CHECK LIST FOR SELF-APPRAISAL OF FIRE SAFETY IN HOSPITALS & NURSING HOMES (BELOW 15 meters) Sl. No. 1.

Item GENERAL INFORMATION Name and Address of Owner/Occupier and Telephone Nos. Particulars to be furnished by marking the same in the plans Check Points

2.(a) (b) (c) (d) (e) 3. 4.

Location and Address of the Building Ward No: Ward Name: Circle No: Zone: Area of the Site ( in Sq. Mtrs.) Type of Occupancy Institutional ( Hospitals )

5. 6. 7. 8. 9. 10.

Height of the Building from abutting road level to terrace (in meters ) No. of floors with Height (in meters) of each floor Approximate No. of inhabitants / Occupants Total Built Up area of the Building Details of No. of blocks with height and inter distance Means of Escape a) No. of Internal Staircases b) No. of External Staircases c) Width of Internal Staircases d) Width of External Staircases

*11

Whether No. of Internal Staircases provided comply with requirement of NBC of India (1No. for every 22.5 meters travel distance) and are sufficient for safe evacuation of all inmates within 2 minutes NBC Cl. 8.4.1.

Yes Yes

No No.

N.A. --

Remarks

..2..

*12 *13

*14 15 16 *17 *18 19

*20

*21

*22

*23

:2: Whether No. of External Staircases provided comply with requirement of NBC of India (Minimum) Whether width of the Internal Staircases complies with requirement of NBC of India Occupancy Min. width required Institutional 2 Meters (Hospitals) Whether the Min. width of External staircase i.e. 2 mtrs As per NBC is provided Whether Refuge Rooms (Between 24 meters to 39 meters height) is provided if the building is not sprinklered NBC 8.12.3. Whether Fire Tower (above 24 meters building height) is provided ? Whether Fire Lift (545 Kg capacity) is provided as per NBC Appendix-D 1.5 q ? Whether ramps of minimum 2m width are provided for transportation of ambulatory patients during emergencies DETAILS OF BASEMENT a) Whether min. 01 entryof 3.6 m wide is provided b) Whether min. 01 Exit of 3.6 m wide is provided c) Whether staircase width (2 mtrs) is provided from cellar to ground floor ? DETAILS OF TERRACE a) Whether over head tank of required capacity for fire fighting is provided b) Whether Roof exits provided c) Whether Booster Pump Provided Open spaces provided all around the building (As per Regulation 10 of MSB Regulations 1981) in mtrs. Min. Open spaces required are: 15mtrs. And above..6 mtrs., 16 mtrs. 6.4 mtrs., 19 mtrs. 7.4 mtrs., 22 mtrs., -- 8.4 mtrs., 25 mtrs., - 9.4 mtrs., 25 mtrs., to 30 mtrs., - 10 mtrs. NORTH EAST WEST SOUTH Whether width of street abutting the Hospital Building is available as below: a) Hospitals up to 1000 Sq. mtrs covered area, 12m & above 1000 Sq.mtrs 18 mtrs. Whether Means of access to premises of (4.5 meters width and head room clearance of 5m minimum is provided (NBC Part III Col. 4.6)?

Yes Yes

No No

---

Yes Yes Yes Yes Yes

No No No No No

-N.A. N.A. --N.A.

Yes Yes Yes Yes Yes Yes

No No No No No No

N.A. N.A. ----

Yes

No

--

Yes

No

--

3.. :3: *24 *25 *26 *27 *28 *29 *30 LESS THAN 15 METERS Whether Hose reel provided Whether Wet riser provided @One per every 1000 meters covered area ? Whether down comer provided ? Whether manually operated electrical alarm system provided ? Underground static tank (10,000 liters upto 750M2 + 10,000 liters for every additional 250 M2) Whether terrace tank is provided (2,500 liters in case of Hose reel, 20,000 liters in case of Down comer) Whether on electrical pump and one diesel pump as mentioned below are provided near the underground static water tank a) 2850 LPM and one electrical pump and one diesel pump and one electrical pump of 180 LPM capacity b) Booster pump of 900 LPM at terrace level Whether open space around the building is leveled, hard surfaced, free from obstructions? Whether Exit from premises (4.5 meters width one minimum) is provided ? Transformer ( As per Part IV Appendix D-1 1.16 of NBC of India) fire protection. a) Whether 45 liters Foam Trolley is provided ? b) Whether fencing around transformer is provided? c) Whether Soak pit is provided ? Whether lighting protection (As per Part IV Appendix D-3 of NBC of India (one) provided ? Whether Control Room (As per Part IV Appendix D-3 of NBC of India (one) is provided ? Whether minimum required fire safety measures as prescribed in Table 20 of NBC Part IV to this type of occupancy and height are provided ? If central A.C. is provided, whether fire dampers are installed in the ducts Whether miniature circuit breakers are provided and electrical safety is ensured as per IS 1646:1982

*31 *32 *33

Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No

N.A. N.A. N.A. -N.A. -N.A. --

*34 35 *36 37 *38

..4..

:4: *39 Whether emergency lighting with a battery backup up to 2 hours is provided in the escape route i.e. corridors, staircases and auto glow exit signages are provided Whether first aid fire extinguishers are provided as per IS 2190:1992 Whether emergency evacuation plan is prepared and practical periodically Whether all the staff, nurses, ward boys are trained in emergency evacuation procedures Whether all the security staff are trained in the operation of fire safety measures provided Yes No --

*40 * 41 *42 *43

Yes Yes Yes Yes

No No No No

-----

NOTE:- ALL SAFETY MEASURES WITH * MARK ARE MANDATORY DATE:PLACE :-

(S I G N A T U R E ) Owner / Management

ANDHRA PRADESH FIRE AND EMERGENCY SERVICES DEPATRMENT CHECK LIST/SELF APPRAISAL OF FIRE SAFETY MEASURES IN EDUCATIONAL BUILDINGS BELOW 6 METERS HEIGHT.

Name and Address of the Educational Institute. Ward No: Ward Name: Circle No: Zone: Name and Address of the correspondent with contact No.

C D E 1* 2* 3* 4*

Total number of floors in the building Total height of the Educational Institution Building in mtrs. Total built-up area of all floors Whether the Educational Building is of permanent construction? one? Yes TYPE OF CONSTRUCTION Whether the permanent educational building is not of TYPE 1/2/3/4 construction as per clause 4.1 of IS.14435:1997? Whether the educational Institution is housed in temporary Yes structures with roofs of tent, thatched or any other combustible materials as per clause 4.2 of IS 14435:1997? Whether Residential /Hostel facility provided in the building OCCUPANT LOAD No. of Class rooms and students in: a) Ground Floor. b) First Floor. Yes No ---Yes Yes No No ------Yes No No -------

Whether the Educational Institute is a Recognized/Registered Yes

5* 6*

No No

-------

7*

ARRANGEMENTS OF EXITS Whether the First floor of the educational building is provided with minimum one Stair Case for travel distance of every 30 meters (TYPE 1 & 2 constructions) as per table 22 under clause 4.4.1, 4.5.1 and 4.5.2, Part 4 of NBC, 2005? NOTE: For TYPE 3 & 4 constructions the travel distance is 22.5 Meters.

P..2

::2 :: 8* 9* Whether the minimum number of two separate exits are Yes provided for each floor as per clause 6.2 of IS 14435:1997? Yes DOOR WAYS Whether every room with a capacity of 45 persons in area is provided at least two door ways as per clause 6.3 of IS 14435:1997? Yes STAIR CASE Whether one of the staircase is on external wall and directly open to exterior, interior open space or to an safe open place as per 9.1 of IS 14435:1997? Yes RESTRICTION OF SPREAD OF FIRE AND SMOKE Whether the laboratories are separately and safely located with adequate precautions to prevent Smoke/ Fire? 12 ELECTRICAL EQUIPMENT AND SAFETY Whether the staircase and corridor lighting is having separate electrical circuits as per clause 13.2 of IS 14435:1997? 13 Whether miniature circuit breakers or earth leakage circuit Yes breakers are provided in the circuits as per clause 13.3 of IS 14435:1997? FIRE SAFTEY MEASURES Whether the following requirements of wet riser, down corner installations and capacity of water storage tanks and fire pumps are provided as given below as per Table 23, Part 4, National Building Code of India, 2005? LESS THAN 6 METERS IN HEIGHT A) FOR BUILDINGS WITH GROUND + ONE STOREY: i) Fire Extinguishers as per IS 2190 (Two No. of 9 Lts., Water expelling extinguishers for every 600 M2 with minimum of 4 Extinguishers per compartment/Floor. The Extinguishers should be so located as to be available within 25 meters radius, Two No. of 2.5 Kgs. CO2 extinguishers in each floor). ii) Automatic sprinklers in Basement with One Electrical Pump of 450 LPM and Terrace Tank of 5,000 Liters if area exceeds 200 M2. Yes No NA Yes No NA Yes No NA No No -------

10*

No

----

11

No

NA

14

No

NA

Yes

No

NA P..3

::3 :: 15 Twelve fire buckets of 12 inches height and 10 inches deep always filled half the number with water and half with sand arranged to a stand should be provided and maintained separately at kitchen room, library and auditorium areas, Twelve fire buckets of 12 inches height and 10 inches deep always filled with dry sand arranged to stand should be provided and maintained at laboratory area. EMERGENCY AND ESCAPE LIGHTING Whether the emergency lighting is powered from a source independent of that supplying normal lighting? 18* 19 Whether all the main gates and the doorways of all classrooms Yes are kept open during the period of occupation? ADVISORY FIRE SAFETY MEASURES Whether the teaching and non-teaching staff or any of the able students under went any first aid fire fighting training? 20 Whether FIRE DRILS are conducting involving all the concerned once in 3 months for an initial period of one year and subsequently once in 6 months? Whether the available first aid fire fighting appliances are well maintained by conducting periodical inspections and tests to ensure perfect serviceability of them? Whether any record is being maintained to the above extent? Whether any special care towards the physically handicapped persons is planned to help them during fire or similar emergencies Whether the teaching staff or management is taking any efforts to create FIRE AWARENESS TO STUDENTS Whether perfect good house keeping is maintained at all the places at all the times Yes No -Yes No No --Yes No

16

Yes

No

17

Yes

No

--

21

Yes

No

--

22 23

Yes Yes

No No

---

24 25

Yes Yes

No No

---

P..4

::4 :: 26 Whether the store room, office room, library and laboratory sections are well maintained without any scope for fire accident out of any cause including electrical origin Whether there is adequate safe open place for assembly point within the premises Whether any action plans are under implementation for the safe evacuation in the event of fire or similar emergencies Yes No --

27 28

Yes Yes

No No

---

SIGNATURE OF OWNER Standards referred: Indian Standard 14435:1997 Code of practice for Fire safety in Educational Institutions. *Note: The Fire Safety Measures indicated with star mark are mandatory. Recommended / Not recommended for issue NOC (if not Recommended Reasons should be furnished. Signature of inspection Officers

1)

2)

CHECK LIST/SELF APPRAISAL OF FIRE SAFETY MEASUES IN EDUCATIONAL BUILDINGS ABOVE 6 METERS AND BELOW 15 METERS HEIGHT A.

Name and Address of the Educational Institute. Ward No: Ward Name: Circle No: Zone:
Name and Address of the Correspondent/Head of the instate with contact Telephone No: No. of Blocks. Total Number of floors in the building (Block Wise) Total height of the Educational Institution Building in ..Mtrs Floor wise built-up area each floor i) Cellar.Sq. Mtrs ii) Ground Floor.Sq. Mtrs iii) First Floor.Sq. Mtrs iv) Second Floor.....Sq .Mtrs v) Third FloorSq. Mtrs vi) Fourth Floor..Sq. Mtrs Total.......................................... Sq. Mtrs. Whether the Educational Building is of permanent construction? TYPE OF CONSTRUCTION Whether the permanent educational building is of permanent construction. Whether Residential / Hostel facility provided in the building Whether the educational Institution is not hosed in temporary structure with roofs of tent, thatched or any other combustible materials as per class 4.2 of IS 14435:1997? OCCUPANT LOAD No .of Class rooms and Students in: a) Ground Floor.. No of Classroom ....of Students. b) First FloorNo of Classrooms...of Students c) Second FloorNo of Class rooms...of Students d) Third FloorNo of Class rooms.of Students e) Fourth Floor..No of Class roomsof Students NOTE: The permissible occupant load of the educational building may be obtained by dividing total built ip area per floor by 4M2 as laid down in table 20 under clause 4.3, part 4 of NBC, 2005 and as per clause 5.1 of ISI4435:1997? ::2::

B. C. D. E. F.

1. 2. 3. 4. 5.

Yes Yes

No No

-----

Yes

No

---

::2:: 6. 7. 8. 9. 10. SET BACKS Whether Minimum 06 Mtrs open space is provide on front side of the school building. Whether 06 Mtrs open space is provided on the rear side of the school building Whether 06 Mtrs open space is provided on side 1 of the school building. Whether 06 Mtrs open space is provided on side of the school building. ARRANGEMENTS OF EXITS Whether the upper floor of the educational building are provided with exit for every floor travel distance of 30 Mtrs as per table 22 under clause 4.4.1, and 4.5.2, Part 4 of NBC, 2005? NOTE: For TYPE 3 & 4 constructions the travel distance is 22.5 Meters. Whether the minimum numbers of two separate exits are provided for each floor as per clause 6.2 of ISI 4435:1977? Whether the exits are remote from each other as practicable as per clause 6.2 of ISI4435:1997? Whether the FIRE ESCAPES are kept always in sound operating conditions as per clause 6.5 of IS14435:1997? Whether the height of corridors and passage ways is more than the aggregate required width of the exit door ways as per clause 7.2 of ISI 4435:1977? Whether all the internal stair case lift, lobbies and corridors are adequately ventilated and illuminated as per clause 7.3 of ISI4435:1977? DOOR WAYS Whether every room with a capacity of 45 persons in area is provided at least two doors ways as per clause 6.3 of ISI4435:1977? Whether the width of all exit door ways is 10.00 Mtrs and more in respect of class rooms and 02.00 Mtrs and more in respect of Assembly Halls as per clause 8.1 of ISI4435:1977? Whether the height if exit door ways is 02.00 Mtrs and more, as per clause of 8.2 of ISI4435:1977? Whether the door ways are opening outwardly as per clause 8.3 of ISI4435:1977? Whether no sliding door of the or overhead are installed as per clause of 8.3 of ISI4435:1977? Yes Yes Yes Yes No No No No

11 12. 13. 14.

Yes Yes Yes Yes

No No No No

15. 16.

Yes Yes

No No

17. 18. 19. 20.

