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.RISE UNIT OFFICE INSPECTION/SURV
DATE: __________
INSPECTOR: `,_ .
BUILDING PROFILE /
/~ fl TOTAL .
ADDRESS ~ --~~ "LL12 III-
NO. OF S7ORIES II7HT. IN FT. a so.
OWNER/AGENT C` Pi /PREMISE TEL. NO. -~ J 4
CLASS "E" FACS; MANUFACTURER MODEL NO.
APPROVED CENTRAL STATION ALARM CO. _ 1/ OF SMOKE DETECTORS
F.S.D. ON DUTY C OF F NO.d2 EXPIRES
SPRINKLER SYSTE : FULLY I PARTIAL (AREA PROTECTED)
CENTRAL A/C __JLL STAIR PRESSURIZATION ACCESS STAIRS (FLS 23, 3
ADDITIONAL INFO (MAIL CONVEYORS, SPECIAL OCCUPANCIES, ETC.)
N/A YES NO SUMMONS/
A. FIRE-SAFETY DIRECTOR AND DEPUTY FIRE SAFETY DIRECTORS: Nov #
1. ON DUTY (SUMMONS IF NO 27-4267) -
2. DEPUTY FSD(S) NO. CERTIFIED FOR PREMISE ( ' 5 )
3. BUILDING EVACUATION SUPERVISOR (DESIGNATED AND TRAINED
AS PER FSP) ( R -
4. FIRE BRIGADE (PRESENT IN BUILDING AND TRAINED)
B. CLASS "E" ALARM SYSTEM:
1. INSTALLED (27-4267.1) ( ) MAINTAINED (27-4265) ( ) .... ....
2. IF 100' OR MORE, LETTER OF APPROVAL (FD ELEC. UNIT)
C. ALARM TEST (NOTIFY BORO DISP. BEFORE TRANSMITTING ALARM):
1. SYSTEM ON-LINE
IF OFF-LINE FOR APPROVED REASON:
a. FIRE COMMAND STATION MANNED AT ALL TIMES m j yi /
b. LOG BOOK MAINTAINED .. .
2. FLOOR WARDEN PHONE OPERATIONAL (FL. NO. t
3. P.A. SYSTEM AUDIBLE (FL. NO. I21 / J
4. MANUAL ALA M_ TRANSMITTED TO BORO CENTRAL OFFICE
DISP. NO. ( j )) ELAPSED TIME (IN MINUTES) TO RECEIVE ( ) C-_-
- IF ALARM IS NOT RECEIVED BY BORO CENTRAL OFFICE OR IF
CENTRAL STATION COMPANY CALLS PREMISE BEFORE TRANSMITTING
ALARM TO BORO CENTRAL OFFICE, FORWARD REPORT TO CHIEF IN
CHARGE OF BUR. OF COMMUNICATIONS.
I 5. F.S.D. PROFICIENT IN OPERATION OF F.A.C.S. SYSTEM..
FIRE SAFETY PLAN:
1. APPROVED F.S.P
2. ALL SECTIONS CURRENT AND CORRECT
3. COPY KEPT AT FCS __. _
4. COPY OF FLOOR PLANS ATTACHED TO FSP
5. APPLICABLE PARTS OF FSP DISTRIBUTED TO TENANTS
E. FIRE COMMAND STATION:
1. ELEVATOR KEYS (6) __ L. f--
2. WINDOW KEYS (12 IF APPLICABLE)_ -_
3. LIST OF FLOOR WARDENS AND TELEPHONE NO's ~~
4. SYSTEM OF DAILY NOTIFICATION OF WARD NS '_
5. COMMUNICATION FROM FCS TO: MER ( ) ELEV. MACH. ROOM
TO REGULARLY ASSIGNED LOCATION OF FSD ( ,yam _.
NYC-WTC 000166132
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NYC-WTC_000166132Source: NYC Law Department, mirrored locally