GOVERNMENT OF GOA
DIRECTORATE OF FIRE & EMERGENCY SERVICES
ST. INEZ, PANAJI – GOA
FORM-I
INITIAL NO OBJECTION CERTIFICATE
(The FORM-P shall be forwarded with an application addressed to the Director,
Directorate of Fire and Emergency Services, St. Inez, Panaji – Goa)
INSTRUCTIONS FOR FILLING FORM-I
1. If more than one building is proposed, applicant should attach separate checklist for
each building.
2. If an item in the checklist is complied with, mark ‘Yes’ and if an item is not complied
with, mark ‘No’. If an item is not applicable to the particular building, mark ‘NA’
(Not Applicable).
3. In the pre-construction stage, relevant documents regarding Fire Prevention, Life
Safety & Fire Protection Measures of the proposed building shall be attached as per
Form-I.
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FORM-I
(To be filled by the Applicant)
1. Name of the Owner of the premises
and address for correspondence
(Provide Telephone Number, Fax,
Email ID if any).
2. Authority approving the project and
Approval Number
3. Name of the Building
4. Address of the Premises
5. Height of the Building
6. Area of the Plot
7. Number of the Floors
8. Floor Wise Built up Area Basement - Sq. mtrs
Floor
Stilt Floor - Sq. mtrs
Ground - Sq. mtrs
Floor
Upper - Sq. mtrs
Ground
Floor
First Floor - Sq. mtrs
Second - Sq. mtrs
Floor
Third Floor - Sq. mtrs
Fourth Floor - Sq. mtrs
Fifth Floor - Sq. mtrs
Sixth Floor - Sq. mtrs
Seventh - Sq. mtrs
Floor
Eight Floor - Sq. mtrs
9. Total built up Area :Sq. mtrs
10. Open Area :Sq. mtrs
11. Type of Building Occupancy
12. Sub – Occupancy Type
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13. Set backs Required Existing
(Sq. mtrs) (Sq. mtrs)
Front
Rear
Side
14. Surrounding of the Premises North -
South -
East -
West -
15. Whether adequate passageway
clearance of not less than 4.5 mtrs
required for Fire Fighting Vehicles
to enter the premises is provided?
Indicate on the drawing and give
cross reference to the drawing
number.
16. Whether an arch or covered gate if
constructed is having a clear head-
room of not less than 5 mtrs?
Indicate on the drawing and give
cross reference to the drawing
number.
17. Whether the surrounding area / road
of the building is hard surfaced to
carry maximum weight of fire
engine ?
18. Whether the Service Ducts have
been enclosed by wall of atleast 2
hours Fire Resistant Rating? Give
details with relevant documents and
give cross reference to the drawing
number.
19. Whether the inspection door of the
electrical shaft / duct is provided
with 2 hours Fire Resistance? Give
technical details with relevant
documents.
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20. Whether the Service Duct have been
sealed at every floor with non-
combustible materials with 1 hour
fire Resistance Rating? Give
technical details with relevant
documents.
21. Whether the Air-Conditioning
Ventilation System proposed to be
installed confirm to (clause 3.4.8) of
National Building of Code India,
2016 (Part 4 – Fire & Life Safety).
Give technical details with relevant
documents and give cross reference
to the drawing number.
22. Whether the High Rise Building is
proposed to be provided with Glass
Facade? Give technical details with
relevant documents and give cross
reference to the drawing number.
23. Whether two Means of Escape one
remote to each other are provided ?
Identify the Main staircase & Fire
Escape Staircase on the drawing and
give cross reference to the drawing
number
24. Means of Escape (Give Details)
(a) Number of Internal Staircases :
(b) Number of External Staircases:
(c) Width of Internal Staircases
(Mtrs) :
(d) Width of External/Fire Escape
Staircases (Mtrs) :
(e) Tread & Riser of Internal
Staircase (Cms) :
(f) Tread & Risers of External/
Fire Escape Staircase (Cms) :
25. Whether Fire Door of 2 hours Fire
Resistance with Panic Bar is
provided at appropriate places along
the escape route? Indicate on the
drawing and give cross reference to
the drawing number.
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26. Whether Pressurization of staircase
is adopted to protect escape routes.
Give details with relevant
documents to confirm to Clause 4.10
of National Building Code of India,
2005 (Part 4 Fire & Life Safety).
27. Whether Refuge Area of 15 m2 for
building above 24 mtrs. to 39 mtrs.
is provided ? Identify on the drawing
and give cross reference to the
drawing number.
28. Whether Fire Tower (above 8 storey
or 24 mts height) is provided?
Identify on the drawing and give
cross reference to the drawing
number.
