M117.8 68-9011524
HI-RISE UNIT OFFICE INSPECTION/SURVEY
DATE: -,_____19q(
INSPECTOR:
BUILDING PROFILE
~-- TOTAL
ADDRESS ` _ _ NO. OF STORIES HT. IN FT. d _ SQ. FT.
OWNER/AGENT -r ~, PREMISE TEL. NO. f .C .
CLASS "E" FACS; MANUFACTURER f~ 2 MODEL NO. J-
APPROVED CENTRAL STATION ALARM CO.
F.S.D. ON DUTY 41'. C OF F NO.6/ 4U ° 3"„ EXPIRES - 4A +f
SPRINKLER SYSTEM: FULLY !.~ PARTIAL (AREA PROTECTED)
4 -l/
CENTRAL A/C_d4, STAIR PRESSURIZATION ACCESS STAIRS (FLS)°,-3t I(-i
ADDITIONAL INFO (MAIL CONVEYORS, SPECIAL OCCUPANCIES, ETC.)
N/A YES NO SUMMONS/
N0V #
A. FIRE SAFETY DIRECTOR AND DEPUTY FIRE SAFETY DIRECTORS:
1. ON DUTY (SUMMONS IF NO 27-4267)
2. DEPUTY FSD(S) NO. CERTIFIED FOR PREMISE ( )
/v
3. BUILDING EVACUATION SUPERVISOR (DESIGNATED AND TRAINED
1.
AS PER FSP)
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) ~ OF
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 C1 7 - a73
b. LOG BOOK MAINTAINED
2. FLOOR WARDEN PHONE OPERATIONAL (FL. NO. )
3. P.A. SYSTEM AUDIBLE (FL. NO. ) II
4. MANUAL ALARM TRANSMITTED TO BORO CENTRAL OFFICE
DISP. NO. ( ) ELAPSED TIME (IN MINUTES) TO RECEIVE ( )
IF ALARM IS NOT RECEIVED BY BORO CENTRAL OFFICE OR IF
CENTRAL STATION COMPANY CALLS PREMISE BEFORE TRANSMITTING 7 v it.? U G f
ALARM TO BORO CENTRAL OFFICE, FORWARD REPORT TO CHIEF IN %'C. ^'-
CHARGE OF BUR. OF COMMUNICATIONS. 1
5. F.S.D. PROFICIENT IN OPERATION OF F.A.C.S. SYSTEM
D. FIRE SAFETY PLAN:
1. APPROVED F.S.P.
2. ALL SECTIONS CURRENT AND CORRECT /ic'--' IJct_ .- 17 Niv
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)
2. WINDOW KEYS (12 IF APPLICABLE)
3. LIST OF FLOOR WARDENS AND TELEPHONE NO.'S
4. SYSTEM OF DAILY NOTIFICATION OF WARDENS
5. COMMUNICATION FROM FCS TO: MER ( ) ELEV. MACH. ROOM ( )
TO REGULARLY ASSIGNED LOCATION OF FSD ( )
NYC-WTC 000166203
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NYC-WTC_000166203Source: NYC Law Department, mirrored locally