7._Fire_Safety_Survey_Worksheet.docx
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- Solicitation number
- GS-10-P-17-LS-C-0002
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7. Fire Safety Survey Worksheet
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Other files
| File | Type | Posted |
|---|---|---|
| SF_30_(AM0004).pdf | ||
| SF_30_(AM0003).pdf | ||
| SF_30_(AM0002).pdf | ||
| SF_30_(AM0001).pdf | ||
| RFQ_Pkg.zip | ZIP file |
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FIRE SAFETY SURVEY WORKSHEET
| 1. | Building name, address, and number: |
| _______________________________________________________________ | |
| _______________________________________________________________ | |
| _______________________________________________________________ |
2. Number of Stories Above and Below Grade: ___________________________
3. Lease Expiration Date: ____________________________________________ Building Construction Date: ________________________________________
4. Date of Previous Survey: ___________________________________________
5. Floors on Which Government Occupies Space: _________________________
| 6. | Types of Occupancy Groups |
| _______________________________________________________________ | |
| _______________________________________________________________ | |
| _______________________________________________________________ | |
| _______________________________________________________________ |
| 7. | Approximate Gross Area Per Floor: __________________________________ |
| _______________________________________________________________ | |
| 8. | Number of Federal Occupants: ______________________________________ |
9. Type of Building Construction: Type _________________________________
| 10. | Type of Floor Construction: ________________________________________ |
| _______________________________________________________________ |
11. Type of Exterior Walls: ______________________________________
| 12. | Type of Roof Construction: _________________________________________ |
| ________________________________________________________________ |
13. Ceiling Finish: ____________________________________________________
14. Wall Finish: ______________________________________________________
15. Floor Finish: ______________________________________________________
16. Partition Construction: ______________________________________________
| 17. | Location and Size of Group II, III & IV Occupancies: ______________________ |
| _________________________________________________________________ | |
| _________________________________________________________________ |
18. Location and Construction of Occupancy Separation or Fire Walls: ___________
19. Automatic Sprinkler System: _________________________________________ Location: _________________________________________________________ Hydraulics: _______________________________________________________ Fire Department Siamese Connection: __________________________________
20. Standpipe System:
Riser Size: _______________________________________________________ Outlet Size: ______________________________________________________ Outlet Hose: _____________________________________________________ Fire Department Siamese Connection: _________________________________ Waterflow Switches: _______________________________________________ Tamper Switches: _________________________________________________
21. Special Fire Extinguishing Systems: _____________________________________
22. Fire Pump: _______________________________________________________
Size: ____ gpm at _____ psi Power: __________________________________________________________ Location: ________________________________________________________ Supervisory: ______________________________________________________
23. Water Supply: ____________________________________________________
24. Fire Alarm/Communication System:
a. Type of Fire Alarm System: ___________________________________
| b. | Supervision of Initiating Device Circuits: _________________________ |
| c. | Supervision of Indicating Appliance Circuits: ______________________ |
| d. | Connection to Fire Department: Yes____No______ |
| Connection to Central Station: ____________________________ |
e. Initiating Devices: ___________________________________________
f. Notification Appliances: ______________________________________
g. Emergency Telephone System: _________________________________
h. Fire Department Communication System: ________________________
i. Secondary Source of Power: ___________________________________
j. Emergency Control Center:
Location: __________________________________________________ Enclosure: _________________________________________________
25. Exit Considerations:
a. Number of Exits: ___________________________________________
b. Exit Remoteness: ___________________________________________
c. Exit Access: _______________________________________________
d. Exit Enclosure: _____________________________________________
e. Exit Discharge Protection: _____________________________________
f. Step Dimensions: ____________________________________________
26. Emergency Lighting:
Type: ___________________________________________________________ Locations: _______________________________________________________
27. Exit Signs: _______________________________________________________ Secondary Source of Power: _________________________________________
28. Emergency Generator:
Capacity: ___________ kW Location: ________________________________________________________ Fuel: ____________________________________________________________ Serves: __________________________________________________________
29. Building Heat Source:
Type: ____________________________________________________________ Location: _________________________________________________________ Enclosure: ________________________________________________________ Certificate Date: ___________________________________________________
30. HVAC System:
Source of Heat: ____________________________________________________ Source of Chilled Water: _____________________________________________ Location of Fans: ___________________________________________________ Fire Dampers: ______________________________________________________ Return Air Routing: _________________________________________________
31. Elevator Features:
Number: __________________________________________________________ Firemans Capture: __________________________________________________ Automatic Recall: __________________________________________________ Certificate Date: ___________________________________________________ Telephone in Cab: __________________________________________________
32. Occupant Emergency Organization: ____________________________________
33. Local Fire Department PreFire Plan: ___________________________________
34. Smoke Control: ____________________________________________________
35. Fire Extinguishers:
Types: ____________________________________________________________ Annual Service Date: ________________________________________________ Sixyear Service Date: _______________________________________________ Hydrostatic Test Date: _______________________________________________
36. Maintenance of Firesafety Equipment: __________________________________
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