FIRE AND LIFE SAFETY SAFETY INSPECTION CHECKLIST ... - sipe

FIRE AND LIFE SAFETY
SAFETY INSPECTION CHECKLIST
Priority 1 Any condition which is life-threatening, or may cause injury, or permanent disability
Priority 2 Any condition which may cause serious, but non-disabling injury
Priority 3 Any condition which may cause slight injury or may not meet established standards or regulations, or result in property loss damage to facilities
Date _____________________________________
ACCEPTABLE?
NOT ACCEPTABLE?
District: ___________________________________
Site: _____________________________________
Inspector:__________________________________
Yes No NA Priority Photo Location CORRECTIVE ACTION
Who When Done
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Are designated emergency exits maintained ready
for immediate use?
Are designated exit doors free of inappropriate
locking devices?
Are required exit doors inspected and tested to
ensure proper functioning?
Are designated exit aisles and halls free of
obstructions or storage?
Are exits and exit pathways clearly signed or
otherwise identified?
Are doors to areas of potential entrapment or dead
end signed "not an exit?
Is the site fire alarm system functional and tested on
a regular basis?
Where required, are the alarms both visual and
audible?
If so equipped, are the fire sprinklers inspected and
tested on a regular basis?
Are the fire sprinkler water supply shutoff points
well identified and functional?

ACCEPTABLE?
NOT ACCEPTABLE?
Yes No NA Priority Photo Location CORRECTIVE ACTION
Who When Done
11.
12.
13.
14.
15.
16.
17.
Are sprinkler heads unobstructed (18 inches below
sprinkler head deflector)?
Are caps in place on the fire department pumper
connection?
Are sufficient portable fire extinguishers properly
installed at appropriate intervals?
Are appropriate types of portable fire extinguishers
in use?
Are employees familiar with the location and
operation of the fire extinguishers?
Are proper extinguishers located adjacent to
hazards?
Are regular inspections and services of
extinguishers conducted and recorded?
18. Monthly self inspections?
19.
20.
21.
Are equipment and fire drills conducted as per the
Education Code?
Do the cabinet doors on fire hose stations operate
properly; are they properly identified?
Are the hoses in good condition and the nozzles in
place?
22. Are all fire hoses inspected on a 5 year cycle?
23.
24.
Are proper unobstructed clearance maintained at
fire extinguishers, hoses and alarms?
Are fire alarm pull station and emergency
communications equipment readily accessible?