Inspection Form

Industrial Occupancies
Building: Address: Inspector: Date of Last Inspection: General
Is it a new occupancy? Is it an existing occupancy? Has rehabilitation work occurred since last inspection? Is it a multiple occupancy building? If yes, If yes, list# $$$$$ %re there incidential uses? If yes, list# $$$$$ Is building construction acceptable for height and occupancy? Is it a special structure or high rise building? Occupancy subclassification# Yes Yes &eneral No No !pecial purpose High ha'ard Yes No !eperated "ixed Yes Yes Yes Yes No No No No

Date:

Yes No

Outstanding Violations:

Occupant Load and Exits

%re the exits per code? Number of exits? Is egress capacity ade,uate? -hat is fire rating of exit stair enclosure? -hat is fire rating of exit stair doors? %re they self/closing? 0atching? %re exit enclosures free of storage? Yes ( Yes ( hr ( hr Yes Yes Yes ) No ) hr (. hr No No No No * + or more

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1o (223 of exits discharge directly outside? If not, do 4523 discharge outside and is le6el of discharge sprinklered? Is exit stair reentry per code?

Yes Yes Yes

No No No

Doors
%re doors blocked? %re they locked? Is 7(5/lb force re,uired to release latch? 1o doors swing in direction of tra6el per code? Yes Yes Yes Yes No No No No

Egress Arrangement
Is egress clear and unobstructed? %re dead/end corridors within limits? Is common path of tra6el within limits? Is tra6el through inter6ening rooms okay? Is egress blocked? Yes Yes Yes Yes Yes No No No No No

ra!el Distance
Is tra6el distance per code? Yes No

Emergenc" Lig#ting
Is emergency lighting per code? Is it tested monthly? Yes Yes No No N8%9

Exit $ar%ing
Is exit marking per code? Yes No

&orridors
Is corridor rating re,uired? -hat is rating for corridor walls? Is rating for corridor doors )2 min? %re corridor doors self/closing? Yes 2 hr Yes Yes No ( hr No No

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'rotection of (a)ards
%re ha'ards protected by Fire/rated enclosure? :xtinguishing system? !elf/closing door? Yes Yes Yes No No No N8% N8% N8%

'rotection of Vertical Openings

%re 6ertical openings enclosed? %re ele6ators enclosed? Is atrium per code? %re ;* le6els open per code? Yes Yes Yes Yes No No No No N8% N8%

Interior *inis#
Is flame spread of wall and ceiling materials per code? <lass % <lass = <lass < *N/A (not applicable) means theres no such feature in the building. Yes Yes Yes Yes No No No No

+pecial 'rotection
%re chutes in good working order# >rash chutes? 0aundry chutes? Yes Yes No No N8% N8%

$e))anines
Is 7?@A of the me''anine area open? Is common path of tra6el on me''anine per code? If me''anine is enclosed, is there second exit from me''anine? Yes Yes Yes No No No N8% N8% N8%

Operating *eatures Detection and Alarm

Is it a manual alarm system?

N8%

Yes

No

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Is it a fire detection system? !moke detectors? Heat detectors? -here# $$$$$ %re there audible alarms? %re there 6isual alarms? Is there automatic fire department notification? 1ate last tested# $$$$$

Yes Yes Yes

No No No

Yes Yes Yes

No No No

Extinguis#ment
%re there sprinklers throughout? Bartial sprinklers? -here# $$$$$ Is there a water flow alarm? %re 6al6es super6ised? :lectrical 0ocks !eal Yes Yes No No Yes Yes No No

Other extinguishing systems# >ype# $$$$$ -here# $$$$$ !tandpipe# -et Fire pump? !i'e# $$$$$ gpm C $$$$$ psi 1ate last tested# $$$$$ %re fire extinguishers per code? Yes No 1ry None Yes No

Building ,tilities
%re utilities in good working order#

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Heat &as? Oil? <oal? Other? :lectrical installation? :le6ators :le6ator recall DBhase IE? Fire fighter control DBhase IIE? :mergency generator? !i'e# $$$$$ 1ate last tested# $$$$$ Yes Yes Yes No No No Yes Yes Yes Yes Yes No No No No No

Notes:

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