Self Inspection Report Form - City Of Watsonville Fire Department
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1
2CITY OF WATSONVILLE
FIRE DEPARTMENT
SELF INSPECTION REPORT
Business Name/License #:
Business Phone #:
Address:
E-mail:
Building Owner:
Contact Phone #:
After-Hours/Emergency Contact:
Contact Phone #:
Access and Premises:
Yes
No
N/A
Are Address numbers for the building visible from the street?
Is the exterior fire department access unobstructed?
Does your building have a Knox Box? If so, will the keys inside it open all doors? If locks are
changed contact City of Watsonville Fire Department to install new keys.
Is combustible vegetation removed so as to not create a fire hazard?
Is there maintained a minimum 3’ clearance around fire hydrants?
Egress ( Exiting)
Are the exit ways and doors easily recognizable, unobstructed, and maintained functional?
If the main exit door is provided with key-locking hardware is there a sign above the door that states
“THIS DOOR MUST REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED” and are the other
exit doors operable from the inside w/o the use of a key or any special knowledge or effort?
Are the exits and exit enclosures free of storage?
Are fire doors with self-closing hinges maintained in the closed position (not blocked open)?
Electrical
Are all electrical outlets, switches and junction boxes properly covered with cover plates? Is the
electrical system safe from any apparent shock and/or other electrical hazards?
Are circuit breakers/fuses labeled so as to identify the area protected?
Is the area in front of the electrical panel(s) clear, by at least 30”?
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?
Emergency Lighting/ Egress Illumination
If emergency lighting is provided, is it maintained in operable condition?
Is the means of egress illuminated when the building or structure is occupied?
Exit Signs
If exit signs are required, are they maintained as illuminated or self luminous?
Does the backup-battery work? ( push the test button, the exit sign should illuminate under battery
power)
Fire Alarm System
If the building is equipped with a fire alarm system, has the required annual service of the fire alarm
system been performed by a qualified fire alarm company?
Fire Safety and Evacuation Plans
If drills are required, are they conducted successfully at varying times and under varying conditions
and are records maintained on the premises?
If required, are evacuation plans posted?
If required, do you have fire safety plans?
Fire Extinguishers
Is there access to a fire extinguisher(s) rated at a minimum of 2A-10BC per 6,000/ square ft? In low
hazard areas and 3,000 sq. ft. in medium hazard areas?
Is the travel distance from all portions of the building less than 75’ to a fire extinguisher?
Are all fire extinguishers visible and accessible (not blocked)?
Have the fire extinguisher(s) been serviced/ tagged by a qualified technician within the last 12
months?
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Parent category: Business