Fire-Life Safety Survey Report (sample) Survey date: Inspector: Building coordinator: Responsible parties (RP s) and departments: YES are acceptable conditions, NO are unacceptable conditions, NA are items that do not apply or were able to be verified during the visit.. Page 2 Unless otherwise indicated, responses to "NO" items are required by: (date due is here) For the OCC items above marked “No”, after you have made the necessary corrections, please initial and date under “Date Corrected” indicating that you have made the necessary corrections.. Comments/Explanation for unresolved issues: Return this report using one of the following methods: email attachment to the surveyor specified send via campus mail to the surveyor at Box 354400 Survey mailed: (date survey mailed is here) Page 3.
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