Fire Safety Plan, 7 World Trade Center, April 1988

NYC 9/11 Public Portal Document

Instructions to Inspectors—All boxe^B this form must have an answer. Answe a “NO” answers to a “V” mandate' Violation Oraer, “NO” answers to a mandate automatic failure. Check “YES” “NO” or “N/A”.

ON SITE EXAM FOR FIRE SAFETY DIRECTOR—OFFICE 2 01 Inspector ame of Canriirinte (Print las, name, firs, name) Office Address 7 of Examination 4—

Instructions to Inspectors—If any asterisk (*) items are marked “NO”, terminate the test Immediately. See Section VIII for YES NO WA further Information. I. Physical Requirements—Does candidate have ability to: *A. Speak and understand English? *B. Hear spoken words over a telephone? *C. Possess necessary vision? (with corrective devices) (corrective devices acceptable) Yes □ No □ Yes □ No □ YesO Non Building Instructions to Inspector—If any violation (V) items are marked “NO”, issue a Violation Order at the end of the Test. Test must proceed. II. Records: V. A. Fire d^records current? I v. B. Fireimenjs^ervicr /s irvice Elevator Test Records current? v. C. Keys at Fire Command Station? Yes 0 No □ Yes [^noD n aq n / Yes• No □ N/A □ V. D. Fire Safety Plan and building floor V. E. A current list of all floor Wardens and phone v. F. Master window keys available? 3 plan at Fire Command Station? numbers-at Fire Command Station? Yes 0^ No Q Yes 0^ No □ x- Yes □ No □ N//V0*^ c V. G. Building current in actual Fire Drills? (*if over 3 months) YesM NoD _________________________________________________________________________ ___________________________ TOTAL (7) Instructions to Inspector—If any violation (V) items are marked “NO”, issue a Violation Order at the end of the Test. Test must I Proceed. III. a. Specific Building Inspection: // Special Instructions—Choose one floor for the general floor inspection FLOOR Building Inspection—Signs and Charts— V. A. Are stajpitfays properly lettered? V. B. Are ffoofs^roperly numbered? V. C. IsfloordiagrarTiposted? Yes M No □ Yes 0*^ No □ Yes No □ V. D. Are stairways re-entry V. E. Are elevators properly lettered on each V. F. Is floor diagram properly oriented? siahAlSosted? elevate bank? Yes-0^0 □ Yes Id No □ N/A □ Yes No □ N/A □ V. G. Is elevator sign "In Case of Fire, V. H. Are exit doors unlocked, closed and V. I. Fire Drill Organization Charts Use Staix8**'posted? unobstruot^? postedJrfid current? Yes 0 No □ N/A □ Yes No □ Yes 0 No □

III. b. Building Inspection—Signs and Charts—Choose one floor for the general floor inspection TOTAL (9) 2 V. A. Are ays properly lettered? V. B. Are ffoope-properly numbered? V. C. Is floor diagram posted? Yes No □__________ _ V. D. Are stairways re-entry Yes0 NoD________ ___ V. E. Are elevatois properly lettered on each Yes 0^ No □_______ V. F. Is floor diagram properly oriented? 3 sioQs^sted? Yes 0 No □ N/A □ V. G. Is elevator sign "In Case of Fire, elevator^ank? Yes A No □ N/A □ V. H. Are exit dpors unlocked, closed and Yes No □ V. I. Fire Drill Organization Charts 3 4 Use posted? unob^nidted? postedafxfcurrent? Yes 0^ No □ N/A □ Yes 0 No □ Yesjd No □ _________________________________________________________________________________ ____________________ TOTAL (9) IV. Instructions to Inspector—If four (4) or more items below are marked “NO”, the inspector must issue a Violation Order at the end of the test. Test must proceed. This next part must proceed with contacting a Floor Warden within the Building. Read the following statement to the Warden—‘In the event of a fire on this floor, explain which specific actions must be taken by you.” FLOOR WARDENS:

NAME OF FLOOR WMibEN CONTACTED FLOOR fcHbSEN TELEPHONE NUMBER Does Floor Warden have knowledge"^of: ________________________ A. Positionyftirinq Are drill or emergency? I B. Notificatjen procedures? C. Location alarm boxes? Yes Id No □ I Yes 0 No □ YesS"^ No □ N/A □ D. Evacuatipd location? E. Evacuatfop^rocedures? F. Numbei^exits on floor? G. Exam^g for exits on floor? Yes 0^ No □ Yes Cd No □ Yes No □ Yes 0 No □________ H. Reporting^whether smoke or Fire? I. Dufies ofJJepuN Fire Warden and Searchers? V. J. Werefiro drills conducted? Yes No □ Yes No □ Yes No □ 3 *K. Floor wardens in numerous floors properly trained?

Section B: (II, III, IV) Yes 0*" No □

8 or more answered “NO” in Section B fails. Number of correct answers in this section is . Number of incorrect answers is TOTAL (11) SECTION B TOTAL (36) 2 Number of N/A answers is «25-M 16fl70250.3fl254>

NYC-WTC_000168792