BUILDING MAINTENANCE CHECK LIST

NAME

NAME

NAME

NAME

NAME

NAME
Check off, date and sign per week, month, quarter, semi & annually.
BCR - Building
Code Requirement
BUILDING NAME: _________________________________ FCR - Fire Code Requirement

WEEKLY CHECKS DATE: (dd/mm/yy)

SITE 1st 2nd 3rd 4th 5th COMMENTS

1 Check walkway surfaces, patch and repair. REPAIR IMMEDIATELY FOR SAFETY
2 Remove and dispose of all fallen tree limbs, dead shrubs, etc. SECURE AREA OR REMOVE IMMEDIATELLY FOR SAFETY
3
4
5
BUILDING EXTERIOR 1st 2nd 3rd 4th 5th COMMENTS
1 Replace broken window glass as needed. REPAIR IMMEDIATELY FOR SAFETY
2 Remove any blockage of walk ways and keep fire exits clear.
3 Remove any materials against wall that are an eye sore.
4
5
BUILDING INTERIOR 1st 2nd 3rd 4th 5th COMMENTS
Remove all rubbish, boxes, debris and combustibles from following locations.
1 Paths of exit
2 Doorways
3 Stairs
4 Under stairs
5 Utility rooms
6 Around flue and chimneys
7 Around heat-producing equipment
8 Electrical panel areas (3' min)
1 of 50
 BUILDING MAINTENANCE CHECK LIST

NAME

NAME

NAME

NAME

NAME

NAME
Check off, date and sign per week, month, quarter, semi & annually.
BCR - Building
Code Requirement
BUILDING NAME: _________________________________ FCR - Fire Code Requirement
9

2 of 50
 BUILDING MAINTENANCE CHECK LIST

NAME

NAME

NAME

NAME

NAME

NAME
Check off, date and sign per week, month, quarter, semi & annually.
BCR - Building
Code Requirement
BUILDING NAME: _________________________________ FCR - Fire Code Requirement

WEEKLY CHECKS (continued) DATE: (dd/mm/yy)

ELECTRICAL EQUIPMENT 1st 2nd 3rd 4th 5th COMMENTS

1 Repair or replace frayed wires immediately. REPAIR IMMEDIATELY FOR SAFETY
2 Repair or replace non-functioning switches, receptacles & outlets. REPAIR IMMEDIATELY FOR SAFETY
3 Replace burned out light bulbs. INSTALL ENERGY EFFICIENT FLUORESCENT BULBS
4 Remove all damaged extension cords. Extension cords should not be permanent or long term use.
5
PLUMBING 1st 2nd 3rd 4th 5th COMMENTS
1 Repair leaking faucets and fixtures.
2
3
4
5

1st 2nd 3rd 4th 5th COMMENTS

1
2
3
4
5

3 of 50
 BUILDING MAINTENANCE CHECK LIST

NAME

NAME

NAME

NAME

NAME

NAME
Check off, date and sign per week, month, quarter, semi & annually.
BCR - Building
Code Requirement
BUILDING NAME: _________________________________ FCR - Fire Code Requirement

MONTHLY CHECKS DATE: (dd/mm/yy)

SITE 1st 2nd 3rd 4th 5th 6th COMMENTS

1 Remove excess brush adjacent to bldg walls & electrical equip.
2 Trim and prune shrubs and trees.
3 Service lawnmowers & other equipment
4 Check split system AC units, clear of debris, no damage, etc.
5
BUILDING INTERIOR 1st 2nd 3rd 4th 5th 6th COMMENTS
1 Check floors for broken tiles or torn carpet.
2 Check exterior doors for proper operation and locking.
3
4
5
MECHANICAL EQUIPMENT 1st 2nd 3rd 4th 5th 6th COMMENTS
1 Clean all washable window AC unit filters.
2 Check /hot water heater for any fuel or water leaks.
3
4
5

4 of 50
 BUILDING MAINTENANCE CHECK LIST

NAME

NAME

NAME

NAME

NAME

NAME
Check off, date and sign per week, month, quarter, semi & annually.
BCR - Building
Code Requirement
BUILDING NAME: _________________________________ FCR - Fire Code Requirement

