RESIDENCE HALLS SELF-INSPECTION FORM
This self-inspection check sheet is designed to correspond with the Residence Halls Fire/Life Safety Regulations and Policies. The University Fire Marshal’s office will be using this form as a checklist during their inspection of the facility. All items “checked” need to be explained (ie., location, maintenance notified or corrective action taken in the comment column).
| BUILDING | __________________ | FLOOR | ____________ | DATE | __________________ |
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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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| Exit stairwell or corridors are obstructed or being used for storage |
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| Room doors are not self-closing/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 the room. |
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| Electrical multi-plug adapters are found in the room. |
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| Beds are enclosed with drapes, flags or other items that may hinder the egress |
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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 | ||
| Smoke detectors have fallen or been pulled away from the ceiling (hanging by its wires) or otherwise damaged | ||
| Smoke detectors are covered |
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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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| 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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| Exit signs are inoperative or broken |
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| Emergency Egress Lighting is broken or not operating properly |
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| Combustible decorations (crepe paper, live Christmas trees, etc.) used in the building |
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| Bicycles are being kept inside the building or room |
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| Emergency evacuation plan is not posted |
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| Sprinkler System obstructed in some way |
INSPECTED BY: __________________________________