NYC 9/11 Public Portal Document
: Candidate
Instructions to Inspector—If any asterisk (*) items are marked “NO”, terminate the test immediately. See Section VIII for YES 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. 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 knowledge to:
*A. Report t/ Fire Command? B. Check-ward status? *C. NotifyEffe Department? D. Send ruprfer to Alarm Box?
Yes O' No □ Yes No □ N/A □ Yes □ No □ Yes [3 No O
* E. Make contact wWt floor Wardens on fire floor * F. Make announcements on G. Record information—all?
immediately a^ve? PAS^em?
Yes 0^No □
Yes I44 No □ N/A □ Yes 0 No □ N/A □
*H. Evacuat^re floor and floor above? I. Instruct RaHo re-contact in safe area? *J. Activate/lre brigade?
Yes □/ No □ Yes [Jz No □ Yes M No □
* K. Ensureeievators recall? L. Shut doywCA/C? M. Keep li 5y clear and entrance doors unlocked?
Yes Ed No □ N/A □ Yes 0^ No □ N/A □ Yes E No □
*N. Reset NotiJiCation System or if System O. Make avajiable Fire gafety-Elan, * P. Describe—Silence Alarm?
out-of-sp/vice?
Yes 0 No □ N/A □
''yoor
VtesT
' ''
No □
..................
NYCFD? J>
Yes No □ N/A □ 3
*Q. Perform—The FSD Candidate uses the PA System on one floor states “This is only a test of theXA. System. The Floor Warden /
should call back on the Floor Phone immediately to confirm that this message is clear.” yei No □ N/A □
VI. Building
TOTAL (17)
/ /
n
Instructions to Examiner—Verify 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, Q 7 of F.S. Guidelines): Special Extinguishing System (P. 14, Q. 2) & Lighting Equipment (P. 15, Q. 16)
Does candidate know location/type of: of F.S. Guidelines; ,
Yesr^^^^/^ I
Does candidate know location/type of: /z
A. Elevators with common shafts? .................... □ N/A □
B. Elevator machinery room? ............................ Yes Cd X) I□ N/A □ A. Special extinguishing systems within building? Yes ^o □ N/A □
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)? .............. Yes Io □ N/A □
elevator circuits?............................................ Yes □ N/A □ C. Auxiliary sources of lights or power?.......... Yes. No □ N/A □
D. Identification of elevators and elevator bank? Yes No □ N/A □
E. Firemen’s service elevators? Yes □
N/A □ Standpipe systems (P. 14, Q. 10) of F.S. Guidelines:
Does candidate know location/type of:
Air Conditioning and Heating—(Page 15, of F.S. Guideline^ A. Risers and control valves?.......................... Yes □ N/A □
A. Type of air conditioning system?.................. Yes □ N/A □ B. Procedure should system become inoperable? Yes □ N/A □
B. Zones serviced by systems?.......................... Yes □ N/A □ Yes □ N/A □
C. Pump rooms? ...............................................
C. Controls to activate movement? .................... Yes Q/ Io □ N/A □
D. Water supply controls? ................................ Yes No □ N/A □
D. Electronic automatic detection controls? .... Yes 0/ □ N/A □
E. Type, location and controls of heating systems? Yes No □ N/A □ Stairways (P. 13, Q. 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 □ N/A □
Does candidate know location/type of: B. Floors served?.................................... Yes □ N/A □
A. Automatic or non-automatic systems?.......... Yes □ N/A □ C. Pressurized stairs? ............................ Yes □ N/A □
B. Main shut off?................................................ Yes □ N/A □ D. Access stairs (Open or Closed)? .. .. Yes □ N/A □
C. Valves each floor? ........................................ Yes Io □ N/A □
D. Valves for more than one floor?.................... Yes □ N/A □ Other (Special Features, i.e. Atrium) (write
E. Area controlled by sprinkler system?............ Yes Io □ N/A □ question):
F. Primary source of water?............................... Yes Io □ N/A □
G. Fire pump? ..................................................... Yes No □ N/A □ A. Yes N/A □
H. Six (6) extra sprinkler heads and wrench? .. Yes No □ N/A □
Alarm System: B. Yes N/A □
Does candidate know location/type of:
A. Various alarm sending station? .. Yes □ N/A □ C. Yes. No □ N/A □
B. Various Warden phones? ............ Yes □ 1^ □
C. Street fire alarm box?.................. Yes. No □ yN/A^
TOTAL (11) //
TOTAL (22)
Yes /No /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_000168828
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