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r <br /> � r <br /> O <br /> � � � <br />/� � ��, z, 0� �, <br /> ��� <br /> I � � � . V� � � <br /> � "` ~ Fire In�spection Report <br /> G <br /> L9kESH�S�`�' <br /> Property Name Date <br /> Property Address Occ. Class. <br /> Owner Name Phone# � <br /> Contact Person Phone# <br /> Const. Type Canst. Year Addit. Year <br /> N Y NA 1.Exterfor N Y NA N Y NA �,S rinR klerSystems <br /> ❑ ❑ ❑a.Fre Lanes marked/unobstructed ❑ ❑ ❑e.Storage maintained 2'below ceiling ❑ ❑ ❑a.Adequate coverage <br /> ❑ ❑ ❑b.Address Visible (unsprinklered) ❑ ❑ ❑b.Con�ols readily accessible <br /> ❑ ❑ ❑c.Fire hydrant(s)accessible ❑ ❑ ❑f. Storage maintained 18"below ❑ ❑ ❑c.Valves locked open or supervised <br /> ❑ ❑ ❑d.Combustible accumulation acceptable sprinkler heads ❑ ❑ ❑d.Properly serviced <br /> ❑ ❑ ❑e.Gas Meter/piping protected ❑ ❑ ❑g.Aisles maintained-44"min. ❑ ❑ ❑e.Heads in good condition <br /> ❑ ❑ ❑f. F.D.connecGons visible 1 good ❑ ❑ ❑h. Rubbish,oily rags,waste material ❑ ❑ ❑f. Wrench/spare heads present <br /> conditions properly stored <br /> 10.Fire Alarm Eaui�ment <br /> 2.Exit Features 5.Flammable/Comb.Liquids ❑ ❑ ❑a.Detectors(smoke,heat)properly <br /> ❑ ❑ ❑a.Adequate number of exits ❑ ❑ ❑a.Proper quan6ties installed <br /> ❑ ❑ ❑b.Exits,aisies and corridors free of ❑ ❑ ❑b.Proper storageldispensing ❑ ❑ ❑b. Pull sta6ons properly installed <br /> obsVuctions ❑ ❑ ❑c.No sources of ignition ❑ ❑ ❑c.�etectors needed <br /> ❑ ❑ ❑c.Exits openable ftom inside ❑ ❑ ❑d.Adequate ventilation ❑ ❑ ❑d.Properly serviced/maintained <br /> ❑ ❑ ❑d.Exit hardware present and operafional ❑ ❑ ❑e.Proper electrical equipment ❑ ❑ ❑e.TesLs/drills conducted <br /> ❑ ❑ ❑e.Exit signs present <br /> ❑ ❑ ❑f. Exit corridors protected 6.Utility.Mechanical.HVAC Eauiu. 11.Other Fire Protection Eauio. <br /> ❑ ❑ ❑g.Emergency ligh6ng present and ❑ ❑ ❑a.Relief valve present on boilers and ❑ ❑ �a.Standpipes needed <br /> operational water heaters ❑ ❑ �b.Standpipemose in good condi6on <br /> ❑ ❑ ❑h.Occupant load posted and maintained ❑ ❑ ❑b.Shut off valve present on gas ❑ ❑ �7 c.Adequate coverage <br /> ❑ ❑ ❑i. Interior finish acceptabie appliances ❑ ❑ �l d.Hood system-fuel shutoff present <br /> ❑ ❑ ❑c.Adequate clearances beiween ❑ ❑ �l e.Properly serviced/maintained <br /> 3.ConstrucHon Features combustibles and appliances <br /> ❑ ❑ ❑a.Fre separafions present and ❑ ❑ ❑d.Clean ducts and filters � 12.Electrical <br /> maintained ❑ ❑ 0 a.Appliances/fixtures in good condi6on <br /> ❑ ❑ ❑b.SVuctural elements intact 1.Fire Extingulshers ❑ ❑ ❑b.Overcurrent protec6on present <br /> ❑ ❑ ❑c.Rated fire doors present and ❑ ❑ ❑a.Readily accessible/suitable location ❑ ❑ ❑c.Proper use of wiring,connections, <br /> operational(dosing/latching) ❑ ❑ ❑b. Proper number and type equipment <br /> ❑ ❑ ❑d.Vertical openings acceptable ❑ ❑ ❑c. Properly serviced/maintained ❑ ❑ ❑d.Extension cords not used in place of <br /> fixed wiring <br /> 4•Storaae 8.Hazardous Materlals ❑ ❑ �e.30"dear access to panels provided <br /> ❑ ❑ ❑a.Storage neat and orderfy ❑ ❑ ❑a.Proper quantities <br /> ❑ ❑ ❑b.No combustible storage in boiler or ❑ ❑ ❑b.Proper Storage/Dispensing ❑ ❑ ❑t3.Other; <br /> mechanical rooms ❑ ❑ ❑c.Proper Separation/Compatability <br /> ❑ ❑ ❑c.No combustible storage in unprotected ❑ ❑ ❑d.Marking/Iden6fication present ❑ ❑ ❑ <br /> attics ❑ ❑ ❑e.Compressed gas cylinders secured ❑❑ � � <br /> ❑ ❑ ❑d.No combustible storage under <br /> unprotected stainxays <br /> Pe�sans on Inspection: <br /> FOR FUFITHER ASSISTANCE, PLEP,Sc CONTACT INSPECTOR NAMED BELOW. <br /> Owner/Rep.: Inspector. �����a���e� IPnonel <br /> ISionanuei <br />