Building Name:

[Name of Building]

Address:

[Building Address]

Date of Inspection:

[Month Day, Year]

Time of Inspection:

[Time]

Inspector's Name:

[Name]

Inspector's Contact:

[Inspector’s Contact Information/Email Address]

System functionality:

Fully operational, last tested on 12/01/2022

Alarm activation tests:

Conducted successfully during inspection

Inspection and testing:

Passed inspection, tested quarterly

Valve operation:

All valves operational and in good condition

Inspection and tagging:

All extinguishers inspected and tagged

Accessibility:

Easily accessible, locations marked

Functionality of lights:

Lights operational, tested monthly

Visibility and condition of signs:

Signs in good condition, visible clearly

Identification and signage:

Clearly marked, exit signs in place

Obstructions and clear pathways:

No obstructions, clear pathways identified

Obstructions:

No obstructions identified

Structural Integrity:

Stairwells and corridors in good condition

Compliance with codes:

Compliant with local fire safety codes

Potential fire hazards:

No significant hazards identified

Hazards or deficiencies:

No hazards identified

Compliance with electrical codes:

Panels and wiring comply with codes

Proper use and maintenance:

Equipment used appropriately, well-maintained

Overloaded circuits:

No evidence of overloaded circuits

Combustible materials

Properly stored, no excessive accumulation

Storage room conditions

Storage rooms well-maintained and organized

Clutter and cleanliness

No excessive clutter, overall cleanliness

Proper disposal of waste

Adequate waste disposal practices observed

Accessibility and signage:

All exits accessible, signage in place

Clear pathways during inspection:

Pathways clear, no obstacles observed

Functionality:

All fire doors operational and close securely

Seals and gaps:

Intact seals, no noticeable gaps

Education and drills:

Regular fire drills conducted, occupants informed

Cooperation and awareness:

Occupants demonstrate awareness of fire safety

Specific to the building or facility

None identified

Mitigation measures

N/A