NYC 9/11 Public Portal Document
Candidate
Instructions to Inspector—If asterisk (*) items are marked “NO”, terminate the test immediately. See Section VIII for YES NO N/A
fuHher 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. Rep Fire Command? B. Q board status? *C. Notify Fire Department? D. Send runner to Alarm Box?
Yes No □ Yes 1 No □ n/aQ Yes'& No □ Yes [X No □
*E. Mak contact with floor Wardens tire floor *F. Make'announcements on G. Record information—all?
imrr diatelvabove? R^ystem?
Yes®, No □ N/A □
Ye^jA NoD N/A □ Yes Q No □
*H. Evacuate fire floor and floor above? I. Il FW to re-contact in safe area? *J. Activate fire brigade?
YsslS^ NoD Yes No □ Yes No □
*K. Ensdre'elevators recall? L. Shut MC7 M. Kee }y clear'and entrance doors unlocked?
Yes*^ No □ N/A □ Yes I No □ N/A □ Yes No □
*N. Reset Notification System or if System O. Perform—Make available Fire Safety Plan, *P. Describe—Silence Alarm?
out-of-service? Floor Plans, K^, engineer to NYCFD?
Yes'S?, No □ N/A □ Yes IXL No □ Yes KT No □ N/A □
* Q. /Wform—The FSD Candidate uses the PA System one floor states “This is only a test of the RA. System. The Floor Warden
should call back on the Floor Phono immediately to confirm that this message is clear.” Yes'® No □ 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: of F.S. Guidelines;
A. Elevators with common shafts?.................... Yes No □ N/A □ Does candidate know location/type of:
B. Elevator machinery room? ............................ Yes No □ N/A □ A. Special extinguishing systems within building? Yes' No □ N/A □
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)?.............. Yes No □ N/A □
elevator circuits? ............................................ Yes No □ N/A □ C. Auxiliary sources of lights or power?.......... Yes No □ N/A □
D. Identification of elevators and elevator bank? No □ N/A □
No □ N/A □ Standpipe systems (P. 14. Q. 10) of F.S. Guidelines;
E. Firemen's service elevators? ........................ Yes
Does candidate know location/type of;
Air Conditioning and Heating—(Page 15. of F.S. Gui jes): A. Risers and control valves?.......................... Yes No □ N/A □
A. Type of air conditioning system? Yes. L No □ N/A □
B. Procedure should system become inoperable? Yes No □ N/A □
B. Zones serviced by systems? ... Yes i No □ N/A □
C. Pump rooms? ............................................... No □ N/A □
C. Controls to activate movement? Yes No □ N/A □
D. Water supply controls? ................................ No □ N/A □
D. Electronic automatic detection controls? .... Yes No □ 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' 1 No □ N/A □ Does candidate know location/type of;
Sprinkler System (Page 14 Q 11) of F.S. Guidelines: A. Identification/location?........................ Yes No □ N/A □
B. Floors served?..................................... Yes'’ No O N/aO
Does candidate know location/type of;
A. Automatic or non-automatic systems?.......... Yes No J N/A L C. Pressurized stairs? ............................. Yes No □ N/A®
B. Main shut off?................................................ Yes No □ N/A E D. Access stairs (Open or Closed)? .... No □ n/S
C. Valves each floor? ........................................ Yesy . No □ N/A E
D. Valves for more than one floor?.................... Yes IL" ‘ No □ N/A E Other (Special Features, i.e. Atrium) (write
E. Area controlled by sprinkler system?............ Yes
I
No □ N/A E
F. Primary source of water?.............................. Yes '3i^No □ N/A E
question);
G. Fire pump? .................................................... Yes. . No □ N/A E Yes □ No □ N/A □
H. Six (6) extra sprinkler heads and wrench? .. Yes' No □ N/A E
A.
Alarm System: B. Yes □ No □ N/A □
Does candidate know location/type of:
No □ N/A □
A. Various alarm sending station? .. C. Yes □ No □ N/A □
B. Various Warden phones?............ No □ N/A □
C. Street fire alarm box?............ No □ N/A □
TOTAL (22) TOTAL (11)
No N/A Yes No N/A
Section C: (V, VI) 12 or more answered “NO” in Section C falls. SECTION C TOTAL (53)
Number of correct answers in this section is __~zJ_~Number of incorrect answers is . Number of N/A answers is
J
NYC-WTC_000168858
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