HomeMy WebLinkAbout101 v st_5.4.21_hmbpUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
- A
B E R S F I D
FIRE
D MRTM T
BAKERSFIELD FIRE DEPT,
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
ADDRESS
INSPECTION DATE
INSPECTION TIME
NO OF EMPLOYEES
PHONE NO.
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation J
-
COMMENTS
❑'
F1
❑
❑
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
(BMC: 15.65.080)
(CCR: 2729.1)
❑ ❑ VISIBLE ADDRESS (CFC: 505.1,
BMC: 15.52.020)
❑
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑ ❑ VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
❑
❑
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
(CFC: 2704.1)
(CCR: 2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
Q
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
Explain: - --
PtI ,qT 1NCPFC"r1nN iNC'ri?rTCrri��rc.
NO Signature of Receipt
-
- -
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H10)