C: Candidate
Instructions to Inspector—If any asterisk (*) items are marked "NO", terminate the test immediately. See Section YES NO N/A
VIII for
further information:
V. Fire Emergencies and Class E. System Operations (if system inoperative, see Comments V11):
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 k wledge to:
*A. Report Fire Command? B. Chec card status? I *C. Notify F Department? D. Send ru er to Alarm Box?
Yes No ❑ Yes No ❑ N/A ❑ I Yes No ❑ Yes LW No ❑
E. Make contact with floor Wardens on fire floor F. Make~ouncements on G. Record info ation—all?
immediately above? PAS Item?
Yes JIJ No El N/A El Yes [ No [I N/A El Yes No❑
H. Evacu fire floor and floor above? I. Instruct to re-contact i n safe area? *J. Activate ~fi brigade?
Yes ❑d No ❑ Yes No El es D No El
*K. Ensure vators recall? L. Shut d A/C? M. Keep to clear and entrance doors unlocked?
Yes No ❑ N /A El Yes No El N/A El Yes No ❑ /)
N. Reset Notifipetion System or if System O. PLrform—Make available Fire Safety Plan, P. ilence Alarm?
out of-se ce? Floor PI s, Keys, engineer to NYCFD?
No
Yes ❑ N/A ❑ Yes LNo ❑ De7No ❑
Yes N/A ❑
*0. Fe -form—The FSD Candidate uses the PA System on one floor states "This is only a test of th A. System. The Floor Warden
should call back on the Floor Phone immediately to confirm that this message is clear."
Yes No ❑ N/A El
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" awer
does not mandate failure.
ELEVATOR—(Page 13, 0 7 of F.S. Guidelines): Special Extinguishing System (P. 14, O. 2) & Lighting Equipment (P. 15, O. 16)
Does candidate know location/type of: of F.S. Guidelines:
A. Elevators with common shafts? . . . . . . . . . . . Yes El N/A ❑ Does candidate know location/type of:
B. Elevator machinery room? . . . . . . . . . . . . . . . Yes N N/A ❑ A. Special extinguishing systems within building? Yes Eli No ❑ N/A ❑
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)? . . . . _ . . . Yes No ❑ N/A ❑
elevator circuits? . . . . . . . . . . . . . . . . . . . . . . . Yes o ❑ N/A ❑ C. Auxiliary sources of lights or power? . . . . . . Yes No ❑ N/A El
D. Identification of elevators and elevator bank? Yes No ❑ N/A ❑
E. Firemen's service elevators? . . . . . . . . . . . . . Yes No ❑ N/A ❑ Standpipe systems (P. 14, O. 10) of F.S. Guidelines:
Does candidate know location/type of:
Air Conditioning and Heating—(Page 15, of F.S. Guideli s):
A. Risers and control valves? . . . . . . . . . . . . . . Yes No El N/A El
A. Type of air conditioning system? . . . . . . . . . . Yes No El N/A ❑
B. Procedure should system become inoperable? Yes No El N/A ❑
B. Zones serviced by systems? . . . . . . . . . . . . . . Yes No ❑ N/A ❑
C. Pump rooms? . . . . . . . . . . . . . . . . . . . . . . . . Yes No ❑ N/A ❑
C. Controls to activate movement? . . . . . . . . . . . Yes No El N/A El
D. Electronic automatic detection controls? . . . . Yes ii No El N/A ❑ D. Water supply controls? . . . . . . . . . . . . . . . . . Yes No ❑ N/A El
E. Type, location and controls of heating systems? Yes I No ❑ N/A ❑ Stairways (P. 13, O. 5) of F.S. Guidelines:
F. Smoke shaft location and operation? . . . . . . . Yes No ❑ N/A ❑ Does candidate know location/type of:
Sprinkler System (Page 14 Q 11) of F.S. Guidelines: A. Identification/location? . . . . . . . . . . . . . . . . . . Yes No ❑ N/A ❑
Does candidate know location/type of: B. Floors served? . . . . . . . . . . . . . . . . . . . . . . . . Yes No ❑ N/A El
A. Automatic or non-automatic systems? . . . . . . Yes No El N/A El C. Pressurized stairs? . . . . . . . . . . . . . . . . . . . . Yes No ❑ N/A ❑
B. Main shut off? . . . . . . . . . . . . . . . . . . . . . . . . . Yes No ❑ N/A ❑ D. Access stairs (Open or Closed)? . . . . . . . . . Yes No ❑ N/A ❑
C. Valves each floor? . . . . . . . . . . . . . . . . . . . . . Yes No El N/A El
D. Valves for more than one floor? . . . . . . . . . . . Yes No El N/A El Other (Special Features, i.e. Atrium) (write
E. Area controlled by sprinkler system? . . . . . . . Yes No El N/A ❑ question):
F. Primary source of water? . . . . . . . . . . . . . . . . Yes I No ❑ N/A ❑
G. Fire pump? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes I No El N/A ❑
H. Six (6) extra sprinkler heads and wrench? . . Yes A. N/A ❑
No ❑ N/A ❑
Alarm System: B. N/A ❑
Does candidate know location/type of:
A. Various alarm sending station? . . . . . . . . . . . Yes ❑ No El N/A El C
Ls N N/A ❑
B. Various Warden phones? . . . . . . . . . . . . . . . . Yes❑ No ❑ N/A ❑
C. Street fire alarm box? . . . . . . . . . . . . . . . . . . . Yes ❑ N ❑ N/ ❑
TOTAL (22) TOTAL (11)
No N/A 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 000166313
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000166313Source: NYC Law Department, mirrored locally