STATE OF NEW HAMPSHIRE DEPARTMENT OF SAFETY
John J. Berthelmes, Commissioner
Division of Fire Safety
Office of the State Fire Marshal
J. William Degnan, State Fire Marshal
Office: 110 Smokey Bear Blvd, Concord, NH
Mailing Address: 33 Hazen Drive, Concord, NH 03305
603-271-3294, FAX 603-271-3206
ASSEMBLY OCCUPANCIES
SELF INSPECTION CHECKLIST GUIDELINE
(This form shall meet the intent of Saf-C 6008.04(e))
Business Name________________________ Owner/Manager____________________
Address_____________________________________
City_________________________________________
Name of person inspecting__________________________________
Date_______________ Time of Inspection______________
______________________________________________________________________
Is the occupant load posted? YES
ð
NO
ð
Number of exits visible and available to patrons ___________
Exits are free of storage YES
ð
NO
ð
Are all doors clear, and not blocked? YES
ð
NO
ð
Can all doors be opened easily from inside? YES
ð
NO
ð
Are the aisles wide enough? YES
ð
NO
ð
Are aisles clear, and not blocked? YES
ð
NO
ð
Are exit signs lit and visible? YES
ð
NO
ð
Do all the emergency lights work? YES
ð
NO
ð
Are all fire extinguishers visible and ready for use? YES
ð
NO
ð
Are the fire alarm and sprinkler systems in service? YES
ð
NO
ð
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