A Fire Safety Self-Inspection Checklist Page 6

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Conserve O Gram 2/23
National Park Service
NOTICE OF FIRE HAZARD
DATE REPORTED:____________ HAZARD CONTROL NO. ______
AREA WHERE HAZARD WAS NOTICED:______________________
THE FOLLOWING HAZARD WAS NOTICED:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
THE POTENTIAL RISK IS AS FOLLOWS:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
THE FOLLOWING ACTION IS RECOMMENDED:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Reported to:
Reported by:
___________________________
________________________
(print name)
(print name)
Figure 1. Form for reporting a fire hazard requiring corrective action.
The Conserve O Gram series is published as a reference on collections
The series is distributed to all NPS units and is available to
management and curatorial issues. Mention of a product, a man-
non-NPS institutions and interested individuals online at
ufacturer, or a supplier by name in this publication does not con-
<
stitute an endorsement of that product or supplier by the National
cons_toc.html>.
For further information and guidance con-
Park Service. Sources named are not all inclusive. It is suggested
cerning any of the topics or procedures addressed in the series,
that readers also seek alternative product and vendor information
contact the NPS Museum Management Program, 1849 C
in order to assess the full range of available supplies and equipment.
Street NW (2265), Washington, DC 20240; (202) 354-2000.
Fire Safety 101: A Fire Safety Self-Inspection Checklist
6
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