Lumiform Mobile audits & inspections
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Fire and Life Safety Code Inspection Template

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Instructions ------------------- 1. Answer "Yes", "No", or "Safe", "At Risk", "N/A" for the questions below 2. Add any photos and notes by clicking on the paperclip icon 3. To create and assign a corrective action click on "Add Action", provide a description, assign to a member, set priority and due date 4. Complete audit by providing digital signature 5. Send your report by exporting as PDF, Word Doc, Excel or via Web Link
Chemical Safety, Storage & Hazardous Materials
Flammable/combustible liquids not stored/kept near exits
Quantities >10 gals stored in cabinets
No basement storage unless sprinklered
Storage exceeds Maximum Allowable Quantities
Compressed gas cylinder security
Labels accurate/current
Proper separation of incompatible chemicals
Shelving equipped with restraints from falling
Sash closed when fume hood unattended
Compressed gas cylinders secured with chain
All chemicals properly labeled
All chemicals dated when first opened
Chemicals shall not be stored in fume hood
Construction Features & Fire Resistance
Fire rated construction present/maintained
Rated fire doors operational & not blocked
Exiting & Egress
Exits, aisles and corridors free of obstructions
Adequate number of exits
Exit signage present & operable
Emergency lighting present & operational
Exit corridors rated
Vertical openings of 2 or more stories shall be protected
Vertical openings of 3-5 stories protected with sprinklers
Electrical hazards
Electrical appliances, fixtures, cords in good condition
Multiplug adapters
Extension cords not a substitute for permanent wiring
36" clearance for electrical panels
GFCI outlets near water source
Elevator Machine Room
Free of storage
Portable fire extinguisher
Kitchen Extinguishing & Suppression Systems
Kitchen hood system fuel shutoff
Kitchen hood suppression system maintained
Occupant Load
Occupant load exceeded
Portable Fire Extinguishers
Readily accessible, not obstructed
Travel distance not exceeded
Tested/inspected annually
Extinguishers must be mounted
Sprinker Systems
Controls are readily accessible
Wrench & spare sprinklers available
Storage neat & orderly
Combustibles prohibited in mechanical/electrical rooms
Attic storage prohibited if unprotected
Concealed space storage prohibited if unprotected
Storage maintained,
Sign off
Inspected by
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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