HomeMy WebLinkAboutBUSINESS PLAN INSPECTIONPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST JARFN RS F 1_ _ p 9007ruxtunAve., Suite 210
FIRE Bakersfield, CA 93301
r Tel.: (661) 326 -3979
SECTION 1: Business Plan and Inventory Program Fax: (661) 872 -2171
FACILLTY NAME / %
R'(
INSPECTION DATE
INSPECTION TIME
�eL' io i 60`/�5 11001 arr
❑
❑
ADDRESS ♦�
Do O x L'1 5*
V
H0� � . +
q/66
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
3 "( /`
-
Sectioyn 1; Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
❑
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
tA
❑
❑
VISIBLE ADDRESS
❑
❑
CORRECT OCCUPANCY
/
❑
❑
VERIFICATION OF INVENTORY MATERIALS
❑
❑
VERIFICATION OF QUANTITIES
❑
❑
VERIFICATION OF LOCATION
❑
❑
PROPER SEGREGATION OF MATERIAL
❑
❑
VERIFICATION OF MSDS AVAILABILITY
❑
❑
VERIFICATION OF HAZ MAT TRAINING
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCE URES
❑
❑
EMERGENCY PROCEDURES ADEQUATE
❑
❑
CONTAINERS PROPERLY LABELED
❑
❑
HOUSEKEEPING
❑
❑
FIRE PROTECTION
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
't,11A Lx rL_ _2k�z -2 A
(Please Print) Fire Prevention / 1S1 In / Shift of Site /Station #
Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05