NYC 9/11 Public Portal Document
I
r ABC 2/95
Addendum 1
Page 1
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SITE SURVEY CHECKLIST
FOR INITIAL FILING OF
FACILITY RISK MANAGEMENT PLANS
DATE UNTT NOTIFIED;
=:
Facility Name:
Address Address: 7 uu
Administrative Company K IQ Bn. Div.
This checklist shall be used to conduct an inspection of the facility listed above. As X/
per ABC 2/95 this inspection shall be completed, and the checklist forwarded, within ona-^^Q )
week of the above date . Any "No" answer to a question on this checklist requires an A-8
to also be forwarded, with, particulars.
This inspection will assist the Toxic Substance Unit, Bureau of Operations in their
evaluation of the facility’s proposed Risk Management Plan which has been filed with the
Department of Environmental Protection. This is an initial inspection to verify key elements
of the proposed Emergency Response Program portion of the Risk Management Plan, which
are of particular concern to the Fire Department.
This initial inspection is part of a developing program which may be modified to
accommodate the future needs of the department. Any questions should be directed to the
Toxic Substance Unit, Bureau of Operations, at (718) 694-2426.
I. EMERGENCY RESPONSE COORDINATOR:
The facility is required to designate an Emergency Response Coordinator and a
Deputy Emergency Response Coordinator, one of whom is required to be on duty
during normal working hours. (Note: This inspection is to be conducted during
AFID. AFID periods are scheduled during normal working hours.)
A. Has an Emergency Response Coordinator been designated? ¥□ NO
B. Has a Deputy Emergency Response Coordinator been designated? YQ'ND
C. Is the Emergency Response Coordinator or Deputy Emergency Response
ye/no
Coordinator on duty and present during the inspection?
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NYC-WTC_000165973
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