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Transcript of Fire Safety Plan Template
7/21/2019 Fire Safety Plan Template
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Fire Safety Plan (Single-Stage Fire Alarm System):
Fire Safety Plan – for building with Single-Stage Fire Alarm System:
(Building/Business Name)
(Building Address)
The reproduction or use of this fire safety plan for non-commercial purposes is permitted and encouraged.
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Table of Contents
Topics
Part 1 ntroduction
Part ! (a) Building "esources Audit
Part ! (#) $uman "esources Audit
Part % &mergency Procedures ' ccupants Single Stage Fire Alarm
Part &mergency Procedures ' Super*isors
Part + "esponsi#ilities of t,e ner/ccupant
Part . (a) Fire $aards 0 "esidential
Part . (#) Fire $aards ' ommercial
Part 2 Fire &3tinguis,ment/ontrol/onfinement
Part 4 Alternati*e 5easures
Part 6 Fire 7rills
Part 18 5aintenance "e9uirements of Building Fire
And ife Safety Systems
Part 11 Building Sc,ematics
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Part 1Introduction
T,e Al#erta Fire ode; Section !<4 re9uires t,e implementation of a F"& SAF&T= PAN for
t,is #uilding/occupancy< T,e plan is to #e >ept in t,e #uilding in an appro*ed location<
T,e implementation of t,e Fire Safety Plan ,elps to ensure effecti*e utiliation of lifesafety features in a #uilding to protect people from fire< T,e re9uired Fire Safety Plans,ould #e designed to suit t,e resources of eac, indi*idual #uilding or comple3 of#uildings< t is t,e responsi#ility of t,e oner to ensure t,at t,e information containedit,in t,e Fire Safety Plan is accurate and complete<
T,e Safety odes Act Su#section .4(1) states t,at in t,e case of a first offence forcontra*ention of t,e fire code; an indi*idual is lia#le to a fine of not more t,an ?188;888and a fine of ?1;888 for eac, day during ,ic, t,e offense continues after t,e first day; orto imprisonment for a term not e3ceeding si3 mont,; or #ot,<
T,is official document is to #e >ept readily a*aila#le at all times for use #y staff and fireofficials in t,e e*ent of an emergency<
T,e fire safety plan appro*ed location is <
S!"ISSI#$ P%#C&'%&S
At least to (!) copies of t,e Plan (4 @ 11 format) must #e su#mitted to t,e FirePre*ention Branc, for re*ie<
T,e Fire Pre*ention Branc, is to #e notified regarding any su#se9uent c,anges in t,ere*ieed Fire Safety Plan< ontact t,e Fire Pre*ention Branc, at (248) 26!-++16<
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Part ()a*Audit of !uilding %esources Chec+list
#ccu,ancy Ty,e
#ccu,ant oadccupant oad: (if applica#le)
Access
7esignated Fire "oute: No =es
Nearest 5unicipal $ydrant ocation:
Pri*ate $ydrants: No =es (ocation(s)):
oc>#o3: No =es (ocation(s)):
.eating Natural as &lectric Other
5ain asS,ut-off: No =es (ocation(s)):
5ain &lectrical S,ut-off ocation:
5ain 7omestic Cater S,ut-off ocation:
Single StageFire Alarm System: 5a>e:
5odel:
5ain Panel ocation: Annunciator Panel ocation:
Fire Alarm 7escription:
S,rin+ler System: No =es Type: Cet 7ry t,er
onnected to t,e Fire Alarm System: No =esocation of Sprin>ler "oom/S,ut ff Dal*es:
Stand,i,e System: No =es
ocation of S,utoff/solation Dal*es:
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Fire 'e,artment
Connection: No =es (ocation(s)):
Fire Pum,: No =es (ocation(s):
Fire Pump 7escription:
Fi/ed &/tinguishing System for Commercial Coo+ing &0ui,ment
No =es Type:
(i<e< Cet ,emical; 7ry ,emical; !)
