Monthly Jobsite Fire Protection Inspection

NAME OF CONTRACTOR: INSPECTION DATE: Total number of employees on site:

CONTRACTOR SAFETY REP.: CONTRACTOR’S CLIENT J.O. JOB TITLE Number:

PHONE NUMBER:
CLIENT SITE: PHONE NUMBER: CLIENT SITE:
Okay =  , x = Needs Improvement (requires Comments), N/A = Not Applicable)
 Site and Yard Fire Plan approved by Loss Prevention _____________________________
 Inspection and Fire Protection Equipment Recorded ___________________________
 Adequate Fire Extinguishers, Water Barrels, Hoses ___________________________
 Emergency Reporting Procedures Posted ___________________________________
 Telephone Availability ___________________________________________________
 Fire Training Program ___________________________________________________
 Fire Drills Conducted ___________________________________________________
 Site Access, Good Roads, Two Entrances __________________________________
 ‘No Smoking’ Signs Posted ______________________________________________
 Designated Smoking Signs Posted ________________________________________
 25’ Clearance Around Fire Hydrants _______________________________________
 Storage Yard Fenced With 2 – 15‘ Gates ___________________________________
 15’ Driveways in All Parts of Store Yard for Fire Trucks ________________________
 Aisle Ways between Materials & Boundary Fence 10’ min. ______________________
 All flammable Liquid Storage, Isolated & Downwind ___________________________
 50’ Clearance from Buildings of Stored Materials _____________________________
 No Motor Vehicles Repaired, Stored Inside Materials Yard ______________________
 No Smoking and/ or Open Flames Inside Materials Yard _______________________
 Stacked Materials arranged with Combustibles/ Non-Combustible alternating _______
 Daily Removal of Trash from Site _________________________________________
 25’ Clearance of Trash from Buildings, Materials, Equipment, Etc. ________________
 Site/ Yard Fire Inspection Recorded ________________________________________
 Trained Fire Watchman Non-Work Hours. __________________________
Signed: _________________________ Date: ______________________
A Copy of this report is to be turned in to CLIENT at the Contractors Last Weekly Progress Meeting of the Month.