Town of Gates Public Assembly Inspection

• Audit Title

• 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?

  Yes

  No

  N/A

• 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

Construction Type

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

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

Business Type

• 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

Electrical Equipment NYS Fire Code 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

Heating Systems NYS Fire Code 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

Fire alarm NYS Fire Code section 907

• Fire Alarm System

  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

Kitchen suppression system NYS Fire Code 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

Fire sprinkler systems NYS Fire Code 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

Fire extinguishers NYS Fire Code 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

Exiting and emergency lighting NYS Fire Code Section 1006 and 1011

• 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

Means of egress NYS Fire Code Section 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

Fire Lanes, FD Access roads and private Fire Hydrants NYS Fire Code Chapter 5

• Fire lanes properly marked and unobstructed?

  Yes

  No

  N/A

• Fire department access roads maintained and unobstructed?

  Yes

  No

  N/A

Fire Hydrants NYS Fire Code section 508

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

  Yes

  No

  N/A

• 3' clearance maintained around hydrant

  Yes

  No

  N/A

Hazardous Materials Chapter 27 NYS Fire Code

• 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

General precautions against fire NYS Fire Code 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 or concerns

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 x244

• Select date

  Date

Inspector

• Select date

  Date

• Add signature

  Sign

Building representative

• Add signature

  Sign

• Pictures if taken

  Media