Instructions: Fill in all the information on the form. Walk through your occupancy to ensure the safety requirements on the checklist are fulfilled. If an item is compliant, check the "Yes" box. If an item is non-compliant, either remedy the problem before submitting this form or check the "No" box and we will follow up ensuring the hazard is corrected. If an item does not apply, check the "N/A" box. Any hazard not addressed in the questions can be typed into the "Additional Comments" box. Click on the "View Informational Slides" link for each section if you need additional code information.
When completed, click on the "Submit" button to automatically E-mail your form to the Medford Fire-Rescue Fire & Life Safety Division. Thank you for participating!