Facility Phone Number:
Owner Contact Information
Hours of Operation:
Number of stories:
Typical Occupant Load:
- A. Assembly
- B. Business
- E. Educational
- F. Factory & Industrial
- H. High Hazard
- I. Institutional
- M. Mercantile
- R. Residential
- S. Storage
- U. Utility
High Hazard Subgroup:
Knox Box Location:
Adequate Keys in Knoxbox?
- Rate of Rise
- None Present
Fire Alarm System:
Alarm system operational and maintained?
Alarm system monitored by central alarm company?
Alarm Company Name:
Alarm Company Phone:
All detectors installed?
Detectors in good condition?
Trouble alarms cleared from panel?
- Dry Chemical
- Halon Agent
Water/Agent supply on?
FD connection free from obstructions?
System pressure adequate?
Spare heads available?
Nothing suspended from sprinkler pipes and heads?
Heads in good condition?
Head clearance of 18"
Other detection/suppression system compliance issues?
Appropriate type for facility?
Ready for use?
Annual service complete?
Other fire extinguisher compliance issues?
Exit signs located where required?
Exit signs illuminated and batteries operational?
Exit lighting located where required?
Exit lighting operational?
Exit doors & hardware operational?
Exit doors unlocked?
Exit doors swing in direction of travel?
Exit doors free of obstructions?
Exit access free of obstructions?
Exit discharge unobstructed to safe area?
Storage prohibited in stairwells?
Other exit, egress, or lighting compliance issues?
Electrical wiring & equipment compliant?
Fuse panels compliant and labeled?
Outlets in good condition?
GFCI protected outlets in wet locations?
No exposed electrical components?
Extension cords approved; not used as permanent wiring?
Power strips approved; not daisy-chained?
Space heaters approved; safety devices operational?
Other electrical compliance issues:
All ceiling tiles/panels in place?
No holes in walls, ceilings, floors, and chases?
Penetrations through walls properly sealed?
Fire doors adequate and operational?
Other room integrity issues:
No excessive waste/housekeeping issues?
Floors clear of slip & trip hazards?
Storage rooms/areas clean and orderly?
Flammable/combustible liquids in approved containers?
Flammable liquid storage areas marked?
Compressed gas cylinders secured, marked, & segregated?
Laundry vent systems clean?
Gas appliances properly vented?
Interior decorations flame resistant & acceptable?
Other inspection issues:
Emergency evacuation plan on file?
Evacuation maps posted?
Staff trained on what to do in the event of an emergency?
Fire drills conducted as required?
Material Safety Data Sheets available?