Attachment 60 - Bldg 206 Fire Inspection Reports.pdf

pp - -

1. Emergency lights in-op in Re and Storage & Issue.

2. Personnel door between TM and Storage & lssue is a fire door Door is propped open and close is broken. 4 page 1 :.or .,:I . . : .. ' 9 , ..; .. ; ;-., . , The public reporting burden for this collection of informat reviewing the collection of information. Send comments Directorate for Operations and Reports (0704-0188), 1215 to comply with a colleclion of information if it does not di PLEASE Do NOT RETURN YOUR FORM To THE

3. Fuseable links to overhead TMO and Storage & lssue not inspected

. . FIRE PREVENTION VISIT REPORT

1. FILE NO.

10-1 04

4. Roll of bubble wrap stored wi hin 6" of sprinkler head inTMO I

2. FACILIT"

1. Emergency illumination shall be provided for a minimum of 1 hour in the event of failure of normal lighting. Submit AF Form 332 to 27 SOCES for repairlreplacement. REF: NFPA 101, Para 7.9.2.1

2. A door normally required to be kept closed shall not be secured in the open position at any time and shall be self-closing or automatic-closing. Doors need to be closed at all times.

Submit AF Form 332 to 27 SOCES for repair. REF: NFPA 101, Ch 7, Para 7.2.1.8.2

3. All horizontal or vertical sliding and rolling fire doors shall be inspected and tested annually to check for proper operation and full closure. Submit AF Form 332 to 27 SOCES for inspection.

Ref: NFPA 80, para 5.2.14.3

4. When materials are.stacked.to a height of less than 15 feet, maintain an 18in clearance below ceiling, sprinkler deflectors, joists, rafters, beams, and roof trusses. Remove items and maintain 18 inches of clearance. REF: AFOSH Std. 91 -501, Ch 5, Para 5.6

" 27 SOLRSICC

I . ''

HAZARDSlDEFlClEhClES

. .. .. . -.....-.. 1 WORKING IN THE FACILITY ASSISTANCE IS

SAT NEED ATTN. NEEDED CONTACT

JG n A. FIRE REPORTIN

FORM APPROVED

OMB N0.0704-0188

Agency Disclosore.No ice, on is estimated to average 10 minutes per response, includ~ng the time for revlewi g ~nstruclions, searching existing data sources, gathering and maintaining the data needed, and completing and -egarding this burden estimale or any other aspect of this collection of information, ipcluding suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents sqould be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing lay a currently valid OMB control number. I

A G E ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS SHOWN IN I ~ E M 7.

NO.

3. FIRE KNOWLEDGE AND CAPABILITY OF PERSO~NEL 114 IF FI IRTHFR

I

AF FORM 1487, JAN 99 (EF-vi)

4. DATE CORRECTIVE ACTION REQUIRED

201 o 02 01

3. DATElTlME OF VISIT !

2010 01 21 I 13:oo:od d

PREVIOUS EDITION IS OBSOLETE

5. SUSPENSE DATE (YYYY MM DD)

2010 02 08

16. DATE

$5' JGA /O

18. DATE

Generated by ACES-FD Feb 2002

8. TYPE OF INSPECTION

17 QUARTERLY IX( ANNUAL SPECIAL

SEMIANNUAL OTHER n UNSCHEDULED

12. CORRECTIVE ACTION REQUIRED

I

7' 27 SOCES/CC

i

SERVICES AT EXT. 17. SIG

78J -7~Y9

B FIRE EXTINGUI~HERS

C FACILITY

D. NOT APPLICABL

EVACIIATION

E

I

11. /RAC NOTED 10. FSD

Attachment 60 FA4855-10-R-0006 27 July 2010

Your responsibilities regarding correcllve aclion for hazarbs and corrective aclions for the eliminalion of fire safely deficiencies are conlainej in AFI 91-301.

I I

An inspection of a facility for which you are Ihe functional manager has been conducted. You are required lo take corrective action for the hbzards and fire saftey deficiencies noted in ilem 9.

19. lndicale corrective aclion taken lo correct hazards and

HAZARDSlDEFlClENClES

A a fire door. Door is propped and closer is broken.

3. Fuseable links to fire'door between 62010 81 $5 'MO and Storage & and documented.

deficiencies noled in ilem 9 and return this form to the fire protection organization o later lhan the suspense date indicaled in item 5.

NCTED

P

DATE CORRECTED DATE ENTER D IN HAP OTHER COMMENTS

(YYYY MM OD)

B D i 1. Emergency lights in-op in Rec iving and Storage & Issue.

