NYC-WTC_000166105

NYC 9/11 Public Portal Document

A-463 (3/841 o3-m-oiao '° HI-RISE UNIT OFFICE BUILDING ANNUAL INSPECTION

Address Boro Stories Height in Feet ANSWER 1. Fire Command Station YES F o HR a oR A-$ a) Located in lobby on entrance floor &'q b) Adequately illuminated c) Copy of Fire Safety Plan d) Window lock keys if required e) Elevator keys d ~ S f) List of Fire Wardens with Telephone Nos._ 11. Communications & Fire Alarm a) Required two way system (temporary) b) Required two way system (permanent) / ✓ If permanent, check type of system—Class"E" Advisory._-.. Mini. ._ c) To all floors ~S d) To mechanical equipment room e) To elevator machinery room (if applicable) f) To the regularly assigned location of the Fire Safety Director (if applicable) 1J[ III. Fire Safety Plan a) Building has an approved plan b) All sections current and correct LI1S c) Applicable parts distributed to tenants Ufi. IV. Fire Safety Director & Deputy Fire Safety Director FSD oFso a) Has a C of F for this building L.jE5 c.~ b) On duty when required by law c) Has an acceptable system of daily notification of availability of Fire Wardens and Deputies k V. Building Evacuation Supervisor ~T a) Properly trained and on duty when required by law _-~S 1 VI. Fire Drills a) Written record kept on premises b) Frequency of drills conforms with law _ c) Audible means of alerting tenants provided (—1 VII. Fireman Service— Elevators a) Installed in building and approved S __~S' _ bl Monthly elevator test and record VIII. Fire Wardens & Deputy Fire Wardens a) Organization Charts posted and accurate _ b) Fire Wardens, deputy wardens and searchers adequately trained c) Floors checked for items (a) and (b) / 0 / / i / IX. Fire Brigade a) Present in building and adequately trained T X. Signs a) All required signs at the elevators, stairs, and floors are posted and correct XI. Re-Entry _ r a) Re-entry provided where required b) If fail safe system check here ( and indicate floors /O///, /s

Signed -T7 () Rank Date_

NYC-WTC 000166287