2. 
3. Fire Department of Mt. Juliet
   Life Safety/ Fire Inspection
4. 
6. Business Name
7. Date
   Date

   Date
9. Property Address
10. Business Number
12. Contact Name
13. Phone Number
15. E mail
17. Access/ Egress

    1. Doors/ Aisles Are Not Obstructed
    2. Illuminated Exit Signs are In Working Order
    3. Proper lock/ hardware on exit doors
    4. Proper/ Adequate Fire Lanes
    5. Address Number Posted
19. FDC Location
21. KNOX Box Location
23. Extinguishers/ Fire Protection Equipment/ Fire Alarm System

    1. Appropriate Type Fire Extinguisher(s) Installed Every Seventy Five (75) feet
    2. Hood Extinguishing System Maintained/ Six Month Cleaning Schedule Posted
    3. Extinguisher Has Been Serviced within the Past Year aednd a New Service Tag is Attach
    4. Class K Extinguisher Installed within Thirty (30) feet of Hood and Duct System
    5. Extinguisher is Securely Mounted
    6. Fire Alarm is in Proper Working Order (System Tested/ Timed Call to Dispatch)
    7. Fire Extinguisher Not Obstructed
    8. Eighteen (18) Inch Clearance Between Storage and Sprinkler Head
    9. Fire Extinguisher Top Does Not Exceed Four (4) Feet from Floor
    10. Sprinkler System Shall Be Maintained and Tested Annually
    11. Standpipe Shall Be Tested Every Five (5 years
    12. Occupant Notification Appliances in Restrooms
25. Comments
27. Electrical

    1. No Extension Cords in Place of Permanent Wiring
    2. Electrical Panel is Not Overloaded/ Obstructed
    3. No Multi-plug Adapters in Use
    4. No Spliced or Frayed Cords/ Wires
    5. Circuit Breakers are Labeled
    6. No Broken or Faulty Switches/ Outlets
    7. Thirty (30) inches Clearance Maintained in Front of Electrical Panels
    8. No Exposed wire in Conduit
29. Comments
31. Appliances/ Mechanical Devices

    1. No Propane Used/ Stored Inside Building
    2. All Appliances Are Properly Connected and Vented
33. Comments
35. Storage/ Combustible Material/ Housecleaning

    1. Flammable Liquid(s) Properly Stored
    2. No Accumulation of Combustible Materials
    3. Oily Rags Stored in Noncombustible Container with Lid
    4. Compressed Gas Cylinder(s) Properly Secured
    5. "No Smoking" Signs Installed as Required
    6. Are Around Building Free of Combustible Materials
    7. No combustible Materials (Weeds, Trash, Boxes, Etc.) Stored Near Ignition Sources
    8. No Items Stored in Exits/ Stairwells
    9. Maintain Clear and Visible Access to and Around Storage
37. Comments
39. Recommendations:
41. Completed by:
42. Date
    Date
44. Please direct any questions or concerns to the Fire Chief/ Fire Marshal with the Fire Department of Mt. Juliet 615.773.9841
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