Laserfiche WebLink
I <br />HOME SAFETY AND SECURITY EDUCATION PROGRAM <br />CHECK LIST <br />/^. NAMEOFOWNER: _ <br />ADDRESS OF DWELLING: <br />DATE(S) OF ANALYSIS: <br />REVIEWER: <br />✓ Indicates Item appears to be OK <br />X Indicates item should receive homeowners attention <br />NIA Indicates Item not applicable <br />SECTION I: FIRE SAFETY <br />_DisW$sion of home lire safety principles completed. <br />APPLIANCES: <br />__ 1. Major appliances are grounded. <br />__ 2. Dryer lint [liters appear clean. <br />3. Water hector appears to be in good condition and clear of <br />combustibles." <br />4. Furnacelair conditions( filter appears to be clean.' <br />5. Kitchen hood vent appears to be clean. <br />6. No apparent gas smell from appliances, pipes or meter. <br />7. Heat generating appliances are not used under cabinets. <br />a. Home heating system appears to bemainialned property and <br />owner Is aware of the particular hazards associated with this <br />type of system. Type of heating system <br />9. Coal and wood burning appliances or structures appear to be <br />properly used. Installed and maintained. <br />_10, Gas grills are used with appropriate clearance and are <br />property stored. <br />_11. Portable healing devices appear to be used and stored <br />properly. Owner Is aware of the particular hazards associated <br />with Mg type of appliance. <br />ELECTRICAL' <br />-12. Fuse boxlpanel circuits are labeled and appear lobe properly <br />fused. <br />_13. No apparent exposed wiring except as permitted by local <br />code." <br />HOME SECURITY <br />f9iA9 <br />_14. Extension cords appear to be used In a proper manner.•' <br />_15. Electrical outlets appear to be used properly. <br />COMBUSTIBLESIFLAMMABLE MATERIALS: <br />_16. Combustibles are clear of stove and other cooking areas and <br />forced air units. <br />_17. Waslepaperllrash properly disposed of.,, <br />_ 16. Household chemiublmatches are properly $toted out of the <br />reach of chi!dren. <br />-19. Fireplace appears to be properly maintained. <br />__20. Paintalllammable liqulds are properly stored." <br />_21. Garagelstorage shed are Ime of lire hazard materials, or II <br />present are stored properly. <br />WALLIATTICSIROOFIGARAGE: <br />_22. Solid core door with salklosum between garage and rest <br />dence. If not present, advantages discussed wllh resident <br />_23. Devices producing spaWilame appear to be properly <br />Installed,'• <br />_24. Adequate vent clearance. <br />_25. Open space between detached garage and residence clear of <br />fire hazard materials. <br />SECTION II: SECURITY <br />_26. House number Is clearly visible from street andfor alley. <br />_27. Approved deadoolls on all exterior doors.•' <br />_29. Nooremovable outside door hinge pins. <br />_29. Glass in louvred doorslwindows on first Ilpor are perman. <br />ently secured (non -removable)." <br />_30. All sliding glaxs docrstwindows on I1151 floor have working <br />primary and secondary locking devices.'- <br />,_ 31. Garage door secured by automatic door opener or boll with <br />Irking device." <br />__32. Security bars on windows are of approved type. <br />__ 33. Adequate exterior lighting for nighttime access exit. <br />_34, Valuahles and major Items have been IdenLfied and serial <br />numbert. stored In a safe place. <br />._35. Resident has participated in an organized Neighborhood <br />Watch Program. <br />LIFE SAFETY: <br />_36. House has indicated early warning device(s). <br />_medical _intrusion _panic _fire <br />_37. Second marina of escape provided from bedrooms to a safe <br />area. <br />__3a. Windows and screens allow for escape from dwelling. <br />_39. Family ties and practices uscape plan. <br />_40. Members of family have received Information In CPR. <br />_41. Latching pocking) devices on gates to pool or spa areas <br />appear to be adequately maintained. <br />HAZARDS: <br />_42. Visible exppsure hazard within 200 feet ul dwelling. <br />_43. All sidewalks and concrete drives well maintained. <br />_44 Dog(s) appear to be restricted to premises. Warning signs are <br />used. <br />_45. Adequate headroom In passages and stairways. <br />_46. Railings on stairs are properly maintained. <br />_47. Dwelling and other structures on premises appear to be well <br />maintained and structurally sound. <br />"For further Information on these Items or terms refer to backside of report. <br />COMMENTS: <br />The foregoing analysis has been reviewed with me and I understand that the Indications are Intended to help me recognize Zile <br />safety and properly hazards In my home. I recognize also that an analysis such as the above cannot be completely comprehensive <br />and that some hazards may not have been Identified, and, further, since the analysis Is for my benefit, I will not hold the city <br />responsible for the consequences of any hazard later Identified. <br />Signature of Homeowner <br />