QUARTERLY CHECKS DATE: (dd/mm/yy)

SITE 1st 2nd 3rd 4th COMMENTS

1 Check and service playground equipment and insure its safety.
2 Clean all site drains.
3 Reseed worn lawn areas.
4 Fertilize lawn.
5
BUILDING EXTERIOR 1st 2nd 3rd 4th COMMENTS
1 Clean split system AC units, Flush dirt from cooling fins.
2
3
4
5
ROOF 1st 2nd 3rd 4th COMMENTS
1 Inspect and repair roofing material. Inspect after major storm or rains.
2
3
4
5

5 of 50
 BUILDING MAINTENANCE CHECK LIST

NAME

NAME

NAME

NAME

NAME

NAME
Check off, date and sign per week, month, quarter, semi & annually.
BCR - Building
Code Requirement
BUILDING NAME: _________________________________ FCR - Fire Code Requirement

QUARTERLY CHECKS (continued) DATE: (dd/mm/yy)

BUILDING INTERIOR 1st 2nd 3rd 4th COMMENTS

1 Clean windows, blinds, draperies, etc.
2 Check and lube all door locks and adjust closers as needed.
3
4
5
MECHANICAL EQUIPMENT 1st 2nd 3rd 4th COMMENTS
1 Flush window AC unit coils with water to remove dust, dirt &
debri.
2 Check motorized dampers for hot water heaters.
3 Check & cleanout openings, doors, etc., for air leakage and
corrosion.
4
5
ELECTRICAL EQUIPMENT 1st 2nd 3rd 4th COMMENTS
1 Test emergency lighting system.
2 Test all exit lights.
3 Insure space in front of electrical panels is clear.
4
5

6 of 50
 BUILDING MAINTENANCE CHECK LIST

NAME

NAME

NAME

NAME

NAME

NAME
Check off, date and sign per week, month, quarter, semi & annually.
BCR - Building
Code Requirement
BUILDING NAME: _________________________________ FCR - Fire Code Requirement

SEMI & ANNUAL CHECKS DATE: (dd/mm/yy)

SITE S1 S2 A COMMENTS
1 Repair potholes & restripe if necessary.
2 Repair and/or paint fences.
3 Paint walkway markings.
4
5
BUILDING EXTERIOR S1 S2 A COMMENTS
1 Wash windows.
2 Replace cracked or missing putty or caulk at windows & doors.
3 Scrape, prime and paint building exterior and trim as needed. Comple repaint exterior at least every 7 yrs.
4 Wash accumulated dirt from building surfaces. Excessive dirt should be removed as soon as possible.
5 Lubricate exterior door hinges and hardware. Perform quarterly if exposed to high wind, rain, or sun.
Inspect exterior walls for loose mortar, lintel failures and
6 structural cracks.
7
ROOF S1 S2 A COMMENTS
1 Clean roof valleys.
2 Clean and test roof drains.
3 Clean and secure gutters
4 Clean and secure downspouts.
5 Inspect and repair metal flashings.
6 Inspect and recaulk stone or clay tile copings.
7
7 of 50
 BUILDING MAINTENANCE CHECK LIST

NAME

NAME

NAME

NAME

NAME

NAME
Check off, date and sign per week, month, quarter, semi & annually.
BCR - Building
Code Requirement
BUILDING NAME: _________________________________ FCR - Fire Code Requirement

SEMI & ANNUAL CHECKS (continued) DATE: dd/mm/yy)

MECHANICAL EQUIPMENT S1 S2 A COMMENTS

1 Service all pumps per manufacturer’s instruction manuals. Per service agreement
2 Service all air-conditioning equipment. Per service agreement
3 Service all ventilating equipment. Per service agreement
4 Pump out septic tanks. Date last cleaned: Once every 4 years or as needed.
5
PLUMBING S1 S2 A COMMENTS
1 Service well pump and water storage tank.
2 Inspect and clean out grease traps. per service agrement
3
4
5

S1 S2 A COMMENTS
1
2
3
4
5

8 of 50
 BUILDING: DATE:

√ SITE W M Q S A COMMENTS
Remove and dispose of all fallen tree
limbs, dead shrubs, etc. X

Remove brush and weed growth adjacent

to building walls and electrical equipment. X

Reseed worn lawn areas. X

Fertilize lawn. X

Trim and prune shrubs and trees. X

Clean all site drains. X

Repair potholes in parking lots and

driveways. Restripe if necessary. X

Check and service playground equipment

and insure its safety. X

Service lawnmowers. X

Patch and repair walkway surfaces. IMMEDIATELY FOR SAFETY

Paint walkway markings.

Repair and paint fences.

BUILDING EXTERIOR
 Wash windows. X

Replace cracked or missing putty at

windows. X

Replace broken window glass as needed. IMMEDIATELY FOR SAFETY

Scrape and paint building exterior and

trim. Every 7 years

Wash accumulated dirt on building

surfaces.

Touch up paint on building exterior. X

√ BUILDING EXTERIOR W M Q S A COMMENTS

Lubricate exterior door hinges and hardware. X

Inspect exterior walls for loose mortar, lintel failures and structural cracks. X

ROOF
Clean roof valleys. X

Clean and test roof drains. X

Clean and secure gutters X

Clean and secure downspouts. X

Perform necessary roof repairs. as required

Inspect and repair metal flashings. X

 Inspect and recaulk stone or clay tile copings. X

BUILDING INTERIOR
Clean windows, blinds, draperies, etc. X

Check floors for broken tiles or torn carpet. X

Remove all rubbish, boxes, debris and combustibles from:

Paths of exit X
Doorways X
Stairs X
Under stairs X
Utility rooms X
Around flue and chimneys X
Around heat-producing equipment X
Electrical panel areas X

MECHANICAL EQUIPMENT
Service all pumps per manufacturer’s instr Per service agreement

Service all air-conditioning equipment. Per service agreement

Service all ventilating equipment. X

√ MECHANICAL EQUIPMENT W M Q S A COMMENTS
Check /hot water heater for any fuel or water leaks. X

Check openings or motorized dampers which provide combustion aX

Check cleanout openings, doors, etc., for air leakage and corros X

Pump out septic tanks.

Once every 4 years or as needed
 Date last cleaned: ___________ Once every 4 years or as needed

ELECTRICAL EQUIPMENT
Replace burned out light bulbs. X INSTALL ENERGY EFFICIENT LIGHT BULBS

Test emergency lighting system. X

Test all exit lights. X

Insure space in front of electrical panels is clear. X

Repair or replace non-functioning switches X

Replace frayed wiring immediately. IMMEDIATELY FOR SAFETY

PLUMBING
Service well pump and water storage tank.

Inspect and clean out grease traps. Per service agreement

Repair or replace broken fixtures.

Replace washers or packing on leaking fauc X

HT BULBS
BUILDING:

√ W M Q S A
Clean hot water heater and piping internally. Swab tubes
with neutral oil as directed by the manufacturer’s operating
instructions.

Clean water side of steam. Use pressurized water jet and

scrapers to remove any scale as directed by the
manufacturer’s operating instructions.

Fill tubes with water as required or annually. X

Clean control box of all dust as required or annually. X

Check operation of combustion air louvers which supply air

to room.

Test water quality for pH, hardness, and corrosive

compounds. Chemically treat as required or monthly. X

Clean strainers as required or annually. X

Test low water cutoff annually. X

Check high steam pressure limit control. X

Check low water level limit control. X

Check pressure relief valve. X

√ AIR HANDLERS W M Q S A
Lubricate and grease all bearings, motors and fans. X

Adjust all V-belts for proper tension. Replace all worn belts. X

Check and clean air filters. Replace as needed. X

Clean and adjust controls which operate valves and motorized dampers. X

HEAT PUMPS
Check all control valves for proper operation. X

Inspect air filters and replace as required by the manufacturer.

Oil and lubricate motors. X

Inspect, adjust, calibrate, and clean temperature control items. X

Inspect heat exchangers. X

Clean finned pipe surfaces. X

Inspect coil casings for rust; clean and pain as required.

