Self Inspection Form

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Manteno Community Fire Protection District
Name:________________________________________________
Address:________________________________________________
Home Phone #:___________________________________________
Work Phone:_____________________________________________
Email:___________________________________________________
Property Owner:__________________________________________
Property Owner Address:___________________________________
_________________________________________________________
Emergency Contact:________________________________________
Phone:___________________________________________________
Self Inspection Form
IFC/NFPA
Y/N/NA
EXPLAIN
Exits
1008.1.8.3
Exit Door Hardware Properly Operate & in good condition
1011.1&5.1 Exit Signs Operable & Letters at least 6” high on a contrasting background
1028.2
Public Exit Doors unlocked during business hours
315.2.2
Exits, exit enclosures & beneath unprotected interior stairways are free from
1028.3
obstructions, combustible materials or flammable liquids
315.2.2
Aisles clear & provide proper width , with no obstructions that could
1028.3
minimize egress
1014
1006.1
Emergency Lighting operable & appropriately located in exits, aisles,
1003.2.11
corridors & stairways
Fire Extinguishers
906.9
Fire Extinguishers located properly & in good condition
(max. mounting height – 5’ & every 75’ of travel)
NFPA 10
906.2
Fire Extinguisher yearly inspection (tag) current
NFPA 10
906.3
Fire Extinguishers are suitable for the hazard(s)
CONFIDENTIAL
1 of 5
6/1/2015

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