TSFD PRE INCIDENT REPORT

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Contacts

• Name

• Title

• Phone Number and/or Email

Building Information

• Construction Type (Ohio Building Code)

  Fire-Resistive

  Noncombustible

  Ordinary

  Heavy Timber

  Wood Frame

• Detector Type (OFC 907)

  Select Smoke Carbon Monoxide Rate of Rise Heat Flame Detector None

  • Smoke
  • Carbon Monoxide
  • Rate of Rise
  • Heat
  • Flame Detector
  • None

• Detectors connected to alarm company

  Yes

  No

  N/A

• Sprinkler System installed and inspected? N/A if not needed for building use. (OFC 903)

  Yes

  No

  N/A

• Number of Stories Above Grade

  0

  1

  2

  3

  4

• Number of Stories Below Grade

  0

  1

  2

  3

  4

• Occupancy Use Group (OFC 202)

  Select A-1 A-2 A-3 A-4 A-5 B E F-1 F-2 H-1 H-2 H-3 H-4 H-5 I-1 I-2 I-3 I-4 M R-1 R-2 R-3 R-4 S-1 S-2 U

  • A-1
  • A-2
  • A-3
  • A-4
  • A-5
  • B
  • E
  • F-1
  • F-2
  • H-1
  • H-2
  • H-3
  • H-4
  • H-5
  • I-1
  • I-2
  • I-3
  • I-4
  • M
  • R-1
  • R-2
  • R-3
  • R-4
  • S-1
  • S-2
  • U

• Occupancy Group Comments

• Pictures

  Media

Inspection Questions

• Fire Protection System Inspection Records (OFC 901.6.2)

  Yes

  No

  N/A

• Inspection Records of Extinguishers (OFC 906.2 / NFPA 10-7)

  Yes

  No

  N/A

• Inspection Records of standby power systems. (OFC 604.3.2)

  Yes

  No

  N/A

• Combustibles (OFC Rule 29 & 34)

  Safe

  At Risk

  N/A

• Flammables (OFC Rule 34, 35 & 36)

  Safe

  At Risk

  N/A

• Heat Appliances (OFC 315.2, 603, 605.10)<br>

  Safe

  At Risk

  N/A

• Emergency Generator (OFC 604)

  Safe

  At Risk

  N/A

• Electrical (OFC 605)

  Safe

  At Risk

  N/A

• Extinguishers (OFC 901.6.1, 906)

  Safe

  At Risk

  N/A

• Compressed Gas Cylinders (OFC Rule 30)

  Safe

  At Risk

  N/A

• Hood / Duct Systems (OFC 609, 901.6.1, 903.2.11.5)

  Safe

  At Risk

  N/A

• Ceiling tiles (OFC 703)

  Safe

  At Risk

  N/A

• Occupancy Posted (A use group only, OFC 1004.3)

  Yes

  No

  N/A

• Exits / Aisles (OFC 1003, 1030)

  Safe

  At Risk

  N/A

• Emergency Lighting (OFC 1006)

  Safe

  At Risk

  N/A

• Interior Doors (OFC 703, 1008, 1030)

  Safe

  At Risk

  N/A

• Exit Doors (OFC 1008, 1030)

  Safe

  At Risk

  N/A

• Stairways (OFC 1009)

  Safe

  At Risk

  N/A

• Exit Signs (OFC 1011)

  Yes

  No

  N/A

• Special Considerations / Operations

  Safe

  At Risk

  N/A

• Pictures

  Media

PrePlan

• PrePlan Photos

  Media

• Gas Meter Location

  Yes

  No

  N/A

• Electric Service Location

  Yes

  No

  N/A

• Annunciator Location

  Yes

  No

  N/A

• Fire Department Connection Location

  Yes

  No

  N/A

• Special Hazards

  Yes

  No

  N/A

Inspection Review

• Any violation of the Ohio Fire Code is a 1st degree misdemeanor with fines up to $1000 per violation per day. (Ohio Revised Code 3737.51)

• Is the Building in compliance with the Ohio Fire Code?

  Yes

  No

  N/A

• Violations found need to be addressed as soon as possible. The re-inspection date will be:

  Date

• Special Notes

• Inspection Reviewed with:

  Sign

• Inspector:

  Sign

• Inspector Certification Number: