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. /Kgain
make no assumptions of any actions taken and start at the beginning.”
Did FSD have knowledge to:
*A. Reportto^ire Command?
Yes EI No □
B. Checl^ard status?
Yes 0 No □ N/A □
’‘C. NotifyRrd'Department?
Yes 0 No □
D. Send runner to^fm Box?
Yes □ No X 2 I
* E. Make contact with floor Wardens on fire floor * F. Make announcements on G. Record information—all?
immediatel /
Yes No □ N/A □ Yes No □ N/A □ Yes □ NoZf &
*H. Evacu^fife floor and floor above?
YesZl No D
I. Instruct FW to re-contact in safe area?
Yes.n No,M
*J. Acti
Yes.
e brigade?
No □ z.
*K. Ensure^
Yes M No □
irs recall?
N/A □
*N. Reset Notification System or if System
L. Shut dowp- A/C?
Yes No □ N/A □
O. Perform—Make available Fire Safety Plan,
M. Keep^by clear and entrance doors unlocked?
Yes 0 No 0
* P. Describe—Silence Alarm?
3
out-of-sepffoe?
Yes CZ No □ N/A □
Floor Plans,
Yes □ No
j'ngineer to NYCFD?
Yes 0^ No □ N/A □
*Q. Perform-The FSD Candidate uses the PA System on one floor states “This is only a test of tW P.A. System. The Floor Warden
2. /
should call back on the Floor Phone immediately to confirm that this message is clear.” yes El 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 (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 iX^No □ N/A □ Does candidate know location/type of;
B. Elevator machinery room? ............................ Yes X No □ N/A □ A. Special extinguishing systems within building? Yes IS'jNo □N/A □
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)?.............. Yes/^ No □ N/A □
elevator circuits? ............................................ Yes X' No □ N/A □ C. Auxiliary sources of lights or power?.......... Yes 0^ No □ N/A □
D. Identification of elevators and elevator bank? Yes 0 No □ N/A □
E. Firemen’s service elevators? Yes 0^ No □ N/A □ 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. Guidelines): Yes No □ N/A □
A. Risers and control valves?..........................
A. Type of air conditioning system? .................. Yes 0 ,No □ N/A □
B. Procedure should system become inoperable? Yes S'' No □ N/A □
B. Zones serviced by systems?.......................... Yes No □ N/A □
C, Pump rooms? .............................................. Yes O'" No □ N/A □
C. Controls to activate movement?.................... Yes LE’ no □ N/A □
D. Water supply controls? ................................ Yes ET no □ N/A □
D. Electronic automatic detection controls? .... Yes (X No □ N/A □
O' No □
E. Type, location and controls of heating systems? Yes L/ LI N/A □
N/A Stairways (P. 13, Q. 5) of F.S. Guidelines;
F. Smoke shaft location and operation? Yes □ No □ N/A ET Does candidate know location/type of:
Sprinkler System (Page 14 Q 11) of F.S. Guidelines: A. Identification/location?........ . .............. Yes EZ No □ N/A □
Does candidate know location/type of;
A. Automatic or non-automatic systems?.......... Yes
B. Main shut off?................................................. Yes
..No □
No □
N/A
N/A
B. Floors served?....................................
C. Pressurized stairs? ............................
D. Access stairs (Open or Closed)? ....
Yes
Yes
Yes
g" ' No □
No □
No □
N/A □
N/A,0"
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 X no □ N/A question):
F. Primary source of water? .............................. Yes X No □ N/A /
G. Fire pump? ..................................................... Yes X- No □ N/A YbsB^NoD N/A □
H. Six (6) extra sprinkler heads and wrench? . . Yes “ CZno'O 3 N/A A.
Alarm System: Yes 0" No □ N/A □
Does candidate know location/type of:
□ N/A □
A. Various alarm sending station? .. Yes c 37^ Yes □ No □ N/A □
B. Various Warden phones?............ □ N/A □
C. Street fire alarm box?.................. □ N/A □
TOTAL (22) TOTAL (11)
No No
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
NYC-WTC_000168793
OCR can misread numbers and units. Confirm readings against the page image before using them.