NYC 9/11 Public Portal Document
FIRE PREVENTION INSPECTION CHECKLIST
1. Enter unit (5001, 7001, etc,), and date on all forms.
2. Enter address and type of building or occupancy (PUB, COM, MD, PD), along with a brief, specific description
of building or occupancy when applicable, (e.g.. Downtown Athletic Club, Helen Hayes Theater, Lincoln Towers
Apartments, etc.).
3. Use Inspection guides for direction in each of the areas listed. If no violations are found, place a check mark
in the applicable area of the form. Where violations are found, note the Standard Form of Orders number, NOV
Rule or Summons number and law section cited in the area provided. List also the particular of the building where
the violation was noted.
4. If an A-8 or other report, (Altered Building, CIDS, Letterhead, etc.), is required, circle YES on the form and forward
same. If not, circle NO, indicating that this was considered.
5. If inspection was conducted by a firefigher, both the firefighter and the supervising officer print their names and
sign the form.
6, When inspection is completed, form shall be filed in the Building Record Folder.
7. Form may be used on a subsequent inspection for guidance concerning possible problem areas.
NYC-WTC_000166008
OCR can misread numbers and units. Confirm readings against the page image before using them.