FP 377

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Fire Safety System Inspection Report

FIRE PREVENTION DIVISION – FORM FP-377 Rev2

Building Name:
Civic Address: Unit:
Owner/Occupant: Phone:

ANNUAL EMERGENCY LIGHTING INSPECTION YES NO CORRECTED

Emergency Lighting is fully functional, inspected and tested in conformance with:


1. Generator - CAN/CSA C282, “Emergency Electrical Power Supply for Buildings”  
2. Battery Packs - NFC 6.5.1.6(2) and CSA C22.2 No 141, “Unit Equipment for Emergency Lighting”  
Deficiencies in the system at time of inspection   
DATE: COMPANY NAME:
TECHNICIAN: SIGNATURE:

ANNUAL FIRE ALARM SYSTEM INSPECTION YES NO CORRECTED

Fire Alarm System is fully functional, inspected and tested in conformance with CAN/ULC-S536, “Inspection and
Testing of Fire Alarm Systems”.
 
The Fire Alarm System Monitored as per the requirements of CAN/ULC S561  
The Fire Alarm System Required to be Monitored  
Deficiencies in the system at time of inspection   
DATE: COMPANY NAME:
TECHNICIAN: SIGNATURE:

WATER-BASED FIRE PROTECTION SYSTEM INSPECTION YES NO CORRECTED

Sprinkler System is fully functional, inspected and tested in conformance with NFPA 25, “Inspection, Testing, and
Maintenance of Water-Based Fire Protection Systems”
 
Standpipe & Hose Systems are fully functional, inspected and tested in conformance with NFPA 25  
Private Hydrants are fully functional, inspected and tested in conformance with NFPA 25  
Deficiencies in the system at time of inspection   
DATE: COMPANY NAME:
TECHNICIAN: SIGNATURE:

SEMI-ANNUAL EXHAUST HOOD CANOPY & FIXED FIRE EXTINGUISHING SYSTEM YES NO CORRECTED

Exhaust Hood Canopy is fully functional, cleaned, inspected and tested in conformance with NFPA 96, “Ventilation
Control and Fire Protection of Commercial Cooking Operations”
 
Fixed Fire Extinguishing System is fully functional, inspected and tested in conformance with NFPA 96, “Ventilation
Control and Fire Protection of Commercial Cooking Operations”
 
“K” Class Portable Fire Extinguisher installed in conformance with NFPA 10, “Portable Fire Extinguishers”  
“K” Class Portable Fire Extinguisher required to be installed as per NFPA 10  
Deficiencies in the system at time of inspection   
DATE: COMPANY NAME:
TECHNICIAN: SIGNATURE:

FAX TO: 490-5228 or email to [email protected]

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