Business Self-Inspection Form

Business Name

Contact

Primary Emergency Contact Name *

Secondary Contact Name *

Business

Business Owner Name *

Business Phone Number *

Phone Numbers (Required)

Contact Phone #

Exterior

Fire lane is marked and unobstructed

Address is clearly marked

Fire hydrant is easily accessible

Property is free of excess vegetation or combustible items

Gas meter is unobstructed and protected

Fire Department connections are in good condition

Knox Box has current keys

Exits are clear from any obstructions

Exits

Emergency Lighting present and operational. (This is checked by pushing the test button on the unit)

Exit sign present/operational

Exits, aisles and corridors free of obstructions

Exit doors open without issue and are UNLOCKED during business hours

Doors labeled as "Fire Doors" are shut at all times

Occupant load posted/maintained

Storage

Storage neat/orderly

Combustibles are not stored under unprotected stairways

Storage is 2 feet below ceiling (No Sprinkler)

Storage is 18 inches below sprinkler heads

Combustibles are not stored in Boiler/Mechanical Rooms

Oily rags are properly stored/disposed

Aisle width maintained

Flammable/Combustible Liquids

Flammable liquids will be stored in proper containers and storage cabinets

Flammable liquids will not be stored near ignition sources

Adequate ventilation around combustible liquids

Liquids where required are properly grounded

Fire Extinguishers

Extinguishers will be accessible every 75 Ft.

Extinguishers will be the proper size and discharge rate

Extinguishers will be readily accessible and mounted off the floor

Extinguishers will be inspected annually by a certified contractor/inspector

When extinguisher is visually obstructed, approved signs shall indicate location

Hazardous Materials

Any hazardous material is marked/identified (NFPA 704)

Compressed gas cylinders are secured

Sprinkler System

Sprinkler controls are readily accessible and free of obstructions

Valves locked in open position or supervised

Sprinkler system is inspected/maintained annually by a certified contractor

Sprinkler heads are free of damage and in working condition

Sprinkler wrench and spare heads are present

Central station monitoring is provided (if applicable)

Fire Alarm Equipment

Smoke/Heat detectors are in working order

Pull Stations are maintained and functioning properly

Alarm equipment is being serviced annually and maintained

Carbon Monoxide Alarms are present if residents are present

Other Fire Protection Equipment

Standpipe/hose are in working order

Hood extinguishing system-fuel shutoff is present

Hood extinguishing system serviced annually and maintained

Hood properly cleaned and maintained

Electrical

Panels/appliances/fixtures are in working order

Electrical panels have 36 inches clearing to provide immediate access

Electrical outlets have covers present

Extension cords are NOT being used as permanent wiring

Power strips are NOT plugged into other power strips

NO wiring is exposed

Outlet splinters are NOT used as permanent plugs

Elevator is licensed, maintained annually and in working condition