Comments or additional corrective action taken as a result of the review:
Fire extinguishers inspected monthly and serviced by contractor annually
Portable space heaters have automatic shut off feature if tipped over
Personal electric appliances inspected for safety before being used in workplace
Emergency telephone number posted in clear and conspicuous locations
Extension cords are used minimally and are temporary
Flammable or combustible liquids not stored in building
Trash is removed at least daily from building
Fire and smoke detection systems inspected and serviced
Building exterior is free of trash and combustible debris
Fire Prevention - All Facilities Comments
Fire Prevention - All Facilities Action Taken
Sprinkler control valves are secured in open position
Fire department connections are capped and secured
Spare sprinkler heads and tools are readily available and accessible
Sprinkler heads are at least 18” above stored material
Main drain flow test is performed on system annually
Inspector’s test valve is opened at least every 2 years
Gauges are inspected and operating properly as applicable
Fire Prevention - Alarm device is operating and sounds to responding authority when activated
Fire Prevention - Buildings with Automatic Sprinkler Systems Comments
Buildings with Automatic Sprinkler Systems Action Taken
Electric circuit breaker panels kept clear at least 36’ in front of panel
All circuit breakers in panel are identified to show which circuits they power
Electric panels are accessible by trained and authorized personnel
Gas main feed identified, kept clear of debris and protected from physical damage
Gas main shut off tools readily available and authorized person trained to use tools
Building Utilities Comments
Building Utilities Action Taken
ESPS exercised at least once monthly by trained and authorized personnel, recorded in log
Transfer switches operated monthly by authorized personnel, recorded in log
Main & feed breakers are exercised annually
Emergency power set has at least 2 sets of instructions manuals
Special tools and testing devices for ESPS are available to trained and authorized personnel
Replacement parts for high mortality items are readily available
Written maintenance and operational testing program established and documented
Transfer switches are included in maintenance program
Storage batteries inspected at intervals not more than 7 days
Emergency and Standby Power Systems (ESPS) Comments
Emergency and Standby Power Systems (ESPS) Action Taken
Vital records are not stored in file room
Walls have no openings other than necessary for access
File room door has fire rating equiv. to that of walls
Door has closing device connected to smoke sensors
File room has no pendant lamps or extension cords
All records kept in cabinets are at least 3” above floor
Fire extinguisher kept outside door of file room
File room is not used as a working space
Record File Room - Fire Protection Comments
Record File Room - Fire Protection Action Taken
Vault wall penetrations are small and sealed
Vault door has fire resistance rating equivalent to vault walls
Vault has no pendant lamps or extension cords
Records kept in fully enclosed non-combustible containers
All records kept in cabinets are at least 3” above floor
Before closing vault, all record containers are closed
Before closing vault, all paper waste is removed
Vault is not used as a working space
Records are kept at least 18” below sprinkler deflectors
Fire extinguisher kept outside door of vault
Record Storage Vaults – Fire Protection Comments
Record Storage Vaults – Fire Protection Action Taken
Access is restricted to only persons absolutely necessary to operation of equipment
Written emergency fire plan prepared and posted inside and near computer room
Computer room not located above/below hazardous areas
Structural supports and raised floor decks - noncombustible
Deck access tools to remove panels are in room and well marked
Under-floor cable openings provided with fire stops of approved sealant
Office tables and desks in room are metal construction
Only self-extinguishing trash receptacles used in room
Only records essential to computer operations are kept in computer room
Records storage rooms are separate from computer room
Paper stock and other media restricted to absolute minimum
Automatic smoke and fire detection system annunciate at constantly attended location
Fire extinguishers indicate the type of fire for which it is intended
Gaseous total flooding system serviced and tested as recommended by installer
Changes to computer room configuration approved by detection and extinguishing system installer
Steam, water or drain piping should not be in place over computer room
Computer Room Fire Protection Comments
Computer Room Fire Protection Action Taken
When liquefied natural gas fueled vehicles are repaired or stored, open flame heaters are not permitted
Suspended heaters are not less than 8 ft. above floor
Flammable spray painting not conducted near open flame or spark producing devices
Parts cleaning solvent is non flammable or no ignition source in the area
Fuel tanks drained and purged or inerted prior to work
Combustible rubbish placed in covered metal receptacles and removed daily
Oily rags kept in metal container with self closing cover
Fire extinguishers are adequate for exposure and in clear and conspicuous places
Equipment and Vehicle Storage Facilities Comments
Equipment and Vehicle Storage Facilities Actopm Taken
Flammable gasses stored at least 20’ from oxygen gas
Open flames not permitted in flammable storage areas
Liquified flammable gas cylinders stored upright or that pressure relief valve in direct contact with vapor space
Approved storage cabinet used for flammable liquid storage
Storage of Flammable Materials Comments
Storage of Flammable Materials Action Taken
Emergency escape procedures and emergency route assignments are written and posted
Procedures established for designated employees who may operated critical operations before they evacuate
Procedures established to account for all employees after emergency evacuation has been completed
Rescue and medical duties established for those employees who are to perform them
Emergency reporting procedures and emergency notification telephone numbers established and posted
Names or job titles or departments who can be contacted for further information or explanation of duties under emergency action plan
Training has been provided for a sufficient number of persons to assist with emergency evacuation
Review conducted with each employee upon initial assignment regarding emergency action plan
Emergency Action Plans Comments
Emergency Action Plans Action Taken
Location of emergency supplies and materials, 1st aid kits have been identified and inspected
Heavy objects are placed below 42” to avoid them falling on person during earthquake
Racks, shelves, and cabinets are secured from tipping during earthquake
Evacuation practice drills are conducted as necessary
Emergency egress route kept clear and exits have been identified
Emergency evacuation plan for people with disabilities established and communicated
Emergency Preparedness Comments
