Forms & Record Keeping

The following is a listing of various forms, policies, and record keeping examples for testing and maintenance. Record keeping and policy examples are provided as approved examples. Other types and styles of recordkeeping may be acceptable for use.

Forms

  1. Fire Rated Door Booklet (PDF)
  2. Gas Interruption of Service Form (PDF)
  3. Waiver Request - General (PDF)
  4. Waiver Request Form - Healthcare (PDF)

Example Policies

  1. Example Smoking Policy (PDF)
  2. Laundry Fire Prevention Planning (PDF)
  3. Sample Evacuation Plan (PDF)

Approved Record Keeping Documents

  1. C.2.2. Request for Review (PDF)
  2. C.2.2.A. Request for Review (PDF)
  3. Emergency Generator Operating Log (PDF)
  4. Emergency Lights and Signs - Testing Added Date (PDF)
  5. Fire Alarm Inspection and Testing Form (PDF)
  6. Fire Drill Matrix - Scheduling (PDF)
  7. Fire Safety Evaluation System Form (PDF)
  1. Fire Watch (PDF)
  2. Home Daycare - Fire and Life Safety Agreement (Initial Application and Annual Renewal Form) (PDF)
  3. Quality Assurance Form-Template (PDF)
  4. Sprinkler System - Dry System (PDF)
  5. Sprinkler System - Main Drain Test (PDF)
  6. Sprinkler System - Wet System (PDF)