INDEX
Name of the Business____________________________________________________________________ Type of Business:_______________________________________________________________________ Adderss of the Business:________________________________________________________________ Business Phone:________________ Business Fax:_______________ E-Mail ____________________ Business Owner/Contact Name:___________________________________ Phone:__________________ Business Owner/Contact address:_________________________________________________________ Building Owner:________________________________________________Phone:___________________ Building Owner address:_________________________________________________________________ Emergency contact telephone:____________________________________________________________ Occupancy Class:_________________________Property use Class:____________________________ Construction Class:__________________________Occupant Load:_____________________________ Fire Protection Appliances number and type:_____________________________________________ ________________________________________________________________________________________ Hazardous Materials:____________________________________________________________________ ________________________________________________________________________________________ Type and number of Permits:_____________________________________________________________ ________________________________________________________________________________________ Interior Finish Flame Retardant: YES:______ NO:______ Date of Application:____________ Number of Exits:________________________________________________________________________ Remarks:________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Required corrections:___________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ All corrections must be corrected by the reinspection date. A fee will be charged if more than one reinspection is required. Inspector:______________________________________ Reinspection date:___________________ Responsible party signature:___________________________________________________________General Inspection Methodology & Procedures
FPT 102 - Fire Prevention and Inspection // Instructor: Kevin M. Kolb Slide #6