Yes Yes Yes Yes

No No No No ::3::

::3:: 21. 22. 23. Whether the door of the central corridor is opening inwardly as per clause 8.4 of ISI4435:1977? Whether the door ways can be open able from inside and not opening immediately on flight as per clause 8.5 of ISI4435:1977? STAIRCASE Whether the educational Institutional Building with more than 500 Mtrs 2 area on each floor and height of 15 Mtrs and more is provided with minimum two enclosed type stair cases as per clause 9.1 of ISI4435:1977? Whether one of the stair case is on external wall and directly opens to exterior, interior open space or to an safe open place as per 9.1 of ISI4435:1977? Whether the staircases are provided for every 30.0 Mtrs of travel distance as per clause 9.1 of ISI4435:1977? INTERNAL STAIRCASE Whether the internal staircase are constructed with noncombustible materials through out, without any hollow combustible construction as per clause 9.2.1 of ISI4435: 1977?................No of Internal Staircase with Mtrs. Aggregate width. Whether the enclosed type Internal Staircase is constructed as a self contained unit with an external wall constituting at least one of its sides as per 9.2.2 of ISI4435:1997? Whether no staircase is arranged around a lift shaft s per clause9.2.3 of ISI4435:1977? Whether no Gas Pipes are laid in the stair way as per clause 9.2.4 of ISI4435:1977? Whether the width of the staircase width of treads, height of riser and number of riser per each flight, height of railing and gap between verticals as mentioned below are provided as per clause 9.2.6, 9.2.7 & 9.2.8 of ISI4435:1977? 1. width of staircase : Not less than 01.50 Mtrs 2. width of trends: Not less than 300 MM. 3. Height of the riser: Not less than 150MM 4. Number of risers: 15 Risers per each flight 5. Height of railing : Not more than 01.00 Mtrs 6. Gap between Verticals: Not exceeding 200 MM NOTE: Spiral type staircases are not permissible. EXTERNAL STAIR CASES Whether all the external staircases are directly connected to the ground as per clause 9.3.1 ISI4435:1977? .No. of External; Staircase with ..Mtrs Aggregate width. Yes Yes Yes No No No NA NA

24. 25. 26.

Yes Yes

No No

Yes

No

NA

27.

Yes Yes Yes

No No No

NA NA NA

28. 29. 30.

Yes

No

NA

31.

Yes

No

NA

::4::

::4:: 32. 33. 34. 35. 36. Whether the entrance to the external staircases are separate and remote from the internal staircase as per 9.3.1 of ISI4435:1977? Whether no wall opening or windows opening are provide on to or close to external staircase as per 9.3.3 of ISI4435:1977? Whether the routes to the external staircase are kept free from obstructions at all times as per clause 9.3.4 of ISI4435:1977? Whether the external staircase is constructed with noncombustible materials as per clause 9.3.5 of ISI4435:1977? Whether the doorway latching to the internal staircase is of required rate of fire resistance as per clause 9.3.5 of ISI4435:1977? Whether the width of external staircase, width of treads, height of riser, number of risers to flight, height of hand rails as mentioned below are provided as per clause 9.3.7 and 9.3.8 of ISI4435:1977? Yes 1. 2. 3. 4. 5. width of staircase: Not less than 01.25 Mtrs width of treads: Not less than 250 MM Height of the riser: Not less than 190 MM Number of risers: 15 risers per each flight Height of railing: Not more than 01.00 Mtrs and not exceeding 01.20 Mtrs. No N.A Yes Yes Yes Yes Yes No No No No No N.A N.A N.A N.A N.A

37.

38.

39.

NOTE: Spiral type staircases are not permissible. Whether the exit requirement are provided as required to the occupancy of higher Hazard as per National Building Code of India, 2005 (part 4) to an Educational Building which got a mixed Occupancy AIR CONDITIONING Whether the school is provided with central Air-Conditioning System. NOTE: If central Air-Conditioning is Provided all Safety Measure as per Clause 10.1 of ISI4435:1977? RESTRICTION OF SPRED OF FIRE AND SMOKE

Yes

No

N.A

Yes

No

N.A

40.

Yes Whether the laboratories are located in separate blocks/adequate precautions taken as per clause 12.3 of ISI4435:1977?

No

N.A

::5::

::5:: 41. 42. Whether the hazardous chemicals are stored separately with due precautions as per clause 12.3 of ISI4435:1977? Whether the reactive and hazardous nature chemicals are stored separately in appropriate receptacles (closed) properly labeled their names and chemical characteristics as per clauses 12.3 of ISI4435:1977? Whether the enclosed precautions at Annexure-I are followed while using any Gas for burns Etc., in laborites/Kitchens as per Clause 12.4 of ISI4435:1977? ELECTRICAL EQUIPMENT AND SAFETY Yes Whether the Transformer builder or HT & LT control panels are housed in separate rooms and properly protected with fencing as per clause 13.2 of ISI4435:1977? Whether the staircase and corridor lightings is having separate electrical circuits as per clause 13.2 of ISI4435:1977? Whether miniature circuit breakers or earth leakage circuit breakers are provided in the circuits as per clause 13.3 of ISI4435:1977? FIRE SAFETY MEASURES Whether the following requirements of Fire Extinguishers, Hose real, Down Comer installations and capacity of Water Storage tanks and fire Pumps are provided as given below as per Table 23, Part-4, National Building Code of India, 2005? LESS THAN 15 METERS IN HEIGHT A) FOR BUILDINGS WITH GROUND + ONE STOREY a) Two 09 Ltrs water expelling extinguishers and One 4.5 Kg.CO2 extinguishers and one 05 Kg. DCP extinguisher for every 600 Sq. Mtrs built-up area/ Floor. The Extinguishers should be so located as tom be available within 25 Mtrs. radius. b) Four 09 Ltrs. Round bottom Fire Buckets (Two filled with water and two filled with dry sand) for every 600 Sq. Mtrs built up area/ per floor should be hung to a stand. ii) Automatic sprinklers in Basement with One Electrical Pump of 450 LPM and terrace Tank of 5,000 Ltrs if area exceeds 200M No N.A Yes Yes No No N.A N.A

43.

Yes

No

N.A

44.

45. 46. 47.

Yes Yes Yes

No No No

N.A N.A N.A

Yes

No

Yes

No

Yes

No

N.A

::6::

::6:: B) FOR BUILDING WITH GROUND + TWO OR MORE STOREYS : c) Two 09 Ltrs. Water expelling extinguishers and one 4.5 Kg. CO2 extinguishers and one 05 Kg. DCP extinguishers for every 600 Sq. Mtrs. Built-up area/Floor. The extinguishers should be so located as to be available within 25 Mtrs./radius. d) Four 09 Ltrs. Round bottom Fire Buckets (Two Filled with water and two Filled with dry sand) for every 600 Sq. Mtrs built-up area / Floor should be hung to a stand. ii) Automatic Sprinklers in Basement if Area exceeds 200 M Yes iii) Hose reel in all floors Yes iv) Terrace Tank of 450 Ltrs (15,000 Ltrs if basement are exceeds 200 M2) v) Electrical Pump of 450 LPM Capacity (900 LPM capacity if basement are exceeds 200 M2) at the Terrace Level. 48. Eight Fire buckets of 12 Inches height and 10 inches deep always filled half the number with water and half with sand arranged to a stand should be provided and maintained separately at kitchen room, library and auditorium area. Eight Fire buckets of 12 inches height and 10 inches deep always filled with dry sand arranged to stand should be provided and maintained at laboratory area. EMERGENCY AND ESCAPE LIGHTING Yes 51. Whether the emergency lighting is powered from a source independent of that supplying normal lighting? Whether the emergency lighting system is of adequate capacity of continuous operation for minimum duration of 1 hour eve for smallest premises. As per clause 15.5 of ISI4435:1977? Whether the emergency lighting system is well maintained by conducting periodical inspection and test so as to ensure their perfect serviceability at all times as per clause 15.6 of ISI4435:1977? No Yes Yes Yes No No No No N.A N.A N.A No N.A

Yes

No

Yes

No

49.

Yes

No

50.

Yes

No

52.

Yes

No

::7::

53.

::7:: Whether the escape lighting is capable of the following as per clause 15.7 of ISI4435:1977? Yes a) Indicating clearly under un-ambiguously the escape routes. b) Providing adequate illumination along such routes to allow safe movements. c) Ensuring that fire alarm call point, fire fighting equipments provided along the escape routes can be readily located. No

54. 55.

Whether all the main gates the doorways of all classrooms are kept open during the period of occupation? ADVISORY FIRE SAFETY MEASURES

Yes Yes

No No

Whether the teaching and non-teaching staff or any of the table students under went any first aid Fire Fighting Training? 56. Whether FIRE DRILLS are conducted involving all the concerned once in 3 months for an initial period of one year and subsequently once in 6 months? Whether the available first aid Fire Fighting appliances are well maintained by conducting periodical inspection and tests to ensure perfect serviceability of them? Whether any record is being maintained to the above extent? Yes 59. Whether any special care towards the physically handicapped persons is planned to help them during Fire or similar Emergencies. Whether the teaching staff to management is taking any efforts or create FIRE AWARENESS TO STUDENTS Whether perfect good house keeping is maintained at all the places at all the times. Whether the store room, office room, library and laboratory sections are well maintained without any scope for Fire accident out of any cause including Electrical origin Whether there is adequate safe open place for assembly points with in the premises. Whether any action plans are under implementation for the safe evacuation in the events of Fire or Similar Emergencies. Yes No No Yes No

57.

Yes

No

58.

60. 61. 62. 63. 64.

Yes Yes Yes Yes Yes

No No No No No

SIGNATURE OF THE OWNER.

::8::

Standards referred: Indian Standard 14435:1997 Code of Practice for Fire Safety in Educational Institutions. NOTE: The Fire Safety Measures indicated with star mark are mandatory.

Additional Fire Safety Measures Suggested (For existing buildings where there is deficiency in open spaces and no additional construction is involved). 1) 2) 3)

Recommended / Not Recommended for Issue NOC. (if not Recommended Reasons should be furnished.)

