Wellston Fire Building Inspection - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• 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)

  Drawing

• Preplan Photos

  Media

Building Information

• Knox Box (if yes enter location)

  Yes

  No

  N/A

• Annunciator Panel (if yes enter location)

  Yes

  No

  N/A

• FDC (if yes enter location)

  Yes

  No

  N/A

• Gas Service (if yes enter location)

  Yes

  No

  N/A

• Electric Service Location

• Special Hazards ( if yes list hazards)

  Yes

  No

  N/A

• Number of Stories Above Grade

  1

  2

  3

  4

• Number of Stories Below Grade

  0

  1

  2

  3

  4

• Construction Type

  Select Fire-Resistive Noncombustible Ordinary Heavy Timber Wood Frame

  • Fire-Resistive
  • Noncombustible
  • Ordinary
  • Heavy Timber
  • Wood Frame

• Detector Type

  Select Smoke Smoke & CO CO only Rate of Rise Heat Not Present

  • Smoke
  • Smoke & CO
  • CO only
  • Rate of Rise
  • Heat
  • Not Present

• Detectors connected to alarm company

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Occupancy Group

  Select A - Assembly B - Business E - Educational F - Factory/Industrial H - High Hazard I - Institutional M - Mercantile R - Residential S - Storage U - Miscellaneuos

  • A - Assembly
  • B - Business
  • E - Educational
  • F - Factory/Industrial
  • H - High Hazard
  • I - Institutional
  • M - Mercantile
  • R - Residential
  • S - Storage
  • U - Miscellaneuos

• Occupancy Group Comments

• Pictures

  Media

Inspection Questions

• Combustibles

  Safe

  At Risk

  N/A

• Heat Appliances<br>

  Safe

  At Risk

  N/A

• Extinguishers

  Safe

  At Risk

  N/A

• Flammables

  Safe

  At Risk

  N/A

• Compressed Gas Cylinders

  Safe

  At Risk

  N/A

• Hood / Duct Systems

  Safe

  At Risk

  N/A

• Occupancy Posted

  Yes

  No

  N/A

• Stairways

  Safe

  At Risk

  N/A

• Emergency Lighting

  Yes

  No

  N/A

• Exit Signs

  Yes

  No

  N/A

• Interior Doors

  Safe

  At Risk

  N/A

• Service Areas

  Safe

  At Risk

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• Exits / Aisles

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

Misc.

• Ceiling tiles

  Safe

  At Risk

  N/A

• Emergency Generator

  Yes

  No

  N/A

• Fire Drills

  Yes

  No

  N/A

• Pictures

  Media

• Comments

Violations

• Violations Found (Number Violations)

• Recommended Corrections ( Number corrections to correlate with violation)

• Violation Pictures

  Media

• Violations to be corrected by:

  Date

• Inspection Reviewed With

  Sign

• Inspector (Name, Certification Number and Email)

  Sign

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