SOP_NUMBER: 511.03-att-1 TITLE: Fire and Life Safety Inspection Report REFERENCE_CODE: IVN03-0001 DIVISION: Facilities TOPIC_AREA: 511 Policy-Fire Services EFFECTIVE_DATE: 2018-09-06 WORD_COUNT: 614 POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105844 URL: https://gps.press/sop-data/511.03-att-1/ SUMMARY: This is a standardized inspection form used by Georgia Department of Corrections facilities to document fire and life safety conditions in institutional buildings. The form evaluates evacuation procedures, emergency equipment, physical safety features, and living area conditions to identify potential fire hazards and ensure compliance with fire codes. Inspections must be completed monthly and documented deficiencies tracked until resolution. KEY_TOPICS: fire safety inspection, life safety, evacuation plan, fire drill, emergency equipment, fire extinguisher, smoke detector, fire alarm system, sprinkler system, emergency lighting, exit lights, egress, emergency keys, electrical safety, housekeeping, combustibles, facility inspection form ATTACHMENTS: 1. Fire and Life Safety Inspection Report URL: https://gps.press/sop-data/511.03-att-1/ 2. Duties of Facility Fire Inspector URL: https://gps.press/sop-data/511.03-att-2/ 3. Monthly Fire Drill Report (Attachment 3) URL: https://gps.press/sop-data/511.03-att-3/ 4. 30-Minute Fire Watch Log URL: https://gps.press/sop-data/511.03-att-4/ ======================================================================== FULL TEXT: ======================================================================== SOP 511.03 Attachment 1 9/6/18 Page 1 of 5 INSTITUTION: ___________________________________ FIRE & LIFE SAFETY INSPECTION REPORT FOR THE MONTH OF: ________________ Name of Building: __________________________________ Date: __________________ Certificate of Occupancy No. _________________________ Time: __________________ Person in Charge: ________________________________________________________________ The contents of this report outline conditions that may cause a fire or create a hazard to life or property in the event of fire. Your prompt and complete cooperation will be appreciated. DEFICIENCIES OR I. EVACUATION CORRECTIVE ACTION A. EVACUATION PLAN 1. Evacuation plan posted? Yes No Non-existent ___ 2. Officer familiar with plan? 3. Inmates/residents familiar with plan? Yes No__ 4. Communication system from living area to control room: Working Out-of-order__ Non-existent__ 5. Date of last fire drill: / / 6. Fire drills up-to-date? Yes No _ B. PHYSICAL ENVIRONMENT 1. Exit lights: Working Out-of-order __ Non-existent __ 2. Emergency lights: Working Out-of-order__ Non-existent__ Retention Schedule: Upon completion, this report shall be maintained until resolution of any discrepancies, kept for (five) 5 years after that, and then destroyed. The official copy shall be maintained at the office of Fire Services and Life Safety. SOP 511.03 Attachment 1 9/6/18 Page 2 of 5 DEFICIENCIES OR 3. Exit way (hall/passageway): CORRECTIVE ACTION Clear Blocked__ C. EGRESS 1. Immediate living area (cell, rooms, dormitory) a. Condition of keys: Good Poor__ b. Condition of locks: Good Poor__ c. Color-coded to locks: Yes No__ d. Doors: Clear Blocked__ e. Doors work properly? Yes No__ 2. Exits to outside: a. Lead to secure, fire/smoke safe area? Yes No__ b. Number of doors or gates: ___________ c. Condition of keys: Good Poor __ d. Condition of locks: Good Poor __ e. Door(s): Clear __ Blocked__ 3. Stairwells: a. Condition: Good Poor__ 4. Emergency Keys: a. Available for all exits? DEFICIENCIES OR Retention Schedule: Upon completion, this report shall be maintained until resolution of any discrepancies, kept for (five) 5 years after that, and then destroyed. The official copy shall be maintained at the office of Fire Services and Life Safety. SOP 511.03 Attachment 1 9/6/18 Page 3 of 5 Yes No __ CORRECTIVE ACTION b. Condition: Good Poor__ c. Kept in central location? Yes No __ d. Keys color-coded to locks? Yes No__ II. EMERGENCY EQUIPMENT A. DETECTION 1. Smoke detections: Working Out-of-order __ Non-existent __ 2. Fire-alarm system: Working Out-of-order__ Non-existent __ 3. Other: Working Out-of-order__ Non-existent __ B. FIREFIGHTING 1. Fire extinguisher: a. Number: b. Type: c. Properly located: Yes No __ d. Condition: Functional: ______ Expended: _______ Recharge date: __ 2. Hose line: a. Available__ Unavailable__ b. Date of last inspection: _______ 3. Automatic sprinkler systems: a. Working ___ DEFICIENCIES OR CORRECTIVE ACTION Retention Schedule: Upon completion, this report shall be maintained until resolution of any discrepancies, kept for (five) 5 years after that, and then destroyed. The official copy shall be maintained at the office of Fire Services and Life Safety. SOP 511.03 Attachment 1 9/6/18 Page 4 of 5 Out-of-order___ Non-existent ___ b. Post indicator valve open? Yes No__ c. Siamese connection: Clear Blocked__ 4. Other - identify and describe condition ______________ _______________ _______________ III. LIVING AREA A. ELECTRICAL 1. Wall sockets: Safe Unsafe__ Non-existent__ 2. Electrical fixtures: Safe Unsafe__ Non-existent__ 3. Wiring: Permanent: Safe Unsafe__ Extension cords: Safe Unsafe___ Non-existent B. HOUSEKEEPING 1. General: a. Overall cleanliness: Satisfactory__ Unsatisfactory b. Overall orderliness: Satisfactory __ Unsatisfactory __ DEFICIENCIES OR CORRECTIVE ACTION 2. Accumulation of Retention Schedule: Upon completion, this report shall be maintained until resolution of any discrepancies, kept for (five) 5 years after that, and then destroyed. The official copy shall be maintained at the office of Fire Services and Life Safety. SOP 511.03 Attachment 1 9/6/18 Page 5 of 5 combustibles? Yes No __ Explain ________________ 2. Bedding: a. Approved? Yes No__ b. Condition: Satisfactory__ Unsatisfactory__ 3. Personal storage area: a. Condition: Satisfactory__ Unsatisfactory __ 4. Trash receptacles: a. Approved? Yes No __ b. Condition: Satisfactory__ Unsatisfactory__ 5. Heating system: a. Condition: Good __ Needs maintenance __ 6. Cooling/ventilation system: a. Condition: Good __ Needs maintenance __ **Notes:** __________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Facility Inspector: ________________________ Date: Warden: _______________________________ Date: Retention Schedule: Upon completion, this report shall be maintained until resolution of any discrepancies, kept for (five) 5 years after that, and then destroyed. The official copy shall be maintained at the office of Fire Services and Life Safety.