onnected to F/A System: No
=es
&cology Enit: No =es Protected #y Fi3ed System: No =es
Fuel Source: Natural as &lectric t,er
Fuel S,ut ff for Appliances: ocation:
8B &3tinguis,er: ocation:
Type (et) &3tinguis,er (if applica#le): ocation:
#ther &/tinguishing Systems:
Type(i<e< pre-action; sprin>ler; ,alon; inergen; dry c,emical): Area/ocation Protecting
Porta#le Fire &3tinguis,ers: ("efer to sc,ematic draings)
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&mergency ighting
No =es ocation(s):
&mergency Power
No =es Battery enerator
enerator
7iesel Natural as
Fuel Supply ocation:
Transfer Sitc, ocation:
&9uipment Poered #y enerator:
&lectromagnetic oc+ing 'e2ices
No =es (manual release sitc, location)
Pro,er Signage )&/am,le – no ,ar+ing signs3 fire lane signage3 no storage3 emergency,rocedures3 411 signage at manual ,ull stations*
No =es
ocation(s) t,roug,out #uilding:
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&/tra .a5ardous Area:
s t,ere ,aardous materials on siteG No =es
f =&S; please list t,e material and 9uantity:
&/its: "efer to sc,ematics for location of e3its<
&le2ators:
Automatic "ecall No =es
5anual "ecall No =es
5anual "ecall Sitc,(s) No =es ocation:
Total Num#er of &le*ators:
Total Num#er of FF &le*ators:
FF &le*ator ocation:
Floors Ser*ed #y FF &le*ator:
ocation of recall/operating >eys:
perating nstructions:
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Part ()a*Additional Information
For any additional information not already co*ered:
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Part ()b*Audit of .uman %esources
Business/Building Name:
Address:
Enit No<
Postal ode: Business P,one No<
Business ner:
Address:
Postal ode:
P,one Num#er(s):
After $our ontacts (! ,our telep,one num#ers)
5anager/Super*isor: P,one No<
&mployee/Title: P,one No<
&mployee/Title: P,one No<
t,er:
P,one No<
Building ner:
Address:
Postal ode: P,one No<
Fire Alarm 5onitoring ompany: P,one No<:
Sprin>ler 5onitoring ompany: P,one No<:
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Part 6&mergency Procedures for #ccu,ants
Please review this section (1 page)
&mergency procedures signage ill #e affi3ed to t,e all at all fire alarm pull-stations and
in ele*ator lo##ies<
I$ CAS& #F FI%&
Epon 7isco*ery of Fire:
• ea*e fire area immediately and close doors• Sound Fire Alarm• all t,e Fire 7epartment at 6-1-1• ea*e #uilding *ia nearest &3it• Aait t,e arri*al of t,e Fire 7epartment at t,e muster point
Epon $earing Fire Alarm:
• ea*e #uilding *ia nearest &3it• lose doors #e,ind you• 7o not use ele*ator• Aait t,e arri*al of t,e Fire 7epartment at t,e muster point
CATI#$
F =E &NENT&" S5& - ES& AN AT&"NAT& &T
%emain Calm
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Part 7&mergency Procedures for Su,er2isory Staff
Please review this section (2 pages)
Epon 7isco*ery of Fire
• ea*e fire area immediately and close doors< Alert occupants<• Sound Fire Alarm and follo t,e fire alarm e*acuation procedures<• all 6-1-1 from a safe location<• &3it t,e #uilding *ia t,e nearest e3it<• Aait t,e arri*al of t,e Fire 7epartment at t,e muster point<
Epon $earing of a Fire ondition
• &nsure t,at t,e ot,er occupants ,a*e #een notified of t,e emergency conditions<• Notify t,e Fire 7epartment of t,e emergency condition< 7ial 6-1-1<• f it is safe to do so; super*ise t,e e*acuation of all occupants; including t,ose
re9uiring assistance<• Epon t,e arri*al of t,e firefig,ters; inform t,e fire officer of t,e conditions in t,e
#uilding and coordinate t,e efforts of t,e Super*isory staff it, t,ose of t,e Fire7epartment<
• Pro*ide access and *ital information to t,e firefig,ters as to location of persons; master>eys for t,is occupancy and ser*ice rooms; etc<
eneral %elated 'uties
• eep t,e doors in fire separations closed at all times<• eep access to e3its and &TS; inside and outside; clear of any o#structions at all times<• 7o not permit com#usti#le materials to accumulate in 9uantities or locations t,at ould
constitute a fire ,aard<• Promptly remo*e all com#usti#le aste from areas ,ere aste is placed for disposal; if
applica#le<• eep access roadays; fire routes and fire department connections clear and accessi#le
for fire department use<• 5aintain t,e fire protection e9uipment in good operating condition at all times<• Participate in fire drills< ccupantsH participation s,ould #e encouraged<• $a*e a or>ing >noledge of t,e #uilding fire and life safety systems<• &nsure t,e #uilding fire and life safety systems are in operating condition<• Arrange for a su#stitute in your a#sence<• omply it, t,e Al#erta Fire ode !88.<• n t,e e*ent of any s,utdon of fire and life safety systems; notify t,e Fire 7epartment
and initiate alternati*e measures<
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&mergency ProceduresAdditional nformation/omments
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&mergency ProceduresAdditional nformation/omments (page !)