Inspect heating coil tubes. X

Inspect heating coil mountings and tighten any loose bolts. X

STEAM AND HOT WATER PIPING W M Q S A

Open steam traps; replace worn or inoperative parts. X
 Replace valves and valve seats that are worn. X

Inspect and repair any breaks in pipe insulation. X

Inspect pipe hangers for tightness. X

√ STEAM AND HOT WATER PIPING W M Q S A
Inspect for steam and water leaks at valves and piping. x

Test steam traps for by-passing. x

Inspect for corrosion. x

OIL TANK
Clean oil strainer. x

Clean sludge from tank. x

BURNERS
Clean oil strainers. x

Check draft regulators for free movement. x

Inspect induced draft fan and forced draft fan for alignment and wear on bearings. x

Test combustion efficiency. x

DATE:

COMMENTS
 COMMENTS

or as directed by manufacturer’s operating instructions

COMMENTS
COMMENTS
 BUILDING ASSESSMENT WORK SHEET FOR THE 5 YEAR PLAN

SITE AND GROUNDS Good Repair/Replace COMMENTS

Are there ramps and provisions for the physically handicapped?

Are there designated parking spaces for the physically handicapped?

Has soil sunk or elevated?

Is there standing water near or against the building after a rainfall?

Are retaining walls leaning or in need of repair?

Are fences deteriorated?

Do fence gates operate properly?

BUILDING EXTERIOR - FOUNDATION Good Repair/Replace COMMENTS

Do foundation walls show the following signs of decay or settlement?

Large cracks

Visible separation between top of foundation wall and building frame

Loose, cracked, or broken blocks, bricks or stones

Soft or flaking mortar or concrete

Foundation movement

Water Leaks

Stains or discoloration

Bulging or bowing

Are interior basement or crawl spaces foundation walls damp?

Are there mushroom growths, mold stains, or mildew odors in basement or

crawl space?
Are there insect tubes visible along the foundation walls?
BUILDING EXTERIOR – MASONRY WALLS Good Repair/Replace COMMENTS
Does exterior masonry exhibit:

Cracks in walls

Cracks over doors or windows

Loose bricks

Cracked bricks

Missing bricks

Cracked, chipped, missing mortar

Soft or flaking mortar

White or gray stains

Water penetration

Moss or algae growth

Split, brittle or missing caulking

Are weep holes in retaining walls, under window sills, and other wall
construction free of obstruction?

Is wood molding and trim cracked, warped or rotted?

BUILDING EXTERIOR – FRAME WALLS Good Repair/Replace COMMENTS

Is there evidence of rot or deterioration of wood sills, walls or sidings?

Is there evidence of water stains or water penetration into the wood?

Are siding boards cracked or split?

Are siding boards buckled?

Are nails rusting excessively?

Can a knife blade or a key be easily pushed into wood siding or structural
wood member?

Are exterior wood moldings cracked, missing, broken or separated from the
building?

Is there evidence of the following on visible structural wood members:

Severe staining or discoloration

Split or cracked wood

Crumbled or crushed wood

Piles of sawdust

Rot and deterioration

Bee hives

Bird nests

Rodents

Termites

Is paint blistered or peeling?

BUILDING EXTERIOR – ROOF, ALL TYPES Good Repair/Replace COMMENTS

Inspect all roofs for evidence of deterioration, weather damage, and water
penetration. If roof is not accessible, use binoculars. Check interior of
building for evidence of water damage.

Are there gaps or holes around any roof penetrations, chimneys, or vents?

Are there signs of movement in roofing material or flashing?

Are there dissimilar metals in contact?

Do metal components need painting?

Is caulking missing, split or deteriorated at the following:

Parapets

Copings

Flashings

Soffits

Vents or chimneys

Skylights

Other roof penetrations

BUILDING EXTERIOR – ROOF ALL TYPES Good Repair/Replace COMMENTS

Are there any loose or broken glass panes in skylights?

Is there evidence of water seepage through soffits?

Does roof/attic have proper ventilation?

Does the roof hatch work?

Is anchorage for TV antenna secure?

Is antenna adequately grounded?

Is there lightning protection?

