Get Form 5381 2009-2024

A. NAME OF INSPECTOR Print or Type 7. a. NAME OF ORGANIZATION FIRE MARSHALL Print or Type 6. b. SIGNATURE DA FORM 5381 JAN 2009 PREVIOUS EDITION ARE OBSOLETE. APD PE v1.00ES. BUILDING - FIRE RISK MANAGEMENT SURVEY USE REVERSE SIDE FOR REMARKS For use of this form see AR 420-1 the proponent agency is ACSIM. BUILDING NUMBER OR AREA OCCUPANCY ORGANIZATION DATE SECTION A - INSPECTION CHECK LIST Common and or Special Fire Hazards A. HOUSEKEEPING General Order Rubbish Cleanliness D. PETROL OIL LUBRICANTS Pipe Leaks Refueling G* FIRE DETECTION Detectors Batteries Wiring Vegetation Growth Grounding Control Box Pressure Gauge Improper Storage Bonding Fuses Horn Overall Poor Electrical Outdoor Housekeeping Compatibility Manhole Cover Distance to Building B. SMOKING Unauthorized Area Drains Nozzles Smoking Permit Disposal of Materials E* HEATING Fuel Pipe H. FIRE SUPPRESSION SYSTEMS Sprinkler Riser Compressor Post Indicator Valve Girders J* FIRE EXTINGUISHERS Service Date Location Hydrostatic Test Date Control Valve Safety Pin K. FLAMMABLE STORAGE Flammable Gases 2-inch Drain Flammable Liquids Branch Lines Electrical Fixtures Sprinkler Heads Trusses Stairs Fire Escape M. STORAGE Procedures Fire Lanes Wall to Storage Spacing Storage Height N* HAZARDOUS MATERIALS Containers Diking Storage Method No Smoking Signs Fuel Lines Inspector s Test Valve Barrier Protection Improper Facility Improper Lighter Filters Agent Venting Items Not Labeled Matches Damper Fusible Links Labeling Warnings Signs Cooking Equipment Ventilation Deep Fat Fryers Fire Hydrant Cabinet Receptacles Leakage Ovens Burners C. ELECTRICAL Multiple Outlets Exhaust Hoods I. LIFE SAFETY CODE Occupancy Load Extension Cords Housekeeping Means of Egress Frayed Wiring Chimney Exit Requirement Hazardous Locations Improper Wiring Thermostat F* FIRE DOORS Emergency Lighting Exit Impediments Overstock L* BUILDING CONSTRUCTION Doors Windows Hardward O. SPECIAL HAZARDS Welding Cutting Exit Lights Fire Walls Finishing Processes Conduit Raceways Door Guides Exit Signs Door Frame Hot Work Permit Conductors Operational Interior Finish Floors Bearing Spontaneous Heating Outlet Boxes Rated Smoke Barriers Roofs Switches Fixtures Damaged Ramps Columns Fuses Panel Boxes Beams 6. BUILDING - FIRE RISK MANAGEMENT SURVEY USE REVERSE SIDE FOR REMARKS For use of this form see AR 420-1 the proponent agency is ACSIM. BUILDING NUMBER OR AREA OCCUPANCY ORGANIZATION DATE SECTION A - INSPECTION CHECK LIST Common and or Special Fire Hazards A. BUILDING NUMBER OR AREA OCCUPANCY ORGANIZATION DATE SECTION A - INSPECTION CHECK LIST Common and or Special Fire Hazards A. HOUSEKEEPING General Order Rubbish Cleanliness D. PETROL OIL LUBRICANTS Pipe Leaks Refueling G* FIRE DETECTION Detectors Batteries Wiring Vegetation Growth Grounding Control Box Pressure Gauge Improper Storage Bonding Fuses Horn Overall Poor Electrical Outdoor Housekeeping Compatibility Manhole Cover Distance to Building B. HOUSEKEEPING General Order Rubbish Cleanliness D. PETROL OIL LUBRICANTS Pipe Leaks Refueling G* FIRE DETECTION Detectors Batteries Wiring Vegetation Growth Grounding Control Box Pressure Gauge Improper Storage Bonding Fuses Horn Overall Poor Electrical Outdoor Housekeeping Compatibility Manhole Cover Distance to Building B. SMOKING Unauthorized Area Drains Nozzles Smoking Permit Disposal of Materials E* HEATING Fuel Pipe H. .