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 NZA
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. Report to Fire Command? B. Check board status? *C. Notify Fire Department? D. Send runner to Alarm Box?
Yes M No □ Yes j3- No □ N/A □ Yes IIT No D Yes jB— No □
* E. Make contact with floor Wardens on fire floor *F. Make announcements on G. Record information—all?
immedi ve?
No □
*H. Evaci^e fire floor and floor above?
n/aD
I. InstructJW to re-contact in safe area?
PA System?
Yes 53' No D
*J. Activate fire bngade?
N/A □ Yes W No □ 5.
Yes<^ No □ Yes No □ Yes 15^ No □
L. Shutdo^/VC?
*K. Ensur^levators recall? M. Keep lobby clear and entrance doors unlocked? .
Yes^ No □ N/A □ Yes Si No □ N/A □
*N. Reset Notification System or if System
Yes 1^ No □
O. Fterform-Make available Fire Safety Plan, *R Describe— Silence Alarm?
d
out-of-spfvice? FloorPI^, Keys, engineer to NYCFD?
Yes 1^ No □ N/A □ Yes-^''^ No □
_________________________________________________________________________ Yes N/A □
No □_________
*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 -4^
5
should call back on the Floor Phone immediately to confirm that this message is clear.” yes No □ N/A □
TOTAL (17) 7
VI. Building
Instructions to Examiner—Verify all information stated by the candidate by comparison with the Fire Safety Plan or visual ii in. 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: .
Does candidate know location/type of:^K^ '
A. Elevators with common shafts?................... Yes No □ N/A □
No □ N/A □ No □ N/A □
B. Elevator machinery room? ........................... Yes A. Special extinguishing systems within building? Yes
C. Operation of control necessary to deactivate B. Extinguishing systems location(s)?............... Yes No □ N/A □
elevator circuits? .......................................... Yes S No □ N/A □ C. Auxiliary sources of lights or power? Yes No □ N/A □
D. Identification of elevators and elevator bank? Yes S] No D N/A O
5^ No □ N/A □ Standpipe systems (R14, 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. Guidelines):
A. Type of air conditioning system?................. Yes§ No □ N/A □
A. Risers and control valves?........................... Yes;^ No □ N/A □
B. Procedure should s^^rnjaecome inoperable? Yes D No N/A □
B. Zones serviced by systems?......................... Yes No □ N/A □ C. Pump rooms? . rI ................... Yes No □ N/A □
C. Controls to activate movement?................... Yes No □ N/A □
No □ N/A □ D. Water supply controls?................................. Yes0-Non N/A □
D. Electronic automatic detection controls? .... Yes
E. Type, location and controls of heating systems? Yes No □ N/A □ Stairways (P. 13, Q. 5) of F.S. Guidelines:
F. Smoke shaft location and operation? Yes No □ N/A □ Does candidate know location/type of:
A. Identification/location?........................ Yes □ No □ N/A 0s..
Sprinkler System (Page 14 Q 11) of F.S. Guidelines:
Does candidate know location/type of: B. Floors served?.................................... Yes □ No □ N/A&
A. Automatic or non-automatic systems?.......... Yes S No L N/A C. Pressurized stairs? .................................. . Yes □ No □ N/A B-
8
B. Main shut off?.............................................. Yes No N/A D. Access stairs (Open or Cli - Yes m 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? .. .0-- ......................... Yes .No N/A Yes^ No □ N/A □
H. Six (6) extra sprinkler heads and wrench? .. Yes C No N/A
/^iSrmS^emp Yes □ No □ N/A □
B.
Does candidate know location/type of:
A. Various alarm sending station? ................... Yes No □ N/A □ C. Yes □ No □ N/A □
B. Various Warden phones? ............................. Yes No □ N/A □
C. Street fire alarm box?................................... Yes' No □ N/A □
TOTAL (22)
Yes No N/A
Section C: (V, VI) 12 PH more answered “NO” in Section C falls. SECTION C TOTAL (53)
I Number of N/A answers is
Number of correct answers in this section is
£ Number of incorrect answers is
NYC-WTC_000168797
OCR can misread numbers and units. Confirm readings against the page image before using them.