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Part 8%es,onsibilities of the #wner 9 #ccu,ant
Please review this section (1 page)
T,e #uilding oner/occupant ,as numerous responsi#ilities related to fire safety and mustensure t,at t,e folloing measures are enacted:
• &sta#lis,ed emergency procedures to #e folloed at t,e time of an emergency<• Appointment and organiation of designated super*isory staff to carry out safety
duties<• nstruction of super*isory staff and ot,er occupants so t,at t,ey are aare of t,eir
responsi#ilities for fire safety<• $olding of fire drills in accordance it, t,e Fire ode; incorporating &mergency
Procedures appropriate to t,e #uilding<• ontrol of fire ,aards in t,e #uilding<• 5aintenance of #uilding facilities pro*ided for safety of t,e occupants<• Pro*isions of alternate measures for safety of occupants during s,ut don of fire
protection e9uipment<• Assuring t,at c,ec>s; tests and inspections re9uired #y t,e Al#erta Fire ode are
completed on sc,edule and t,at records are retained for a minimum period of to (!)years<
• Assuring that initial 2erification or test re,orts for fire ,rotection systems areretained throughout the life of the systems
• Post and maintain at least one (1) copy of t,e fire emergency procedures<• eep a copy of t,e appro*ed Fire Safety Plan on t,e premises in an appro*ed location<• Notification of t,e Fire 5ars,al regarding c,anges in t,e Fire Safety Plan<• &nsure t,at t,e information in t,e Fire Safety Plan is current<• 7esignate and train sufficient alternates to replace super*isory staff during any a#sence<
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Part ;)a*Fire .a5ards
Please review this section (2 pages)
%esidential Pro,erties
To a2oid fire ha5ards in the building3 occu,ants must:• Ne*er put #urning materials suc, as cigarettes and as,es into t,e gar#age c,ute<• Ne*er dispose of flamma#le li9uids or aerosol cans in t,ese c,utes<• Ne*er force cartons; coat ,angers; #undles of paper into t,e c,ute #ecause it may
#ecome #loc>ed<• A*oid unsafe coo>ing practices: deep fat frying; too muc, ,eat; unattended sto*es;
loosely ,anging slee*es<• A*oid careless smo>ing< Ne*er smo>e in #ed<• Ne*er lea*e anyt,ing t,at may #urn or cause a trip ,aard in t,e ,alls; corridors and/or
stairays<• Alays clean out clot,es dryer lint collector #efore and after use<• 7o not use unsafe electrical appliances or o*erloaded outletsI do not use e3tension cords
or lamp ire for permanent iring<
In general3 occu,ants should:• no ,o to alarm occupants of #uilding; >no ,ere e3its are located<• all Fire 7epartment immediately (6-1-1) ,ene*er you need assistance<• no t,e correct address of t,e #uilding or precise geograp,ical location of t,e facility<• Notify t,e #uilding oner/property management if special assistance if re9uired in t,e
e*ent of an emergency<• no t,e fire alarm signals and t,e procedures esta#lis,ed to implement safe
e*acuation< "ead and follo t,e manufacturers smo>e alarm (and detector ifapplica#le) instructions; a*aila#le from #uilding oner/property management<
• no t,e super*isory staff in your #uilding<• "eport any fire ,aard to super*isory staff<• no t,e stairell designation and t,e crosso*er floors (if any)<
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Part ;)b*Fire .a5ards
Commercial3 %etail and Industrial Pro,erties
A ,ig, standard of ,ouse>eeping and #uilding maintenance is pro#a#ly t,e most importantsingle factor in t,e pre*ention of fire< isted #elo are some specific ,aards<• om#usti#le material stored in non-appro*ed areas<• Fire and smo>e #arrier door not operating properly or edged open<• mproper storage of flamma#le li9uids and gases<• 7efecti*e electrical iring and appliances; o*er-fusing; and t,e use of e3tension cords as
permanent iring<• lot,es dryer lint collector full or improperly *ented<• areless use of smo>ing materials<• itc,en ,oods and filters not cleaned properly/grease laden<•
mproper disposal of oily rags<
In general3 occu,ants should:• no ,o to alarm occupants of #uilding; >no ,ere e3its are located<• all t,e Fire 7epartment immediately (6-1-1) ,ene*er you need assistance<• no t,e correct address of t,e #uilding or precise geograp,ical location of t,e facility<• Notify t,e #uilding/property management if special assistance is re9uired in t,e e*ent of
an emergency<• no t,e fire alarm signals and t,e procedures esta#lis,ed to implement safe
e*acuation<• no t,e super*isory staff in your #uilding<• "eport any fire ,aard to super*isory staff<• no stairell designation and t,e crosso*er floors (if any)<
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Part <Fire &/tinguishment3 Control or Confinement
Please review this section (1 page)
$ote: The Fort "c"urray Fire Pre2ention !ranch does not recommend ci2ilians oruntrained indi2iduals to e/tinguish a fire of any +ind with the use of a hose cabinet or,ortable fire e/tinguisher
n t,e e*ent a small fire cannot #e e3tinguis,ed it, t,e use of a porta#le fire e3tinguis,eror t,e smo>e presents a ,aard for t,e operator; t,e door to t,e area s,ould #e closed toconfine and contain t,e fire< ea*e t,e fire area< &nsure t,at t,e Fire Alarm System ,as#een acti*ated and t,at Fire 7epartment ,as #een notified prior to an attempt toe3tinguis, t,e fire< nly t,ose persons ,o are trained and familiar it, e3tinguis,eroperation may attempt to fig,t t,e fire<
Suggested #,eration of Portable Fire &/tinguishers
"emem#er t,e (PASS)
P - Pull t,e safety pinA - Aim t,e noleS - S9ueee t,e trigger ,andleS - Seep from side to side (atc, for fire restarting)
Ne*er re-,ang e3tinguis,ers after use< &nsure t,ey are properly rec,arged #y a person t,at
is 9ualified to ser*ice porta#le fire e3tinguis,ers and t,at a replacement e3tinguis,er ispro*ided<
eep e3tinguis,ers in a *isi#le area it,out o#structions around t,em<
$#T&: Prior to using a -type e3tinguis,er; acti*ate t,e >itc,en e3tinguis,ing system
to a*oid electricution<
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Part =Alternati2e "easures for #ccu,ant Fire Safety
Please review this section (1 page)
n t,e e*ent of any s,ut-don of fire protection e9uipment systems or part t,ereof; in
e3cess of ! ,ours; t,e fire department s,all #e notified in riting< ccupants ill #enotified and instructions ill #e posted as to alternati*e pro*isions or actions to #e ta>en incase of emergency< T,ese pro*isions and actions must #e accepta#le to t,e Fire 5ars,al<
All attempts to minimie t,e impact of malfunctioning e9uipment ill #e initiated< C,ereportions of a sprin>ler or fire alarm system are placed out of ser*ice; ser*ice to remainingportions must #e maintained; and ,ere necessary; t,e use of atc,men; #ull-,orns;porta#le radios; employed to notify concerned parties of emergencies< Assistance anddirection for specific situations ill #e soug,t from Fire 7epartment<
Procedures to #e folloed in t,e e*ent of s,utdon of any part of a fire protectionsystem are as follos:
1. Notify Fire 7epartment; dial )<=>* <76 <>;1 (7 NT ES& 611)< i*e your name;address and a description of t,e pro#lem and ,en you e3pect it to #e corrected< Fire7epartment is to #e notified in riting of s,utdons longer t,an ! ,ours<
2. Post notices at all e3its and t,e main entrance; stating t,e pro#lem and ,en it ise3pected to #e corrected<
3. 5aintain fire atc, in affected area(s) as per Basic Catc,man Ser*ice onditions< BasicCatc,man Ser*ice conditions can #e found on "5CB e#site<
4. Notify Fire 7epartment and t,e #uilding occupants ,en repairs ,a*e #een completedand systems are operational<
$ote: All s,utdons ill #e confined to as limited an area and duration as possi#le<
oo>ing operations s,all #e suspended until t,e commercial coo>ing fi3ede3tinguis,ing system is restored<
Cor> on fire protection systems can only #e carried out #y 9ualified persons
accepta#le to Fire 7epartment and ,olding a *alid permit from t,e FirePre*ention Branc,< For more information call (248) 26! ++88<
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Part 4Fire 'rills
Please review this section.
Fire drills ill #e ,eld at least once e*ery mont,(s) to ensure efficient e3ecution oft,e &mergency Procedures< Fire drill records are re9uired to #e retained for a period ofone year<
F"& 7" "&"7
7ate: Time:
5anager/Super*isor n-7uty:
Staff Present:
7eficiencies Noted:
eneral omments:
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Part 1>%e0uirements of the Alberta Fire Code
Please review this section (1 page)
,ec>/test/inspect re9uirements of t,e Al#erta Fire ode:
• To assist you in fulfilling your o#ligations; included is a list of t,e portions of t,e Fireode t,at re9uires c,ec>s; inspections and/or tests to #e conducted of t,e facilities< tis suggested t,at you read o*er t,is list and perform or ,a*e performed t,enecessary c,ec>s; inspections and/or tests for t,e items ,ic, may apply to yourproperty<
• Safety odes fficers may c,ec> to ensure t,at t,e necessary c,ec>s; inspections and/ortests are #eing done; ,en conducting t,eir inspections<
• T,is list ,as #een prepared for purposes of con*enience only< For accuratereference; t,e Al#erta Fire ode s,ould #e consulted<
7efinitions for >ey ords are as follos:
Check means *isual o#ser*ation to ensure t,e de*ice or system is inplace and is not o#*iously damaged or o#structed
Test means t,e operation of a de*ice or system to ensure t,at it illperform in accordance it, its intended operation or function
Inspect means p,ysical e3amination to determine t,at t,e de*ice or systemill apparently perform in accordance it, its intended function
t is stated in t,e Fire ode t,at records of all tests and correcti*e measures arere9uired to #e retained for a period of to years after t,ey are made<
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eneral Fire Protection Systems9&0ui,ment
eneral %es,onsibility
7oors in fire separations s,all #e chec+ed as fre9uently asnecessary to ensure t,at t,ey remain closed<
&3it signs s,all #e clearly *isi#le and maintained in a cleanand legi#le condition<
nternally illuminated e3it signs s,all #e >ept clearlyilluminated at all times; ,en t,e #uilding is occupied<
?ee+ly
C,en su#Ject to accumulation of com#usti#le deposits;,oods; filters and ducts s,all #e chec+ed ee>ly and #ecleaned ,en suc, deposits create an undue fire ,aard<
"onthly
7oors in fire separations s,all #e ins,ected mont,ly forproper operation<
@early
Fire dampers and fire-stop flaps s,all #e ins,ected annually;or #ased on a sc,edule *ia contractor accepta#le to t,e Fire5ars,al<
&*ery c,imney; flue and flue pipe s,all #e ins,ectedannually and cleaned as often as necessary to >eep t,emfree from accumulations of com#usti#le deposits<
7isconnect sitc,es for mec,anical air-conditioning and*entilating systems s,all #e ins,ected annually to esta#lis,t,at t,e system can #e s,ut don<
Spar> arresters s,all #e cleaned annually or more fre9uently,ere accumulations of de#ris ill ad*ersely affectoperations< Burnt-out arresters s,all #e repaired orreplaced<
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Portable Fire &/tinguishers
eneral %es,onsibility
&ac, porta#le e3tinguis,er s,all ,a*e a tag securely
attac,ed to it s,oing t,e maintenance or rec,arge date;t,e ser*icing agency and t,e signature of t,e person ,operformed t,e ser*ice<
A permanent record containing t,e maintenance date; t,ee3aminerHs name and a description of any or> or,ydrostatic testing carried out s,all #e prepared andmaintained for eac, porta#le e3tinguis,er<
All e3tinguis,ers s,all #e rec,arged after use or as indicated
#y an inspection or ,en performing maintenance< C,enrec,arging is performed; t,e recommendations of t,emanufacturer s,all #e folloed<
"onthly
Porta#le e3tinguis,ers s,all #e inspected mont,ly<
@early
&3tinguis,ers s,all #e su#Ject to maintenance not more t,an
one year apart or ,en specifically indicated #y aninspection<
5aintenance procedures s,all include a t,oroug,e3amination of t,e t,ree #asic elements of an e3tinguis,er:a) mec,anical parts#) e3tinguis,ing agentc) e3pelling means
&*ery tel*e mont,s; pump tan> ater; and pump tan>
calcium c,loride #ase antifreee types of e3tinguis,ers s,all#e rec,arged it, ne c,emicals or ater; as applica#le
8 @ears
&*ery fi*e years; pressuried ater and car#on dio3ide firee3tinguis,ers s,all #e ,ydrostatically tested<
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; @ears
&*ery si3 years; stored pressure e3tinguis,ers t,at re9uire a1! year ,ydrostatic test s,all #e emptied and su#Jected tot,e applica#le maintenance procedures<
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Fire Alarm
eneral %es,onsibility
Fire alarm and *oice communication system componentss,all #e >ept uno#structed<
Fire alarm s,all #e >ept uno#structed<
Fire alarm system poer supply disconnect sitc,es s,all #eloc>ed on in an appro*ed manner<
'aily
T,e folloing daily c,ec>s s,all #e conducted< f a fault isesta#lis,ed; appropriate correcti*e action s,all #e ta>en<
a) Chec+ t,e principle and remote trou#le lig,ts fortrou#le indicationI
#) Ins,ection of t,e A poer-on lig,t s,all #e doneto ensure its normal operation<
"onthly
&*ery mont, t,e folloing tests s,all #e conducted under#attery #ac> up poer and if a fault is esta#lis,ed;appropriate correcti*e action s,all #e ta>en:
a) one fire alarm initiating de*ice s,all #e operated; on arotating #asis; and s,all initiate an alarm condition
#) function of all signal de*ices s,all #e ensuredc) t,e annunciator panel s,all #e c,ec>ed to ensure
correct annunciationd) intended function of t,e audi#le and *isual trou#le
signals s,all #e ensurede) fire alarm #atteries s,all #e c,ec>ed to ensure t,at:
i) terminals are clean and lu#ricated ,ere
necessaryIii) terminal clamps are clean and tig,tIiii) electrolyte le*el and specific gra*ity; ,ere
