CITY OF OXFORD FIRE DEPARTMENT FRATERNITY SELF-INSPECTION FORM

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This self-inspection check sheet is designed to assist Fraternities in preparing for fire inspections and maintaining that same level of safety throughout the school year. All items "checked" need to be explained in the comment column and, ultimately, corrected through the inspection process.

Full Name *

House Manager

Chapter House *

Chapter House Address *

Date of Inspection *

xx/xx/xxxx

CHECK ANY OF THE FOLLOWING THAT APPLY:

Stairwell and exit doors are not self-closing and self-latching or do not open properly

Comments

Stairwells are used for storage

Comments

Corridor and/or stairwell walls have holes, damaged areas, or penetrations (pipe, conduit, cable, ducts, etc.) that are not fire stopped

Comments

Exit stairwell or corridors are obstructed or being used for storage

Comments

Room doors are not self-closing and self-latching.

Comments

Lofts are used with open storage under them including combustibles, refrigerators, couches, etc.

Comments

Extension cords are found in the rooms.

Comments

Cooking appliances (deep fryer, hot plate, toaster, oven toaster, and electric skillet) are found in rooms.

Comments

Windows cannot be easily opened due to obstructions or being sealed in the closed position.

Comments

Electrical multi-plug adapters are found in the rooms.

Comments

Room has an excessive amount of furniture that increases the fuel load, and/or hinders egress.

Comments

Wall paneling on the wall(s) (existing or new) is not fire rated.

Comments

Carpet was found on wall(s).

Comments

More than 10% of the wall area is covered with other wall coverings (sacks, nets, flags, etc.) that are not fire rated.

Comments

Room has been remodeled (including lofts, new walls, closets, bars, benches, or platforms, etc.) without approval.

Comments

Beds are enclosed with drapes, flags or other items that may hinder the egress in an emergency situation.

Comments

Space heaters are found in the room.

Comments

Halogen lamps are found in the room.

Comments

Candles or other sources of open flame are found in the rooms.

Comments

Room doors are not easily operable without the use of a key or other special device.

Comments

Smoke detectors are covered with bags, plastic or other articles hindering proper function.

Comments

Smoke detectors in the corridors or other areas are missing, damaged, or covered with bags, plastic or other articles hindering proper function.

Comments

Smoke detectors (in the rooms, corridors or other areas) placed directly above a ceiling fan or heating/air-conditioning grill that hinders smoke from reaching the detector.

Comments

Surge protectors/power strips do not have circuit breakers

Comments

Electrical light fixtures, plugs, and/or switches are found hanging out of the wall/ceiling and not properly supported.

Comments

Ceiling fans are loose and not properly supported.

Comments

Electrical wiring spliced and not in an approved junction box with a cover plate protecting the wires.

Comments

Electrical or communications conduit and/or boxes are loose and not properly supported.

Comments

Electrical power supply cords (kitchen equipment, soda machines, etc.) and/or plug ends are damaged, frayed, or have exposed wires.

Comments

Broken or missing electrical devices (switches, plugs, lights, etc.) are found.

Comments

Electrical outlet and switch covers are missing.

Comments

Electrical work performed by someone other than a licensed electrical contractor and not inspected.

Comments

Exposed electrical wiring is not properly protected against physical damage.

Comments

Electrical distribution panels are found without their proper covers and trim to protect against electrocution.

Comments

Emergency lighting units are inoperative or broken.

Comments

Emergency lighting units are not properly secured to walls/ceilings.

Comments

Exit signs are inoperative or broken.

Comments

Exit signs are not properly secured to walls/ceilings.

Comments

Flammables (gasoline, charcoal fluid, paint thinner, etc.) are being stored In the building.

Comments

Fire extinguishers have not been serviced in the last twelve months, are discharged, not operative, vandalized, or missing.

Comments

Kitchen range hood/filters/ducts are full of grease build-up and need to be cleaned.

Comments

Kitchen hood suppression system has been discharged or is due for annual service.

Comments

Mechanical room used for storage.

Comments

Mechanical room door is not self closing and self latching.

Comments

Gas powered equipment (lawn mowers, motorcycles, etc.) stored in the building.

Comments

Combustible decorations (crepe paper, live Christmas trees, etc.) used in the building.

Comments

Fireplace does not have a grate for the logs to rest upon to prevent them from rolling out of the firebox.

Comments

Fireplace does not have a spark screen to prevent hot embers and coals from popping out of the firebox.

Comments

Bicycles are being kept inside the building.

Comments

Fire drills have not been held as required.

Comments

Sprinkler system has not been tested annually by an approved service company.

Comments

Handrails/guardrails are loose or missing and need to be repaired.

Comments

Emergency evacuation plan is not posted.

Comments

Ceiling tiles are missing in the corridors, rooms or other areas of the building.

Comments

Lawn deck/fence has been constructed without approval from the proper authorities.

Comments

Fire detection and evacuation alarm systems have not been tested in the last twelve months or the inspection records are not available

Comments

Stairway and balcony handrails are loose or dangerous

Comments

Smoke detector batteries have not been replaced in the last six months

Comments

Boiler room used for storage or has an accumulation of trash

Comments

Boiler room door is not fire rated or does not close and latch properly

Comments

When there is a party in the house is someone designated to stay sober to watch for safety related hazards or problems?

Comments

After a party is someone designated to look under and around furniture cushions and upholstery for smoldering cigarette butts?

Comments

INSPECTED BY: *

Full Name

For assistance in conducting this assessment, please call the City of Oxford Fire Department @ 513-524-4731.

*Note, this is not official documentation of an inspection. This form shall serve as a guide for residents to conduct a self-inspection of their residence prior to the fire department inspector’s official visit.

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