- Inspection Date*
- Inspection Type*
- Observed condition concerns
- Immediate safety risk present*
- Assessment date*
- Alarm audibility*
- Smoke detector presence and function*
- Extinguisher near escape route*
- Emergency lighting*
- Illuminated exit signs*
- Severity Level*
- Target Completion Date
- Reinspection Required*
- Overall status*
- Should be Empty: