Fire Management Administration



|Location: |      |Date: |      |

|Respondent: |      |Reviewed By: |      |

|Key Code: E = Exceeds Standard M = Meets Standard NI = Needs Improvement NR = Not Reviewed |

|Description |Code |Remarks |

|Facilitiy |

|\ |Formal safety inspections of physical facilities are made by a | | |

| |qualified inspector at least once each fiscal year. | | |

| |Computer/fax/telephone equipment meets the needs of the unit. | | |

| |Facility has security for: | | |

| |Personnel records. | | |

| |Government equipment (computers, printers etc) | | |

| |Personal equipment | | |

| |Safety Equipment and Signage includes: | | |

| |Fire Extinguisher. OSHA 29CFR1910 | | |

| |Smoke alarms. OSHA 29CFR1910 | | |

| |First aid kits. OSHA 29CFR1910 | | |

| |Storage of flammables/hazardous materials meets NPS and OSHA | | |

| |standards. | | |

| |Bulletin board includes appropriate postings: | | |

| |Unit and district organization charts. | | |

| |Emergency Notification Procedures | | |

| |10 Standard Fire Orders | | |

| |18 Watch Out Situations | | |

| |LCES | | |

| |Facility fire plan | | |

| |Fire danger information including fire pocket cards, station | | |

| |step-up plan and other relevant information. | | |

| |Fire weather information | | |

| |Smoking and tobacco use policy | | |

| |Sexual harassment policy/EEO counselors | | |

| |Department of Labor required information. | | |

| |Employee right-to-know information/Material | | |

| |Safety Data Sheet (MSDS) is posted. | | |

| |If the facility has an eye wash station, the eye wash solution | | |

| |is current and station is maintained. | | |

|CACHE |

| |Inventory and use records are available and current. Includes | | |

| |accountability forms to track checkout of equipment of status | | |

| |of those items | | |

| |Cache is secure. Equipment is stored in environmentally | | |

| |protective containers and secured in a locked and accountable | | |

| |method. | | |

| |Tools meet maintenance standards. Adequate tools are stocked | | |

| |for replacement and to support a type 4 incident at a minimum. | | |

| |Fire | | |

| |Equipment and Storage and Refurbishing | | |

| |Standards NFES 2249 | | |

| |Portable fire extinguishers are provided in adequate numbers, | | |

| |serviced annually, mounted in readily accessible locations, and| | |

| |marked with a readily visible sign. 29CFR157 | | |

For the National Preparedness Review you will need to have the following items available for review.

|Checklist |Documentation |

|Item # | |

|1 |Documentation of Annual Safety Inspection from previous inspection |

| | |

| |Interagency Standards for Fire and Fire Aviation Operations |

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