applica#le; meet manufacturerHs specifications
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"onthly )continued* %es,onsibility
Doice paging capa#ility to one one s,all #e tested mont,lyon a rotational #asis<
ne emergency telep,one s,all #e tested mont,ly on arotational #asis for operation and correct indication atcontrol unit<
oudspea>ers s,all #e tested mont,ly as an all-call signal toensure t,ey function as intended<
At least one Firefig,terHs emergency telep,one s,all #etested mont,ly on a rotational #asis to ensurecommunication it, t,e control unit< All telep,ones s,all #e
tested eac, year<
@early
=early tests conducted #y a 9ualified person accepta#le toFire Pre*ention Branc, and ,olding a *alid permit from t,eFire Pre*ention Branc,TestsS,all #e conducted and documented in conformance it,AN/E S+%.-8; Knspection and Testing of Fire Alarm
SystemsL<
Doice communications #eteen floor areas and t,e centralalarm control facility s,all #e tested annually; as re9uiredfor fire alarm initiating and signally de*ices<
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Smo+e Alarms
eneral %es,onsibility
&nsure delling unit smo>e alarms are maintained inoperating condition<
&nsure a copy of t,e smo>e alarm manufacturerHs5aintenance instructions or appro*ed alternati*e ,as #eenpro*ided<
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Stand,i,e Systems
For full list of tas+s and ins,ection form sam,le refer to $FPA (8
"onthly %es,onsibility
$ose ca#inets s,all #e ins,ected mont,ly to ensure t,at t,e,ose and e9uipment are in t,e proper position and appear to#e opera#le<
@early
Plugs or caps on Fire 7epartment connections s,all #eremo*ed annually and t,e t,reads ins,ected for ear; rust
or o#struction< "e-secure plugs or caps; renc, tig,t<
f plugs or caps are missing; e3amine t,e Fire 7epartmentconnections for o#structions; #ac> flus, if necessary; andreplace plugs or caps<
$ose *al*es s,all #e ins,ected annually to ensure t,att,ey are tig,t and t,at t,ere is no ater lea>age intot,e ,ose<
Standpipe ,ose s,all #e remo*ed and re-rac>ed annually andafter use< Any orn gas>ets in t,e couplings; at t,e ,ose*al*e and at t,e nole s,all #e replaced<
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S,rin+ler Systems )?et*
For full list of tas+s and ins,ection form sam,le refer to $FPA (8
eneral %es,onsibility
Au3iliary drains s,all #e ins,ected as re9uired topre*ent freeing<
?ee+ly
&3cept for electrically super*ised *al*es; all *al*escontrolling ater supplies to sprin>lers and alarmconnections s,all #e chec+ed ee>ly to ensure t,at t,ey aresealed or loc>ed in t,e open position<
Cater supply pressure and system air or ater pressure s,all#e chec+ed ee>ly #y using gauges to ensure t,at t,esystem is maintained at t,e re9uired operating pressure<
"onthly
nspect gauges control *al*es M tamper sitc,es<
Three "onth
nspect alarm de*ices; ,ydraulic nameplate and firedepartment connectionsAll transmitters and alarm de*ices s,all #e tested at %mont, inter*als<
Si/ "onths
ate-*al*e super*isory sitc,es and ot,er sprin>ler systemsuper*isory de*ices s,all #e tested at si3 mont, inter*als<
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eneral %es,onsibility
@early
&3posed sprin>ler piping ,angers s,all #e chec+ed yearly to
ensure t,at t,ey are >ept in good repair<
Sprin>ler ,eads s,all #e chec+ed at least once per year toensure t,at t,ey are >ept in good repair<
Sprin>ler ,eads s,all #e chec+ed at least once per year toensure t,at t,ey are free from damage; corrosion; grease;dust; paint; or ,iteas,< T,ey s,all #e replaced ,erenecessary as a result of suc, conditions<
n et sprin>ler systems; ater-flo alarm test using t,emost ,ydraulically remote test connection; s,all #eperformed annually<
Sprin>ler system ater pressure s,all #e tested annually orafter any sprin>ler system control *al*e ,as #een operated;it, t,e main drain *al*e fully open; to ensure t,at t,ereare no o#structions or deterioration of t,e main atersupply<
Plugs or caps on Fire 7epartment connections s,all #eremo*ed annually and t,e t,reads inspected of ear; rust oro#struction< "e-secure plugs or caps; renc, tig,t< f plugsor caps are missing; e3amine t,e Fire 7epartmentconnection for o#structions; #ac> flus, if necessary andreplace plugs or caps<
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S,rin+ler Systems )'ry*
For full list of tas+s and ins,ection form sam,le refer to $FPA (8
eneral %es,onsibility
Au3iliary drains s,all #e ins,ected as re9uired to pre*entfreeing<
