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 Vil):
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 to/Rre Command? B. Check board status? *C. NotifyRjOTJepartment? D. Send rprifwr to Alarm Box?
Yes No □ Yes in/No □ N/A □ Yes [JZ No □ Yes Q Np □
*E. Make contact ir Wardens on fire floor * F. Make antipuncements on G. Record information—all?
immi ily at^e? PASystefr??
_________ Yes No □ N/A □ Yas D^oQ N/A □ Yes’0 No El
*J. Activate W^rigade?
*H. Evacuate/' Tire floor and floor above?
Yes /No E]
I. Instruct EW to re-contact in safe area?
Yes 5^ No □ Yes£X NoU 3
*K. Ensure rflevators recall? L. Shut do^I A/C? M. Keep lob^clear and entrance doors unlocked?
Yes EZ No □ N/A □ Yes M No □ Yes Ox No □ 3
*N. Reset Notific^n System or if System O. Pertbrm—MtiliB available Fire Safety Plan, *P. Hence Alarm?
out-of-servip^
Yes [5 yilo □ N/A □
FloorPI^, K^, engineer to NYCFD?
Yes-W No □
*Q. Perform—The FSD Candidate uses the PA System on one floor states "This is only a test of thpd^A. System. The Floor Warden
No □ N/A □ 3
should call back on the Floor Phone immediately to confirm that this message is clear.” yes 'Q'^ No El N/A □
TOTAL (17)
VI. Building / /
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: ofjF.S. Guidelines:
o
A. Elevators with common shafts? .................... Yes -ua^canflkMwknow location/type of:
l^^ptoaLfe/finguishing systems within building? Yes 0 □ N/A □
B. Elevator machinery room? ............................ Yes No
C. Operation of control necessary to deactivate ^^Extinguishing systems location(s)?.............. Yes , 1^ N/A □
elevator circuits?............................................ Yes □ C. Auxiliary sources of lights or power?.......... Yes No □ N/A □
D. Identification of elevators and elevator bank? Yes na□ / E
E. Firemen’s service elevators? Yes P N/A □
Standpipe systems (P. 14, Q. 10) of F.S. Guidelines:
Does candidate know location/type of:
Air Conditioning and Heating—(Rage 15, of F.S. Guidelii
A. Risers and control valves?........ .................. Yes No N/A □
A. Type of air conditioning system?.................. Yes
B. Procedure should system become inoperable? Yes □ N/A □
B. Zones serviced by systems?.......................... Yes
C. Pump rooms? ............................................... Yes N/A □
C. Controls to activate movement?.................... Yes
D. Water supply controls? ................................ Yes No □ N/A □
D. Electronic automatic detection controls? .... Yes
E. Type, location and controls of heating systems? Yes Stairways (P. 13, Q. 5) of F.S. Guidelines:
F. Smoke shaft location and operation? Yes Does candidate know location/type of;
Sprinkler System (Page 14 Q 11) of F.S. Guidelines: A. Identiflcation/location?........................ Yes ■No □ 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)? .. .. No □ N/A □
C. Valves each floor? ......................................... Yes 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 N/A question);
F. Primary source of water? .............................. Yes N/A
G. Fire pump? ..................................................... Yes -No L_ N/A
H. Six (6) extra sprinkler heads and wrench? .. Yes No E N/A
A. Yes No □ N/A □
Alarm System: B. Yes No □ N/A □
Does candidate know location/type of;
A. Various alarm sending station?.................... Yes "□ n/aO C. Yes No □ N/A □
B. Various Warden phones?............................... Yes □ N/A □
C. Street fire alarm box?..................................... No Q, N/A _____________ /
TOTAL (11) // X
TOTAL (22)
Yes /fto Zm
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_000168833
OCR can misread numbers and units. Confirm readings against the page image before using them.