BUILDING EXTERIOR – BUILT-UP ROOF Good Repair/Replace COMMENTS

Are there blisters, bubbles, cracks, splits or open seams in roofing
membrane?
Is roof pitted or worn?

Is there evidence of standing water or puddles?

Are roof drains clear and operating properly?

Does roof feel “squishy” under foot?

Can roofing felt material be seen?

Are gravel stops secure?

Are gravel stops rusted or pitted?

Do expansion joints show evidence of separation or water penetration?

Is any vegetation growing through roofing?

Is roof over 15 years old?

BUILDING EXTERIOR – SHINGLE ROOF Good Repair/Replace COMMENTS

Are shingles loose, split, missing or broken?

Are mineral granules thinned out?

Are shingle edges curling or worn?

Is there moss growth?

Is roofing more than 20 years old? Think Asbestos

BUILDING EXTERIOR – SLATE ROOF Good Repair/Replace COMMENTS

Are there broken, missing or loose slates?

Are slates worn?

Do slate fasteners appear broken or rusty?

Are ridge rolls loose, deteriorated or rusted?

Are there sections patched with asphalt?

EXTERIOR – METAL ROOF BUILDING Good Repair/Replace COMMENTS

Are metal roof sheets rusted?

Are there signs of holes, pitting or cracking?

Are there any open joints?

Are there any defective fasteners?

BUILDING EXTERIOR – DOORS AND WINDOWS Good Repair/Replace COMMENTS

Is trim around doors and windows split, loose or deteriorated?

Is caulking around door and window frames and trim cracked or missing?

BUILDING EXTERIOR – DOORS AND WINDOWS Good Repair/Replace COMMENTS

Are sills loose or deteriorated?

Is window putty missing or cracked?

Is there broken or cracked glass?

Are stained glass windows bowed or warped?

Do doors and windows lock properly?

Is hardware defective?

Are doors and windows weather-stripped?

Do doors and windows operate and seal properly?

Are there holes or tears in screens?

Are screens, shutters and other exterior window attachments secure?

Has finish paint or varnish deteriorated?

BUILDING EXTERIOR – PARAPET WALLS, COPINGS AND CHIMNEYS Good Repair/Replace COMMENTS
Are walls cracked?

Are bricks loose or spalling?

Do mortar joints require pointing?

Is mortar joint under coping cracked or loose?

Are coping stones or metal copings loose, broken or shifted?

Is coping joint open, permitting water to enter?

BUILDING EXTERIOR – PARAPET WALLS, COPINGS AND CHIMNEYS Good Repair/Replace COMMENTS
Is flashing missing, loose or damaged?

Is there evidence of moisture penetration?

BUILDING EXTERIOR – PORCHES, STAIRS AND BALCONIES Good Repair/Replace COMMENTS

Do porches, stairs or balconies require painting?

Is porch floor structure decayed, weak or cracked?

Are stair treads loose or broken?

Are column bases rotted or in need of repair?

Are railings broken or weak?

Are balusters broken, loose or missing?

BUILDING EXTERIOR – GUTTERS AND DOWNSPOUTS Good Repair/Replace COMMENTS
Are there loose, rotted or missing gutters or downspouts?

Are there holes in gutters or downspouts?

Do gutter or downspout joints leak?

Are gutters or downspouts pitted or rusted?

Do gutters or downspouts require painting?

Do gutters sag or lack pitch to downspouts?

Is water running down face of building?

BUILDING EXTERIOR – GUTTERS AND DOWNSPOUTS Good Repair/ COMMENTS
Do splash blocks or drains under downspouts divert water away from
building?
BUILDING EXTERIOR – ATTACHMENTS Good Repair/Replace COMMENTS
Are the following items in good condition and well secured to building:

Lattices

Columns

Flagpoles

Cables and wires

Weathervanes

Towers

Gargoyles and sculptures

Canopies

Balconies

Signs, alarms and lights

Ledges and projections

Decorations and ornaments

Meters

Other
BUILDING INTERIOR - FLOORS Good Repair/Replace COMMENTS
Are floor joists warped, cracked or sagging?

Is floor joist blocking and bridging secure?

Is there visible separation between floors and walls at the cove base?

Do floors squeak or creak?

