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. Reporyo-T^ire Command?
‘ YesM No □
B. Checl$xbbard status?
Yes^ No □
*E. Make contact with floor Wardens on fire floor
N/A □
*C. NotifyFire Department?
Yes,0^ No □
* F. Make announcements on G. Record information—all?
D. Send rgwrier to Alarm Box?
Yes^ No □
£
immediately abov6?
Yes No □ N/A □ Yes
PAJySfem?
No □ N/A □ ,1^ N- 2
Yes 0^ No □ 3
*H. Evacuatpx ffre floor and floor above?
Yes-a No □
*K. Ensureele^ators recall?
I. InstructFW to re-contact in safe area?
Yes 0^ No □
L. Shutd^A/C?
*J. Activate^'brigade?
Yes-S”^ No □
M. Keepjo0by clear and entrance doors unlocked?
5
Yes id No □ N/A □ Yes 0 No □ N/A □ Yes 0'^ No □
*N. Reset Notification System or if System O. Perform— Make available Fire Safety Plan, * P. Describe— Silence Alarm?
out-of-!
Yes E No □ N/A □
FloorPJarlC Keys, engineer to NYCFD?
YesC No □ Yes 0'^0 □ N/A □ J
*Q. Perform—The FSD Candidate uses the PA System on one floor states "This is only a test of th^rA. System. The Floor Warden
should call back on the Floor Phone immediately to confirm that this message is clear.” yes No Q 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 (R 14, Q. 2) & Lighting Equipment (R 15, Q. 16)
Does candidate know location/type of; of P.S. Guidelines:
A. Elevators with common shafts?.................... Yes o □ n/aD Does candidate know location/type of:
B. Elevator machinery room? ............................. Yes No □ N/A □ A. Special extinguishing systems within building? Yos,0^ No Q «2An
C. Operation of control necessary to deactivate Yes 0^0 □ B. Extinguishing systems location(s)?.............. Yes Dno 0 N/A □
elevator circuits? ............................................. x/aD C. Auxiliary sources of lights or power?.......... Yes>0'^ No Cl N/A □
D. Identification of elevators and elevator bank? Yes Q No n/aD
^NoO n/aD 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. Guidelir^: n/aQ
A. Type of air conditioning system?.................. Yes^Q^o D N/A □ A. Risers and control valves?...........................
B. Procedure should system become inoperable? N/A □
B. Zones serviced by systems?........................... Yes, □ n/aD C. Pump rooms? ............................................... n/aO
C. Controls to activate movement?.................... Yes ,No O N/aQ n/aD !
D. Water supply controls?.................................
D. Electronic automatic detection controls? .... Yes, lioD n/aD
E. Type, location and controls of heating systems? No □ N/A □ Stairways (R 13, Q. 5) of F.S. Guidelines;
F. Smoke shaft location and operation?............ Yes □ No □ Does candidate know location/type of:
Sprinkler System (Pago 14 Q 11) of F.S. Guidelines: A. Identification/location?......................... Yes □ N/A □
Does candidate know location/type of; B. Floors served?..................................... Yes Io □ n/aD
A. Automatic or non-automatic systems?.......... Yes N/A C. Pressurized stairs? ............................. Yes No □ N/A □
B. Main shut off?................................................. 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? ..................................................... N/A Yes n No □ N/A D
No E A.
H. Six (6) extra sprinkler heads and wrench? .. Yf N/A
Alarm System: B. Yes □ No □ N/A □
Ooes candidate know location/type of:
A. Various alarm sending station? .. □ n/aC C. Yes □ No □ N/A □
B. Various Warden phones? ............ Yes □ N/A Cl
C. Street fire alarm box?.................. Yes _ No □ N/A □
TOTAL (22)
Yes
_L
No hUA
TOTAL (11)
No N/A
Section C: (V, VI)12 pr lie 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_000168863
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