| BUILDING EXTERIOR |
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No |
N/A |
| Is the building address number posted with a contrasting background, and clearly visible from the street? |
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| Is the exterior of the building free from weeds, debris or combustible storage? |
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| BUILDING INTERIOR |
| Are all required exit paths, including aisles, hallways, stairways and walkways clear of obstructions? |
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| Are all exit doors unlocked, marked with exit signs, and can be opened easily from the inside? |
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| Are all required exit signs and emergency lighting in operable condition? |
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| Are walls intact without holes or open penetrations and all ceiling tiles in place? |
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| ELECTRICAL |
| Is there 36" of clear space maintained in front of electrical panel? |
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| Are circuit breakers properly marked? |
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| Are cover plates in place for switches, receptacles, and junction boxes? |
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| Are extension cords being used as a substitute for permanent wiring? |
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| STORAGE |
| Are mechanical rooms, electrical rooms, and areas under stairways clear of combustible storage? |
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| Is there a 24" clearance between storage and ceiling (non-sprinklered building), or 18" clearance between storage and sprinkler head (sprinklered building)? |
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| Are combustibles stored at least three feet away from heat sources? |
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| FIRE EXTINGUISHERS |
| Do fire extinguishers have a minimum rating of 2A/10BC? |
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| Are fire extinguisher locations visible and unobstructed? |
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| Have fire extinguishers been serviced and tagged by a licensed company within the past 12 months? |
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| FIRE PROTECTION SYSTEMS |
| Does your building have a sprinkler system? |
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| Does your building have a fire alarm system? |
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| Have these systems been inspected by a qualified fire protection contractor in the past 12 months? |
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| Name of Person Completing Form: |
Date |
