fire safety plan template

7/21/2019 Fire Safety Plan Template

http://slidepdf.com/reader/full/fire-safety-plan-template 1/42

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.



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



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<



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:



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)



&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:



&/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:



Part ()a*Additional Information

For any additional information not already co*ered:



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<:



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



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<



&mergency ProceduresAdditional nformation/omments



&mergency ProceduresAdditional nformation/omments (page !)



Part 8%es,onsibilities of the #wner 9 #ccu,ant


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<



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)<



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)<



Part <Fire &/tinguishment3 Control or Confinement


$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<



Part =Alternati2e "easures for #ccu,ant Fire Safety


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<



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:



Part 1>%e0uirements of the Alberta Fire Code


,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<



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<



Portable Fire &/tinguishers


&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<



; @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<



Fire Alarm


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



"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<



Smo+e Alarms


&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<



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<



S,rin+ler Systems )?et*



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<




@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<



S,rin+ler Systems )'ry*



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<



; "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<



?ater Su,,lies for Firefighting )Fire Pum,s*



&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<



Pri2ate Fire .ydrants



$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<



?ater Su,,lies for Firefighting )?ater Tan+s*


'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<



Commercial Coo+ing &0ui,ment


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



&mergency ighting System


'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<



&mergency Power Systems


&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*


Annually


&2ery 8 years




"aintenanceAdditional Comments



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



Site Plan

Please attach Site Plan to email or send 2ia ,ostalmail

)Include egend*



Floor PlanPlease attach Floor Plan to email or send 2ia ,ostal

mail

)Include egend*

fire safety plan template

Documents