El Paso County E.s.d. Home Inspection Form
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1El Paso County E.S.D. #1 Home Inspection Form
Date: _______ / _______ / __________
Phone # : ( _______ ) ____________________
Occupant's Name: _____________________________________________________________________________________________
Residential Address: ______________________________________________________________ Ste./Bldg. #: __________________
Responsible Party: _______________________________________________________ Owner-Mgr-Asst.Mgr.-Employee (Circle One)
1st Visit
2nd Visit
Fire Department Courtesy Inspection
N/A YES NO YES NO
Address: Compliant / Contrasting / Appropriate Size / Horizontal / Unobstructed / Visible from Street
Closest Fire Hydrant: 0 ft. to 250 ft. / 251 ft. to 500 ft. / 501 ft. to 750 ft. / 751 ft. to 1000 ft. / 1000 ft. (+)
Fire Extinguisher(s): Present / Mounted [4” to 5’] / Charged / Correct Type /
Coverage
Fire Extinguisher(s):
Current tag / Current receipt
Tag Date:
/
/
Exit Egress: Unobstructed / Maintained / Adequate / Emergency Escape Ladder (2nd floor only)
Door Locking Mechanism: Single cylinder (Thumb latch) / Double cylinder (Dual key latch)
Smoke Detectors: Present / Functional / Mounted Properly / Sufficient / Quantity = (
)
Smoke Detectors: Battery-operated
/
Wired w/ battery back-up
Carbon Monoxide Detectors: Present / Functional / Mounted Properly / Quantity = (
)
Furnace Closet: Maintained / Clean / Clear of Combustibles / Clear of Storage / Vented
Water Heater Closet: Maintained / Clean / Clear of Combustibles / Clear of Storage / Vented
Storage Conditions: Acceptable / House keeping Maintained
Auxiliary Heating Device(s): Appears Safe (No storage near heating device, Proper connections, etc.)
Fireplaces /Chimneys: Compliant / Cleaned / Maintained / Inspected Annually / Fire screen Present
Open Flames Present: (Candles, Tee-kee Torches, Fire pits, etc.)
Electrical Items: Compliant / Meet Code (Cover plates/Breaker Panel/Ext. Cords/Multi-plugs/Open J-boxes/etc.)
Electrical System(s) Appear Safe: Complaint / Unexposed wires(Spliced/Improper Wiring,Permanent Ext. Cords, etc.)
Wrought Iron Security Bars: Opens w/o Obstruction / Equipped w/ quick release devices
Vehicle Garage: Maintained / Clean / Clear of Combustibles / Clear of Storage
Vehicle Garage: Attached / Detached / None
Evacuation Plan Present:
Other:
Other:
Remarks:
Remarks:
Inspection conducted with a TXCFI present? Yes / No
Inspector: ________________________________________
Request for Follow-up: Yes / No
If YES, a follow-up / re-inspection will occur in (
) working days.
Occupant: (Print)_____________________________________ Inspector: (Print)_______________________________Unit______-___
Signature: ____________________________________________ Inspector Signature: ________________________________________
Condition(s) Corrected on Re-inspection (2nd Visit)? Yes / No (circle one)
Re-inspected Date: _____ / _____ / _________
Occupant: (Print)_____________________________________ Inspector: (Print)_______________________________Unit______-___
Signature: ____________________________________________ Inspector Signature: ________________________________________
Page 1: E.S.D. #1 F.P.D.
Page 2: 2nd Official Notice (Owner/Occupant)
Page 3: 1st Official Notice (Owner/Occupant)
Revised: 01/2013
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Parent category: Business