Are floors “bouncy”?

Are floors at entrances slip-resistant?

Are masonry and tile floors cracked, broken or worn?

Is wood flooring warped, separated or badly worn?

Is carpeting loose, torn or badly worn?

BUILDING INTERIOR - WALLS Good Repair/Replace COMMENTS

Is there evidence of water staining?

Are there cracks?

Are surfaces peeling or dirty?

Is wall finish buckled or loose?

BUILDING INTERIOR - CEILINGS Good Repair/Replace COMMENTS

Is there evidence of water staining?

Are there cracks?

Are surfaces peeling or dirty?

Is ceiling structure sagging or separating?

Is ceiling tile grid secure?

Are there damaged ceiling tiles?

Are light fixtures secure?

BUILDING INTERIOR – DOORS AND WINDOWS Good Repair/Replace COMMENTS

Are door jambs plumb?

Do doors bind?

Do doors have loose or missing hinges, knobs or locks?

Is there evidence of condensation on or around windows?

Is there evidence of mold, discoloration or deterioration around windows and

doors?
BUILDING INTERIOR - ATTICS Good Repair/Replace COMMENTS
Do rafters, floor joists and sheathing show signs of:

Water stains or deterioration

Warping

Cracking

Sagging

Is there evidence of water leaking into attic around any of the following
roof penetrations:

Vents

Ducts

Chimneys

Is attic floor insulated?

Are attic fans or vents operating?

Is attic free of debris and unused combustible items?

Are materials stored neatly and away from heat sources?

BUILDING INTERIOR – CRAWL SPACE AND BASEMENT Good Repair/Replace COMMENTS

Is crawl space or basement damp, wet or water stained?

Does water infiltrate through crawl space or basement walls or floor?

Is crawl space or basement floor cracked or disintegrated?

Are crawl space or basement walls insulated?

Does crawl space have wall vents?

Does dirt floor of crawl space have a vapor barrier?

MECHANICAL EQUIPMENT Good Repair/Replace COMMENTS

Are there water leaks at any of the following locations:

Pipes

Radiators

Hot water heater

Pumps Good COMMENTS

MECHANICAL EQUIPMENT Good Repair/Replace COMMENTS

Has the water heater been cleaned and serviced in the past 12 months?

Is the water heater insulation cracked or missing?

Is the water heater more than 35 years old?

Is the water heater room vented?

Is the water heater room supplied with combustion air?

Is the water heater room free of gas odors and foul air?

Is the water heater room free of stored materials?

Are there rooms used regularly which are only accessible by walking
through the water heater room?

Is there an emergency shutdown switch for burner?

Are fan filters and grills clean?

Are exposed pipes adequately insulated?

Does air supply or return registers adjust air flow properly?

Do kitchens and bathrooms have adequate ventilation?

Do large assembly areas have adequate ventilation?

PLUMBING Good Repair/Replace COMMENTS

Are there water leaks at any of the following locations?

Bathroom fixtures

Faucets

Piping

Do flush valves and faucets work properly?

Are any drains or traps clogged?

ELECTRICAL EQUIPMENT Good Repair/Replace COMMENTS

Are transformers, fans and other electrical equipment protected with
adequate safety barriers?

Is electrical equipment in proper working order?

Do fuses or circuit breakers disconnect often?

Is the amperage draw for any circuit beyond its capacity?

Are there sufficient replacement fuses?

Is building wiring in good condition?

Are there any faulty electrical fixtures?

Do wires on appliances and equipment show the following:

Fraying

Splits

Bare wires

Do electrical outlets, switches and junction boxes have cover plates?

Do exterior electrical outlets and switches have protective covers?

Do all switches operate properly?

ELECTRICAL EQUIPMENT Good Repair/Replace COMMENTS

Do extension cords run under rugs or carpeting?

Do extension cords cause a tripping hazard?

Are extension cords warm or hot to the touch?

Are there outlets with 4 or more items plugged into them?

Are there any defective or shorted outlets?

Do outlets or switches feel hot to the touch?