29. Whether Fire Lift (with 8
Passengers) is provided? Mention
the numbers of Lifts provided.
Identify on the drawing and give
cross reference to the drawing
number.
30. Whether Fire Lift operates on
alternate Power supply? Indicate the
source of Alternate Power supply
with technical details.
31. Whether car parking at the
Basement have minimum two
Ramps / Exits one remote to the
other?
32. Whether the Basement Floor is
Seperatly Ventilated and Mechanical
Extraction and Smoke Venting
system proposed. Give details with
relevant documnets to confirm to
(Clause 4.6.2) of National Building
Code of India 2016(Part 4, Fire and
Life Safety).
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33. FIRE FIGHTING INSTALLATIONS
33.1 Whether Wet Riser of 100 mm of
minimum internal diameter is being
provided? Give details on the
drawing and give cross reference
here to the drawing number.
33.2 Whether Down Comer of 100 mm of
minimum internal diameter is being
provided ? Give details on the
drawing and give cross reference
here to the drawing number.
33.3 Whether Wet Riser Cum Down
Comer of 100 mm of minimum
internal diameter is being provided ?
Give details on the drawing and give
cross reference here to the drawing
number.
33.4 Whether the Internal Hydrant /
Landing Valves of 63 mm internal
diameter is being provided on each
floor with Hose Box having
Reinforced Rubber Lined Hose
(RRL) Type ‘B’ confirming to IS.
636/1988 and Hand Controlled
Branch Pipe to cover each floor in
the building. Give details on the
drawing and give cross reference to
the drawing number.
33.5 Whether Hose Reel Hose
confirming to IS: 884/1985 of not
less than 19 mm diameter have
been provided on the Riser/ Down
Comer on every floor. Give details
on the drawing and give cross
reference to the drawing number.
33.6 Whether Courtyard Fire Hydrants /
External Hydrants of 150 mm are
being provided ? Give details on the
drawing and give cross reference to
the drawing number.
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34 Capacity of Water Tanks
34.1 Underground Water Tank (capacity
in litres). Give Technical details on
the drawing and give cross reference
to the drawing number.
34.2 Overhead Water Tank (capacity in
litres). Give Technical details on the
drawing and give cross reference to
the drawing number .
35 Fire Pump Details Details Capacity in Litre/Min.
35.1 Jockey Pump. (Give details on the
drawing and give cross reference to
the drawing number).
35.2 Electric Main Pump. (Give details
on the drawing and give cross
reference to the drawing number).
35.3 Sprinkler Pump. (Give details on the
drawing and give cross reference to
the drawing number).
35.4 Stand-by Diesel Pump. (Give details
on the drawing and give cross
reference to the drawing number).
36. Whether Fire Brigade inlet are
provided? Give details on the
drawing and give cross reference to
the drawing number.
37. Whether Fire Alarm Warning
System conforming to BIS : 2189 /
2008 is being provided in the
building? Give details on the
drawing and cross reference to the
drawing number
(a) Whether the Alarm System is
being provided in the Control
Room or Other concpicious
place on the Ground Floor and
connected to both main and
alternative power supply?
(b) Whether Manual Call Point of
Break Glass Type and Hooter
is being provided near each
staircase landing on every
floor?
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38. Whether suitable Smoke/ Heat/
Beam detectors is being provided
and connected to the Fire Alarm
System based on the class of
occupancy and risk in the building.
Give Technical details on the
drawing and cross reference to the
drawing number
39. Whether Automatic Sprinkler
System is being provided wherever
required as per class of of ocupancy
and risk in the building? Give
Technical details on the drawing and
cross reference to the drawing
number.
40. Whether the Automatic Sprinkler
system is connected to separate
water tank with deetails of pump
capable of delivering water at
adequate pressure? Give Technical
details on the drawing and cross
reference to the drawing number.
41. Whether Means of Escape is marked
with Fire Safety Signages having
Colour & Size confirming to
IS:12349/1988. Indicate on the
drawing and give cross reference to
the drawing number.
42. Whether suitable First Aid Fire
Extinguishers is being provided on
each floor confirming to
IS:15683/2006. Indicate on the
drawing and give cross reference to
the drawing number.
43. Whether Lighting protection is being
provided as required under Part 8
Building Service Electrical & Allied
installation – section 2 of National
Building Code of India 2016 also
confirm to Indian Standard
(IS): 2309/1989.
44. Whether Barrier Free Access for
disabled persons is being provided?
Indicate on the drawing and give
cross reference to the drawing
number.
Name of the Architect Name of the Proprietor
and Signature with Seal and Signature with Seal
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