Contents
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Section 9 of 12: Fire Prevention (LI0230)
This section documents the information and the outcome of an inspection completed by the Department of Labor and Industry.
Building Name
Type in the name of the building in which the licensed program is located.
Site Number
Enter the site number provided by the Fire Marshal.
Fire Marshal
Enter the name of the fire marshal who performed the inspection.
Hazard Index
Enter the number for the value given as the Hazard Index for the space.
Inspection Date
Enter the date of the inspection in this field.
Number of Children
Enter the number of children listed for the inspection.
Number of Staff
Enter the number of staff listed for the inspection.
Occupancy Granted?
Select either Yes or No by using the radio button next to the field ().
Occupancy by Floor
Enter the numbers associated with each floor of occupancy.
Owner's Name
Enter the building owner's name in this field.
Home/ Location Address
Enter the first line of the Address in this field.
Address Line 2
Enter the second line of the Address in this field.
City
Type the name of the city in this field. If the provider is located outside of Vermont, this field should be completed.
Town
Select the name of the town by using the down arrow () next to the field. If the provider is located in Vermont, this field should be completed.
State
The State has been defaulted to Vermont; however if another selection is needed, select the name of the state by using the down arrow () next to the field.
Zip Code
Enter the zip code in this field using the format #####-####.