Signature of Inspection Officers 1) 2)

CHECK LIST FOR SELF-APPRAISAL OF FIRE SAFETY IN HOTELS (IS:13716:1993, and NBC Provisions of Part IV) Hotel: Building or buildings under the same Management, in which more than 15 sleeping accommodation for hire, primarily used by transients who are lodged with or without Meals. 1 2 Name of the Hotel and Owners Name Address of the Hotel: Ward No: Ward Name: Circle No: Zone: Address of the Owner/Occupier with Telephone No. No. of Floors Height of the building Covered area Question on Fire Safety measure Whether the width of entry gate of the building is 4.5m and height 5m clearance? Whether the Fire Vehicle can approach the building? If the height is more than 15m whether Fire vehicle/hydraulic Platform can operate all round the building ? Open spaces all around the building as per MSBR 1981(as per Regulation 10 of MSB regulations, 1981) a) Whether the Open Space on Northern side is provided as per MSBR, 1981. b) Whether the Open Space on Eastern side is provided as per MSBR, 1981. c) Whether the Open Space on Southern side is provided as per MSBR, 1981. d) Whether the Open Space on Western side is provided as per MSBR, 1981. ( 15 Mts and above 6 Mts., 16 Mts. 6.4 Mts., 19Mts. 7.4 Mts., 22 Mts. 8.4 Mts. 25 Mts. 9.4 Mts., 25 Mts. - 30 Mts 10 Mts. Whether the following Fire safety Measures are provided as per IS 13716 : 1993 and NBC Part IV 1983 as per the requirement of Fire Safety. i) Hose reel ii) Hydrant system iii) Wet riser System iv) Down Comer system v) Automatic Sprinkler system vi) Automatic detection and Alarm vii) Manual Alarm system (MCP) viii) Fire pumps Jockey / Main / Diesel pumps ix) Public Address system x) Underground sump of 50,000/1,00,000/1,50,000 Lit. xi) Terrace Tank of 10,000/20,000 Lit. xii) Emergency lighting with battery backup in Corridors and Stair cases. xiii) Exit Fire Escape Sign boards is provided xiv) Portable Fire Extinguishers in accordance with IS 2190:1992. (With Travel distance 22.5 Mts.) xv) Whether Fire extinguishers in kitchen in required Number provided? Yes Yes Yes Yes Yes Yes Yes Yes *4 * * * * * * * * * * Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No No No No No No No No No No No No NA --NA NA NA NA NA -NA NA -NA NA -NA --------

3 4 5 6 S.No. *1 *2 3

..2.

:: 2: S.No. 5 *6 7 8 *9 *10 *11 Question on Fire Safety measure Whether Yard hydrant system for buildings above 15 M height Hotels provided? Whether Hotel Management has issued a written statement of its policy regarding Fire safety and fire loss control to its employees? Whether the Management is screening in Cable T.V. The fire precautions to be observed, using of Gas Mask, location of Fire exits etc.? If sleeping accommodation is more than 300, whether a qualified Fire Officer is appointed ? Whether all employees are trained to raise alarm in case of fire ? Whether all employees are trained in the usage of Fire extinguishers and other Fire safety systems. Whether permanently posted Fire safety instructions are mounted in guest rooms at the innerside of entrance door ? (The instructions shall contain floor map showing the location of the room in question, escape route to stair cases and clear instructions as to what the guests should do in an emergency). Whether all employees are made familiar with evacuation plan, and their individual role in assisting guests to escape to place of safety, to control the growth of fire and other actions that lead to life safety? Whether the responsibility of summoning Fire Services and also guiding the firemen is assigned to any employee? (Safety Manager) Whether Management has kept close watch to see ;that i) No escape routes are blocked ii) All fire doors are kept in closed position iii) House keeping is good and no hazardous and Special situation arises Whether preventive inspection, testing and maintenance programme of all Fire Protection and fire fighting systems, all machinery, equipments, which may cause fire is being done? Whether the system of Hot work permit system and work permit system for outside contractors to work inside the Hotel are observed and it is carried out under Senior Officer/ Supervisor Whether all furnishings and decoration Materials used on escape routes have Class I Flame Spread/ raising and shall not generate toxic and asphyxiating gases on burning of furniture? Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No N.A. NA -N.A. N.A. ----

*12

Yes

No

--

*13 14 * * *15 16

Yes

No

--

Yes Yes Yes Yes Yes

No No No No No

-N.A. --NA

*17

Yes

No

--

..3..

S.No. *18

::3:: Question on Fire Safety measure Whether no furnishings or decorative materials are erected so as to i) Not to obstruct access to an exit from any room ii) Not to obstruct the use of an escape route iii) Not to render invisible or inaccessible notices, signs, Communication equipment or extinguishing equipment. iv) not to obstruct the movement of the door v) No mirrors/reflecting surfaces or hangings used on any escape route, which may create confusion in the minds of people.

