Fire safety inspection application form

Applicant's application time (official seal): year month day.

The main person in charge of place names

On-site building structure

Number of floors used on site

Contact number of the contact person

Nature of the place □ Public * * * Entertainment place

□ Hotel □ Hotel □ Shopping Mall □ Shopping Mall □ Stadium □ Passenger Station Waiting Room

□ Passenger Terminal Lounge □ Civil Airport Lounge □ Lobby □ Other

Cooperate with other units * * * construction is called the construction area.

Building number and building height

Fire acceptance or filing in place □ Fire acceptance document number:

□ Record number of fire control completion acceptance:

□ Fire acceptance records and spot checks are qualified.

Existing fire fighting facilities:

□ Automatic fire alarm system □ Automatic sprinkler system □ Water spray fire extinguishing system.

□ Gas fire extinguishing system □ Foam fire extinguishing system □ Dry powder fire extinguishing system

□ Indoor fire hydrant □ Outdoor fire hydrant □ Mechanical smoke prevention facilities

□ Mechanical smoke exhaust facilities □ Emergency broadcasting □ Emergency lighting.

□ Fire elevator □ Fire control room

□ Other fire control facilities:

□ Number of safety exits:

□ Type, model and actual quantity of fire extinguishers:

Other circumstances that need to be explained:

Instructions for declaration and form filling

1, the applicant should fill in truthfully, the content is accurate and complete, and the alteration is invalid. The attached materials are printed or copied on A4 paper.

2. The application form must be stamped with the official seal of the applicant. If there is no official seal of the unit, it must be signed by the main person in charge of the place.

3. The "□" in the document indicates that there are many contents to choose from, so put "√" in the □ before the selected contents.

4. Fill in the types of wood structure, brick-wood structure, brick-concrete structure, reinforced concrete and steel structure. "Building structure" shall fill in the actual construction area of the site, the building floor number actually used in the site, and "other information that needs to be explained" shall fill in the attached material catalogue and other information.

5. Fill in the name, building area, building number and building height of the building used in * * * in the column "Building with other units". If a single building is used in a public gathering place, this column is not required.

6. The statutory maximum time limit for handling fire safety inspection procedures in public gathering places is 13 working days after accepting the application. According to the Fire Protection Law and the Regulations on Fire Supervision and Inspection, public gathering places can only be used or opened before they are put into use and opened for business.

7. The application form shall be accompanied by the following materials:

(1) Legal documents for fire control acceptance or filing of construction projects (show the original and submit a copy);

(two) a copy of the business license issued by the administrative department for Industry and commerce or a notice of pre-approval of the enterprise name;

(3) fire safety management system documents (stamped with the official seal of the unit and signed by the main person in charge of the unit);

(4) Fire fighting and emergency evacuation plan documents (stamped with the official seal of the unit and signed by the main person in charge of the unit);

(five) fire safety education and training records of employees (stamped with the official seal of the unit and signed by the main person in charge of the unit)

(6) A copy of the professional qualification certificate of the special type of work in the fire fighting industry for the operators of the automatic fire fighting system;

(7) For public gathering places that have been put on record for fire control completion acceptance of construction projects in accordance with the law and have not been put on record for random inspection, they shall also submit the design and construction drawings of fire control for interior decoration of the place, the quality certificate of fire control products, the fire performance certificate of decoration materials that meet the technical standards for fire control and the factory certificate. To apply for operating an Internet cafe, it shall also submit the approval document for the establishment of an Internet cafe issued by the cultural department (show the original and submit a copy).

8. Other materials required to be submitted according to laws and regulations (please visit the website of the fire department of the public security organ, inquire about the explanation of the handling hall, or consult the acceptance personnel for the basis of laws and regulations).

Instructions for declaration and form filling

1, the applicant should fill in truthfully, the content is accurate and complete, and the alteration is invalid. The attached materials are printed or copied on A4 paper.

2. The application form must be stamped with the official seal of the applicant. If there is no official seal of the unit, it must be signed by the main person in charge of the place.

3. The "□" in the document indicates that there are many contents to choose from, so put "√" in the □ before the selected contents.

4. Fill in the types of wood structure, brick-wood structure, brick-concrete structure, reinforced concrete and steel structure. "Building structure" shall fill in the actual construction area of the place, the building floor number actually used in the place, and "other information that needs to be explained" shall fill in the attached material catalogue and other information.

5. Fill in the name, building area, building number and building height of the building used in * * * in the column "Building with other units". If a single building is used in a public gathering place, this column is not required.

6. The statutory maximum time limit for handling fire safety inspection procedures in public gathering places is 13 working days after accepting the application. According to the Fire Protection Law and the Regulations on Fire Supervision and Inspection, public gathering places can only be used or opened before they are put into use and opened for business.

7. The application form shall be accompanied by the following materials:

(1) Legal documents for fire control acceptance or filing of construction projects (show the original and submit a copy);

(two) a copy of the business license issued by the administrative department for Industry and commerce or a notice of pre-approval of the enterprise name;

(3) fire safety management system documents (stamped with the official seal of the unit and signed by the main person in charge of the unit);

(4) Fire fighting and emergency evacuation plan documents (stamped with the official seal of the unit and signed by the main person in charge of the unit);

(five) fire safety education and training records of employees (stamped with the official seal of the unit and signed by the main person in charge of the unit)

(6) A copy of the professional qualification certificate of the special type of work in the fire fighting industry for the operators of the automatic fire fighting system;

(7) For public gathering places that have been put on record for fire control completion acceptance of construction projects in accordance with the law and have not been put on record for random inspection, they shall also submit the design and construction drawings of fire control for interior decoration of the place, the quality certificate of fire control products, the fire performance certificate of decoration materials that meet the technical standards for fire control and the factory certificate. To apply for operating an Internet cafe, it shall also submit the approval document for the establishment of an Internet cafe issued by the cultural department (show the original and submit a copy).

8. Other materials required to be submitted according to laws and regulations (please visit the website of the fire department of the public security organ, inquire about the explanation of the handling hall, or consult the acceptance personnel for the basis of laws and regulations).