Forms • Morro Bay • CivicEngage

Fire Safety Self-Inspection Program

The Morro Bay Fire Department is committed to the continued fire and life safety of your business. In order to ensure a fire safe environment in your workplace we are enlisting you to participate in our annual Self-Inspection Program.

This program targets businesses that are statistically at a lower risk from fire. By participating in this program, it allows our department to ensure your compliance with the fire code, but allows you to perform the required inspection at your convenience and has the added benefit of reducing disruptions and inspection costs for your business.

Performing the Self-Inspection of your business is relatively easy. The inspection is for your space only and doesn't include any common area or space shared with other tenants or business owners unless you are the primary business owner.

Business Name*

Business Owners Name*

Business Address*

City

Morro Bay

State

California

Zip Code

93442

Business Owners Phone #*

Business Email Address*

Business Website (if applicable)

Business License Expiration Date*

Emergency Contact Person*

Emergency Contact Person Phone #*

The following questions are required, please select one of the choices.

Are the Address Numbers for this occupancy clearly visible and facing the street so my building can be found in an emergency?*

	Yes
	No

N/A

When the building is occupied, are all exit doors unlocked from the inside so people can get out in an emergency?*

	Yes
	No

N/A

Are the emergency back up lights and exit lights working?*

	Yes
	No

N/A

Are all exits clearly marked and well lighted so people can find their way out?*

	Yes
	No

N/A

Are all aisles, hallways, doors, stairs, landings, fire escapes, and other walkways free of any obstructions that might block a quick escape?*

	Yes
	No

N/A

Have all fire extinguishers been serviced by a properly trained technician. (Does the Owner/Occupant perform monthly inspections to ensure proper pressure and check for damage)?*

	Yes
	No

N/A

Are all of your electrical appliances connected to an outlet or power strip with circuit breaker protection?*

	Yes
	No

N/A

Are all furnace, electrical, and storage rooms free of waste paper, rubbish, and other combustibles?*

	Yes
	No

N/A

Thank you for your submission of your Business Self-Inspection Checklist. Please keep a copy for your records. For further questions please contact the Morro Bay Fire Department at (805) 772-6242.

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