Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Contacts

  • Property Representative Assisting with Inspection (Name, Phone Number and/or Email )

  • Property Owner (Name, Phone Number and/or Email)

  • Emergency Contact 1 (Name, Title and Phone # )

  • Emergency Contact 2 (Name, Title and Phone # )

Preplan

  • Preplan Drawing (OverHead)

  • Preplan Photos

Building Information

  • Knox Box (if yes enter location)

  • Annunciator Panel (if yes enter location)

  • FDC (if yes enter location)

  • Gas Service (if yes enter location)

  • Electric Service Location

  • Special Hazards ( if yes list hazards)

  • Number of Stories Above Grade

  • Number of Stories Below Grade

  • Construction Type

  • Detector Type

  • Detectors connected to alarm company

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

  • Occupancy Group

  • Occupancy Group Comments

  • Pictures

Inspection Questions

  • Combustibles

  • Heat Appliances<br>

  • Extinguishers

  • Flammables

  • Compressed Gas Cylinders

  • Hood / Duct Systems

  • Occupancy Posted

  • Stairways

  • Emergency Lighting

  • Exit Signs

  • Interior Doors

  • Service Areas

  • Housekeeping

  • Exits / Aisles

  • Electrical

Misc.

  • Ceiling tiles

  • Emergency Generator

  • Fire Drills

  • Pictures

  • Comments

Violations

  • Violations Found (Number Violations)

  • Recommended Corrections ( Number corrections to correlate with violation)

  • Violation Pictures

  • Violations to be corrected by:

  • Inspection Reviewed With

  • Inspector (Name, Certification Number and Email)

  • For questions about this inspection please contact the WFD at 740-384-2128 or email at wellstonfiredepartment@gmail.com

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