`MONTHLY FIRE INSPECTION CHECKLIST

SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

1 Access & Premises

1.1 Is address / number for the building clearly visible from the street?

1.2 Is exterior fire department access unobstructed?

1.3 Are all building sides accessible to emergency equipment?

1.4 Are exterior lights in working order?

1.5 Is combustible vegetation removed so as to not create a fire hazard?

1.6 Are the exits onto public streets free from visibility obstructions?

1.7 Are trees and shrubs pruned and documented?

1.8 Does the building appear to be in good repair?

1.9 Are exterior walls free from cracks or other damages?

1.10 Are windows free from cracks or broken panes?

1.11 Are paved surfaces inspected and repaired (i.e., lifts, cracks, etc.)?

1.12 Is fuel oil storage far enough from exits?

2 Indoors

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

2.1 Is there a fire alarm / annunciator panel visible as you enter the building?

2.2 Is that panel in good condition and only the correct light emitting diodes lit?

2.3 Is typical floor layout plan displayed in the lobby?

3 Building Management System (BMS)

3.1 Access to building and emergency communication systems (emergency phone, headsets, etc.)?

3.2 Not being used for storage. (Only equipment related to fire command functions may be located in the fire command center.)

3.3 All control systems are in properly maintained and test documentation is available?

3.4 Are all Fire pumps, Fire Alarms, Elevators, AHU fire dampers, Access restricted fire exit doors, lights, security system etc integrated with BMS?

4 Egress - Hallways, Stairs & Exit paths

4.1 Are all fire doors marked with a “Fire Door Keep Closed” sign?

4.2 Are the other required exit doors readily openable from the inside without the use of a key or special knowledge or effort?

4.3 Are doors with self-closing hinges maintained in the closed position (not blocked open)?

4.4 When opened and then released, do all fire doors close

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

and latch properly?

4.5 Do entrance doors close slowly to avoid hazards to fingers?

4.6 Do doors swing in direction of exit travel?

4.7 Where there are double doors, do both doors open?

4.8 Is there panic hardware / bar on exit doors?

4.9 Is the panic bar interfaced with BMS?

4.10 Have all the door wedges and door-hold-open feet been removed?

4.11 Are the smoke seals in place and in good condition?

4.12 Are the emergency escape or rescue windows, exit ways and doors required by the Building Code recognisable, free from any obstruction that would inhibit the occupants from escaping and maintained functional?

4.13 Are stairwells and corridors completely clear of obstructions and any objects? (Stairwells may not be used for storage)

4.14 Are all corridors, exits, ramps, and stairs illuminated?

4.15 Are there continuous handrails in the stairwells?

4.16 Are stairwell handrails in good condition?

4.17 Are stair treads in good condition?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

4.18 Is the housekeeping in this area adequate?

4.19 Is carpeting secure to the floor, unfrayed, free from tripping hazards, and generally in good condition?

4.20 Are hard floor surfaces secure and free of tripping and slipping hazards?

4.21 Are floor surfaces uneven or in need of repair?

4.22 Are level changes in flooring identified with different coloured tiles?

4.23 Are all wet floors marked with "CAUTION, WET FLOOR" (or similar) signs?

5 Electrical

5.1 Are all electric panels locked?

5.2 Is access to electrical panels clear and not obstructed?

5.3 Is the area maintained clear at least 36" in front of electrical panel(s)?

5.4 Are all electrical outlets, switches and junction boxes properly covered with cover plates and is the electrical system safe from any apparent shock and/or other electrical hazards?

5.5 Are all electrical receptacles and cover plates in good condition?

5.6 Are electrical switches, switch plates, receptacles or cover plates cracked, broken, or have exposed

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

contacts?

5.7 Are electrical cords and plugs in good condition? Check for damaged insulation, cut cords, splices, and tape wrapped around the cord - none of which should be present.

5.8 Are all electrical switches, circuit breakers/fuses labelled so as to identify the area protected? If not, list the locations of those that are not at the end of this sheet.

