Fire Safety Survey - Written Report Form

Business Name:

Building Address:

Business Owner: Business Phone:

Building Owner (If different from occupant) Phone:

Firefighter conducting inspection:

Please place additional comments and recommendations on back

Housekeeping

Comments:

Recommendations:

Exits and Means of Egress

Comments:

Recommendations:

Fire Protection Systems, Extinguishers, and Detection/Alarm systems

Comments:

Recommendations:

Structural related items (fire walls, enclosures, general building conditions, etc.)

Comments:

Recommendations: