Information

  • Occupancy Name

  • File Action:

  • Address / File #

  • Conducted on

  • Document No.

  • Inspected By

Business License Information

  • Business License?

  • Business Name

  • Nature of Business

  • Hours of Operation

  • Owner

  • Phone Number

  • Email

  • Owner contact for Business?

  • Contact Name

  • Position

  • Phone Number

  • Email

Building Information

  • Is the address different from the first page?

  • Address
  • Occupancy Classification

  • Floors

Fire Safety

  • Fire Alarm

  • Service Company

  • Phone Number

  • Sprinkler System

  • Service Company

  • Phone Number

  • Standpipe System

  • Information Different than Sprinklers

  • Service Company

  • Phone Number

  • Kitchen System

  • Service Company

  • Phone Number

  • Fire Safety Plan

  • Company

  • Name

  • Phone Number

General Remarks

  • Notes:

  • Ocuppancy

  • Approval Date

  • Inspector

For Office use Only

  • Initial Inspection Date

  • Added to the database

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.