Self Inspection Form - Medford Fire & EMS 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your business name and address at the top of the form. This information is crucial for identification.
  3. Fill in the After-Hours Emergency Contact fields with relevant contact details, ensuring multiple contacts are provided for safety.
  4. Proceed to the Access & Premises section. Answer each question regarding visibility of address numbers and fire department access by selecting 'Yes', 'No', or 'N/A'.
  5. Continue to Egress (Exiting) and Electrical sections, ensuring all questions are answered accurately. Pay attention to safety standards outlined in each query.
  6. Complete the remaining sections on Emergency Lighting, Exit Signs, Fire Alarm System, and others by providing truthful responses based on your premises' conditions.
  7. Once all sections are filled out, review your answers for accuracy before signing and dating the form at the bottom.

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Quarterly Inspections. California law mandates quarterly inspections for certain components of fire sprinkler systems. Included in this are checks on items such as water flow switches, alarm devices, and control valves.
How Do You Prepare for a Fire Inspection? Access and Premises. Building address should be visible from the street. Means of Egress. Make sure exit doors are visible, accessible and functional. Electrical. Egress Lighting. Fire Extinguishers. Fire Alarm and Sprinkler Systems. Appliances and Devices. Building Areas.
NFPA 13 requires signs marking the fire department connections (FDC) connected to a sprinkler system, and they must include the following information: the service design of the FDC, which part of the building an FDC serves (if it serves only a portion), and the pressure required at the inlets to deliver the greatest
Most importantly, the code requires that a minimum of 36 in. (915 mm) of clear space be maintained to ensure the fire department can not only see the fire department connections but can also make use of them.
FDCs are simple assemblies consisting of two main sections: the actual FDC outlet, located outside the building, and the interior pipe that connects to the standpipe and/or sprinkler system. The FDC has: Caps or plugs to protect the insides of the pipe. Female hose connections with swivels and gaskets.
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Make sure the fire extinguisher is full. This can be verified by lifting the unit or weighing it. Check for any wear or damage on the fire extinguisher, such as on the hose, nozzle, discharge handle or pressure gauge. For wheeled fire extinguishers, check the tires, wheels and carriage as well.
Fire Department Connections The external components of an FDC must be inspected quarterly, and the interior components must be inspected annually. Fire department connections must be visible and accessible. Couplings or swivels are not damaged and rotate smoothly. Plugs or caps are in place and undamaged.

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