Dcd 0303 Form PDF Details

DCD 0303 is a form used to request Alien Registration Card for non-Japanese nationals living in Japan. This form must be submitted to your local city or town office. The Alien Registration Card is used as an identification card and also provides information about the holder's status in Japan. If you are a non-Japanese national living in Japan, it is important to familiarize yourself with this form and how to submit it.

QuestionAnswer
Form NameDcd 0303 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesday care inspection form, care fire report, fire inspection report, care child inspection report

Form Preview Example

DCD –0303

Rev. 10/10

ADULT DAY CARE & CHILD CARE FIRE INSPECTION REPORT

COUNTY________________________ DATE OF INSPECTION ____________ Facility ID #

Please complete all items below. If not applicable, check N/A in the box with a written explanation attached.

Name of Facility_______________________________

Adult ____ Child ____

 

 

Address __________________________________________ Phone______________

 

 

City _____________________ Zip ___________ Responsible Party________________

 

GENERAL PRECAUTIONS:

 

YES

NO

N/A

1.

Attic/basement/closets/garage/furnace room & heaters clear of trash & combustible materials.

 

 

 

 

2.

Clearance from ignition sources & combustible materials maintained.

 

 

 

 

 

EMERGENCY PLANNING:

 

YES

NO

N/A

3. Approved evacuation plan posted.

 

 

 

 

 

4.Evidence of monthly fire drills posted.

5.Record of employee training in fire prevention/evacuation & annual fire safety training on site.

FIRE SERVICE FEATURES:

YES

NO

N/A

6.Street Number posted. (Contrasting color to building & height 4” or more.)

7.Unobstructed fire apparatus road. (Width of 20’ & vertical clearance of not less than 13’6”).

8.Hydrants/Fire Department connections/control valves clear of obstructions by 3’.

BUILDING SERVICES AND SYSTEMS:

YES

NO N/A

9.Approved heating system, listed. (No fuel burning or portable electric space heaters.)

10.Emergency lighting/exit lights in good operating order.

11.Electrical panels clear of storage. (Minimum 30”)

12.Wiring/fixtures in good condition. (Extension cords not suitable for permanent wiring.)

13.Type I hood system over all domestic cooking appliances that produce grease laden vapors.

FIRE RESISTANCE RATED CONSTRUCTION:

YES

NO

N/A

14.

Required fire resistant rating maintained. (Walls, partitions, floors)

 

 

 

15.

Door-hold open devices/automatic door closures operating properly.

 

 

 

INTERIOR DECORATIONS & FURNISHINGS:

YES

NO

N/A

16.No storage of clothing/personal effects in corridors & lobbies.

17.Maximum 10% of decorative materials covering walls. Doses not apply to artwork & teaching material in classroom. Nothing suspended from ceiling

18.20% maximum coverage for artwork & teaching material located on corridor walls.

19.Exits free of obstructions.

FIRE PROTECTION:

YES

NO

N/A

20.Sprinkler system maintained with annual test reports provided.

21.Smoke detector/fire alarm system maintained with annual test reports provided.

22.Approved extinguishers mounted properly & in good working order.

23.Cooking suppression systems & hood exhaust properly maintained.

24.Protective guards(such as screens) on fuel burning furnaces or fireplaces provided.

MEANS OF EGRESS:

YES

NO

N/A

25.All exits & their access (i.e. Aisles & Corridors) free of obstructions.

26.All locking devices on exit doors are of an approved type.

27.Yards & fencing to allow unobstructed exit to exterior of site.

Approved for day time care only

Approved for day time and night care

At the time of this inspection, the fire safety conditions in this facility were:

Satisfactory

Unsatisfactory

Inspector___________________________________________ Phone ___________________

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