NYC 9/11 Public Portal Document
C: Candidate
Instructions to Inspector—if any asterisk (*) items are marked "NO", terminate the test immediately. See Section VIII for YES NO N/A
further information:
V. Fire Emergencies and Class E. System Operations (if system inoperative, see Comments VII):
Examiner—Read this statement to the candidate "You are the Fire Safety Director of the building. You receive notice during normal
operational hours that an actual fire is occurring above on a floor in this building. Explain all steps of what actions must be taken. Again
make no assumptions of any actions taken and start at the beginning."
Did FSD have knowledge to:
*A. Report t Fire Command?
Yes VNo❑
B. Chec
Yes VNo❑
and status?
N/A El
*C. Noti
Yes
F Department?
No El
D. Send ru ner to Alarm Box?
Yes iNoEl] j j
E. Make contact with floor Wardens on fire floor I
F. Make announcements on G. Record information—all?
immediate) e?
Yes j No ❑ N/A ❑ I YesP Nom?❑ N/A ❑ Yes ❑ No
*H. Eva ua ire floor and floor above? I. Instruct FW to r tact in safe area? J. to a brigade? Activ e
No
Yes El El Yes VNo ❑ /
* K. Ensure vators recall? L. Shut do A/C? M. Keep ob clear and entrance doors unlocked?
Yes [ No ❑ N /A ❑ Yes lld No ❑ N/A ❑ Yes No El
*N. Reset Notification System or if System 0. Fl9rform—Make available Fire Safety Plan, f P. Describe—Silence Alarm?
out-of-service? Floor PI engineer to NYCI
r{,/
Yes9 No El N/A El Yes No Yes { No❑ N/A El
*Q. F~rformThe FSD Candidate uses the PA System on one floor states "This is only a test f td P.A. System. The Floor Warden
should call back on the Floor Phone immediately to confirm that this message is clear." Yes 5 No ❑ N/A ❑ f
TOTAL (17)
VI. Building
Instructions to Examiner—Verity all information stated by the candidate by comparison with the Fire Safety Plan or visual inspection. A "NO" answer
does not mandate failure.
ELEVATOR—(Page 13, O 7 of F.S. Guidelines): Special Extinguishing System (P. 14, Q. 2) & Lighting Equipment (P. 15. Q. 16)
Does candidate know location/type of: of F.S. Guidelines:
—/
A. Elevators with common shafts? . . . . . . . . . . . Yes I " No ❑ N/A ❑ Does candidate know location/type of:
B. Elevator machinery room? . . . . . . . . . . . . . . . Yes E " No ❑ N/A ❑ A. Special extinguishing systems within building? Yes t ' No ❑ N/A ❑
tt
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)? . . . . . . . . !!,I / No El N/A ❑
Yes l~
elevator circuits? . . . . . . . . . . . . . . . . . . . . . . . Yes No ❑ N/A ❑ C. Auxiliary sources of lights or power? . . . . . . Yes [ ' No ❑ N/A ❑
D. Identification of elevators and elevator bank? Yes No ❑ N/A ❑
E. Firemen's service elevators? . . . . . . . . . . . . . Yes No El N/A El Standpipe systems (P 14, 0. 10) of F.S. Guidelines:
Does candidate know location/type of:
Air Conditioning and Heating—(Page 15, of F.S. Guidelines):
A. Risers and control valves? . . . . . . . . . . . . . . Yes Flo ❑ N/A ❑
A. Type of air conditioning system? . . . . . . . . . . Yes ~ o ❑ N/A ❑ /
,y Procedure should system become inoperable? Yes o ❑ N/A ❑
B. Zones serviced by systems? . . . . . . . . . . . . . . Yes L7 No ❑ N/A ❑ B.
C. Pump rooms? . . . . . . . . . . . . . . . . . . . . . . . . Yes o ❑ N/A ❑
C. Controls to activate movement? . . . . . . . . . . . Yes L1G No ❑ N/A ❑
D. Water supply controls? . . . . . . . . . . . . . . . . . Yes FNo ❑ N/A ❑
D. Electronic automatic detection controls? . . . . Yes L✓I/////No ❑ N/A ❑
,,
E. Type, location and controls of heating systems? Yes ,, o El N/A ❑ Stairways (P. 13, 0. 5) of F.S. Guidelines:
F. Smoke shaft location and operation? . . . . . . . Yes No El N/A ❑ Does candidate know location/type of:
Sprinkler System (Page 14 0 11) of F.S. Guidelines: A. Identification/location? . . . . . . . . . . . . . . . . . . Yes ~"
LvS o ❑ NIA ❑
Does candidate know location/type of: B. Floors served? . . . . . . . . . . . . . . . . . . . . . . . . Yes No ❑ NIA ❑
A. Automatic or non-automatic systems? . . . . . . Yes ~o El N/A ❑ C. Pressurized stairs? . . . . . . . . . . ..... . Yes d ,No El N/A 2'
B. Main shut off? . . . . . . . . . . . . . . . . . . . . . . . . . Yes No ❑ /A ❑ D. Access stairs (Open or Closed)? _ _ _ _ _ Yes No ❑ N/A El
C. Valves each floor? . . . . . . . . . . . . . . . . . . . . . Yes o N/A❑
D. Valves for more than one floor? . . . . . . . . . . . Yes EQNo ❑ N/A ❑ Other (Special Features, i.e. Atrium) (write
E. Area controlled by sprinkler system? . . . . . . . Yes No ❑ N/A ❑ question):
F. Primary source of water? . . . . . . . . . . . . . . . . Yes o ❑ N/A ❑
G. Fire pump? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes~ o ❑ N/A ❑ A
4,1_ Yes LSD' No ❑ N/A ❑
H. Six (6) extra sprinkler heads and wrench? . . Yes 6Q No ❑ N/A ❑ 1~
n
Alarm System: B. ~_____(/! - Yes LS No El N/A ❑
Does candidate know location/type of:
A. Various alarm sending station? . . . . . . .. . . . Yes
,
El N/A ❑ C. Yes ❑ No ❑ N/A ❑
B. Various Warden phones? . . . . . . . . . . . . . . . . Yes i~Q No ❑ N/A ❑
I,
C. Street fire alarm box? . . . . . . . . . . . . . . . . . . . Yes I[d No ❑ N/A ❑
TOTAL (22) a' ! L _ilZ TOTAL (11) U
Yes No N/A Yes No N/A
Section C: (V, VI) 12 or more answered "NO" in Section C fails. SECTION C TOTAL (53)
Number of correct answers in this section is . Number of incorrect answers is . Number of N/A answers is
NYC-WTC 000166227
OCR can misread numbers and units. Confirm readings against the page image before using them.