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Department of Planning, Development & Engineering PIE 1016 FIRE SAFETY EVALUATION WORKSHEET QUESTIONNAIRE PLEASE PRINT A completed Building Permit and Development Application Form (CITY1003) must
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How to fill out fire safety evaluation worksheet

Who needs fire safety evaluation worksheet?
01
Facility Owners and Managers: It is necessary for facility owners and managers to fill out the fire safety evaluation worksheet in order to assess the safety measures and compliance of the facility. This allows them to identify any potential risks, implement necessary preventive measures, and ensure the safety of occupants.
02
Fire Safety Inspectors: Fire safety inspectors use the evaluation worksheet to assess the compliance of a facility with fire safety regulations. By filling out the worksheet, they can record their observations and recommendations, which are essential for the improvement of fire safety practices.
03
Fire Safety Consultants: Fire safety consultants also make use of the evaluation worksheet to evaluate the safety measures in a facility. By filling out the worksheet, they can identify any deficiencies or areas of improvement, and provide recommendations to enhance fire safety protocols.
How to fill out the fire safety evaluation worksheet:
01
Start with Basic Information: Begin by providing basic information such as the facility name, address, contact details, and the date of evaluation. This ensures that the worksheet is properly documented and can be easily referenced in the future.
02
Evaluate Fire Prevention Measures: Assess the measures implemented to prevent fires in the facility. This may include the presence of fire alarms, smoke detectors, sprinkler systems, fire extinguishers, and emergency exit signs. Evaluate their functionality, maintenance, and placement to ensure they adhere to safety standards.
03
Assess Fire Escape Routes: Evaluate the fire escape routes within the facility. Determine if they are clearly marked, unobstructed, and accessible to all occupants. Check if emergency exit doors open easily and are in proper working condition.
04
Review Fire Safety Training and Drills: Analyze the fire safety training programs and drills conducted in the facility. Evaluate the frequency, effectiveness, and documentation of these exercises. Ensure that all occupants are aware of evacuation procedures and understand their roles during emergencies.
05
Inspect Electrical Systems: Examine the electrical systems in the facility, including wiring, outlets, and appliances. Check for any potential fire hazards such as overloaded circuits, exposed wiring, or faulty equipment. Document any necessary repairs or improvements that need to be addressed.
06
Evaluate Fire Suppression Systems: Assess the effectiveness of fire suppression systems, such as sprinklers, fire alarms, and smoke detectors. Check if they are regularly maintained, inspected, and tested according to regulations. Identify any issues or malfunctions that require immediate attention.
07
Check Fire Hazard Storage: Inspect areas where flammable materials, chemicals, or combustible objects are stored. Evaluate their storage conditions, labeling, and compliance with safety guidelines. Identify any potential fire hazards or improper storage practices that need to be rectified.
08
Record Observations and Recommendations: Finally, document all your observations, findings, and recommendations in the fire safety evaluation worksheet. This ensures that all identified issues are properly recorded and can be used as a reference for implementing necessary improvements.
By following these steps and properly filling out the fire safety evaluation worksheet, facility owners, managers, fire safety inspectors, and consultants can ensure the safety of the facility and its occupants, while also complying with fire safety regulations.
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What is fire safety evaluation worksheet?
The fire safety evaluation worksheet is a document used to assess the safety measures and precautions in place to prevent and respond to fires in a building.
Who is required to file fire safety evaluation worksheet?
The building owner or manager is typically required to file the fire safety evaluation worksheet.
How to fill out fire safety evaluation worksheet?
The worksheet can be filled out by providing information about fire protection systems, emergency exits, evacuation plans, and other fire safety measures.
What is the purpose of fire safety evaluation worksheet?
The purpose of the fire safety evaluation worksheet is to ensure that adequate fire safety measures are in place to protect occupants in case of a fire emergency.
What information must be reported on fire safety evaluation worksheet?
Information such as the building's fire protection systems, emergency procedures, evacuation plans, and training programs must be reported on the worksheet.
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