A

• Emergency lighting operational during inspection?

  Yes

  No

  N/A

• Documentation of the annual 90 minute test available?

  Yes

  No

  N/A

• All exterior exit doors close and latch on their own.

  Yes

  No

  N/A

• Fire doors closed or held open by magnets controlled by the fire alarm system.

  Yes

  No

  N/A

• Fire door tags in place on doors and door assemblies?

  Yes

  No

  N/A

Additional Notes

Means of Egress (IFC Chapter 10)

• No combustible storage in exit ways

  Yes

  No

  N/A

• Exit ways unobstructed?

  Yes

  No

  N/A

• Aisle width compliant?

  Yes

  No

  N/A

• All exits open easily and are unobstructed.

  Yes

  No

  N/A

• Door hardware compliant?

  Yes

  No

  N/A

Additional Notes

Fire Lanes, Access Roads & Private Fire Hydrants (IFC Chapter 5)

• Fire lanes properly marked and unobstructed?

  Yes

  No

  N/A

• Fire department access roads maintained and unobstructed?

  Yes

  No

  N/A

Fire Protection Water Supply (Chapter 5 Section 507)

• Annual test paperwork available or on file in fire marshal office

  Yes

  No

  N/A

• 3' clearance maintained around hydrant

  Yes

  No

  N/A

Additional Notes

Hazardous Materials (IFC Chapter 50)

• Compressed gas tanks stored properly and secured to prevent them from accidentally tipping over. NYS Fire Code Chapter 30

  Yes

  No

  N/A

• Stored in approved containers or cabinets

  Yes

  No

  N/A

• LP gas stored outside in approved cages and provided with vehicle impact protection. NYS Fire Code Chapter 38

  Yes

  No

  N/A

• MSDS paperwork available?

  Yes

  No

  N/A

• Tier II reporting being done?<br>If it is not have them contact Dave Richards at 585-753-3813 or drichards@monroecounty.gov

  Yes

  No

  N/A

Additional Notes

General Requirements (IFC Chapter 3)

• Interior combustible waste not excessive Section 315

  Safe

  At Risk

  N/A

• Location of dumpsters in proximity to the building. Dumpsters must be kept a minimum of 5' from any combustible wall, openings or overlapping roof eaves

  Yes

  No

  N/A

• No openings in walls or ceilings

  Yes

  No

  N/A

• Penetrations in fire walls caulked and sealed?<br>

  Yes

  No

  N/A

• No combustible storage in mechanical, boiler or elevator rooms

  Yes

  No

  N/A

• Maintain storage at least 2' below the ceiling.

  Yes

  No

  N/A

• No combustible storage under stairways

  Yes

  No

  N/A

Additional Notes

Employee Training & Response Procedures (IFC Chapter 4 Section 406)

• Are employees trained in fire prevention, evacuation, and fire safety annually?

  Yes

  No

  N/A

• Documentation available?

  Yes

  No

  N/A

Additional Notes

The violations listed on this report shall be corrected on or before the re inspection date listed below. During this period, the property owner and or business owner continues to be responsible and liable for any damages arising from these violations. All questions or concerns shall be directed to the Gates Fire Marshal at (585) 247-6100 x2

• Select date

  Date

Inspector

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  Date

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Building representative

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