Property and Facilities Division Form 10/03 FIRE SAFETY BUILDING REPORT Campus: Inspection Date: 1 Level 1 2 3 4 5 6 7 2 PF174 Building Name: No: Inspected by: OCCUPYING DEPARTMENTS Faculty Level 8 9 10 11 12 Plant Rm LMR Faculty CONSTRUCTION Floor Roof Walls External Walls Internal Exposure Hazards 3 HAZARD CLASSIFICATION High Main Use of the Facility Life Threatening Hazards Special hazards Flammable Liquids Storage Hazards Acid Storage hazards Bottle Gas Storage hazards 4 WATER SUPPLIES and HYDRANTS Size of in Ground Water Mains Fire Hydrant Booster Connection Size of Internal Hydrant Riser Mains Distance to nearest External Hydrant External Hydrants to be raised 1 5 AUTOMATIC SPRINKLER SYSTEM Size of Water Mains Sprinkler Hydrant Booster Connection Percentage of Building Coverage Encroachment on the 500mm clearance Side Wall Exposure Protection Pre Action System 6 FIRE ALARM PANEL Manufacture or Brand of Panel Location of Fire Alarm panel Condition of Fire Alarm Panel Types of Detectors Installed VESDA Detection Installed Other Types of Detection 7 ANCILIARY SYSTEMS Mechanical Ventilation Systems (A/C) trips Smoke Management system trips Magnetic Door Holders trips..
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