N/A YES NO SUMMONS/
NOV#
F. RECORDS:
1. FIRE DRILLS Ci )NDUCTED AND RECORDED (DATE OF LAST (2I6ry3 )
2. SMOKE DETEC TORS CLEANED AND TESTED, LOG MAINTAINED
3. ALARM LOG BC IOK MAINTAINED
4. MONTHLY TESL RECORD OF FIREMEN'S SERVICE ELEVATORS
5. MONTHLY TESL RECORD OF CLASS "E" F.A.C.S.
6. MONTHLY TESL RECORD OF FIRE PUMPS (IF REQUIRED)
7. MONTHLY TES1 RECORD OF EMERGENCY GENERATOR (IF REQUIRED)
8. MONTHLY RECi )RD OF SPRINKLER INSPECTION
9. MONTHLY RECI )RD-OF STANDPIPE INSPECTION
G. FIRE PROTECTION SYSTEMS: n ' ,..
1. C OF F SPRIN (LEA ( ) NAME ~Sp~ NO. ~Go
2. SPRINKLER VAI VE SEALED OPEN (SUMMONS IF CLOSED)
3. SPRINKLER SI/ ,MESE SWIVEL ( ) UNOBSTRUCTED ( )
SIGN IF REQUII ED( )
4. C OF F STANDF 'IPE ( ) NAME MJS`JP lJ NO. ~6Y~jp5`3~
5. STANDPIPE VAL VES SEALED OPEN
6. STANDPIPE SIA MESE: SWIVELS ( ) UNOBSTRUCTED ( )
7. EXTINGUISHEF S PROPERLY HUNG AND DISTRIBUTED
8. EXTINGUISHEF S TAGGED: DATE OF LAST INSPECTION ( )
H. SIGNS:
1. ELEVATOR: LET TER DESIGNATION ( ) FL. DIAGRAM ( )
"IN CASE OF FIRE USE STAIRS" ( )
2. STAIR: FLOOR I JO. ( )
LETTER DESIG VATION-OCCUPANCY SIDE ( ) STAIR SIDE ( )
3. RE-ENTRY SIGI IS POSTED
4. EXIT AND DIRE CTIONAL SIGNS ILLUMINATED
5. ORGANIZATION AL CHARTS POSTED AND ACCURATE
I. GENERAL:
1. CERTIFICATE C F OCCUPANCY POSTED
2. ALL AREAS FR EE OF RUBBISH
3. PAPER RECYCI .ING HAMPERS STORED IN PROPER LOCATION
(NOT IN HALL AYS OR ELEVATOR LOBBIES)
4. STAIRWAY DOC AS OPENABLE AT ALL TIMES (OCCUPANT SIDE)
(IF NO: APPRO ✓ED BY D.O.B. CONNECTED TO CLASS "E"
5. RE-ENTRY PRC IVIDED WHERE REQUIRED
a. FAIL SAFE YSTEM ( ) INDICATE FLS. (
6. IF SHAFTS PRE :SENT (i.e., ELEC. CLOSETS) ARE THEY FIRESTOPPED
7. FLOOR WARDE NS, DEPUTY WARDENS, AND SEARCHERS TRAINED
a. FLOORS CH ECKED (
8. FLAMMABLES/I .'OMBUSTIBLES PROPERLY STORED
a. LOCATION
J "V
NOV TOTAL SUMMONS
REMARKS: NO e' TOTAL ITEMS TOTAL
INSPECTOR'S SIGNATURE
NYC-WTC 000166181
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000166181Source: NYC Law Department, mirrored locally