Standard Fire Survey Report Standard Fire Survey Report Client's Name:Risk Location:Requested By:Agent/Broker:Sum Insured:The BuildingImages Upload Drop files here or This Survey Report has been prepared based on information obtained from {Field ID:582} and therefore we can make no warranty either express or implied as to the accuracy of the data. We shall not be liable for any loss or damage arising from or in connection with the data and opinions given in this report. This report is strictly for insurance purposes. Details of BuildingYear Constructed or age of building:External Walls:Interior Partitions:Structure of Roof:How is the roof secured?No of Storeys including Basement:Type floors including basement:Staircase/s: Is the structure in good state of repair?YesNoSee comments for more detailsIs the building specially designed for its present occupation?YesNoOccupation:Details of Power SourcesMethod of Wiring:Age and Condition:How often inspected and by whom?Inflammable SubstancesAre there any inflammable substances on the premises?YesNoType:Quantity:How and where stored:Use:Fire Extinguishing AppliancesDistance from nearest Fire Station.Distance from nearest Hydrant.Source of Water Supply?Is it consistent and pressure good?YesNoIs this a flood prone area?YesNoDetails of water tanks.Details of fire alarms.Hand Extinguishers:: Are they serviced regularly?YesNoAre employees educated in the use of these extinguishers?YesNoSupervision and ManagementNumber of employees:Is smoking permitted in any part of the premises?YesNoAre any of the buildings congested or overcrowded?YesNoAre the premises thoroughly clean and tidy?YesNoDo watchmen patrol the premises?YesNoDetails of storage and disposal of domestic or trade garbage.How long has the business been established?Loss ExperienceHas the Insured ever sustained any loss?YesNoDate of Loss:* Date Format: DD slash MM slash YYYY Cause of Loss*Amount of Loss*Details of Surrounding RisksNorthern side:Southern side:Eastern side:Western side:General RemarksFile Drop files here or RecommendationsDate:* Date Format: MM slash DD slash YYYY Risk Control Surveyor:
