VRFD Fire Inspection Report

• Occupancy Name

• Occupancy Address

• Conducted on

  Date

• Document No.

• Type of Inspection

  Select Scheduled Inspection Re-Inspection Complaint Daycare Business Licence

  • Scheduled Inspection
  • Re-Inspection
  • Complaint
  • Daycare
  • Business Licence

• Contact Information Updated?

• Email Address

Contact Information

• Is there a change in Contact Information?

  Yes

  No

  N/A

• Contact Name

• Title or Position

• Contact Number

• Secondary Contact Number

• Contact email

Building Information

• Occupancy Classification

  Select A1 - Assembly A2 - Assembly A3 - Assembly A4 - Assembly B1 - Detention B2 - Treatment B3 - Care C - Residential D - Business & Personal Services E - Mercantile F1 - High Hazard F2 - Medium Hazard F3 - Low Hazard

  • A1 - Assembly
  • A2 - Assembly
  • A3 - Assembly
  • A4 - Assembly
  • B1 - Detention
  • B2 - Treatment
  • B3 - Care
  • C - Residential
  • D - Business & Personal Services
  • E - Mercantile
  • F1 - High Hazard
  • F2 - Medium Hazard
  • F3 - Low Hazard

• Number of Stories

  Select 1 2 3 4 5 6 7

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7

Exterior

• Fire department connections are accessible and free of obstructions.

  Yes

  No

  N/A

• Fire department access is maintained clear of obstructions.

  Yes

  No

  N/A

• Paths of travel and exits are maintained free of obstructions.

  Yes

  No

  N/A

• No Other Visible Hazards

  Yes

  No

  N/A

Mechanical Spaces

• Are there Mechanical Spaces?

  Yes

  No

  N/A

• Clearances are maintained between heating equipment and combustible materials and /or construction.

  Yes

  No

  N/A

• Combustibles have not accumulated in the service room or spaces.

  Yes

  No

  N/A

• Closure devices for service room doors are operational.

  Yes

  No

  N/A

Fire Alarm System

• Is there a Fire Alarm System?

  Yes

  No

  N/A

• Fire alarm system is operational.

  Yes

  No

  N/A

• Fire alarm system is inspected and tested annually.

  Yes

  No

  N/A

• 📅Fire Alarm System

  Date

• No Other Visible Hazards

  Yes

  No

  N/A

Emergency Lighting and Exit Signs

• Is there Emergency Lighting?

  Yes

  No

  N/A

• Emergency lighting is inspected and tested annually as required.

  Yes

  No

  N/A

• 📅Emergency Lighting

  Date

• Exit signs are illuminated during occupancy.

  Yes

  No

  N/A

• Exit signs are readily visible.

  Yes

  No

  N/A

• There is adequate exit lighting; exit signs and emergency lighting provided.

  Yes

  No

  N/A

• No Other Visible Hazards

  Yes

  No

  N/A

Fire Suppression Equipment

• Portable fire extinguishers area inspected, tested and maintained in operating condition.

  Yes

  No

  N/A

• 📅Fire Extinguishers

  Date

• Is the building Sprinklered?

  Yes

  No

  N/A

• Is it inspected, tested and maintained in operating condition.

  Yes

  No

  N/A

• 📅Sprinkler System

  Date

• Does the building have Standpipes?

  Yes

  No

  N/A

• Is it inspected, tested and maintained in operating condition.

  Yes

  No

  N/A

• 📅Standpipe System

  Date

• Does the building have Commercial Cooking Equipment?

  Yes

  No

  N/A

• Suppression and ventilation systems are installed, inspected and maintained in operating condition.

  Yes

  No

  N/A

• 📅Kitchen Suppression System

  Date

• 📅Hood Steam Cleaning

  Date

• No Other Visible Hazards

  Yes

  No

  N/A

Occupant Safety Equipment

• Integrity of fire separations are maintained.

  Yes

  No

  N/A

• Doors in fire separations are not blocked or wedged open.

  Yes

  No

  N/A

• Doors in fire separations are maintained in good working order at all times.

  Yes

  No

  N/A

• Means of egress are maintained in good repair and free of obstructions.

  Yes

  No

  N/A

• Exit doors are maintained and operate freely.

  Yes

  No

  N/A

• Emergency evacuation plans are posted and maintained.

  Yes

  No

  N/A

• 📅Fire Safety Plan

  Date

• No Other Visible Hazards

  Yes

  No

  N/A

Electrical

• Electrical cords are being used in a proper manor.

  Yes

  No

  N/A

• Electrical equipment and wiring are maintained in good condition.

  Yes

  No

  N/A

• There are no visible bare or exposed wires.

  Yes

  No

  N/A

• There is no visible overloading of electrical circuits.

  Yes

  No

  N/A

• Switches or receptacles are in good condition.

  Yes

  No

  N/A

• Distribution panels are accessible, covered and labelled.

  Yes

  No

  N/A

• No Other Visible Hazards

  Yes

  No

  N/A

House Keeping

• Combustible materials are not permitted to accumulate in quantities or locations that will constitute an undue fire hazard.

  Yes

  No

  N/A

• Decorative materials attached to walls or ceilings have not exceeded the room or area's flame-spread rating.

  Yes

  No

  N/A

• Non-combustible waste receptacles are used for materials that are subjected to spontaneous ignition.

  Yes

  No

  N/A

• No Other Visible Hazards

  Yes

  No

  N/A

Storage of Hazardous Materials

• Are hazardous materials stored on site?

  Yes

  No

  N/A

• Flammable and Combustible liquids are labelled, stored and handled in an approved mannor.

  Yes

  No

  N/A

• Storage areas are properly identified.

  Yes

  No

  N/A

• Flammable gases are stored indoors in an approved mannor.

  Yes

  No

  N/A

• No Other Visible Hazards

  Yes

  No

  N/A

General Remarks

• Notes:

• Inspector Signature

  Sign

• Owner/Occupier Signature

  Sign

• Owner/Occupier Absent

Deficiency Correction Due Date

• Are there deficiencies

  Yes

  No

• Deficiencies are due:

  Date