 Repair/
FIRE SAFETY Good Replace
Is the building equipped with:
Approved fire alarm system
Heat or smoke detectors located in accordance with fire codes
Fire extinguishes maintained and officially inspected
Fire hoses, if applicable, maintained and inspected in accordance with
written code

Are fire extinguishers conspicuous, convenient and properly labeled?

Are Class B or better fire extinguishers located in furnace rooms and

storage areas where grease and flammable liquids are kept?

Are Class C fire extinguishers located near electrical equipment?

Are Class B-C fire extinguishers located in kitchens?

Have fire extinguishers been inspected within the past 12 months?

Are occupants instructed in use of fire extinguishers and fire hoses?

Are fire hoses in good condition?

Do fire hoses have water immediately available?

Are heat and smoke detectors tested in accordance with the fire code?

Have building fire sprinkler systems been tested?

Have fire alarm systems and smoke detectors been tested as directed by
code?
 Repair/
FIRE SAFETY Good Replace
Are periodic fire drills held?

Are evacuation diagrams properly posted?

Is there an accumulation of materials under stairways, in crawl space,

basement, room, attic, etc.?

Are hazardous chemicals stored in proper containers and away from heat
sources?

Are unused materials stored away from heat sources?

Are kitchen range hoods and exhaust ducts clean?

Do kitchen range exhaust ducts terminate in a safe area?

Are grease ducts and deep fryers equipped with automatic fire
suppressions?

MEANS OF EGRESS FROM BUILDING

Are all hallways, corridors and stairways to the exterior accessible and free
of obstructions?

Are fire exit doors equipped with properly operating panic hardware?

Are main exit fire doors equipped with padlocks or dead bolts?

Do exit doors open outward?

Are all fire exit doors clearly marked with illuminated exit signs?
Are hallways, corridors and stairways illuminated with emergency lights?

Are windows operable and accessible as a means of exit?

Are windows which exit to fire escapes operable and free of obstructions?

Repair/
MEANS OF EGRESS FROM BUILDING Good Replace
Are the interior and exterior exit paths to and from fire escapes clear?

Are fire escapes unobstructed and well secured to the building?

BUILDING INTERIOR – STAIRS

Are stairs kept clear?

Are stairs “bouncy”?

Are covers on treads and landings worn or missing?

Is there at least one continuous railing along one side of all stairways?

Are railings broken or weak?

Are balusters broken, loose or missing?

Are railings for balconies and lofts secure?

MISCELLANEOUS

Are lights, alarms, signs and other objects attached securely to buildings?
ASSEMBLY AREAS
Are assembly areas posted for maximum numbers of occupants?

EMERGENCY PROCEDURES
Is there a written plan of safe egress for occupants from the building?

Is there a centralized location for first aid equipment, poisoning information,

etc.

Is there readily visible a list of emergency phone numbers?

Is there a plan for initial fire fighting?

Repair/
AUTO SAFETY Good Replace
Are roadways, parking areas or curbs deteriorating?

Are roadways and parking areas kept free of tree limbs?

Are STOP, NO PARKING and FIRE LANE signs obstructed and well
marked?

Are parking lots adequately illuminated?

EMERGENCY VEHICLES
Do emergency vehicles have access to building?

Are fire hydrants clearly visible and accessible?

PEDESTRIAN SAFETY
Are walkways, steps, and ramps deteriorated, cracked or hazardous?
Are walkways kept clear of debris and tree limbs?

Do walkways, steps and ramps adequately illuminated?

Do steps and ramps have non-skid surfaces?

Are there handrails on steps and ramps?

PLAYGROUND AREAS
Are play areas protected or locked when not in use?

Are areas free of open holes, debris, stones, broken glass, etc.?
COMMENTS
COMMENTS
COMMENTS
COMMENTS
 Contact Phone No. Address

Fire Department

Police

Ambulance

Emergency Rescue

Animal Rescue

Insurance

Power Company
Emergency Crew

Gas Company
Emergency Crew

/Furnace
Building Year Built Architect/Engineer Contractor
Comments
 Service Company/Address/Phone No.

Carpenter

Electrician

Fuel Oil/Gas

Fire Safety Equipment

Garbage
Removal

Mason

Plumber
Roofer
Service and Repair Record