Commercial Fire Damage Assessment Checklist Form
Use this Commercial Fire Damage Assessment Checklist to systematically evaluate the extent and severity of fire damage in a commercial property.
Property Name or Identifier
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Areas Affected by Fire (select all that apply)
*
Office spaces
Warehouse/storage
Production areas
Electrical/mechanical rooms
Restrooms
Common areas
Other
Structural Damage Assessment (rate each component)
*
Rows
No Damage
Minor Damage
Moderate Damage
Severe Damage
Walls
1
2
3
4
Ceilings
5
6
7
8
Floors
9
10
11
12
Roof
13
14
15
16
Windows/doors
17
18
19
20
Systems Impacted (select all that apply)
Electrical
Plumbing
HVAC
Fire suppression
Security systems
Other
Inventory and Equipment Loss
No loss
Minor loss
Moderate loss
Severe loss
Total loss
Immediate Safety Hazards Present (select all that apply)
Unstable structures
Exposed wiring
Hazardous materials
Blocked exits
Smoke/fume hazards
Other
Overall Severity of Fire Damage
*
Minimal
1
2
3
4
Catastrophic
5
1 is Minimal, 5 is Catastrophic
Additional Comments or Notes
Submit Assessment
Should be Empty: