Attachment_R_Fire_Protection_Survey.pdf

National Consolidated Risk Management Survey

FIRE PROTECTION

RAC Summary

Survey Area RAC Score Means of Egress Fire Detection and Alarm Fire Suppresion Smoke Control Other

Fire Protection Survey Overall RAC Score:

Building Information

Questions Response Findings/Observations

Building Profile Region GSA Building Number GSA Building Name Building Street Address Building City Building State Date(s) of Onsite Survey Surveyor Type of Occupancies Building Point(s) of Contact for Surveys Date of Building Construction Date of Last Major Building Renovation Has any work been done since the last survey (e.g., any tenant fit-outs, changes in occupancy, etc.)? If yes, please describe in the findings section.

Property Type What is the tenant breakdown?

Primary Tenants

Is there a law enforcement tenant in this facility?

Name of O&M or Facilities Management Services Contractor Name of Custodial Services Contractor

Building Information

Questions Response Findings/Observations Identify any Unique Space Type(s). If "other" is chosen, please describe the "other" unique space in the comments section.

Building Size (GSF) Building Size (RSF) Total Number of Floors Above Grade Total Number of Floors Below Grade Is the building a highrise according to Rexus?

Is the building a highrise according to FPE?

What is the building construction classification (IBC Code)?

What is the pitch of roof?

Are there photovoltaic (PV) cells on the roof?

Type of Roof Anchoring System Are there antennas?

How many elevators are there?

Identify Fuel Fired Equipment What are the fuel types?

How many confined spaces are there?

What type of confined spaces are there?

How many permit-required confined spaces are there?

What is the potable water source?

Is there asbestos containing material(s)?

Is there lead paint or other lead material(s)?

Is there PCB containing material(s)?

Building Information

Questions Response Findings/Observations What energy sources are used onsite? (select all that apply) Above-Ground Storage Tanks (ASTs) Are there any ASTs?

If yes, how many are there?

What is their total value?

Tank Size (gallons) Type Tank Location Fuel Type Installation Date Underground Storage Tanks (USTs) Are there any USTs?

If yes, how many are there?

What is their total value?

Tank Size (gallons) Type Tank Location Fuel Type Installation Date Occupant Emergency Plan (OEP) Is there an OEP?

Date of plan Are persons in plan current?

Is there OEP training for designated persons?

Building Information

Questions Response Findings/Observations Are there procedures for evacuation of disabled persons?

Are there procedures for after-hours emergencies?Is there a fire department pre-fire plan?

Means of Egress

# Questions Response Findings/Observations

Means of Egress Components

Are doors in compliance? If no, identify and describe the circumstances in the findings section.

Are stairs in compliance? If no, identify and describe the circumstances in the findings section.

Are handrail/guards in compliance? If no, identify and describe the circumstances in the findings section.

Are ramps in compliance? If no, identify and describe the circumstances in the findings section.

Are horizontal exits in compliance? If no, identify and describe the circumstances in the findings section.

Are exit passageways in compliance? If no, identify and describe the circumstances in the findings section.

Other means of egress elements noted? If no, identify and describe the circumstances in the findings section.

Capacity of Means of Egress

Is the means of egress capacity based on occupant load for floor and area adequate?

Is egrees capacity adequate at convergence points?

Means of Egress Minimum Width

Is the means of egress minimum width maintained (i.e. 44" or 36" where permitted)?

Number of Exits

Are the required number of exits provided for floor or area?

Are there interlocking or scissor stairs present (if yes, counts as 1 exit)?

Arrangement of Means of Egress

Are exits readily accessible? If no, identify and describe the circumstances in the findings section.

Are common path of travel and dead end arrangements in compliance? If no, identify and describe the circumstances in the findings section.

Are exits arranged to be remote per code?

If no, identify and describe the circumstances in the findings section.

Are travel distances in compliance? If no, identify and describe the circumstances in the findings section.

Discharge of Means of Egress

Is the exit discharge in compliance? If no, identify and describe the circumstances in the findings section.

Regulatory Citation Risk Assessment Code (RAC) Recommended Corrective Actions

Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action

National Consolidated Risk Management Survey

FIRE PROTECTION

Means of Egress

Means of Egress Components

Capacity of Means of Egress

Means of Egress Minimum Width

Number of Exits

Arrangement of Means of Egress

Discharge of Means of Egress

Means of Egress

# Questions Response Findings/Observations

Illumination of Means of Egress

If emergency lighting is provided, is there adequate coverage? If no, identify and describe the circumstances in the findings section.

Is there a current emergency lighting testing and maintenance report? If yes, please identify the date and any findings in the findings section.

Marking Means of Egress

Are adequate markings of means of egress provided? If no, identify and describe the circumstances in the findings section.

Is the illumination of the markings of means of egress in compliance? If no, identify and describe the circumstances in the findings section.

Elevators

22 How many elevators are in the building?

What is the installation date(s) of the elevator(s)?

Do elevators have firemans recall phase I or II?

Are any of the elevators used as a required means of egress?

Other Findings

Overall Means of Egress RAC

Once the surveyor has reviewed the Means of Egress findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

User Adjusted Means of Egress RAC

Explanation of User Adjusted RAC

Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action

Illumination of Means of Egress

Marking Means of Egress

Elevators

Other Findings

Once the surveyor has reviewed the Means of Egress findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

Fire Detection and Alarm

# Questions Response Findings/Observations

Fire Detection and Alarm

Is there a fire alarm system installed? If no, please explain in the findings section.

If there is a fire alarm system installed, is the system operational and functioning correctly?

29 What is the fire alarm system type?

Is there a current (NFPA 72) test and maintenance report? If yes, please identify the date and any findings in the findings section.

Is there off-site notification? If yes, please describe notification in the findings section.

Fire Alarm Control Panel 32 What is the age of the control panel?

33 Where is the fire alarm control panel located?

34 Identify the fire alarm manufacturer (type/model).

Is there a fire command station or emergency control center? If yes, please identify in the findings section.

Initiating Devices

Are there manual pull station issues? If yes, please describe in the findings section.

Are there smoke detectors issues? If yes, please describe in the findings section.

Are there duct detectors issues? If yes, please describe in the findings section.

Are there heat detectors issues? If yes, please describe in the findings section.

Are there water flow switches issues? If yes, please describe in the findings section.

Are there valve supervision issues? If yes, please describe in the findings section.

Are there any other initiating devices with issues? If yes, please describe in the findings section.

Notification Devices

Are there any visual device problems? If yes, please describe problems and date of test and maintenance report in the findings section.

Are there any audibility problems? If yes, please describe in the findings section.

Other Findings

Overall Fire Detection and Alarm RAC

Once the surveyor has reviewed the Fire Detection and Alarm findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

User Adjusted Fire Detection and Alarm RAC

Regulatory Citation

Risk Assessment Code (RAC) Recommended Corrective Actions

Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action

National Consolidated Risk Management Survey

FIRE PROTECTION

Fire Detection and Alarm

Fire Detection and Alarm

Fire Alarm Control Panel

Initiating Devices

Notification Devices

Once the surveyor has reviewed the Fire Detection and Alarm findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

Fire Detection and Alarm

# Questions Response Findings/Observations

Fire Suppression

# Questions Response Findings/Observations

Automatic Sprinklers

Is there a fire sprinkler system installed? If no, please explain in the findings section. If yes, please complete the questions below.

47 What is type of fire sprinkler system?

48 What is the age of the oldest sprinkler?

What percentage of the facility has a fire protection system?

Is there a current (NFPA 25) maintenance report?

If yes, please identify the date and any findings in the findings section.

Are there any identified fire sprinkler issues? If yes, please explain in the findings section.

Standpipes 52 What are the types of standpipes?

Is there current (NFPA 25) maintenance record?

If yes, please identify the date and any findings in the findings section.

Are there any standpipe issues? If yes, please explain in the findings section.

Fire Pumps

Are there any fire pump(s)? If yes, please complete the questions below.

56 What is the location of the fire pump(s)?

What is the size of the fire pump, ___gpm at ___psi?

Is there a current (NFPA 25) maintenance record? If yes, please identify the date and any findings in the findings section.

Are there any fire pump issues? If yes, please explain in the findings section.

What is the power source? If diesel, identify any fuel storage issues in the findings section.

Fire Extinguishers

Are there fire extinguishers? If yes, please complete the questions below.

Have the fire extinguishers been maintained per NFPA 10? If no, identify issues in the findings section.

