Meeting Place Inspection Checklist Form Page 2
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2FIRE PROTECTION
YES
NO
YES
NO
______
_____
Portable extinguisher available and properly
______
_____
Heating system inspected within a year?
located?
______
_____
Walls, ceilings, floors protected from stoves or
Extinguisher is suitable for the following types
pipes overheating?
of fires:
______
_____
Open fireplaces protected by screens?
______
_____
A. Ordinary combustibles
______
_____
B. Flammable liquids
______
_____
Electric wiring, switches, extension cords in
good repair?
______
_____
C. Electrical equipment
______
_____
Accessible telephone in building?
______
_____
Extinguisher ready for use? (should be tagged
to show inspection within one year)
______
_____
Fire department number posted?
______
_____
Any hazard from rubbish or flammable
material?
______
_____
Location of nearest fire alarm known to all
______
_____
Any hazard from oily rags or mops?
members?
(spontaneous combustion)
______
_____
Smoke alarm system installed and tested?
______
_____
Alarm procedure taught to members?
FIRE DRILL
YES
NO
YES
NO
______
_____
Has the unit an organization plan for conduct-
______
_____
Are members able to evacuate building if filled
ing fire drills?
with smoke or if lights go out?
______
_____
Is a fire plan posted on the unit bulletin board?
______
_____
Do training drills include use of alternate exits?
______
_____
Are fire evacuation drills practiced frequently?
______
_____
Are members trained in home firesafety plan
and exit drill?
______
_____
Was a drill demonstrated or taught to members
at inspection time?
RECOMMENDATIONS
Write your detailed recommendations below (or on a separate sheet attached to this report.) Please note any other conditions which are
hazardous to health, personal safety, or firesafety.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
INSPECTORS’ SIGNATURES
________________________________
__________________________________
________________________________
__________________________________
Date of inspection _________________
Unit leader in attendance _______________________________________________
name
CHARTERED ORGANIZATION RECORD
Did the chartered organization representative participate in the inspection? Yes
No
■
■
Report reviewed by:
___________________________________ ___________________________________
__________________________________
chartered organization representative
head of organization
unit committee
Action taken: ________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
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