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Building Fire Safety Survey

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Building Fire Safety Survey

Table 1. Users

Program

Other:

Unit:

Bld Contact:

Telephone:

Email:

Table 2. Occupancy

Frequency of survey

Date of last survey:

Building function

Asset Classification

Asset Classification Form completed? (MFPE Chapter 1, Annex A)

Criticality Assessment Form completed? (MFPE Chapter 1, Annex A)

Year of construction:

Approximate internal building floor area (square metres):

Has occupancy or the usage of the building changed since last FSS?

If yes, has any change / usage been approved by the Region's Director Estate Services Facilities?

If yes, has a certificate of occupancy or equivalent been provided?

Are there any available fire safety-related alternative solutions / Dispensations. If yes, survey to include assessment of maintenance requirements in 'Report Checklist' at page 13A-3.

Table 3. Characteristic

BCA Classification

Table 4. Fire Safety Survey Results

Recommendations from previous survey by status

Outstanding recommendations from previous survey by status

Recommendations from current survey by status

Table 5. Survey Results Summary

Overall current survey status

Date of next survey:

Table 6. Inspecting Officer

Name:

Company:

Position:

Authorized to conduct fire safety surveys?

AIBS Accreditation No:

EEPD file reference:

Company telephone No:

Company email:

I have inspected the building and found it to be substantially in accordance with the findings noted in this fire safety survey report.

Select date

Notes:- the details of the POC for the survey are to be provided in Table 1- when the fire safety survey is outsourced, the information required to populate Table 2 is to be provided by Defence as part of the tender documentation.- A description of the original use and certification of the building is to be given in Table 2. The reference to floor area in this table is to be the internal measurement available in DEMS that includes all room floor areas within the building and excludes the building fabric. It is noted that this is not a BCA defined measurement of areas. - The building characteristics are to be described in Table 3.- The previous, current and outstanding fire safety survey recommendations are to be provided in Table 4. The outstanding column in this table is to list the recommendations that have not been completed from the previous fire safety survey report. - The status of the current fire safety survey is to be shown in Table 5.- The details of the inspecting officer are to be provided in Table 6.

Report Checklist

DSG Region: DS-SNSW

Building No:

Unit:

S = Satisfactory GS = Generally Satisfactory U = Unsatisfactory XX = Unacceptable Dangerous FA = Further Assessment N = Notes

NOTE: Refer to Report Guidelines at Annex B for further information.

FIRE RESISTANCE

01. Fire rated elements

02. Linings - Floors, wall and ceiling.

03. Compartmentation - Fire

04. Compartmentation - Smoke

05. Bounding construction

06. Essential service separation

07. Protection of external openings

08. Fire rated door-sets

09. Smoke-rated / solid core doors

10. Access panels / service penetrations

EGRESS

11. Number of exits

12. Fire-isolation of exits

13. Travel distances

14. Egress paths

15. Discharge of exits

16. Door swing

17. Door hardware

FIRE SERVICES

18. Fire hydrants

19. Booster system / pump sets

20. Fire hose reels

21. Foam / Foam attachments

SPRINKLERS

22. Fire sprinklers

OTHER SUPPRESSION SYSTEMS

23. Foam

24. Gas inert / synthetic

25. Water mist / other

PORTABLE EQUIPMENT

26. Portable extinguishers

27. Fire blankets

FIRE DETECTION

28. Fire indicator panel

29. Sub-indicator panel / mimic panel

30. Manual call points

31. Smoke / thermal / flame

Alarm acknowledgement module (AAM)

WARNING SYSTEM

32. BOWS / SSISEP / EWIS

SMOKE HAZARD MANAGEMENT

33. Fire and smoke dampers

34. Air-handling shutdown

35. Zone / stairway pressurisation

36. Smoke exhaust / smoke and heat vents

37. Fire fan control panel

EVACUATION LIGHTING SYSTEMS

38. Emergency lighting

39. Exit and directional signs

SPECIAL HAZARDS

40. Dangerous goods storage

41. Flammable goods storage

42. Gas isolation / storage

43. Hazardous area compliance

MISCELLANEOUS

44. Alternative solution report / Dispensation

45. Power supply - Essential services

46. Fire vehicle access and response

47. Housekeeping

48. Other

MAINTENANCE

49. Alternative solution requirements

50. Emergency lighting and exit signs

Evac plans installed? Are the plans AS 3745 compliant?

51. Exit doors and doors in paths of travel

52. Fire and smoke rated elements

53. Fire and smoke dampers

54. Fire detection and alarm systems

55. Fire doors / smoke doors / fire shutters

56. Fire hydrants

57. Fire suppression systems

58. Fire pumps

59. Fire resisting shaft openings

60. Hose reel system / foam attachments (Qty)

61. Lay flat hose

62. Mechanical smoke hazard management

63. Portable fire extinguisher / fire blankets (Qty)

DCP 2.5 kg

DCP 3.0 kg

DCP 4.5 kg

DCP 9.0 kg

CO2 2.0 kg

CO2 3.5 kg

CO2 5.0 kg

Water stored pressure 10 lt

Foam 9 lt

Wet chemical

Other

Location / Type / CMS ID / Comment:

64. Smoke and heat vents

65. Smoke seals to services in paths of travel

66. Wall wetting sprinklers

67. Other fire safety system:

Additional comments:

Report conclusion including any recommendations.

(check name not set)