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 Vli):
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 ail 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. Repqrtto Fire Command? B, Check board status? *C. Notify Rre Department? D. Send^ner to Alarm Box?
Yes 0 No □ Yes iM No □ N/A □ Yes QZ No D Yes E No D
*E. Make contact ith floor Wardens on fire floor * F. Make announcements on G. Record information—all?
immediately i P^ystem? f
Yes 0 No □ N/A □ 1 Yes 0 No O N/A □ Yes □ No 0^
*H. Evacua<fe fire floor and floor above? I. Instruct FW to [gpontact in safe area? *J. Activat^ire brigade?
Yes B No □ Yes □ No Yes M No □
* K. Ensure elevators recall? L. Shut d^n AJC? M. KeeplpDby clear and entrance doors unlocked?
Yes lU No □ N/A □ Yes M No □ N/A □ Yes 0 No D
*N. Reset Notification System or if System O. Perform—^ake available Fire Safety Plan, * P. Describe—Silence Alarm?
out-of^^ice? FloorPlems, Keys, engineer to NYCFD?
Yes [M No □ N/A □ Yes H No □
Yes [0^ No □ N/A □
J?
*Q. Perform-^he FSD Candidate uses the PA System on one floor states “This is only a test oft/e P.A. System. The Floor Warden
should call back on the Floor Phone immediately to confirm that this message is clear." vesilZf No LI N/A □
/
TOTAL (17) 6
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 0 No □ N/A U Does candidate know location/type of:
B. Elevator machinery room? .... ............ Yes O' No □ N/A I. J A. Special extinguishing systems within building? Yes 0 No D LI N/A LUL
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)? . Yes □ Xo □ N/A lU
[Zl/No □
elevator circuits? ............................................. Yes 0/l N/A □ C Auxiliary sources of lights or power? Yes QZ No
No □ N/A □
D. Identification of elevators and elevator bank? Yes ^noD 0/ n/aL
E. Firemen’s service elevators? Yes 0 No □ N/A O Standpipe systems (P. 14, Q. 10) of F.S. Guidelines;
Does candidate know location/type of:
Air Conditioning and Heating—(Page 15, of F.S. Guidelin^): Yes No □
A Risers and control valves? .......................... N/A □
A. Type of air conditioning system? .................. Yes 0/ No
No Lj
□ N/A □
No [^N,l/A Li
B. Procedure should system become inoperable? Yes No □ N/A □
B. Zones serviced by systems?........................... Yes Yes 0^0
C. Controls to activate movement?.................... Yes No 0 N/A □
C. Pump rooms? .............................................. □ N/A □
D. Water supply controls? ................................ Yes 0 Ni
No □ N/A □
D. Electronic automatic detection controls? .... Yes No N/A □
E. Type, location and controls of heating systems? Yes ffl No 0/N/A IL Stairways (P. 13, Q. 5) of F.S. Guidelines:
F. Smoke shaft location and operation? Yes □ No 0 N/A iST Does candidate know location/type of:
Sprinkler System (Page 14 Q 11) of F.S. Guidelines: A, Identification/location?........................ Yes No □ N/A □
Does candidate know location/type of: B. Floors served? .................................... Yes 0 No □ N/A
A. Automatic or non-automatic systems?.......... Yes il^NoD N/aL C. Pressurized stairs? .......................... . Yes O/No □ N/A 0
B. Main shut off?................................................. Yes 3r No □ N/A □ D Access stairs (Open or Closed)? .... Yes Ba No □ N/A □
C. Valves each floor? ......................................... Yes No □ N/A □
D. Valves for more than one floor?.................... Yes No □ N/A □ Other (Special Features, i.e. Atrium) (write
E. Area controlled by sprinkler system?............ Yes ^No □ N/A □ question):
F. Primary source of water? ............................... Yes No □ N/A □
G. Fire pump? ..................................................... Yes M No □ N/A □
H. Six (6) extra sprinkler heads and wrench? . . Yes aZ No □ N/A □ A, Yes □ No □ N/A □
Alarm System: Yes □ No □ N/A □
Does candidate know location/type of:
A. Various alarm sending station? . . Yes
0^No □ N/A
N/A □
□
C. Yes □ No □ N/A □
B. Various Warden phones?............. Yes Q/No □ N/A □
C. Street fire alarm box?................... Yes 0 No □ N/A □
TOTAL (22)
No
TOTAL (11) T
Yes 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
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