SAMPLE/DRAFT
OF
FIRE SAFETY PLAN
Name and Address of the company
Prepared by:
Name of the Firm
Approved By--------------
Table of Contents
1. Definitions
2. Fire Safety plan Objectives
3. Building Information
4. Fire Protection Systems
5. Floor Plans (Drawing)
6. Human Resources
7. General Responsibilities
8. Designated Responsibilities
9. Instructions to Occupants
10. Inspection, Testing & Maintenances
Part I
DEFINITIONS
Part II
OBJECTIVES OF THE FIRE SAFETY PLAN
Objectives
Purpose
ASSIGNMENT OF RESPONSIBILITY
PLAN IMPLEMENTATION
Part III
Building Information
General Description
Service Locations
Hazard Locations
Occupants Load
Previous Fire Incident (If any)
Fire Detection & Alarm System
Monitored: Annunciator location:
Main Fire Alarm Location:
Heat detector locations:
Smoke detector locations:
Smoke alarm locations:
Strobe and Horn location:
Manual pull station locations:
Control Panel location:
Main entrance door:
During an alarm condition the main lobby entrance door latch releases/does not release, allowing
fire fighter entry.
Fire Suppression System
Portable Fire Extinguishers
Type:
Locations:
Fire Hydrant
Type:
Location:
Standpipe System
Type:
Riser locations:
Riser isolation valve locations:
Hose connection locations:
Siamese connection location:
Pressure reducing valves –
Location:
Type:
Sprinklers
Locations:
Valve types (dry / #, wet / #):
Isolation valve locations:
Main supply shut-off location:
Siamese location:
Test valves locations:
Air pressure maintenance:
Means of Escape
Number:
Location:
Exits:
Number of Exits:
Locations:
Means of Exit Signs and illumination
Location
Graphics
Illumination
Source of power
Floor level exit signs
Emergency Lighting Units
Emergency lightingunits connected to battery pack units are installed in the following areas:
Emergency Power & Lighting
Emergency generator: Fuel:
Location:
Automatic Battery Charger:
Serves:
Main Natural-gas Supply Shut-off
Location:
Heating, Ventilation & Air Conditioning
Type of heating:
Ventilation system:
mechanical exhaust system
Fire Pathways and Building Service
Opening in the separating wall
Smoke and heat vents
Electrical, gas and HVAC Services
Surface finishes
Wired glass panels
Fire lift
Electrical Rooms & Equipment
Substation location
Generator location
Transformer location
LT/MDB/DB/SDB/SB/MCB BOX/Others
Electrical and electronic Engineering Installation
Electrical connection
Wiring
Wiring for lights
External influence
Selection and erection to minimize spreading of fire
Conduits and conduit fittings
Lighting protection system
Earthing
o Circuit and system of earthing
o Methods of earthing
Boiler room
o Location
o Fire resistance wall type
o Type of fire door
Command Station
o Location
Water facilities
Water requirement for interior fire protection
Water Sources for fire protection
Individual Water sources
Fire Pump : Electrical,Dassel and Jockey Pump:
Rate of flow
Pressure
Location:
Fire Department Access Routes
Width:
Marked:
Locations:
Fire Department Access to Roof
Location:
Key Location: _______________
Fire Department Keys
Location:
Access for:
Areas of Refuge
Locations:
Chemical/Flammable/Combustible Storage
Location/Quantity:
Part IV
FLOOR PLAN
Drawing to be submitted :
o Fire Protection system
o Fire Detection and Alarm system
o SLD
o LPS
Part V
Human Resources
Management and Higher official (With address and telephone)
Part VI
General Responsibilities
Management Responsibility
Worker Responsibility
Part VII
Designated Responsibilities
Fire Safety Managerif fire is discovered
.
In the case of an emergency…
Building Engineer
.
Instructions to Workers
o In the event of discovering a fire occupants will:
o In the event the fire alarms sound occupants will:
Part VIII
Inspection, Testing & Maintenance
General
Records of Electrical safety, fire drill and evacuation drill etc
o Earthing register
o Thermography resister
o Electrical safety training resister
o Fire & evacuation drill resister
Chemical storage Inspection
Storage inspection
Electrical and electronics equipments Inspection
o Inspection of substation
o Inspection of medium voltage
o Inspection of overhead lines
o Inspection of Lighting circuits
o Inspection of Generator
Electrical and electronics equipment’s Test
o Insulation Test
o Earth resistance test
o Operation test
Fixed Extinguishing System
o Monthly Inspection
Responsibility:
Procedure:
Record Keeping: Monthly Inspection & Testing Report
o Semi-annual Maintenance
Responsibility:
Procedure: .