Are the fire extinguishers properly located and sized in compliance with NFPA 10? If no, please explain in the findings section.

Other Suppression Systems

Are there other suppression systems? If yes, please describe location and type in the findings section.

Are there current maintenance records? What is the date of the last test?

Are there identified issues? If yes, please explain in the findings section.

Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action

National Consolidated Risk Management Survey

FIRE PROTECTION

Fire Suppression

Automatic Sprinklers

Standpipes

Fire Pumps

Fire Extinguishers

Other Suppression Systems

Fire Suppression

# Questions Response Findings/Observations

Overall Fire Suppression RAC

Once the surveyor has reviewed the Fire Suppression findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

User Adjusted Fire Suppression RAC

Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action

Once the surveyor has reviewed the Fire Suppression findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

Smoke Control

# Questions Response Findings/Observations

Smoke Control 68 Is there a smoke control system present?

What is the application of the smoke control system? Please provide the location in the findings section.

Is there a current maintenance record? If yes, please identify the date and any findings in the findings section.

Are there any smoke control issues? If yes, please explain in the findings section.

Other Findings

Overall Smoke Control RAC

Once the surveyor has reviewed the Smoke Control findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

User Adjusted Smoke Control RAC

Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action

National Consolidated Risk Management Survey

FIRE PROTECTION

Smoke Control

Smoke Control

Once the surveyor has reviewed the Smoke Control findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

Smoke Control

Other

# Questions Response Findings/Observations

Fire and Smoke Barriers

Are vertical applications (i.e. stairwell, HVAC shafts) properly maintained? If no, please describe in the comments section.

Are horizontal applications (i.e. floors, corridors, special hazard areas) properly maintained? If no, please describe in the comments section.

Are special use areas (i.e. laboratories, firing range) properly maintained? If no, please describe in the comments section.

Are penetrations properly maintained? If no, please describe in the comments section.

Are opening protective's properly maintained? If no, please describe in the comments section.

Are all other fire barriers properly maintained? If no, please describe in the comments section.

Are there fire dampers, smoke dampers, or combination dampers? If yes, provide where they are located in the findings section.

Is there a current maintenance record (NFPA 80)? If yes, please identify the date and any findings in the findings section.

On-Site Power Generation

Is there on-site power generation? If yes, please select the appropriate type from the drop down menu.

82 Identify on-site power generation location.

83 Are firefighter provisions in place?

On-Site Fuel Storage

Is there on-site fuel storage? If yes, please select the appropriate type from the drop down menu and provide the location and size in the findings section.

85 What is the intended use of on-site fuel?

Are there any maintenance records and associated identified issues or concerns? If yes, please explain in the findings section.

Emergency Power 87 Are there emergency generator(s)?

Is there a current maintenance record (NFPA 110)? If yes, please identify the date and any findings in the findings section.

Are there any identified issues? If yes, please explain in the findings section.

Kitchen Use

Is there commercial cooking equipment present?

If yes, identify equipment and related fire protection features (i.e. ventilation hoods) in the findings section.

Are there any current (NFPA 96) maintenance records? If yes, please identify the date and any findings in the findings section.

Are there any identified kitchen issues? If yes, please explain in the findings section.

Interior Finishes

Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action

National Consolidated Risk Management Survey

FIRE PROTECTION

Other

Fire and Smoke Barriers

On-Site Power Generation

On-Site Fuel Storage

Emergency Power

Kitchen Use

Interior Finishes

Other

# Questions Response Findings/Observations

Are interior finishes compliant with the occupancy use? If no, please describe in the findings section.

Fire Planning and Prevention

Is the fire rating being maintained? If no, then note areas not maintained in the findings section.

95 Is there a fire command room?

Are there any other overall fire prevention issues?

If yes, please describe in the findings section.

Other Findings

Overall Other RAC

Once the surveyor has reviewed the Other findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

User Adjusted Other RAC

Probability Severity RAC Is there a recommended corrective action associated with this item? Location Recommended Action

Fire Planning and Prevention

Once the surveyor has reviewed the Other findings and Overall RAC provided above, if the RAC does not represent the risk associated with the findings as a whole, please provide an adjusted RAC and explanation below.

