WFFPD Building Inspection

• Document No.

• Audit Title

• Business Name:

• Business Address:
  Address

• Conducted on

  Date

• Report Prepared by

• Inspector(s):

General Facility Information

• Facility Phone Number:

• Owner Name:

• Owner Contact Information

• Hours of Operation:

• Number of stories:

• Typical Occupant Load:

• Construction Type:

  Fire Resistive

  Noncombustible

  Ordinary

  Heavy Timber

  Wood Frame

• Occupancy Group:

  Select A. Assembly B. Business E. Educational F. Factory & Industrial H. High Hazard I. Institutional M. Mercantile R. Residential S. Storage U. Utility

  • A. Assembly
  • B. Business
  • E. Educational
  • F. Factory & Industrial
  • H. High Hazard
  • I. Institutional
  • M. Mercantile
  • R. Residential
  • S. Storage
  • U. Utility

• Assembly Subgroup:

  A1

  A2

  A3

  A4

  A5

• Factory Subgroup:

  F1

  F2

• High Hazard Subgroup:

  H1

  H2

  H3

  H4

  H5

• Institutional Subgroup:

  I1

  I2

  I3

  I4

• Residential Subgroup:

  R1

  R2

  R3

  R4

  R5

• Storage Subgroup:

  S1

  S2

• Knox Box?

  Yes

  No

  N/A

• Knox Box Location:

• Adequate Keys in Knoxbox?

  Yes

  No

  N/A

Detection & Suppression Systems

• Detection Type:

  Select Smoke CO Rate of Rise Heat Duct None Present

  • Smoke
  • CO
  • Rate of Rise
  • Heat
  • Duct
  • None Present

• Fire Alarm System:

  Yes

  No

  N/A

• Alarm system operational and maintained?

  Yes

  No

  N/A

• Alarm system monitored by central alarm company?

  Yes

  No

  N/A

• Alarm Company Name:

• Alarm Company Phone:

• All detectors installed?

  Yes

  No

  N/A

• Detectors in good condition?

  Yes

  No

  N/A

• Trouble alarms cleared from panel?

  Yes

  No

  N/A

• Suppression System:

Suppression System

• System Type:

  Select Wet Dry Pre-action Deluge Dry Chemical Kitchen Halon Agent

  • Wet
  • Dry
  • Pre-action
  • Deluge
  • Dry Chemical
  • Kitchen
  • Halon Agent

• Last Inspection Date:

  Date

• Water/Agent supply on?

  Yes

  No

  N/A

• FD connection free from obstructions?

  Yes

  No

  N/A

• System pressure adequate?

  Yes

  No

  N/A

• Spare heads available?

  Yes

  No

  N/A

• Nothing suspended from sprinkler pipes and heads?

  Yes

  No

  N/A

• Heads in good condition?

  Yes

  No

  N/A

• Head clearance of 18"

  Yes

  No

  N/A

• Other detection/suppression system compliance issues?

  Yes

  No

Fire Extinguishers

• Appropriate type for facility?

  Yes

  No

  N/A

• Adequate spacing?

  Yes

  No

  N/A

• Not obstructed?

  Yes

  No

  N/A

• Ready for use?

  Yes

  No

  N/A

• Annual service complete?

  Yes

  No

  N/A

• Other fire extinguisher compliance issues?

  Yes

  No

Egress, Exits, and Lighting

• Exit signs located where required?

  Yes

  No

  N/A

• Exit signs illuminated and batteries operational?

  Yes

  No

  N/A

• Exit lighting located where required?

  Yes

  No

  N/A

• Exit lighting operational?

  Yes

  No

  N/A

• Exit doors & hardware operational?

  Yes

  No

  N/A

• Exit doors unlocked?

  Yes

  No

  N/A

• Exit doors swing in direction of travel?

  Yes

  No

  N/A

• Exit doors free of obstructions?

  Yes

  No

  N/A

• Exit access free of obstructions?

  Yes

  No

  N/A

• Exit discharge unobstructed to safe area?

  Yes

  No

  N/A

• Storage prohibited in stairwells?

  Yes

  No

  N/A

• Other exit, egress, or lighting compliance issues?

  Yes

  No

Electrical

• Electrical wiring & equipment compliant?

  Yes

  No

  N/A

• Fuse panels compliant and labeled?

  Yes

  No

  N/A

• Outlets in good condition?

  Yes

  No

  N/A

• GFCI protected outlets in wet locations?

  Yes

  No

  N/A

• No exposed electrical components?

  Yes

  No

  N/A

• Extension cords approved; not used as permanent wiring?

  Yes

  No

  N/A

• Power strips approved; not daisy-chained?

  Yes

  No

  N/A

• Space heaters approved; safety devices operational?

  Yes

  No

  N/A

• Other electrical compliance issues:

  Yes

  No

Room Integrity

• All ceiling tiles/panels in place?

  Yes

  No

  N/A

• No holes in walls, ceilings, floors, and chases?

  Yes

  No

  N/A

• Penetrations through walls properly sealed?

  Yes

  No

  N/A

• Fire doors adequate and operational?

  Yes

  No

  N/A

• Other room integrity issues:

  Yes

  No

Miscellaneous

• No excessive waste/housekeeping issues?

  Yes

  No

  N/A

• Floors clear of slip & trip hazards?

  Yes

  No

  N/A

• Storage rooms/areas clean and orderly?

  Yes

  No

  N/A

• Flammable/combustible liquids in approved containers?

  Yes

  No

  N/A

• Flammable liquid storage areas marked?

  Yes

  No

  N/A

• Compressed gas cylinders secured, marked, & segregated?

  Yes

  No

  N/A

• Laundry vent systems clean?

  Yes

  No

  N/A

• Gas appliances properly vented?

  Yes

  No

  N/A

• Interior decorations flame resistant & acceptable?

  Yes

  No

  N/A

• Other inspection issues:

  Yes

  No

Emergency Planning

• Emergency evacuation plan on file?

  Yes

  No

  N/A

• Evacuation maps posted?

  Yes

  No

  N/A

• Staff trained on what to do in the event of an emergency?

  Yes

  No

  N/A

• Fire drills conducted as required?

  Yes

  No

  N/A

• Material Safety Data Sheets available?

  Yes

  No

  N/A

Authorization:

• Facility Representative:

  Sign

• Fire Inspector:

  Sign

• Follow-up Inspection:

  Date