SPRING GROVE FIRE PROTECTION DISTRICT

FIRE PREVENTION BUREAU

INSPECTION REPORT

 BUSINESS NAME____________________________________________DATE___________________

OWNER/OCCUPANT__________________________________________________________________

ADDRESS___________________________________________________________________________

 The Spring Grove Fire Protection District Fire Prevention Bureau inspected the above premise today.  I/We note the following apparent violations of the local and/or state codes and ordinances.

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 q See second page

 ___ You are required to correct the above violations.  I/We will return for a reinspection _________________

___I/We have found no apparent violations.  Thank you!

___All former violations have been brought up to compliance.  Thank you!

 

Signature of Fire Inspector     ____________________________________

Signature of Business Owner/ Representative   ____________________________________

                                                

                                                                                                           White copy – SGFPD                                      Yellow Copy- Village/County                                           Pink Copy - Occupant

 

1. OUTSIDE			STAIRWAYS			4. ELECTRICAL			7. SPRINKLERS
PRIVATE FIRE HYDRANT			Proper number	2.7		CONTROL PANEL			& STANDPIPES
Condition - Test date________	1.1		Width/Storage	2.8		Access/Proper cover	4.1		System required	7.O
Obstruction	1.2		Arrangement	2.9		Properly marked/sized	4.2		Additional heads required	7.01
Location	1.3		Door swing	2.1O		CIRCUITS			Sprinkler head missing trim	7.02
HOUSEKEEPING			Hold open device	2.11		Proper sizes	4.3		18" clearance below head
Weeds	1.4		Locks	2.12		Identified	4.4		RISERS, VALVES,FIREHOSE
Rubbish	1.5		Panic Hardware	2.13		Unused opening	4.5		Condition/test date________	7.1
Waste	1.6		AISLES			OUTLETS			Accessibility	7.2
STORAGE			Proper Width/Obstructions	2.14		Proper Location/GFI	4.6		DRAINS
Arrangement	1.7		Arrangement	2.15		Proper  Number/covers	4.7		Marked	7.3
Distance from building	1.8		INTERIOR PARTITIONS			Exposed wiring	4.81		Accessible	7.4
SPRINKLER CONTROLS			Condition	2.16		EXTENSION CORDS/Adaptors	4.03		SPARE HEADS
Open	1.9		Drywall both sides	2.17		Condition- cords	4.9		Available	7.5
Accessible	1.1O		FIRE WALLS			Use	4.1O		Wrench	7.6
Condition	1.11		Condition	2.18		EMERGENCY LIGHTS			FIRE PUMP
F.D. CONNECTION			Fire door-Test date__________	2.19		Condition	4.11		Enclosed in room	7.7
Accessible	1.12		Operation	2.2O		Adequate #	4.12		Condition	7.8
Swivels Working	1.13		Hold open device	2.21		Circuit lock	4.13		Last test date__________	7.9
Caps & Plugs	1.14		STORAGE ARRANGEMENT			Battery units exercised monthly			8. FIRE ALARM
Threads	1.15		Condition	2.22		EXIT LIGHTS			SYSTEM
PARKING/FIRE LANES			Height	2.23		Working	4.14		CONTROL PANEL
Access/Signage	1.16		Ceiling/joist	2.24		Properly  located	4.15		Accessible	8.1
Drives Open	1.17		Housekeeping	2.25		EXPLOSION PROOF			Current mode___________	8.12
EXITWAYS			No smoking signs	2.26		Condition seal  offs	4.16		Battery size____ date______	8.13
Clear	1.18		CEILING			ELEVATOR SHAFTS			Electric panel Lock out	8.2
Level	1.19		Condition	2.27		Emergency Bell	4.17		PULL STATIONS
Lead to open access	1.2O		PARKING			Stop	4.18		Accessible	8.3
GAS METER			In building	2.28		Access	4.19		Working/Condition	8.4
Condition	1.21					Emergency key	4.2O		DETECTORS
Protection	1.22		3. H/V EQUIPMENT			Equipment room	4.21		Location	8.5
ADDRESS			UNITS			Annual  Test certificate	4.22		Condition	8.6
Adequate Visability	1.23		Flue pipe	3.1		5. FLAMMABLE LIQUIDS			HORN/STROBES
OUTSIDE FUEL TANKS			Access to unit	3.2		Storage	5.1		Size/Location/Access	8.1O
Barricade posts	1.24		Combustion air	3.3		Dispensng	5.2		9. SUPERVISION
Containment/double wall	1.25		Fuel shut offs	3.4		Sources of ignition	5.3		Sprinkler System-annual test	9.1
Power Source	1.26		Insp. certificate	3.5		No smoking signs	5.4		Fire Alarm System-an.  test	9.2
KNOX BOX			Clear combustible	3.6		Class B Extinguishers	5.5		10. COMPRESSED GAS
Location	1.27		Condition of unit	3.7		Oily rag storage	5.6		Chained	10.1
Proper keys	1.28								Storage	10.2
			DUCTS			6. PORTABLE			11. HOOD & DUCT
2. INSIDE			Fusible link Damper	3.8		FIRE EXTINQUISHERS			SYSTEMS	11.1
EXITWAYS			Condition of damper	3.9		Condition	6.1		Condition	11.2
Proper Number	2.1		Damp access marked	3.1O		Location	6.2		Extinquisher test date_____
Obstructed	2.2		Dust/Dirt in ducts	3.11		Type	6.3
Arrangement	2.3					Access	6.4		12. OTHER
Door/Closer	2.4					Annual service date_____	6.5		Occupancy load posted	12.1
Locks	2.5					Welding Cart extinguisher	6.6		Business registration for ___	12.2
Panic Hardware	2.6