HomeMy WebLinkAboutHAZMAT INSP 6/15/2016UNIFIED PROGRAM INSPECTION CHECKLIST
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SECT 1 O N 1: Hazardous Materials Business Plan
Incnrar±tinn
BAKERSFIELD FIRE DEPT.
FACILITY NAME g
°&
INSPECTION DATE
INSPECTTIION.TIME
0 "ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp iance OPERATION
ADDRESS
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PHONE NO.
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NO OF EMPLOYEES
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COMMENT
FACILITY CONTACT
BUSINESS ID NUMBER
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Consent to Inspect Name /Title
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0 "ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp iance OPERATION
C E R S
V= Violation; 1,11 Minor
Violation
COMMENT
gP
H
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
f
`.
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
E
CORRECT OCCUPANCY (CBC; 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
j.
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
x
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
Y
VERIFICATION OF. HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
fca "//<o
HOUSEKEEPING (CFC: 304.1)
*"
V
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES E," NO
ii natnreofRecei t
Explain:
Inspector: r. a,._...
POST INSPECTION INSTRUCTIONS: l
Correct the violation(s) noted abov�by
Within 5 days of correcting all of Die violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature that all vio ons have been corrected as noted)
_--
Date
wh;tP _ Rna ;nPSC C.Anv Yellow —Station Conv Pink — Prevention Services FD2155 (Rev 8H14)
CUSTOMER:+.. _ /
( Signature) (Please Print Name Legibly, Title)
�t 3 t
AP NO.: 36
INSPECTOR: t `
(Signature)
White - Customer /Original Yellow - Station Copy
Pink - Prevention Services
�. ..
m- - �--, -- - �--- - ',- r _
-- I
BAKERSFIELD FIRE DEPARTMENT
,
1
C.B.C.
't
' �, Prevention Services
� Floor
B.M.C.
FIRE
PREVENTION INSPECTION � 1501 Truxtun Avenue is'
�
NATIONAL FIRE PROTECTION
R s s �
E $ FIRS Bakersfeld,'CA -93301
a
NATIONAL ELECTRIC CODE
• 661-852-2171
�iAT1Y T Phone: 661 - 326 -3979 Fax:
FD 2022 (Rev. 03/08)
EE
BLOCK NO. DATE
DISTRICT
FACILITY
g CITY, STATE, ZIP
ADDRESS '
6 MANAGER'S NAME PH NO.
FACILITY
NAME
CITY, STATE, ZIP PH NO.
BUSINESS
OWNER'S NAME AND ADDRESS
PH NO.
CITY, STATE, ZIP,
BILL
TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
t
' RISER DAT
t`sd a
OCC LOAD NO. O FLOORS HIGH RISE IfD G
O I�YPE 13 YES NO t
kel
REQUIREMENTS
CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW NO -
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC
1
COMBUSTIBLE WASTE / DRY
with tight fitting lids for the storage of combustible waste and
VEGETATION
2 Provide non- combustible containers
rubbish pending its safe disposal. (CFC 304.3.1)
Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC
C OMBUSTIBLE STORAGE 3
605.3)
Relocate fire extinguishers) so that they will be in a conspicuous location, hanging on brackets with the
floor. (CFC 906.5 & 906.9)
4
top to the extinguisher not more than 5 feet above the
_ approved (type & size) ____________ __ _ _ __ portable fire
Provide and install (amount) ____ __________ (CFC
_
EXTINGUISHERS 5 ---- - - - - -- -
extinguisher to be immediately accessible for use in (area) ________
,...._
c =�
TABLE 906.3(1))
Re- charge all fire extinguishers. Fire extinguishers shall be serviced at Feast once each year, and /or
(CCR TITLE 19: 575.1)
6
after each use, by a person having a valid license or certificate.
Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit
7
SIGNS'" (door /window) to fire escape. (CFC 1011.5.1)
numbers on a contrasting background and visible from the street to
- -._ r
$ Provide and maintain appropriate
indicate the correct address of the building. (CFC 505
g Repair all (cracks /holes /openings) in plaster in (location) -----------------------
its fire resistive condition. (CFC 703.1)
FIREDOORS/ Plastering shall return the surface to original
FIRE SEPARATIONS --- ----- -------------------------
lo Remove /repair (item &location) ____________________
doors shall be designed to close by gravity, or by the action of a mechanical device, or by an
capable of
Self- closing
approved smoke and heat sensitive device. Self- closing doors shall have no attachments
(CFC 703.2)
preventing the operation of the closing device,
all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1028.3)
11 Remove
EXITS
n exit. (CFC 2403.12' 6)
12 Provide a contrasting colored and permanently installed clarrly find catlegit as a a
(location) -- ------------------------
landings and stairways stair shafts. (Fire
13 Remove all storage and /or other obstructions from fire escape
free from obstructions at all times.) (CFC 1028.3)
STORAGE
escapes /stair shafts are to be maintained
Install additional approved
(
Extension cords shall not be used in lieu of permanent approved wiring.
14
ELECTRICAL APPLIANCES electrical outlets where needed. (CFC 605.5)
outlet (one plug per outlet) (CFC
15 Remove multiple attachment cords from specific electrical convenience
605.4)
NG 16 Recreati onal fires or o en burnin CC 1102
tOUTDOOR
17 Violations of Section 7802 (GFC) & 8.49.040 (B.M.C.).
18
CUSTOMER:+.. _ /
( Signature) (Please Print Name Legibly, Title)
�t 3 t
AP NO.: 36
INSPECTOR: t `
(Signature)
White - Customer /Original Yellow - Station Copy
Pink - Prevention Services
LEGEND:
C.F.C.
CALIFORNIA FIRE CODE
C.B.C.
CALIFORNIA BUILDING CODE
B.M.C.
BAKERSFIELD MUNICIPAL CODE
N.F.P.A.
NATIONAL FIRE PROTECTION
ASSOCIATION
N.E.C.
NATIONAL ELECTRIC CODE
FD 2022 (Rev. 03/08)