NYC 9/11 Public Portal Document
C: Candidate
Instructions to Inspector—if arty asterisk (*) items are marked "NO", terminate the test immediately. YES
See Section VIII for 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.
operational hours that an actual fire is occurring above on a floor in this building. Explain all steps of You receive notice during normal
make no assumptions of any actions taken and start at the beginning." what actions must be taken. Again
Did FSD have knowledge to:
*A. Report t Fire Command? B. Chet board status? C. Notify Fire Department? D. Send nner to Alarm Box?
Ye:r No ❑ Yes No ❑ N/A ❑ Y No ❑ Yes No ❑
*E. Make contact with floor Wardens on fire floor *F Make announcements on G. Record information—all?
immediatel,y3b°ve? PA System?
*H.
Yes-4j No N/A❑
floor and floor above? 1. Instruct
Yes,2'No❑ N/A❑
A ~ N re-contact in safe area?
Yes No 3
*J. Activate fire brigade?
Y~ re ❑
No Yes t ❑ No ❑
*K. Ensure gevators recall? L Shut doyrn A/C? M. Keep l by clear and entrance doors unlocked?
Yes No ❑ N/A ❑ Yes No 0 N/A ❑ Yes— No ❑ `3
*N. Reset Notification System or if System O. Perform—Make available Fire Safety Plan, *P. Describe—Silence Alarm?
out-of ce? Floor,., Plan Keys, engineer to NYCFD?
Yes, I No ❑ N/A ❑ Yes No ❑
'Q. Perform—The FSD Candidate uses the PA System on one floor states'This is only a test of
Yes ' No ❑ N/A ❑ .3
should call back on the Floor Phone immediately to confirm that this message is clear." Je PA System. The Floor Warden
YZT No ❑ N/A 0
TOTAL f17►
VI. Building
Instructions to ExaminerVerIfy 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,O.2) & Lighting Equipment (P. 15, O. 16)
Does candidate know location/type of: of F.S. Guidelines:
A. Elevators with common shafts? YesZ No ❑ N/A ❑ Does candidate know location/type of:
B. Elevator machinery room? Yes Q • No ❑ N/A ❑ A. Special extinguishing systems within building? Yee'LJ No ❑ NIA ❑
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)? .. . . . . . . Yesi' No ❑ NIA 0
elevator circuits? . . ... . . . .... . .... . .. . . . Yes 12 No ❑ N/A 0
C. Auxiliary sources of lights or power? . . . . . . Yep 2' No ❑ N/A ❑
D. Identification of elevators and elevator bank? Yes Z ' No 0' N/A 0
E. Firemen's service elevators? . ... . . . . .. . . . Yes2' No 0 N/A ❑ Standpipe systems (P 14, O.10) of FS. Guidelines:
Air Conditioning and Heating—(Page 15, of FS. Guideli ): Does candidate know location/type of:
A. Type of air conditioning system? ..... . . . . . Yes A. Risers and control valves? . .... . . .. . . . . . No ❑ N/A ❑
No ❑ N/A ❑
B. Zones serviced by systems? . . .. _ B. Procedure should system become inoperable? Yes Yes~'No ❑ N/A 0
Yes No ❑ N/A ❑
C. Controls to activate movement? ....... . ... Yes C. Pump moms? Yes o 0 WA 0
No ❑ N/A ❑
D. Electronic automatic detection controls? . . .. No ❑ N/A ❑ D. Water supply controls? .... . . . . . . ... . . . . Yes No 0 N/A 0
E. Type, location and controls of heating systems? Yes o ❑ N/A ❑ Stairways (P 13, Q. 5) of F.S. Guidelines:
F Smoke shaft location and operation? . .. . . . . YesIMNO Yes ❑ N/A 0 Does candidate know location/type of:
Sprinkler System (Page 14 O 11) of FS. Guidelines: A. Identification/location? . . . . . .. . . . . Yes ' No ❑ N/A ❑
Does candidate know location/type of: B. Floors served? ........................ Yes ET No ❑ N/A 0
A. Automatic or non-automatic systems? ... . . . Yes. No ❑ N/A ❑
B. Main shut off? . . . . . . . ... . . . ... . .. . . . . . C. Pressurized stairs? . ... . . . . . . . . _ . .. Y s No ❑ N/A 0
Yes g No ❑ N/A ❑
C. Valves each floor? ................... . Ye D. Access stairs (Open or Closed)? _ . . . . . . .. Yes 4 Nq N/A ❑
No ❑ N/A ❑
D. Valves for more than one floor? .. . . . ... . . . Yes,. ' No ❑ N/A ❑
E. Area controlled by sprinkler system? . .. _ _ . . Yes. Other (Special Features, i.e. Atrium) (write
No ❑ N/A ❑ question):
F. Primary source of water? . . . .. . . . . . . . . . . . Yes No N/A ❑
G. Fire pump? . . . .. . .... . . . . . .... . .... . . . Yes LJ NoZ N/A ❑
H: Six (6) extra sprinkler heads and wrench? . . Yes2 No ❑ N/A 0 A• Yea No ❑ N/A ❑
Alarm System:
B. " . Ye No❑ WA❑
Does candidate know location/type of:
A. Various alarm sending station? . . . . . .. _ _ _ . Yeses No ❑ N/A ❑
B. Various Warden phones? . . . . . . . . . . . . . . .. Yes" "' No ❑ N/A ❑ C. Yes ❑ No ❑ N/A,,!l
C. Street fire alarm box? . . . . . .. . . . . . .. . . . . . Yes- No 0 N/A ❑
TOTAL (22) TOTAL (11)
No NrA
Section C: (V, VI) answered "NO" in Section C tails. SECTION C
Number of correct answers in this section is Number of incorrect answers is Number of N/A answers is
NYC-WTC 000166128
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