7ry-pipe *al*e rooms or enclosures in un,eated #uildingss,all #e chec+ed as often as necessary ,en t,e outsidetemperature falls #elo 8o elsius to ensure t,at t,e systemdoes not freee<
?ee+ly
&3cept for electrically super*ised *al*es; all *al*escontrolling ater supplies to sprin>lers and alarmconnections s,all #e chec+ed ee>ly to ensure t,at t,ey aresealed or loc>ed in t,e open position<
Cater supply pressure and system air or ater pressure s,all#e chec+ed ee>ly #y using gauges to ensure t,at t,esystem is maintained at t,e re9uired operating pressure<
System pressure gauges s,all #e chec+ed ee>ly< T,esystem s,all #e maintained at t,e re9uired operatingpressure<
"onthly
nspect gauges control *al*es M tamper sitc,es<
6 "onths
All transmitters and ater flo de*ices s,all #e tested at % mont, inter*als<
T,e priming ater supply for dry pipe systems s,all #eins,ected e*ery t,ree mont,s to ensure t,at t,e properle*el a#o*e t,e dry pipe *al*e is maintained<
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; "onths
ate-*al*e super*isory sitc,es and ot,er sprin>ler systemsuper*isory de*ices s,all #e tested at si3 mont, inter*als<
@early
&3posed sprin>ler piping ,angers s,all #e chec+ed yearly toensure t,at t,ey are >ept in good repair<
Sprin>ler ,eads s,all #e chec+ed at least once per year toensure t,at t,ey are free from damage; corrosion; greasedust; paint; or ,iteas,< T,ey s,all #e replaced ,erenecessary as a result of suc, conditions<
Sprin>ler system ater pressure s,all #e tested annually orafter any sprin>ler system control *al*e ,as #een operated;it, t,e main drain *al*e fully open; to ensure t,at t,ereare no o#structions or deterioration of t,e main atersupply<
Plugs or caps on Fire 7epartment connections s,all #eremo*ed annually and t,e t,reads inspected for ear; rust oro#struction< "e-secure plugs or caps renc, tig,t< f plugs
or caps are missing; e3amine t,e Fire 7epartmentconnection for o#structions; #ac> flus, if necessary andreplace plugs or caps<
7ry pipe *al*es s,all #e tripped annually #y means of t,esystem test pipe; to ensure t,at t,ey operate satisfactorilyand t,at t,e sprin>ler alarms are in operating condition< Afull flo trip test; it, t,e control *al*e fully open; s,all #econducted at least e*ery t,ree years<
18 @ears
&*ery fifteen years; dry pipe systems s,all #e ins,ected foro#structions in t,e sprin>ler piping and if necessary; t,eentire system s,all #e flus,ed of foreign material<
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?ater Su,,lies for Firefighting )Fire Pum,s*
For full list of tas+s and ins,ection form sam,le refer to $FPA (8
eneral %es,onsibility
&nsure 9uality of fuel t,roug, replacement and/or testing<
'aily
T,e temperature of pump rooms s,all #e chec+ed dailyduring freeing eat,er<
?ee+ly
Dal*es controlling ater supplies e3clusi*ely for fireprotection systems s,all #e ins,ected ee>ly to ensure t,att,ey are fully open and sealed or loc>ed in t,at position<
Fire pumps s,all #e started once per ee> at rated speed<T,e fire pump disc,arge pressure; suction pressure;lu#ricating oil le*el; operati*e condition of relief *al*es;priming ater le*el and general operating conditions s,all #eins,ected
nternal com#ustion engine fire pumps s,all #e operatedonce per ee> for a sufficient time to #ring t,e engine up tonormal operating temperature< T,e storage #atteries;lu#rication systems and fuel supplies s,all #e ins,ected<
@early
Fire pumps s,all #e tested annually at full rated capacity toensure t,at t,ey are capa#le of deli*ering t,e rated flo<
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Pri2ate Fire .ydrants
For full list of tas+s and ins,ection form sam,le refer to $FPA (8
eneral %es,onsibility
$ydrants s,all #e readily a*aila#le and uno#structed foruse at all times< Pri*ate ,ydrants s,all #e painted yello asper "5CB &ngineering Ser*icing Standards Procedures<
@early
$ydrants s,all #e ins,ected annually and after eac, use<
&nsure ,ydrants are e9uipped it, port caps secured renc,tig,t< T,e port caps s,all #e remo*ed annually andins,ected for ear; rust or o#structions<
T,e ,ydrant #arrel s,all #e ins,ected annually to ensuret,at no ater ,as accumulated<
T,e drain *al*e s,all #e ins,ected for operation if ater isfound in t,e ,ydrant #arrel ,en main *al*e is closed<
$ydrant ater flo s,all #e ins,ected annually and a records,all #e >ept<
8 @ears
Flo test e3posed and underground piping<
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?ater Su,,lies for Firefighting )?ater Tan+s*
For full list of tas+s and ins,ection form sam,le refer to $FPA (8
'aily %es,onsibility
Cater tan> ,eat e9uipment; tan> enclosure and/or atertemperature s,all #e chec+ed daily during freeing eat,er<