5.9 Are extension cord(s) of heavy-duty construction, maintained in good condition, and only used as temporary wiring, or to service small portable appliances?

5.10 Are extension cords run under carpets/rugs or across doorways?

5.11 Are all ground plugs in good condition?

5.12 Are extension cord(s) grounded when serving grounded appliances?

5.13 Are extension cord(s) plugged directly into an approved receptacle, power tap or multi-plug adapter and, except for approved multi-plug extension cord(s), serve only 1 portable appliance?

5.14 Is the ampacity of the extension cord(s) greater than the rated capacity of the portable appliance supplied by the cord(s)?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

5.15 If multiple items need to be plugged in, is a power tap utilized with a built-in circuit breaker and is the power tap plugged directly into a permanently installed receptacle?

5.16 Does all electrical equipment in the area appear to be in good condition?

5.17 Are all electrical panels cool to the touch?

5.18 Are all electrical panels free from evidence of burning?

5.19 Are all electrical rooms free from combustible storage?

5.20 Any circuit breakers regularly tripping?

5.21 Are portable extinguishers and sand (fine, dry) buckets provided near the electric room?

NOTE: Remove any defective equipment from service immediately!

6 Lockout / Tagout

6.1 Are locks / tags filled out completely and accurately?

6.2 Is the item locked / tagged in the position/condition stated?

6.3 Is there a Lockout / Tagout log?

6.4 Do locks/tags match the Lockout / Tagout Log?

6.5 Is the Lockout / Tagout Log being properly maintained by the co-ordinator?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

6.6 Is the Log being audited as required?

7 Emergency Lighting

7.1 Is emergency lighting provided?

7.2 Is emergency lighting maintained in operable condition?

7.3 Is the means of egress illuminated when the building or structure is occupied?

7.4 Do all egress pathways have emergency lighting?

7.5 Have all emergency lighting units been tested for 30 seconds in the past 30 days?

7.6 Are all corridor nightlights lit at night?

7.7 If power failure occurred within the last 30 days did the emergency lighting come on?

8 Exit Signs

8.1 Are exit signs maintained illuminated or self-luminous?

8.2 Does the backup-battery work (push the test button and the exit sign should illuminate under battery power)?

8.3 Do the signages lead to right direction?

8.4 Are the exit signs in good condition?

9 Stairwell Signage

9.1 Are signs in all occupancies of self glow type?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

9.2 Do signs:

- indicate floor level

- indicate upper and lower terminus of stair

- indicate the stair by its alphabetic letter

9.3 Are signs visible with door open or closed?

10 Fire Alarm System

10.1 Has the required annual service of the fire alarm system been performed by a qualified fire alarm company?

10.2 Is the fire alarm control panel indicating it is operational?

10.3 Are a portion of the smoke detectors tested in each alarm circuit semi-annually?

10.4 Have all smoke detectors been tested within the past 12 months?

10.5 Are all manual fire alarm pull stations accessible and unobstructed?

10.6 Are all manual fire alarm pull stations covered with transparent flap? (to prevent accidental operation)

10.7 Is an operator on duty at all times at the fire alarm monitoring center (BMS Office)?

11 Fire Drills

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

11.1 Are fire drills conducted successfully at varying times and under varying conditions and are records maintained on the premises?

11.2 Are Evacuation Plans posted?

11.3 Do you have Fire Safety Plans?

11.4 Has evacuation drill been conducted in the last 6 months? When? What was the time taken for evacuation?

11.5 Did staff / occupants demonstrate quick and complete Control during the evacuation drill?

11.6 Room / area cleared and head count conducted?

11.7 Did drill simulate realistic situation / condition?

11.8 Did the fire alarm system function properly?

11.9 Are all drills performed at unexpected times / surprise?

11.10

Is staff routinely trained to dial emergency phone number to report any / all alarms?

