1. Fire Safety Inspection

Each fire chief is required to conduct inspections and fill out this survey every other week. Any questions can be directed to Sgt. Bruce Whitney with Campus Police at x 3932.

Immiment hazards should be reported to Sgt. Whitney immediately and noted on this survey. Facility related issues can be reported on-line at http://www.wellesley.edu/Facilities/ and click on "student services request" and noted on this survey.

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* 2. Person Conducting Inspection

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* 3. Date of Inspection MM/DD/Year

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* 4. Fire and Exit Doors - check box if answer is "yes" and no corrective action needed.

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* 5. Exit Signs - check box if answer is "yes" and no corrective action needed.

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* 6. Corridors/Hallways and Common Spaces check box if answer is "yes" and no corrective action needed.

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* 7. Fire Extinguishers check box if answer is "yes" and no corrective action needed.

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* 8. Electrical Safety - check box if answer is "yes" and no corrective action needed.

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* 9. Please note all corrective actions here that includes dates of completion. Note "n/a" if no corrective action needed.

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