ASSEMBLY OCCUPANCIES
SELF INSPECTION CHECKLIST
(This form shall meet the intent of Saf-C 6008.04(e))
Is the occupant load posted?
YES
G
NO
G
Number of exits visible and available to patrons?
_________
Are all exits free of storage?
YES
G
NO
G
Are all doors clear and not blocked?
YES
G
NO
G
Can all doors be opened easily from inside?
YES
G
NO
G
Are the aisles wide enough?
YES
G
NO
G
Are aisles clear and not blocked?
YES
G
NO
G
Are exit signs lit and visible?
YES
G
NO
G
Do all of the emergency lights work?
YES
G
NO
G
Are all fire extinguishers visible and ready for use?
YES
G
NO
G
The above listed items are not to be considered all-inclusive. Owners and operators of assembly occupancies
are required to meet all aspects of the NH State Fire Code. Any negative answers above indicate deficiencies,
which SHALL be corrected prior to opening for business.
Lebanon Fire Department
12 South Park Street
Lebanon, NH 03766
Phone 603-448-8810
Fax 603-448-8811
Email: fire@lebanonnh.gov
Business Name
Address
City
Name of person inspecting
Date: Time of Inspection
Owner / Manager
Are the fire alarm and sprinkler systems in service?
YES
GG
NO
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