12 Fire Extinguishers

12.1 Are all fire extinguishers visible and accessible (not blocked)?

12.2 Are the fire extinguisher(s) properly mounted?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

12.3 Are all extinguishers in place?

12.4 Are monthly inspections being conducted?

12.5 Have the fire extinguisher(s) been serviced and tagged by a fire extinguisher company within the last 12 months?

12.6 Is the last hydrostatic test within the last 5 years?

12.7 Are seals and tamper pins in place?

12.8 Is there damage, corrosion, leakage, or clogged nozzles?

12.9 Does pressure gauge indicate the Extinguishers are ready for use?

12.10

Are all new staff members trained on extinguisher use?

12.11

Do all staff members know where Extinguishers are located?

13 STANDPIPE SYSTEMS

13.1 Are they functional at all times?

13.2 Are standpipes hydrostatically tested every five (5) years? Date when last carried out. Due date.

13.3 Are Standpipe outlets accessible to fire department personnel?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

13.4 Are all fire hydrants visible and readily accessible?

13.5 Do fire hydrants have caps?

14 Fire Department Connections (FDC`s)

14.1 Are all FDC`s visible and readily accessible?

14.2 Are FDC`s Protected from damage?

14.3 Are FDC`s clear of obstruction (landscaping, automobile parking, etc.) for a minimum distance of three (3) feet?

14.4 Are all fittings and caps in place and in good condition?

15 Fire/Smoke Separations

15.1 Are the fire/smoke separations (automatic smoke doors, fire doors, firewalls, etc.) maintained and in working condition?

16 Fire Pumps

16.1 Are fire pumps tested under no-flow condition – weekly (5 minute maximum)?

16.2 Are fire pumps tested under flow condition annually?

17 Fire Sprinkler / Suppression Systems

17.1 Fully operational at all times? (May never be abandoned in place if not required).

17.2 System valves are chained, open or electronically supervised with tamper switch at all times, including fire pump valves. Do not have valves in locked room.

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

17.3 Are all fire standpipe / sprinkler valve rooms identified with appropriate signage?

17.4 Gauges are inspected and operating properly as applicable?

17.5 Are fire sprinkler heads and piping in good condition?

17.6 Is the top of storage maintained a minimum 18`` below head deflectors in fire-sprinklered areas?

17.7 Is a stock of spare sprinkler heads available in each building?

17.8 Have monthly inspections been Documented on sprinkler system?

17.9 Has the sprinkler system been inspected by an outside contractor within the last 6 months?

17.10

Has the required annual service of the fire sprinkler system been performed in the last year by a qualified sprinkler company?

17.11

Main drain flow test is performed on system annually

17.12

Inspector’s test valve is opened at least every 2 years

17.13

Are sprinkler heads kept dust, lint, paint and grease free?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

17.14

No decorations are hung from the sprinkler heads

17.15

Does the fire alarm control panel display “fire sprinkler trouble”?

17.16

Is the sprinkler operated fire gong maintained?

17.17

In commercial cooking applications, is the kitchen hood equipped with an Automatic suppression system?

17.18

Has the hood suppression system been serviced and tested in the last six months and is the hood cleaned at intervals to prevent the accumulation of grease?

18 Heat Producing Appliances

18.1 If portable electric heaters are used, are they used safely? Also, are they plugged directly into wall outlets and kept a minimum of 3' away from combustibles?

18.2 Is the clearance between ignition sources, such as light fixtures, heaters, heat producing devices, and combustible storage maintained in an approved manner?

19 Housekeeping

19.1 Are oily rags or similar materials stored in metal, metal-lined or other approved containers equipped with tight-fitting covers?

19.2 Is there a facility plan to keep stored combustibles organized and to a minimum?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

19.3 Are all trash containers emptied and cleaned on a daily basis?

19.4 Are alcoves adjacent to main corridors free from combustible materials (boxes, trash, etc.) at all times?

19.5 Are all facility wastebasket non-flammable?

20 Mechanical Hazards

20.1 Are moving parts covered with protective cover? (E.g. Pumps, blower units etc.)

20.2 Are exhaust fans covered with protective grill and louvers?

21 Heating, Ventilating and Air Conditioning

21.1 Have smoke dampers installed in duct work that penetrate a firewall been tested within the past 12 months?

21.2 Do air handling units, exhaust/intake, shut down upon activation of fire alarm system?

22 Storage of Combustible / Hazardous materials

22.1 Is the storage of combustible materials orderly?

22.2 Are combustible materials not stored beneath the building or structure?

22.3 Are the mechanical rooms and electrical panel rooms maintained without the storage of any combustible materials within?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

22.4 Are rubbish containers provided with lids and made of non-combustible construction?

22.5 Are Material Safety Data Sheets available on all hazardous materials utilized within the facility?

22.6 Are Material Safety Data Sheets readily available for staff in area where chemical is used/stored?

22.7 Does the facility contain more than 2,500 Litres (total collective) of flammable liquids?

22.8 Are flammable liquids stored in proper containers?

22.9 Is personal protective equipment available for staff using chemicals?

23 Fire & Disaster

23.1 Does all staff know the locations of fire alarm pull stations?

23.2 Does staff in the area know the proper reporting procedure if they find (or believe there may be) a fire? (RACER - Rescue, Alert, Confine, Extinguish, Run)

23.3 Are all areas, other than approved kitchens, free of Toasters or Toaster Ovens?

24 Record File Room - Fire Protection

24.1 Vital records are not stored in file room

24.2 Walls have no openings other than necessary for access

24.3 File room door has fire rating equiv. to that of walls

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

24.4 File room has no pendant lamps or extension cords

24.5 All records kept in cabinets are at least 3” above floor

24.6 Fire extinguisher kept outside door of file room

24.7 File room is not used as a working space

25 HUB / server room Fire Protection

25.1 Access is restricted to only persons absolutely necessary to operation of equipment and emergency department

25.2 Written emergency fire plan prepared and posted inside and near the room

25.3 Room not located above/below hazardous areas

25.4 Structural supports and raised floor decks – non-combustible

25.5 Deck access tools to remove panels are in room and well marked

25.6 Under-floor cable openings provided with fire stops of approved sealant

25.7 Only records essential to related operations are kept in the room

25.8 Record storage rooms are separate from this room

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

25.9 Paper stock and other media restricted to absolute minimum

25.10

Automatic smoke and fire detection system annunciate at constantly attended location

25.11

Fire extinguishers indicate the type of fire for which it is intended

25.12

Gaseous total flooding system serviced and tested as recommended by installer

25.13

Gaseous total flooding system in auto mode (Activation set on two detectors and not a single detector, to avoid false alarm from activating the system)

25.14

Changes to the room configuration approved by detection and extinguishing system installer

25.15

Water or drain piping not in place over the room

26 Equipment Storage and vehicle parking Facilities

26.1 Where liquefied / compressed natural gas fuelled vehicles are parked, open flame /sweet oil lamps not permitted

26.2 Combustible rubbish placed in covered metal receptacles and removed daily

26.3 Oily rags kept in metal container with self closing cover

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

26.4 Fire extinguishers are adequate for exposure and in clear and conspicuous places

27 Inspections

27.1 Has the Fire department conducted an inspection within the past 12 months?

28 Smoking

28.1 Is the facility smoking policy posted in visible areas throughout facility?

28.2 Is designated smoking area clean and free of potential fire hazards?

28.3 Are staff / occupants complying with facility smoking policy?

29 Furnishings/Decorations and Storage

29.1 All furnishing and decorations are flame retardant?

29.2 Are combustible decorations flame retardant treated?

29.3 Are combustible window coverings / cubicle curtains, carpets and cushioned furniture flame retardant treated after laundering?

