Fraternity, Sorority and Dormitory Buildings R-2 Fire and Life Safety Standards Inspection Form Fire Code of New York State (19 NYCRR Part 1225.1) House Name Date Address Inspector(s) No. of Residents Site Contact Phone: Chapter Advisor Phone: Risk Manager Phone: Documentation System Central Fire Alarm System Notifies Albany Prot. Services Fire Extinguisher Inspections Fire Extinguisher Service Sprinkler System Type N/A Kitchen Hood System Type _Wet Kitchen Hood System Cleaned Boiler Inspection Fire Drill(s) Risk Manager Education Session Required Frequency Monthly Quarterly Semi Bi- Vendor Providing Testing and Inspection Services Date(s) Report on File Site Inspection General Precautions Against Fire Combustible waste and vegetation shall not create a hazard. Ignition source clearances are maintained and oily rags disposed of properly. Open flames are prohibited (except supervised science and technology labs.) No smoking in prohibited areas Storage in buildings is orderly. Storage ceiling clearance of 24 inches in maintained in non sprinklered areas and 18 inches below sprinkler heads. Combustible materials are not stored in boiler rooms, mechanical rooms or electrical equipment rooms. Storage in attics in non-combustible buildings is enclosed in one hour construction. Outside storage of combustible materials is not lees than 10 feet away if it exceeds 6 feet in height. Emergency Planning and Preparedness Fire safety and evacuation plans are in place. Code Section F304 F305 F308 F310 F404 T Page 1 1/1/2010 Issue
Fire Safety training provided to residents by F406 Risk Manager MSDS sheets are complete and F407 Hazardous material containers and rooms are F407 properly identified. Records of hazardous material inventory F407 statements are provided. Use and occupancy-related requirements for group R-2 occupancies Fire drills conducted annually. F408.3 Emergency guide provided. F408.9 Fire Service Features Fire apparatus access roads and sidewalks are F503 maintained unobstructed. NOTE: gates are permitted.) Private fire service hydrants, mains, and tanks are F508 properly maintained and tested. Fire protection equipment is maintained free from F508 obstruction. Fire protection equipment and locations are F508 identified and maintained. Building Services and Systems Equipment access is maintained. F603 Fuel-oil storage does not exceed 660 gallons. F603 Portable un-vented heaters are prohibited. F603 Chimneys and appliances are maintained. F603 Incinerators not used unless approved. F603 Above-ground gas meters are protected from F603 damage. Records of inspection, testing, and maintenance F604 of emergency and standby power systems are No electrical system hazards observed or F605 reported. Service equipment areas are adequately F605 illuminated. Electrical service and branch equipment working F605 space is unobstructed. 30 wide 36 deep 78 high Electrical room doors and all disconnects are F605 identified. Unapproved multi-plug adapters are not used. F605 Extension cords are properly used and are not a F605 substitute for permanent wiring. Outlet, switch, junction boxes, and wire splices F605 are covered. Refrigeration systems are accessible, properly F606 labeled, and records of periodic testing are Approved elevator emergency signs are provided. F607 Emergency elevator keys are properly located. F607 Commercial Kitchen Hoods Kitchen hood is provided and maintained at F609 commercial equipment capable of producing grease vapors or smoke. Hood fire extinguisher system, where provided, F609 has evidence of maintenance and inspection. System coverage and extinguishing agent are appropriate for the type of arrangement of T Page 2 1/1/2010
cooking appliances, frying media, and exhaust configuration. Fire Resistance Rated Construction Fire resistance rating of rated construction is maintained. Opening protectives are properly maintained and are not blocked or made inoperable. Doors requiring closers are not rendered inoperable by removal of the closer or the installation of any non-automatic hold open device. Records of annual inspections of sliding and rolling fire doors are Decorative Material and Furnishings Furnishings do not obstruct or obscure exits. Storage of clothing and personal belongings in corridors and lobbies is compliant. Flammable materials are limited to not more than 20% of the corridor wall area. Natural cut trees are not a hazard Curtains, drapes, hangings and other decorative materials hanging from walls or ceilings shall be flame resistant. Fire Protection Systems Fire detection, alarm, and extinguishing systems are operative and inspection, testing and maintenance records are maintained and Fire pumps are inspected, tested, maintained, and records Fire Suppression systems inspected, tested and maintained. Portable fire extinguishers within 30 feet of commercial-type cooking equipment. Class K for deep fryers. Commercial hoods and duct work clean. Records on site. Standpipe systems maintained Portable fire extinguishers are located in a conspicuous location, are readily accessible, and are not obstructed or obscured. Smoke detectors in each dwelling unit or other sleeping unit and common spaces. Fire Alarm Systems report to Security or to a Central Monitoring company. Means of Egress The required capacity of means of egress is free of obstructions. Exterior exits are free from obstruction, including ice and snow. Curtains, drapes, or decorations shall not be placed to obstruct exits or visibility thereof. Exit signs are required in rooms or areas which require two or more exits. Exit sign placement shall be such that no point in an exit access corridor is more than100 feet from the nearest visible exit sign. Doors shall be readily operable from the egress F804 F805 F901 F903 F904 F904.11.5 F904 F905 F906 F907.2.9.1 F907.3.2 Relationshi p Statement T Page 3 1/1/2010
side without the use of a key or special knowledge or effort. Occupant load is conspicuously posted in all assembly spaces. Exit ways are provided with emergency lighting. Tactile signs stating EXIT and complying with ICC/ANSI, A117.1 are provided adjacent to each door to an egress stairway. Exits are unobstructed. F102.10 Aisles are provided in all occupied spaces containing seats, tables, furnishings, displays, and similar fixtures or equipment and are unobstructed at all times. Stairways that travel below the level of exit discharge are clearly defined. Hazardous Materials The storage, use, and handling of all hazardous materials are in accordance with fire code section 2703. Compressed Gasses Compressed gas containers are marked in accordance with CGA C-7. Compressed gas containers are secured and protected. Protective caps are in place. Property Maintenance Required equipment, systems, devices, and safeguards are maintained in good working order. Non-required equipment, devices, and systems are maintained in good working order or removed. Sanitary Conditions, exterior Sanitary Conditions, interior Certificate of elevator inspection is Unsafe Structures and Equipment An unsafe structure is one that is found to be dangerous to the life, health, property, or safety of the public or the occupants of the structure by not providing minimum safeguards to protect or warn occupants in the event of fire, or because such structure contains unsafe equipment or is so damaged, decayed, dilapidated, structurally unsafe, or of such faulty construction or unstable foundation, that partial or complete collapse is possible. Unsafe equipment includes any boiler, heating equipment, elevator, moving stairway, electrical wiring or device, flammable liquid containers or other equipment on the premises or within the structure which is in such disrepair or condition that such equipment is a hazard to life, health, property, or safety of the public or occupants of the premises or structure. F2703 PM102 PM102 PM302.1 PM304.1 PM606.1 PM108 If the inspector determines that the building or equipment is unsafe as described above and requires condemnation, he/she shall check this item on the nonconformance sheet, provide a T Page 4 1/1/2010
written explanation of the hazard, and contact the Office of Environmental Health and Safety at (518) 276-2281 immediately. Other Requirements Document violations of any provisions of the Fire Code of New York State not specifically addressed elsewhere in this form. List the section number of each code requirement detailing the specifics of the violation. Comments/Notes: T Page 5 1/1/2010