HomeMy WebLinkAbout6160 Oaktonof •. I
OCCUPANCY % (f C iSloe �IG/y �p}rl cam, DATE
LOCATION_6110 C) ID# 0 >L
HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V
Unsafe Conditions ❑ Accessible ❑ Panel Accessible p
Ceiling Assembly ❑ Maintenance ig jX
f 0 ❑ Annual Test „Ipl p
EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION
Obstructed / Locked ,,,��,,CC ❑ Pressurized & Accessible ❑ Complete (yy� ❑
Maintained LCJ ❑ Annual Test ❑ New Emergency Contacts E3 Proper Hardware A ❑ Sprinkler Clearance 1T� ❑
ELECTRICAL FIRE EXTINGUISHERS KEY BOX NA
Exposed Wires ❑ Required ❑ ❑ Knox Box Required yp
Extension Cords /` ❑ Charged/Tagged ❑ 4 Keys Tested /$f ❑
Panel Obstructed ❑ Aocessible/Height ❑ ❑ )/
Knockouts Needed ❑
GCFI Outlet ❑ KITCHEN SYSTEMS NA UTILITY SHUTOFFS /
EXIT LIGHTING Charged/Tagged ❑ ❑ Accessible `,�j ❑
^/ Clean/Repair 00
Emergency Lights +�, p Class K Extinguisher ❑ ❑ ADDRESS VISIBLE
Exit Lights NEA p
I/'C (front $rear) �❑
MECHANICAL /HEAT APPLIANCES COMPRESSED CYLINDERS NA HAZARDOUS MATERIAL
Clearance to �❑ Storage j ❑ Identification 110
Unsafe ❑ Secured
VIOLATION DESCRIPTIONS
SIGNATURES L:(f.G���- f�+ -....e
Inspector Owner /Occupant 3,C)
Print Na e
COMPANY OFFICER: REINSPECTION DATE:
REFUSAL OF INSPECTION
I' do hereby refuse authorized representatives of the Morton Grove Fire
Department entry into my business premises for the conduction of a Fire Inspection,