Title Page
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Document Number
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Unit number
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Date
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Prepared by
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Tenant representative
FIRE & SAFETY
DETAILS OF SAFETY MEASURES
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Fire Sprinkler heads in good condition and not covered
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Fire sprinkler pipes are pressurized with water if accessible
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Smoke detectors and Heat detectors in good condition and are not covered
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LPG installation complied with NFPA 58 and panel is clear
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Kitchen hood/preparation area properly maintained
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Fire Alarm, buzzer or sounder in place and working
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Portable fire extinguishers are pressurized and are working properly
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Oil and grease traps clean
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Portable fire extinguishers are kept free of obstructions
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Exit signs and Emergency lights provided exit / egress, lobbies, essential rooms as per NFPA 101
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Fire Panel is operational / functional and is clear for ready access
EMERGENCY EXITS / EGRESS
AREAS OF SHOPS / STORAGE ROOMS / MEZZANINE STAIRCASE
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Aisles are clear from equipment, boxes, materials and stock no less than 22 inches (0.5m) clearance
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Good housekeeping maintained in all areas (Clear of combustibles)
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Sliding doors are interfaced to main fire alarm control panel and provide fail-safe features
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Exit back doors unlocked and are clear for proper egress
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Evacuation Plan displayed and visible
STORAGE AREAS
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Stacking of materials is no less than 18 in = 45.7 cm away from Ceiling to allow sprinklers to take affect
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A minimum of 24 in = 61 cm clear width on both sides of storage racks / unobstructed
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Dedicated storage for dangerous goods (chemicals, combustible liquids, compressed vessels etc.)
MEZZANINE STAIRCASE
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Mezzanine staircase clear of all material and constructed of steel
ELECTRICAL SYSTEM
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Electrical wirings, outlets and extension cords are listed and capable to withstand electrical loads and meet code
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Electrical panels and rooms are clear of combustibles, flammables and materials and in good condition
GENERAL SAFETY
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Ceiling/false ceiling in good condition
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Flooring free from potential slip/trip/fall hazards
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Potential hazards due to water leakage from any utilities/ceiling
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Any apparent item with potential hazard
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Others
PPM – PREVENTATIVE MAINTENANCE REPORTS
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Does the tenant have up to date QCDD Certificate
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Fire Detection and Alarm system
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Fire-fighting system
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Emergency Power Supply system
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Kitchen hood cleaning & suppression system {Ansul}
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Gas Detection system
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Fire Extinguishers
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Pest Control
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Grease Trap
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Lifts
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Escalators/travelators
Acceptance of Completed Job
It is ultimately the responsibility of the tenant to ensure all items mentioned above are in compliance with Civil Defense and NFPA Standards. Please complete all non-compliance items ASAP
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Date:
Inspected by:
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Inspector Name and Signature
Tenant Representative
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Tenant Representative Name and Signature - If tenant not available mark as Not Present