2. Personnel door between TMO and Storage & lssue is

I I I

20. TYPED NAME AND TITLE OF FUNCTIONAL MANAGE^ 121. SIGNATURE OF FUNCTIONAL M A ~ A G E R I

122. DATE (YYYY MM DDJ

$v/O 0/ 31 a10 or

1. W CE =h r e p i r d o ~ k o r b # c g ~ a 1 - ct + e p . ~ U) O& O Y ~ W Y c Y ~ B

AF FORM 1487, JAN 99 (REVERSE)

James D. Williams, YC-02, D ~ F Deputy Commander, 27th SOLRS

'; HAZARDSIDEFICI~NCIES NOTED 110. FSD I 14. RAC 112. CORRECTIVE ACTION REQUIRED

Page 1 of 2 FIRE PREVENTION VISIT REPORT

OMB N0.0704-0188

1 Vehicles with internal combustion engines will not be parked or stored inside buildings, except those designated for vehicle storage and repair, without approval from the Base Fire Chief.

REF: AFI 32-2001, Cannon AFB Sup 1, Para 3.4.1.9.4

2 Ceiling tiles must be in-place to reduce the potential for fire and smoke extension. Replace the missing tiles. REF: AFI 32-2001, Cannon AFB Sup 1, Ch 3, Para 3.4.1.10.1 .I 1

1. FILE NO.

09-12

1 Equipment with internal combuotion

2 Ceiling tiles damaged througho~t

3 Extinguisher inspection records

4 Facility fire extinguishers are o\

3 Check all fire extinguishers on a monthly basis to ensure proper opecating condition and document this inspection. REF: AFI 32- 2001, Cannon AFB Sup 1, Para 1.10.3

2. FACILTY

engines stored inside warehouse.

facility.

not documented throughout facility.

erdue on annual maintenance. 4 Fire extinguishers are required to have maintenance performed once a year by a qualified fire extinguisher maintenance technician. Have the annual maintenance performed. The Base Fire Prevention Office can provide you with suggested sources for this work. REF: AFOSH Std. 91-501, Ch 6, Para 6.2.4.8 8 NFPA 10, Para 1-4

NO.

6. 27 SOLRSICC

I

13. FIRE KNOWLEDGE AND CAPABILIN OFPER 14. IFFURTHER ( WORKING IN THE FACILITY ASSISTANCE IS

3 DATEKIME OF VISIT 1

2009 01 22 I 13:OO:qO

4 DATE CORRECTIVE ACTION REQUIRED

2009 01 30

7. 27 SOCESICEFP

I I

I I I

5. SUSPENSE DATE ( Y W M M DD)

2009 02 06

18. DATE

&@P+V

8. TYPE OF INSPECTION

QUARTERLY ANNUAL SPECIAL

SEMIANNUAL OTHER UNSCHEDULED

SAT NEED ATTN.

AF FORM 1487, JAN 99 (EFVI)

NEEDED CONTACT

THE TECHNICAL

SERVICES AT EXT.

4 0011

PREVIOUS EDITION IS OBSOLETE Generated by ACES-ED Feb 2002

An inspection of a facility for which you are the functional i maiager has been conducted. You are required to take corrective action for the ha4rds and fire saftey deficiencies noted in item 9. I Your responsrbil~t~es regardrng corrective actron for hazards

19 lnd~cate correctwe act~on taken to correct hazards and

HAZARDSlDEFlClENClES NOTE)

A

1 Equipment with internal combustion warehouse.

2 Ceiling tiles damaged throughout 3 Extinguisher inspection records not

~ughout facility.

4 a dcility fire extinguishers are overdue maintenance.

5 Annual fire extinguisher training not 6 Emergency lighting on monthly documented throughout facility.

7 Heat producing appliances plugged throughout facility.

Deficiency File Number: 09-12

Page I of 2

I. TYPED NAME AND TITLE OF FUNCTIONAL MANAGER

' 'ORM 1487, JAN 99 (REVERSE)

i nd corrective actions for the el~mrnation of fire safety deficienc~es are contained n ~ F I 91-301.

deficiencies noted in item 9 and return this form to the fire protection organ~zat~on no

I aterthan the suspense date indicated n ~tem 5.

