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. /\gain
make no assumptions of any actions taken and start at the beginning.”
Did FSD have knowledge to:
*A. Report toZire Command?
Yes Gr No CH
*E. Mako contact
immediately a
B. Check
Yes
Hrfloor Wardens on fire floor
ve?
ird status?
No □ N/A □
*C. Noti
Yes
*F. Make
Department?
No □
inouncements on
D. SendruZier to Alarm Box?
Yes Ez No □
G. Record information—all?
2:'
Yes0 No □ N/A □ Yes CZ No □ N/A □ Yes
*H. Evacuaty'fire floor and floor above? I. Instruct BWto re-contact in safe area? *J. Activate/if^ brigade?
Yes sy Yes No □ / Yesiy No □
*K. Ensur^ irs recall? L. ShutI down A/C? M. KeeplolsBy clear and entrance doors unlocked?
Yes SZ No □ N/A □ Yes IQZ No □ N/A □ Yes H No □
*N. Reset N ication System or if System O. Perform—i^ake available Fire Safety Plan, *P. Dei ilerjce Alarm?
OUt-OfjMirvice? Floor Pl^s, K^, engineer to NYCFD?
YesC] No □ N/A □ Yes O' No □ Yes No □ N/A □
*Q. Rsrform—The FSD Candidate uses the PA System on one floor states "This is only a test of th^.A. System. The Floor Warden
should call back on the Floor Phone immediately to confirm that this message is clear.” yes Ey No Q n/aD
TOTAL (17)
VI. Building 4 /
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:
A. Elevators with common shafts?.................... Yes Q N/A □ Does candidate know location/type of;
B. Elevator machinery room? ............................ Yes □ N/A □ A. Special extinguishing systems within building? na □ / D
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)?.............. Yes^ Q n/aD
elevator circuits? ............................................ Yes N/A □ C. Auxiliary sources of lights or power?.......... Yes No □ N/A □
D. Identification of elevators and elevator bank? Ye No □ N/A □
Yes □ N/A □ Standpipe systems (P. 14, Q. 10) of F.S. Guidelines:
E. Firemen’s service elevators?
Does candidate know location/type of:
Air Conditioning and Heating—(Page 15, of F.S. Guideh^).
A. Risers and control valves?.......................... □ N/A □
A. Type of air conditioning system? .................. Yes □ N/A □ B. Procedure should system become inoperable? Ye □ N/A □
B. Zones serviced by systems?.......................... Yes □ N/A □ C. Pump rooms? .............................................. No □ N/A □
Yes
C. Controls to activate movement?.................... Q N/A □ Yes
D. Electronic automatic detection controls? .... □ N/A □ Yes 0/Ni D. Water supply controls? ................................ Yes No □ N/A □
E. Type, location and controls of heating systems? Yes ly^o □ 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/aD
B. Main shut off?................................................ Yes N/A D. Access stairs (Open or Closed)? .... Yes'" 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 N/A
A. No N/A □
H. Six (6) extra sprinkler heads and wrench? .. Yes N/A
Alarm System: B. No □ N/A □
Doos candidate know location/type of:
A. Various alarm sending station? .................... Yes □ N/A □ C. Ye No □ N/A □
B. Various Warden phones? .............................. Yes 0 □ N/A □
C. Street fire alarm box?.................................... No □ N/A □
TOTAL (22) TOTAL (11)
IS No N/A 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_000168837
OCR can misread numbers and units. Confirm readings against the page image before using them.