Information
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ADDRESS
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OWNER
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TELEPHONE NUMBER
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EMAIL ADDRESS
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EMERGENCY CONTACT
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DATE OF INSPECTION
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Prepared by: Joseph Russo VOS Fire Marshal FI address: 103 Broadway Off Island: PO Box 5551 Bay Shore, NY 11706 (631) 583-5566
General requirements
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Address Number on building at least 4" and visible from road
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Occupancy sign posted for assembly buildings
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For permitted occupancies are the permits valid and displayed
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Exits clear and unobstructed around property<br><br>
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Sidewalks, paths of travel maintained; no tripping hazards
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Outside of the building in maintained? i.e. no concrete spalling, missing siding, roof in good condition
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Fire safety plan on file
Construction Type
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- Type I
- Type II
- Type III
- Type IV
- Type V
Business Type
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- Assembly
- Business
- Educational
- Factory
- High Hazard
- Institutional
- Mercantile
- Residential
- Storage
- Utility or Other
Electrical Equipment NYS Fire Code section 605
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36" clearance in front of electrical panels
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Extension cords not being used in place of permanent wiring
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Combustibles not being stored in electrical equipment rooms
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No open wiring, splices or junction boxes present
Heating Systems NYS Fire Code section 603
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Air Flow sufficient to support proper operation
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Chimneys and vent pipes intact and good condition
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Heat producing device/appliance not defective
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Safety devices in place and operational<br>
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No storage of combustible with 18" of heat producing devices
Fire alarm NYS Fire Code section 907
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Fire Alarm System
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Inspected within the last year
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No deficiencies noted on report
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All devices present and appear to be in good condition on visual inspection
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Fire alarm panel in normal or standby condition
Kitchen suppression system NYS Fire Code section 904
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Kitchen Suppression System
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Inspected with the last 6 months
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No deficiencies noted in report
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Kitchen hood clean and free from excess grease buildup
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Manual pull station unobstructed and visible
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Class "K" extinguisher present
Fire sprinkler systems NYS Fire Code Section 903
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Fire Sprinkler System
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Inspected within the last quarter
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No deficiencies noted on the report
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Sprinkler valves and riser accessible
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Visual inspection of components, not dust loaded, intact an in good condition
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Proper number and type of spare heads in cabinet along with sprinkler wrench
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FDC is unobstructed, couplings work easily and show no sign of damage
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Outside horn/strobe or bell appears to be in good condition and not obstructed in any way
Fire Pumps NYS Fire Code section 913
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Fire Pumps
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Test paperwork available
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No deficiencies noted on report
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Fire pump room free from storage
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No sign of leaks or other physical damage to pump during a visual inspection
Fire extinguishers NYS Fire Code Section 906
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Extinguisher tagged with an inspection tag, sealed and has the proper pressure
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Extinguishers accessible and not blocked or impeded in any way
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Extinguishers mounted on the wall or in extinguisher cabinets
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Extinguishers proper type and size for hazards present
Exiting and emergency lighting NYS Fire Code Section 1006 and 1011
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Exit signs illuminated during inspection
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Emergency lighting operational during inspection
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Documentation of the annual 90 minute test available
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All exterior exit doors close and latch on their own
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Fire doors closed or held open by magnets controlled by the fire alarm system
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Fire door tags in place on doors and door assemblies
Means of egress NYS Fire Code Section 10
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No combustible storage in exit ways
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Exit ways unobstructed
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Aisle width compliant
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All exits open easily and are unobstructed
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Door hardware compliant
Hazardous Materials Chapter 27 NYS Fire Code
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Compressed gas tanks stored properly and secured. NYS Fire Code Chapter 30
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Flammable and or Combustable liquids stored in approved containers or cabinets
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MSDS paperwork available
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Permit #
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Cylinder sizes, use & locations
General precautions against fire NYS Fire Code Chapter 3
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Interior combustible waste not excessive Section 315
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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
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No openings in walls or ceilings
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Penetrations in fire walls caulked and sealed
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No combustible storage in mechanical, boiler or elevator rooms
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Maintain storage at least 2' below the ceiling
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No combustible storage under stairways
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No violations or corrective actions found?
Summary of violations and corrective actions
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, injuries or death resulting from these violations.
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Re inspection needed?
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Re inspection date?
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Follow up notes
Property representative
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