Yes Yes Yes Yes Yes Yes Yes

No No No No No No No

N.A. -------

*19 *20 21 *22 23 24

*25 *26 27 28 *29 30 *31 32

CONTAINMENT OF SMOKE Whether the construction of the hotel is fire resistive material? Whether compartmentation is observed ? Whether all hotels housed in buildings of height 15 m or above are of Type I construction conforming to NBC of India 1983 (Part IV) Fire Protection ? Whether all hotel buildings of height below 15m are of minimum Type II construction in accordance with IS 1642:1989 ? Whether all false ceilings, false floors are of non-combustible materials of Class I Flame Spreading Whether all wall panels, draperies, furniture and decorations are such that flames spread rating shall conform to Class I surfaces as specified in NBC of India 1`983 (Part IV), Fire Protection? Whether all vertical shafts/ducts meant for installing drainage pipes, plumbing wiring and cabling etc. are effectively sealed at each floor? Whether all vertical chutes shafts/ducts including refuse chutes are enclosed by 2 hr. Fire resisting enclosure? Whether inspection doors/windows of vertical shafts ducts are of one hour fire rating confirming to NBC (Part IV)? Whether lifts and enclosures are conforming to NBC 1983 (Part IV) Fire Protection and IS 1642:1989? Whether basements are conforming to NBC (Part IV) and IS 1642:1989. Whether kitchen rooms, laundry, linen stores, furniture storage rooms are provided one hour fire resistant self-closing doors Whether Transformer bays, H.T. & L.T. Supply rooms, A.C. plant systems and boiler rooms are in separate fire resisting construction and confirming to NBC (Part IV)? Whether special hazards due to LPG are in accordance with provisions of NBC (Part IV)

Yes Yes Yes Yes Yes Yes

No No No No No No

--NA -N.A. N.A.

Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No

--N.A. N.A. -N.A. -N.A. ..4..

::4:: S.No. 33 Question on Fire Safety measure Yes No N.A. Whether air conditioning systems conforming to IS 1642:1989 and NBC Yes No N.A. (Part IV)? 34 Whether A.C. System is linked to fire detection system to automatically Yes No N.A. cut the respective floor Air Handling unit in case of fire i.e., when an automatic detector or sprinkler activate? 35 Whether there are adequate arrangements of Smoke/fire venting and Yes No N.A. enclosure of service ducts of A.C. system ? 36 Whether Fire dampers are installed in the A.C. System as per NBC (Part Yes No N.A. IV)? *37 Whether all electrical equipment including cables, light fittings, gauges Yes No -etc., are confirming to the relevant Indian Standards and designed for proper load? *38 Whether every room is provided with overload trips/MCBS and earth Yes No -leakage circuit breakers outside it? 39 If boiler is provided, whether it is confirming to provisions A1-18 of Yes No N.A. NBC (Part IV)? MEANS OF EGRESS *40 Whether exit requirements are complying with Clause 8 of NBC Part Yes No -IV and IS 1644:1988 Occupancy Minimum width of staircase a) Residential --1 Mtr. b) Assembly and Institutional -2 Mtrs. c) All other Buildings. -1. 5 Mtrs. Note: For buildings above 15 M height, there should be minimum 1 external Fire exit stair case of 1 M. width. *40(A) Whether one stair case provided for a travel distance of 22.5 Mtrs. Yes No -*41 Whether the corridors and passage width leading to staircases is 1.5 m or Yes No -more? 42 In floors where dance halls/banquets are located, whether the Yes No N.A corridor/passage width is 2 m or more? . 42(A) Whether no basements are used as banquet halls or dance halls unless entire Yes No N.A side of such basement opens up directly to the open or such building are . fully sprinkled. STAIR CASES: 43 Whether all provisions as per IS 1644:1988 and Clause 8 of NBC Part IV are Yes No observed in provision of Stair cases (Number & location) 44 Whether exits are illuminated with emergency power supply derived from diesel Yes No generator or Self-contained emergency lights. 45 Whether the floors of exits are illuminated at all points including furnishing points, Yes No intersections of corridors, and passage ways, stair cases, landings and discharge exit of ground level. ::5::

::5:: 46 47 Whether lights recessed in walls and floors about 30 cm above the floor level are provided? Whether standby power supply is provided to meet the following requirements. a) Emergency illumination of all corridors, Staircases, basement, exit signages. b) Fire lifts. c) Mechanical ventilation for basement or in case of centrally A.C. building. d) Fire pumps operation e) Other emergency automatic systems for fire fighting. Yes No Yes No

Date :

Signature of the Owner/Occupier Note : All safety measures shown with (* mark) are mandatory.

CHECK LIST FOR SELF-APPRAISAL OF FIRE SAFETY IN PETROLEUM RETAIL OUT LETS A. Name and Address of the Retail out let Petroleum Products Stored. Ward No: Ward Name Circle No: HSD/ MS/ SK Zone : : : : : : : : Yes Yes Yes Yes No No No `No N.A. ---Lts., Lts., Lts.,

B. C. D. E.

Name of the oil Company No. of delivery pumps erected Capacity of underground tanks H. S. D M.S S.K

F. SL.No 1. 2. 3.

Area of the Out Let

4. 5. 6. 7.

