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 tire 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:
*WRep^j^FireCommand? B. Ch( ird status? *C. Notify FipZUepartment? D. Sendr^er to Alarm Box?
Yes No □ Yes 1! No □ N/A □ Yes 0^ No □ Yes 0'^^ No □
*E. Make contact fjlh floor Wardens on fire floor * F. Make announcements on G. Record information—all?
immediately PAS^m?
/
Yes 0 No □ N/A □ Yes No □ N/A □ Yes □ No
*H. Evacj^ts' fire floor and floor above? I. Instruct R/V to re-contact in safe area? *J. Activate hsd" brigade?
Yes M No □ Yes 10^ No D Yes Ifir No □
*K. Ensure tors recall? L. Shut down /VC? M. Keep lobby clear ^d entrance doors unlocked?
Yes 5X No □ N/A □ Yes No □ N/A □ Yes □ No /
* N. Reset Notification System or if System O. Perform— ^ke available Fire Safety Plan, * P. Describe—Silence Alarm?
out-oFswice? FloonPIprtC Keys, engineer to NYCFD?
Yes &^o □
Yes Ik No □ N/A □ Yes M No □ N/A □
*Q. Perform—^he FSD Candidate uses the PA System on one floor states "This is only a test of the RA. System. The Floor Warden
should call back on the Floor Phone immediately to confirm that this message is clear.” yes No □ N/A □ z
TOTAL (17) 4)
Vl. 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 0^0 □ N/A □ Does candidate know location/type of:
B. Elevator machinery room? ............................ Yes H No □ N/A □ A. Special extinguishing systems within building? Yes □ N/A □
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)?.............. Yes □ n/aD
elevator circuits?............................................ Yes
^ No □ N/A □ C. Auxiliary sources of lights or power?.......... Yes No □ N/A □
D. Identification of elevators and elevator bank? Yes B/No □ N/A □
E. Firemen’s service elevators? Yes B No □ N/A □ Standpipe systems (R 14, Q. 10) of F.S. Guidelines:
Does candidate know location/type of:
Air Conditioning and Heating—(Page 15, of F.S. Guidelini
A, Risers and control valves? .......................... Yes □ N/A □
A. Type of air conditioning system?.................. Yes k_l ,No □ N/A □ B. Procedure should system become inoperable? Yes □ N/A □
B. Zones serviced by systems?.......................... Yes 0^.No □ N/A □
C. Pump rooms? .............................................. Yes □ n/aD
C. Controls to activate movement?.................... Yes No □ N/A □
Yes ^No □ N/A □ D. Water supply controls? ................................ Yes □ N/A □
D. Electronic automatic detection controls? .
E. Type, location and controls of heatings^sfo^s^ Yes 0/No □ N/A □ Stairways (R 13, Q. 5) of F.S. Guidelines:
F. Smoke shaft location and operationp^^^^'^ Yes [2 No n N/A □ Does candidate know location/type of:
0^No □ N/A □
Sprinkler System (Page 14 Q 11) of F.Si^ felines: A. Identification/location?........................ Yes
Does candidate know location/type of: ^^No □ N/A □ B. Floors served? .................................... Yes W No □ N/A □
A. Automatic or non-automatic systems? Yes C. Pressurized stairs? ............................ Yes □ loD N/A 23^
B. Main shut off?.................................... Yes BCno □ N/A □ D. Access stairs (Open or Closed)? . . . . Yes B* No □ N/A n
C. Valves each floor? ............................ Yes BX No □ N/A □
D. Valves for more than one floor?........ Yes Io □ N/A □ Other (Special Features, i.e. Atrium) (write
E. Area controlled by sprinkler system? . Yes M/No □ N/A □ question):
F. Primary source of water? .............................. Yes QXno □ N/A □
G. Fire pump? .................................................... Yes 'No ,□ N/A □ A. Yes No □ N/A □
H. Six (6) extra sprinkler heads and wrench? .. 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?.................. Yes □ n/aD
TOTAL (22)
Yes No N/A
TOTAL (11)
No
I
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
X / yr- A - 6
/ - C/ - /■
/Z X
- a-
NYC-WTC_000168904
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