Business Risk Reduction Review Form

OCCUPANT/BUSINESS AND INSPECTION INFORMATION

EXITS

Are all exits and fire escapes maintained in good, safe, usable condition?
Are all exit lights illuminated at all times?
Do all exit doors open easily with no obstructions?
Is the access to all exit doors unobstructed?
Are all employees familiar with emergency exit locations?
Are all exit doors unlocked when the building is occupied?

FIRE EXTINGUISHERS

Have all fire extinguishers been inspected by a certified provider within the last 12 months?
Are all employees familiar with fire extinguisher locations and operation?

FIRE PROTECTION AND EQUIPMENT

If present, have sprinkler systems and standpipes been inspected by a licensed contractor within the last 12 months?
Is storage at least 18” below sprinkler heads or at least 24” below the ceiling in non-sprinkled areas?
If present, have fire alarms been inspected and tagged by a licensed service provider within the last 12 months?

ELECTRICAL WIRING

Is all electrical wiring unexposed (no open electrical panels or junction boxes)?
Are all electrical connections (splices) made in covered electrical junction box?
Are there enough electrical outlets to prevent the use of extension cords in lieu of permanent wiring? Extension cords and multi-plug adapters are prohibited.
Are breaker panels accessible and are circuits labeled?
Are covers closed on electric panels?

STORAGE

Are papers, plastics and other combustibles kept in limited quantities so as to prevent a fire hazard?
Are stairways, aisles and corridors free of storage?

HEATING EQUIPMENT

Is heating equipment in a safe and operable condition?
Is storage kept at least 36” away from water heaters and furnaces, and out of the boiler room?

EMERGENCY (AND/OR AFTER HOURS) CONTACT INFORMATION

Please provide three emergency contacts, if possible.
Name
Phone
Name
Phone
Name
Phone