Record Keeping: Semi-Annual Inspection & testing Report
Portable Fire Extinguishers
Reference Standard:
.
o Monthly Inspection
Responsibility:
Procedure:
Record Keeping:
o Annual Maintenance
Responsibility:
Procedure:
Record Keeping: Annual Inspection & Testing Report
Means of Escape
o Daily Inspection
Responsibility:
Procedure:
Record Keeping:
o Monthly Inspection
Responsibility:
Procedure:
Record Keeping:Monthly Inspection & Testing Report
Fire Detection & Alarm System
Reference standard:
o Daily Inspection
Responsibility:
Procedure:
Record Keeping: None
o Monthly Testing
Responsibility:
Procedure:
Record Keeping: Monthly Inspection & Testing Report
o Annual Service
Responsibility:
Procedure:
Record Keeping:Annual Inspection & Testing Report
Emergency Lighting Units
Reference Standard:
o Monthly Inspection
Responsibility:
Procedure:
Record Keeping: Monthly Inspection and Testing Report
o Monthly Testing
Responsibility:
Procedure:
Record Keeping: Monthly Inspection & Testing Report
o Annual Testing
Responsibility:
Procedure:
Record Keeping: Annual Inspection and Testing Report
Emergency Generator
Reference Standard:
Weekly Maintenance Schedule
Responsibility:
o Monthly Testing
Responsibility:
Record Keeping: Weekly Testing And Maintenance Report
Monthly Maintenance and Inspection Schedule
o Semi-annual Service
Responsibility:
Procedure:
Record Keeping: Semi-Annual Testing Report
o Annual Maintenance
Responsibility:
Procedure:
Record Keeping: Annual Inspection & Testing Repor
Sprinkler System
o Reference Standard:
o Daily Inspection
Responsibility:
Procedures:
Record Keeping: None
o Weekly Inspection
Responsibility:
Procedures:
o Record Keeping: Weekly Inspection Report
o Monthly Inspection & Tests
Responsibility:
Procedures:
Record Keeping: Monthly Inspection & Testing Report
o Bi-monthly Test and Inspection
Responsibility:
Procedures:
Record Keeping: Bi-monthly Testing Report
o Semi-annual Tests
Responsibility:
Procedures:
Record Keeping: Semi-Annual Inspection & Testing Report
o Annual Tests & Maintenance
Responsibility:
Procedures:
Record Keeping: Annual Inspection & Testing Report
Standpipe & Hose System
Reference Standard:
o Monthly Inspection
Responsibility:
Procedure:
Record Keeping: Monthly Inspection & Testing Report
o Annual Inspection
Responsibility:
Procedure:
Record Keeping: Annual Inspection & Testing Report
Fire Pumps & Reservoirs
o Weekly
Responsibility:
Procedure:
Record Keeping: Weekly Inspection & Testing Report
o Monthly Test
Responsibility:
Procedure:
Record Keeping:Monthly Inspection & Testing Report
o Annual Testing
Responsibility:
Procedure:
Record Keeping: Annual Inspection & Testing Report.
Fire Dampers & Fire Stops Flaps
o Annual Inspection
Responsibility:
Procedure:
Record Keeping: Annual Inspection and Testing Report.
Hoods, Ducts & Filters
o Weekly Inspection
Responsibility:
Procedure
Record Keeping: Weekly Inspection & Testing Report - when equipment is cleaned.
Chimneys, Flues & Flue Pipes
o Annual Inspection
Responsibility:
Procedure:
Record Keeping: Annual Inspection and Testing Report.
Heating Ventilating & Air Conditioning Systems
o Annual Testing and Servicing
Responsibility:
Procedure:
Record Keeping: Annual Inspection & Testing Report.
Fire Department Access to Building
o Daily Inspection
Responsibility:
Record Keeping: None
Fire Hydrants
o Semi-annual Inspection
Responsibility:
Procedure:
o Annual Flushing
Responsibility:
Procedure:
Record Keeping: Annual Inspection & Testing Report
Part X
OCCUPANT FIRE PREVENTION, PREPAREDNESS & CONTROL
Fire Prevention
Fire Preparedness
Fire Evacuation
Portable Fire Extinguishers
Fire Hose
What to Do in A Severe Earthquake
Natural Gas Leak
Smoking
Hot working
How to Assist Persons Requiring Assistance
Part XI
(Pump, Hydrant, Riser, Alarm Etc)
………. MAINTENANCE LOG
Name of the company Year: 2018
Month Date Location of Condition Action Taken Remarks
tested item Pass or Fail
Annual Test Date ----- Done By-----------