P F N/A P F N/A
P F N/A
P F N/A
P F N/A
P F N/A
P F N/A P F N/A
Rev.03-19 Subject to change
Comments:
Inspector's Name:
Responsible Person:
Penetrations sealed in floors, walls & ceilings (missing tiles)
Compressed gas cylinders secured from falling
Hold open and closer devices
(door holders, dampers, etc.)
Elevator operation, service, signs & keys
Door operations compliant
Backflow prevention devices comply with the TCEQ
Proper use of extension cords
Panic & fire exit hardware maintenance
Unapproved condition (missing covers, switches, outlets, etc) Exit Signs visible and operational on battery power
Fire Resistance & Rated Construction
Other
Proper illumination of elect., boiler, mechanical rooms, etc. Door opening force
Working space & clearance of electrical service equip.
Door locks & latches
Proper identification & labeling of doors
Access controlled egress doors
Fire protection/utility equipment access/identification
Means of egress obstructed (reduced or blocked)
Electrical Equipment & Wiring Hazards
Emergency lighting operational on battery power
Electrical wiring to NFPA 70, current edition
Door swing direction
Address visible from street (6" letters)
Locking FDC connection caps
Key box access & verification of all necessary keys
Clear space around FDC connections
Fire protection water supplies
Means of Egress
Fire apparatus access markings
Extinguishers unobstructed & unobscured
Fire apparatus access obstructions (vehicles parked in fire lane)
Extinguisher hangers, brackets & cabinets
Access to building openings & roofs
Access to fire department connections
Fire safety, evacuation & emergency preparedness plans
Hood suppression maint. in operative condition (current tag)
Verify documented fire and emergency evacuation drills
Excessive grease build-up & cleaning records
Fire apparatus access roads
Extinguishers maint. in operative condition (current tag)
Storage maintained 18" below sprinkler deflector
Access control drops out upon alarm or power loss
Storage in electrical, boiler, mechanical rooms, etc.
Offsite monitoring service of systems (
current tag
)
Emergency Planning & Fire Service Features
Sprinkler system maint. in operative condition
(current tag)
Compliance with open flame, fire & burning
Storage in corridors & lobbies
Vehicle impact protection general
Fire Protection
Fueled equipment (lawn equipment, generators, etc.)
Fire alarm system maint. in operative condition (current tag)
Weeds, grass, vines capable of being ignited
Interior wall, ceiling & floor finishes
Proper storage of combustible rubbish
Upholstered furniture & mattresses
Containers of combustible rubbish in proper locations
Decorative vegetation
Accumulation of combustible waste materials
General Provisions
Address: Phone Number:
City, State & Zip: Date:
Contact Name:
General Housekeeping Precautions
Interior Finish, Decorative Materials & Furnishings
Assisted Living Annual Inspection Checklist
This inspection checklist is provided as a courtesy to assist with your Annual Fire & Life Safety Inspection requirements
Facility Name: Email Address:
Prosper Fire Rescue
Fire Marshal’s Office
PO Box 307
1500 E. First Street
Prosper, Texas 75078
Phone (972) 346-9469 Fax (972) 347-3010 www.prosperfire.com