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City of El Cerrito, California
Self Inspection Worksheet
El Cerrito Fire Department
Note: This form is not functional, but may be printed and used as a reference.

 
1. Is your address visible on the outside of the building with numbers at least 3 inches high in a contrasting color? Yes   No   N/A
2. Is driveway or alley around your building kept free of weeds, debris, or obstructions? Yes   No   N/A
3. Are all trash containers located at least 5 feet from your building? Yes   No   N/A
4. Are outside waste containers made of non-combustible material? Yes   No   N/A
5. Are all exit aisles, hallways, and stairways clear of any obstructions? Yes   No   N/A
6. Are all exit doors kept unlocked during business hours? Yes   No   N/A
7. Are electrical breaker panels or fuse boxes kept unobstructed and labeled to show what circuit effects what area? Yes   No   N/A
8. Are all electrical breakers free to operate (not taped open)? Yes   No   N/A
9. Are there face plates on all electrical outlets and switches? Yes   No   N/A
10. Are light duty extension cords used in place of permanent electrical wiring? If so, please remove. Extension cords are not allowed in business occupancies. Yes   No   N/A
11. Are combustibles (paper, rags, boxes, etc.) stored at least 4 feet from gas appliances (water heater, furnace, etc.)? Yes   No   N/A
12. Are oily rags stored in metal containers? Yes   No   N/A
13. Do you have a minimum of one 2A:10BC fire extinguisher in your business?
Are all extinguishers visible and readily accessible for use?		 Yes   No   N/A
14. Have all fire extinguishers been inspected and serviced by a fire extinguisher company within the last year? Yes   No   N/A
15. Have all your employees been instructed in the use of your fire extinguisher? Yes   No   N/A
16. Would you like information on fire extinguisher care and use? Yes   No   N/A
17. Is the attic access and scuttle opening kept closed as required by Code? Yes   No   N/A
18. Are all sheet rocked walls maintained without holes? Yes   No   N/A
19. Is storage kept at least 2 feet below the ceiling? Yes   No   N/A
20. Is the fire alarm system tested monthly? Yes   No   N/A
21. Are the batteries changed annually in the smoke detectors? Yes   No   N/A
22. Does the water heater have a relief valve and gas shutoff valve? Yes   No   N/A
23. Do natural gas appliances have individual gas shutoff valves? Yes   No   N/A
24. Is your occupancy equipped with a fire alarm or sprinkler? Yes   No   N/A
25. Is your building constructed of: 

Wood    Brick      Masonry

  
26. How many stories is your building? 1       2      3
27. Do you use or store any Hazardous Materials? Yes   No   N/A
28. Are you aware that the Fire Department conducts classes for the community in the following subjects: Yes   No  
Vegetation Management & Fire Hazard Reduction Requirements Earthquake Preparedness
NEAT (Neighborhood Emergency Assistance Team)
Would you like more information? 		Yes   No  
29. Please conduct a general safety review of the premises and correct any unsafe conditions. Yes   No   N/A
 
 
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El Cerrito Home Page
City of El Cerrito California
10890 San Pablo Avenue, El Cerrito, CA 94530-2323
Tel 510 215-4300     Fax 510 215-4319
E-Mail siarla@ci.el-cerrito.ca.us

www.el-cerrito.org

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