Other

Work Item Summary and Tracking Sheet

# Findings/Observations Recommended Action Location

M ea ns o f E gr es s

Means of Egress

Capacity of Means of Egress

Means of Egress Minimum Width

Number of Exits

Arrangement of Means of Egress

Discharge of Means of Egress

Illumination of Means of Egress

Marking Means of Egress

Elevators

Other Findings - Means of Egress

Action Taken Completion Date

FIRE PROTECTION

Work Item Summary and Tracking Sheet

Means of Egress

Capacity of Means of Egress

Means of Egress Minimum Width

Number of Exits

Arrangement of Means of Egress

Discharge of Means of Egress

Illumination of Means of Egress

Marking Means of Egress

Elevators

Other Findings - Means of Egress

Work Item Summary and Tracking Sheet

# Findings/Observations Recommended Action Location

M ea ns o f E gr es s

Work Item Summary and Tracking Sheet

# Findings/Observations Recommended Action Location

Fi re

D et ec tio n an d A la rm

Fire Detection and Alarm

Fire Alarm Control Panel

Initiating Devices

Notification Devices

Other Findings - Fire Detection and Alarm

Fi re

S up pr es si on

Automatic Sprinklers

Standpipes

Fire Pumps

Fire Detection and Alarm

Fire Alarm Control Panel

Initiating Devices

Notification Devices

Other Findings - Fire Detection and Alarm

Automatic Sprinklers

Standpipes

Fire Pumps

Work Item Summary and Tracking Sheet

# Findings/Observations Recommended Action Location 60Fi re S up pr es si on

Work Item Summary and Tracking Sheet

# Findings/Observations Recommended Action Location Fire Extinguishers

Other Suppression Systems

Other Findings - Fire Suppression

Sm ok e C on tr ol

Smoke Control

Other Findings - Smoke Control

O th er

Fire and Smoke Barriers

On-Site Power Generation

On-Site Fuel Storage

Fi re

S up pr es si on

Fire Extinguishers

Other Suppression Systems

Other Findings - Fire Suppression

Smoke Control

Other Findings - Smoke Control

Fire and Smoke Barriers

On-Site Power Generation

On-Site Fuel Storage

Work Item Summary and Tracking Sheet

# Findings/Observations Recommended Action Location Emergency Power

Kitchen Use

Interior Finishes

Fire Planning and Prevention

Other Findings - Other

O th er

Emergency Power

Kitchen Use

Interior Finishes

Fire Planning and Prevention

Other Findings - Other

Severity and Probability Assessment Guidance

SEVERITY ASSESSMENT GUIDANCE

SCOPE and APPLICABILITY

Environmental Risk Fire Protection Risk Safety & Health Risk

Contamination of air, water soil, and biota or non-compliance with environmental regulations

Effects to occupants or facility as a result of a condition or potential event.

Adverse health effects or injury to facility occupants, contractors or visitors in response to a condition or event

SEVERITY LEVEL DEFINITIONS

CATASTROPHIC Irreversible long-term impacts.

(1) Death, permanent disability or irreversible health effect to occupants or (2) a loss of an entire facility.

Permanent disability, irreversible health effect or death.

SEVERE

Reversible long-term damage (5+ years to remediate).

(1) Severe injury, potential long-term health effect or

(2) major loss or impact to a facility.

Potential long-term health effect or severe injury.

SIGNIFICANT

Reversible medium-term damage (1-5 years to remediate).

(1) Minor injury or reversible health effect or

(2) damage to a portion of a facility requiring an extended period of time to repair.

Reversible health effect or minor injury.

MODERATE

Reversible short-term impact (<1 year to remediate).

(1) First aid, no lost time or

(2) damage to a facility requiring a minimal amount of time to repair.

First aid or no lost time.

MINOR De minimis regulatory violation. De minimis code violation. De minimis code violation.

NO IMPACT No risk of impact. No risk of impact to the occupants or facility. No risk of impact.

MODERATE

Reversible short-term impact (<1 year to remediate).

(1) First aid, no lost time or

(2) damage to a facility requiring a minimal amount of time to repair.

First aid or no lost time.

PROBABILITY ASSESSMENT GUIDANCE

PROBABILITY LEVEL DEFINITIONS

Likely Imminent or 1 in 10

Probable Probable or 1 in 100

Possible Possible or 1 in 1000

Remote Remote or 1 in 10,000

Unlikely Unlikely or 1 in 100,000

Not Possible Non-existent