N/A YES NO SUMMONS/
NOV#r
F. RECORDS:
1. WRITTEN RECCORD OF FIRE DRILLS IN BOUND BOOK
FREQUENCY OF DRILLS CONFORMS TO LAW (DATE OF LAST ✓ Nf f
DRILL(/0,(f - 5( ) u n . 'F.- — F Sr S
ST RECORD OF. FIREMEN'S SERVICE ELEVATORS
3. MONTHLY TES1
ST RECORD OF CLASS "E" F.A.C.S.
MONTHLY TES1 17 ~C
ST RECORD OF FIRE PUMPS (IF REQUIRED)
MONTHLY TES1
ST RECORD OF EMERGENCY GENERATOR (IF REQUIRED)
MONTHLY TES1
MONTHLY RECORD OF SPRINKLER INSPECTION
8. MONTHLY RECORD OF STANDPIPE INSPECTION
G. FIRE PROTECTION SYSTEMS: /
1. C OF F SPRINKLER ( ) NAME G ~4 NIGN:4J NO. 4 a 4`1 ~
2. SPRINKLER VALVE SEALED OPEN (SUMMONS IF CLOSED)
3. SPRINKLER SIAMESE SWIVEL ( ) UNOBSTRUCTED ( )
SIGN IF REQUIRED ( )
4. C OF F STANDPIPE ( ) NAME NO. b If 0 !~/1.i ✓
5. STANDPIPE VALVES SEALED OPEN Ma v
6. STANDPIPE SIAMESE: SWIVELS ( ) UNOBSTRUCTED ( )
7. EXTINGUISHERS PROPERLY HUNG AND DISTRIBUTED
8. EXTINGUISHERS TAGGED: DATE OF LAST INSPECTION ( C) ( )
H. SIGNS:
1. ELEVATOR: LETIER DESIGNATION ( ) FL. DIAGRAM ( )
"IN CASE OF FIRE USE STAIRS" ( )
2. STAIR: FLOOR NO. ( ) /d(/
LETTER DESIGNATION-OCCUPANCY SIDE ( ) STAIR SIDE ( )
3. RE-ENTRY SIGNS POSTED NU
4. EXIT AND DIRECTIONAL SIGNS ILLUMINATED
5. ORGANIZATIONAL CHARTS POSTED AND ACCURATE
I. GENERAL:
1. CERTIFICATE OF OCCUPANCY POSTED
2. ALL AREAS FREE OF RUBBISH .
3. PAPER RECYCLING HAMPERS STORED IN PROPER LOCATION
(NOT IN HALLWAYS OR ELEVATOR LOBBIES)
4. STAIRWAY DOORS OPENABLE AT ALL TIMES (OCCUPANT SIDE)
(IF NO: APPROVED BY D.O.B. CONNECTED TO CLASS "E"
5. RE-ENTRY PROVIDED WHER EQUIRED
a. FAIL SAFE SYSTEM ( ) INDICATE FLS. ( ' (~ Ek ~~ z ,,zJ
6. IF SHAFTS PRE (i.e., ELEC. CLOSETS) ARE THEY FIRESTOPPED_
7. FLOOR WARDENS, DEPUTY WARDENS, AND SEARCHER,S TRAINED
a. FLOORS CH
8. FLAMMABLES/COMBUSTIBLES PROP
a. LOCATION
REMARKS: 4J4tAh,... ? r 1,, NOV TOTAL SUMMONS
!j- ST"._ TOTAL ITEMS TOTAL
INSPECTOR'S SIGNATURE
NYC-WTC 000166204
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000166204Source: NYC Law Department, mirrored locally