Cee>ly
Cater le*els and air pressure in pressure tan>s s,all #echec+ed ee>ly and t,e relief *al*es on t,e air and t,eater lines s,all #e ins,ected ee>ly<
5ont,ly
Cater le*el in gra*ity tan>s s,all #e ins,ected mont,ly<
=early
An annual ins,ection s,all #e made of ater tan>s for fireprotection; tan> supporting structures and ater supply
systems including piping; control *al*es; c,ec> *al*es;,eating systems; mercury gauges and e3pansion Joints toensure t,at t,ey are in operating condition<
at,odic protection e9uipment in ater tan>s s,all #eins,ected annually<
! =ears
Cater tan>s s,all #e chec+ed e*ery to years for corrosion<
+ =ears
Cater tan>s s,all #e ins,ected e*ery fi*e years and scrapedand repainted as re9uired<
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Commercial Coo+ing &0ui,ment
eneral %es,onsibility
ommercial coo>ing e9uipment e3,aust and fireprotection systems s,all #e installed and maintained inconformance it, NFPA 6.; KDentilation ontrol and FireProtection of ommercial oo>ing perationsL<
&nsure et c,emical porta#le fire e3tinguis,ers are pro*idedto protect commercial coo>ing e9uipment and are readilya*aila#le for use in an emergency<
?ee+ly
$oods; grease remo*al de*ices; fans; ducts; and ot,ere9uipment s,all #e chec+ed ee>ly and cleaned at fre9uentinter*als; prior to surfaces #ecoming ,ea*ily contaminatedit, grease or oily sludge<
; "onths
Ins,ection and ser*icing of t,e fire e3tinguis,ing system
s,all #e made at least e*ery si3 mont,s #y properly trainedand 9ualified persons in conformance it, Al#erta Fire ode;Sentence !<.<1<6<(!) ,ic, references NFPA 6. - !88
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&mergency ighting System
eneral %es,onsibility
'aily
,ec> PC&" N lig,ts for indication of proper operation<
"onthly
&mergency lig,ting e9uipment s,all #e tested mont,ly toensure t,at t,e emergency lig,ting ill function upon failureof t,e primary poer supply<
@early
&mergency lig,ting e9uipment s,all #e tested annually toensure t,at t,e units ill pro*ide emergency lig,ting for aduration e9ual to t,e design criteria under simulated poerfailure conditions<
After completion; t,e c,arging conditions for *oltage andcurrent and t,e reco*ery period ill #e tested annually to
ensure t,at ,e c,arging system is in accordance it, t,emanufacturerHs specifications<
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&mergency Power Systems
eneral %es,onsibility
&mergency poer systems s,all #e ins,ected; tested and
maintained in conformance it, AN/SA !4!-8+;K&mergency &lectrical Poer Supply for BuildingsL<
To ensure continued relia#le operation; t,e emergencypoer supply e9uipment s,all #e operated and maintained inaccordance it, manufacturerHs instructions<
At least to copies of t,e instruction manual s,all #emaintained<
?ee+ly
nspect test M maintain as per AN/SA !4!-8+;K&mergency &lectrical Poer Supply for BuildingsL<5aintain "ecords<
"onthly
nspect test M maintain as per AN/SA !4!-8+;K&mergency &lectrical Poer Supply for BuildingsL<
5aintain "ecords<
Semi-Annually )&2ery ; month*
nspect test M maintain as per AN/SA !4!-8+;K&mergency &lectrical Poer Supply for BuildingsL<5aintain "ecords<
Annually
nspect test M maintain as per AN/SA !4!-8+;K&mergency &lectrical Poer Supply for BuildingsL<5aintain "ecords<
&2ery 8 years
nspect test M maintain as per AN/SA !4!-8+;K&mergency &lectrical Poer Supply for BuildingsL<5aintain "ecords<
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"aintenanceAdditional Comments
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Part 11- !uilding Schematics Please review this section.
LEGEND FOR BUILDING / UNIT FIRE EMERGENCY SYSTEM
Pull Pin For Kitchen Fire Suppression System
Entrance / Exit
Hydrant
Siamese Fire Department Connection
Free Standing Siamese Fire Department Connection
Valves (eneral!"denti#y $he $ype %# Valve ("e& Shut %## Valve For 'atural as Sprin)lers Etc&!
FCPFire *larm Control Panel
FAAFire *larm *nnunciator
Emergency +ight ,attery-Po.ered
"lluminated Exit Sign Single Face
Comined ,attery-Po.ered Emergency +ight 0 "lluminated Exit Sign
Pull Station
HD
Heat Detector
SD
Smo)e Detector
BC
Fire Extinguisher - ,C $ype
ABC
Fire Extinguisher - *,C $ype
A
Fire Extinguisher - 1ater
HHose Cainet
Sprin)ler 2iser indicate .hether 1et or Dry System
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Site Plan
Please attach Site Plan to email or send 2ia ,ostalmail
)Include egend*
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Floor PlanPlease attach Floor Plan to email or send 2ia ,ostal
)Include egend*