
Business Name: Brimley Area Schools Business Phone:906.248.3217 Business Address: Hwy M-221 City, State, Zip: Brimley,Mi 49715 Fax: ___________________ Email Address: Property Owner:
Please enter any additional contact information in the space provided below:
Emergency Contact after hours: Denny Holdsworth 248.5484
Exterior Inspection
The address is placed in a position on the building that is plainly visible from the street. Yes No (If No, Explain) Yes The gas meter and piping is protected from possible damage. Yes No (If No, Explain) Yes
Fire Protection Equipment One fire extinguisher present every 75 feet of travel. Yes No (If No, Explain) Yes How far is closest Fire Hydrant? In feet approx. 75 FT from high school entrance The Fire Extinguishing Hood system is inspected and tagged every 6 months by a fire protection service. Yes No (If No, Explain) YES Does your business have a working smoke detector? Yes No (If No, Explain)
Interior Inspection
Any specific areas that cannot have H20 to extinguish fires, where c0 will work better?. Yes No (If No, Explain) _Storage Rm 521 Network Hub, Rm 412 & 523 Computer Labs Tech Coordinator Rm Gas and Electric disconnect is in boiler rm across from Rm 310
Combustible materials have a 30” clearance from any heat producing appliance. Yes No (If No, Explain) Compressed gas cylinders are adequately secured from falling and labeled with the contents. Yes No (If No, Explain) YES Any Fire suppression systems in place?. Yes No (If No, Explain) YES Exits
Exits are free from any obstructions, and are not locked during normal business hours. Yes No (If No, Explain) YES Upstairs Fire escapes?. Yes No (If No, Explain) Not Applicable Exit signs and emergency lighting are in place and functional. Yes No (If No, Explain)YES Electrical Equipment and Wiring
Is your business free from extension cords? (extension cords cannot be used as permanent wiring) Yes No (If No, Explain) YES All electrical switches and receptacles have cover plates. Yes No (If No, Explain) YES The electrical panel is not obstructed and has a minimum of 30” clearance. Yes No (If No, Explain) YES Name of person submitting this form: Phil Jobe #117 Floor Plan Available? Yes