This self-inspection check sheet is designed to correspond with the Fraternity & Sorority Fire/Life Safety Regulations and Policies. The University Fire Marshal's office will be using this form as a checklist during their annual inspection of the facility. All items "checked" need to be explained in the comment column.
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CHECK
ANY OF THE FOLLOWING THAT APPLY: |
COMMENTS |
| Stairwell doors are not self-closing and self-latching |
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| Stairwells are used for storage |
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| Corridor and/or stairwell walls have holes, damaged areas, or penetrations (pipe, conduit, cable, ducts, etc.) that are not firestopped |
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| Exit stairwell or corridors are obstructed or being used for storage |
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| Room doors are not self-closing and self-latching. |
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| Lofts are used with open storage under them including combustibles, refrigerators, couches, etc. |
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| Extension cords are found in the room. |
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| Cooking appliances (deep fryer, hot plate, toaster, oven toaster, and electric skillet) are found in room. |
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| Windows cannot be easily opened due to obstructions or being sealed in the closed position. |
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| Electrical multi-plug adapters are found in the room. |
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| Room has an excessive amount of furniture that increases the fuel load, and/or hinders egress. | ||
| Wall paneling on the wall(s) (existing or new) is not fire rated. | ||
| Carpet was found on wall(s). |
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| More than 10% of the wall area is covered with other wall coverings (sacks, nets, flags, etc.) that are not fire rated. |
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| Room has been remodeled (including new lofts, new walls, closets, bars, benches, or platforms, etc.) without approval by the University Fire Marshal. |
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| Beds are enclosed with drapes, flags or other items that may hinder the egress in an emergency situation. |
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| Space heaters are found in the room. |
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| Halogen lamps are found in the room. |
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| Candles are found in the room. |
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| Room doors are not easily operable without the use of a key or other special device. |
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| Smoke detectors are not easily operable without the use of a key or other special device. |
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| Smoke detectors are covered with bags, plastic or other articles hindering proper function. |
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| Smoke detectors in the corridors or other areas are missing, damaged, or covered with bags, plastic or other articles hindering proper function. |
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| Smoke detectors (in the rooms, corridors or other areas) placed directly above a ceiling fan or heating/air-conditioning grill that hinders smoke from reaching the detector. |
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| Electrical precautions for the wall outlets are not being followed. |
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| Posted precautions for electrical outlets are not being followed. |
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| Electrical light fixtures, plugs, and/or switches are found hanging out of the wall/ceiling and not properly supported. | ||
| Ceiling fans are loose and not properly supported. |
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| Electrical wiring spliced and not in an approved junction box with a cover plate protecting the wires. |
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| Electrical or communications conduit and/or boxes are loose and not properly supported. |
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| Electrical power supply cords (kitchen equipment, coke machines, etc.) and/or plug ends are damaged, frayed, or have exposed wires. | ||
| Broken or missing electrical devices (switches, plugs, lights, etc.) are found. |
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| Electrical outlet and switch covers are missing. |
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| Electrical work performed by someone other than a licensed electrical contractor and not inspected. |
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| Exposed electrical wiring is not properly protected against physical damage. |
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| Electrical distribution panels are found without their proper covers and trim to protect against electrocution. |
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| Emergency lighting units are inoperative or broken. |
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| Emergency lighting units are not properly secured to walls/ceilings. |
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| Exit signs are inoperative or broken. |
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| Exit signs are not properly secured to walls/ceilings. |
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| Flammables (gasoline, charcoal fluid, paint thinner, etc.) are being stored In the building. |
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| Fire extinguishers are discharged, not operative, vandalized, or missing. |
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| Kitchen range hood/filters/ducts are full of grease build-up and need to be cleaned. |
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| Kitchen hood suppression system has been discharged or is due for annual service. |
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| Mechanical room used for storage. |
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| Mechanical room door is not self closing and self latching. |
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| Gas powered equipment (lawn mowers, motorcycles, etc.) stored in the building. |
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| Combustible decorations (crepe paper, live Christmas trees, etc.) used in the building. |
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| Fireplace does not have a grate for the logs to rest upon to prevent them from rolling out of the firebox. |
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| Fireplace does not have a spark screen to prevent hot embers and coals from popping out of the firebox. |
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| Bicycles are being kept inside the building. |
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| Fire drills have not been held as required. | ||
| Sprinkler system has not been tested annually by an approved service company. |
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| Broken windows are found in the building that create a general safety hazard. |
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| Handrails/guardrails are loose or missing and need to be repaired. |
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| Emergency evacuation plan is not posted. |
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| Ceiling tiles are missing in the corridors, rooms or other areas of the building. |
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| Lawn deck/fence has been constructed without approval from the proper authorities. |
INSPECTED BY: __________________________________