29.4 Does art work / posters or decorations exceed 20% of open wall space in any given area?

29.5 Are combustibles stored properly in appropriate areas?

30 Compartmentation

30.1 Have areas of refuge been identified?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

30.2 Have staff been drilled on “evacuation in place” utilizing the building’s smoke compartmentation?

30.3 Are 1 hour rated doors or automatic sprinklers installed in the janitorial closets?

30.4 Are 1 hour rated doors or automatic sprinklers installed in the maintenance area?

30.5 Are 1 hour rated doors or automatic sprinklers installed in the kitchens?

30.6 Are 1 hour rated doors or automatic sprinklers installed in the general storage rooms?

30.7 Are there any firewall penetrations that are not sealed?

31 Emergency Action Plans

31.1 Emergency Action plan reviewed / approved within the past 12 months?

31.2 Current evacuation plans posted?

31.3 Is there emergency communication back-up?

31.4 Is the local fire department familiar with the facility emergency plan and any recent changes?

31.5 Has the local fire department visited the facility and reviewed the emergency plan within the past 12 months?

31.6 Procedures established for designated employees who may operate critical operations before they evacuate.

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

Date of Revision.

31.7 Procedures established to account for all employees after emergency evacuation has been completed. Date of revision.

31.8 Rescue and medical duties established for those employees who are to perform them

31.9 Emergency reporting procedures and emergency notification telephone numbers established and posted

31.10

Names or job titles or departments who can be contacted for further information or explanation of duties under emergency action plan

31.11

Training has been provided for a sufficient number of persons to assist with emergency evacuation

31.12

Review conducted with each employee upon initial assignment regarding emergency action plan

32 Emergency Generator

32.1 Have the emergency generators been tested “under load” within the past 30 days?

32.2 Does each emergency generator have at least a 24 hour fuel supply?

32.3 Are the emergency generators maintained on a routine basis?

32.4 Are the emergency generators started at least once weekly by trained and authorized personnel and

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

recorded in log?

32.5 Transfer switches operated monthly by authorized personnel, recorded in log

32.6 Main & feed breakers are exercised annually

32.7 Emergency power set has at least 2 sets of instructions manuals

32.8 Special tools and testing devices are available to trained and authorized personnel

32.9 Replacement parts for high mortality items are readily available

32.10

Written maintenance and operational testing program established and documented

32.11

Transfer switches are included in maintenance program

32.12

Storage batteries inspected at intervals not more than 7 days

33 Keys

33.1 Do staffs carry appropriate keys to operate fire alarm control panels / system?

33.2 Do staffs carry appropriate keys to access circuit breaker panels?

33.3 Does shift supervisor have access to Master key in order to access all lock-sets in facility?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

33.4 Do electricians carry appropriate keys to access circuit breaker panels?

34 Stretcher

34.1 Are stretchers available?

34.2 Are they cleaned daily and tested weekly?

34.3 Is training for lifting and transportation methods conducted? Date when last training was conducted?

34.4 Are the stretchers in good / usable condition?

35 Wheelchair

35.1 Is/Are wheelchair/s available?

35.2 Is/Are it/they cleaned daily and tested weekly?

35.3 Is training for transportation conducted? Date when last training was conducted?

35.4 Is/are the wheelchair/s in good / usable condition?

36 Lift

36.1 Is Fireman lift identified?

36.2 Is Fireman switch provided, identified and in good condition?

36.3 Is Fire Action Notice fixed near lifts in lift lobbies on all floors above stilt / ground floor?

`SR. NO.

YES

NO

N.A.

COMMENTS

ACTION TAKEN

CHECKED BY

DATE

36.4 Is three-way talk back communication provided between lift car, lift machine room and BMS or Security desk whichever is manned round the clock?

36.5 Is hatch provided atop the lift car for emergency rescue?

36.6 Are safety instructions pasted inside the lift car?

36.7 Are the lift cars identified (as P1, P2 etc.) from inside as well as outside?

36.8 The lift machine room is not used for storage?

36.9 Smoke detector is provided in lift machine room?

36.10

Extinguishers and sand buckets (fine, dry sand) are provided near the lift machine room.

36.11

Lifts are interfaced with BMS?

36.12

Has Elevator Rescue training been conducted? When?

37 ADDITIONAL COMMENTS, CONCERNS, OR MAINTENANCE ISSUES