Fireworks Permit

Day of Display Site Inspection

(Prior to Setup of Display)
Time of Arrival: _________________ Fire Department Notified: _________________
Paperwork Required On-Site:
_____ Fire Department Permit
_____ Local Governing Body Resolution
_____ Bureau of Alcool! To"acco and Firearms #$plosives License for %ontractor&'perator
_____ Approved (ite Plan
_____ Approved (ite (afety Plan
_____ Approved (ecurity Plan
_____ Bill of Lading for all fire)or*s on truc*
Personnel Inspection
_____ +erify operator and all assistants, identification -Date of Birt and Driver,s License.
_____ '"serve personnel for indications of alcool and drugs
Security Inspection
_____ +erify tat site safety meeting is conducted )it ALL personnel -Police! Fire! #/(!
(ponsor! Pyrotecnist! and (taff.
_____ Ade0uate traffic and cro)d control
_____ +erify security for storage area! discarge area! display area! and fallout area from time
of arrival to conclusion
_____ Placards -as approved. are on transportation veicles
_____ (torage container-s. loc*ed! secured! and stored properly
Fire Protection
_____ Fire e$tinguisers carged and certified
_____ +erify pone or fire alarm1transmitting device at te display site
_____ Fire apparatus on stand"y -do)n range. and outside display and firing area
_____ N' (/'23NG 'R 'P#N FLA/# signs are conspicuously posted
_____ Loose gravel! roc*s! etc4 are removed from mortar area
_____ Ground in display and fallout area is free of com"usti"les! and grass is cut lo)
Fire Inspector: ________________________________ Date: _________________
Police Inspector: ________________________________ Date: _________________