I engines stored inside facility.

documented on annual

;accomplished.

inspections not nto surge protectors

I

DATE (YYYY MM DD)

I

DATE CORRECTED

(W MM DD)

B a3 JL>"OI

2-a-07 z23 a-dq t ;~h-- O1

OLGA- O7

j~z~azd

2009 01 22

21. SIGNATURE OF

DATE ENTERED Ip HAP

I

I

I I

I

I

I i

FUNCTIONAL MANA~ER

I

OTHER COMMENTS

D

1 Quipmm\ (k,rk\lrt~) eJiside. mortlng O n \b#ep base ?re d i e f -lo wuuw md allow q u l p w l 4o be

2Q,&ded mow %vice on 3% ~anoS end placed a , re+ afid urns gum Ce wnk order 4 c338l-al J~ ~q inpp&ed a ~iq0Bd orh'yuisher ~ac\\&,j.

V C ~ ) m b ~ 6 , ~ r q m do mainknam 22 h n m'fhoy on m+l din n k ~ r ~ @ d ~ u i s

5 b l ~ ~ i n i ~ a m $ 4 0 h d pb b J, fl and ciqoed O F mer"(78"Cg l iqh+i9 +h molji? *

7 No furt er action required, COS.

a'f anqholi

. ! , , . - " ,* : . ; cs,;.- . . . .., Page 2 of 2-:.:. . , . - . .:~: . .; j,,. ~:,,'; ,,.. , ,,,! L,.cj;:: : ,.:,;&

%, ., .-. FIRE PREVENTION VISIT REPORT I FORM APPROVED

.. ' . ,,: OMB N0.0704-0188

Agency Disclosure qotice The ~ubl ic re~ortina burden for this collection of infom ation is estimated to averase 10 minutes per response, includ~ng the time for reviewing instructions, searching existing data sources, gatheling and maintaining the data needed, and completing and reviewing the coll&ion of information. Send comm regarding this burden istimale or any other aspect of thiscollection of infor ' atibn, including suggestions for reducing the burden, to the Department of Defense, Washington ~eadquarters

IServires, Directorate for Operations and Reports 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222024302.lftespondents should be aware that notwithstanding any other provision of law, no p m o n shall be subject to any I penalty for failing to comply with a collection of info does not display a currently valid OM0 control number.

PLEASE DO NOT RETURN YOUR FORM TO TH ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS - SHOWN IN ITEM 7.

1. FILE NO. 2. FAClL TY NO. 3. DATERIME OF VISIT 4. DATE CORRECTIVE ACTION REQUIRED 5. SUSPENSE DATE (YYYYMM DD)

206 2009 01 22 I

09-1 2 I 13:OO:qO 2009 01 30 2009 02 06

6. 27 SOLRSICC 7. 27 SOCESICEFP 8. TYPE OF INSPECTION

I 10. FSD I I

11. RAC (12. CORRECTIVE ACTION REQUIRED

( 6 Emergency lighting on monthly (inspections not documented throughout (V

I facility.

1 7 Heat producing appliances plu ged into surge protectors throughout V , facility. I

5 Supervisors will instruct personnel on fire extinguisher operation upon initial arrival and annually thereafter. REF: AFOSH Std. 91- 501, Ch 6, Para 6.2.4.10 Ensure all newly assigned personnel receive unit specific Fire Prevention, Fire Safety, and Fire Extinguisher training within 30 days of assignment. REF: AFI 32-2001, Cannon AFB Sup 1, Ch 1, Para 1.9.1 AF Form 55 will be used to document safety, fire protection, and health training. REF: AFI 91-301, Ch 7, Para. 7.3.2

I 6 Check all emergency lighting on a monthly basis to ensure proper operating condition and document this inspection. REF:

AFI 32-2001, Cannon AFB Sup 1, Para 1.10.3

7 Extension cords will not operate high amperage and heating appliances, such as heaters, coffeepots, refrigerators, microwaves, frying pans, broilers, and other similar appliances.

Plug appliance directly into a wall outlet. No further action required, COS. REF: AFI 32-2001, Cannon AFB Sup 1, Ch 3, Para 3.4.1.7.10

13. FlRE KNOWLEDGE AND CAPABILITY OF PER ONNEL T I 14. IF FURTHER I WORKING IN THE FACILITY ASSISTANCE IS

C. FACILITY

SAT NEEDAllN. I R

16. DATE

-23 4 ~ 0 7 NEEDED CONTACT

THE TECHNICAL

SERVICES AT EXT. 18. DATE

fl/%@f I AF FORM 1487, JAN 99 (EF-VI) PREVIOUS EDITION IS OBSOLETE Generated by ACES-FD Feb 2002

You are required to take corrective action for the ha safley deficiencies noted in item 9.

elimination of fire safety deficiencies are contained