8.(A) (B)

Whether the retail out let is easily approachable to Fire appliances. Whether the R.O. has fencing / compound wall around the plot Whether the Fire fighting extinguishers are provided as per IS 2190, 1992 is 2 Nos. Foam Extinguishers 9 Lts., Capacity (or) 2 Nos. DCP Extinguishers of 5 Lts Capacity for each 600 M2 (Minimum 4 Nos of extinguishers should be provided). Are the Extinguishers available with in 15 mts radius Whether No over Head H.T. Lines are passing through the compound. Whether 2 Nos DCP extinguisher of 5 Kgs Capacity provided near the Diesel Generator Room. Whether a Fire Bucket Stand Comprising of minimum Nos of G.I. Fire Buckets of 9 Lts Capacity each with dry sand is provided at all Vulnerable Places. The total No. of Fire buckets should be @ 4 Nos. for each delivery pump outlet. Whether the Office building is equipped with 2 Nos Co2 Extinguisher of 4.5 Kgs. Where the Electrical mains fixed. Whether 2 Nos. D.C.P. Extinguisher of 5 Kg. capacity is provided in the office building if the lubricants are stored/ displayed.

Yes Yes Yes Yes

No No No No

--N.A. --

Yes Yes

No No.

-N.A. ::2::

::2:: SL. No. 1 9. 10. Yes 2 Whether NO SMOKING board is displayed with in the premises. Whether the following distances are kept clear at all times from any storage shed to protected walls (As per the guide lines given by Chief Controller of Explosives) Class Class Class A B C 2500Lts.to 25000Lts. 7.5M N.A N.A 25000Lts to 50,000Lts 9M 3M N.A 50,000Lts to 1,00,000Lts12M 4.5 M 3M Above 1 Lakh 15M 6M 3M Note: The Distances specified may be reduced by the licensing authority where Screen Walls are provided. Whether Good House Keeping is observed Whether the staff who are working with in the premises are trained in Fire fighting tetchiness (Training should be imparted by Local Fire brigade) Whether cell phone users are requested to switch off the cell phones before entry to petrol pump premises by means of signboards at conspicuous places. Whether storage area inside the premises is kept clean. Whether caution boards exhibiting the slogan Not to carry matches fuses or other appliances capable of producing ignition/ explosion are displayed at conspicuous places. Whether care is taken to prevent entry of petroleum products into drain/ sewer/ public road Whether electrical safety is ensured in the hazardous areas by providing park proof lights as per petroleum Act 1934 and Rules 2004 and OISD standard 118. 3 Yes Yes No No No 4 -N.A N.A. 5

11. 12.

Yes Yes

No No

---

13

Yes

No

--

14 15.

Yes Yes

No No

---

16 17

Yes Yes

No No

---

::3::

::3:: SL. No. 1 18 Yes 2 Whether the following fire precautions are ensured. a) If any spillage of fuel occurs immediately it should be covered with dry sand and cleared. b) The vehicle engine should be stopped during un-loading processes. c) The customers should stop engines of vehicles before refilling petroleum products. d) Static charges should be dissipated while unloading. e) The authorized person should check the petroleum unloading hoses for any leakages. f) No fire, furnace or other source of heat or light capable of igniting flammable vapour shall be allowed in to the Petrol Pumps. g) No welding/cutting should be allowed within 30 meters from the storage area. g) Display of DOS and DONTS in case of fire and emergency Telephone Numbers in conspicuous places. i) No loose/ worn-out wiring and periodical inspection of electrical safety. 3 Yes No No 4 -N.A. 5

Signature of Owner/ Management with designation & Seal.

CHECK LIST FOR SELF-APPRAISAL OF FIRE SAFETY IN FUNCTION HALLS GENERAL INFORMATION: 1 Name and address of the function Hall
Ward No: Circle No: Ward Name: Zone:

2 3 4 5 6 7 8 9 10

Name and address of the owner with Tel.No. Area of the site (a) covered area Type of stricture: No. of floors: Height of the building with height of each floor: (Buildings above 30 metrs height are not permissible) Particulars of Clearances/ License/ fire safety measures. Whether the Fire vehicle has access to the function hall Whether the structure is not containing any thatch/ hay stack/ cloth tents which are highly flammable Whether the function hall is provided with required open space on all sides (for buildings of 15 Meters and above as per MSBR 1981,and for buildings of less than 15 m height as per building by laws. Open space provided on North mtrs East mtrs South mtrs West mtrs If the height of the building is 15 mtrs and more, whether fire vehicle can be operated on all sides of the premises on times of emergency. Whether entry/exit gate has a minimum width of 4.5 mtrs and head clearance of 5 Metrs Whether minimum two exit doors with minimum 2 Metrs width are provided for the function hall. (Cl.8 of NBC) Whether sufficient No. of internal staircases @ one for every 30 Mtrs travel distance with minimum 2 Mtrs width are provided of the building has more than one floor (cl.8 of NBC) Whether minimum one external staircase of 1 metre width is provided if the building height is 15 Mtrs and above. Whether the exits / aisles and stair cases are maintained free of obstructions (Cl.8.2.3 of NBC part IV)

Sq.mtrs Sq. mtrs Permanent: (RCC roof)/Semi permanent (Asbestos/G.I.sheet roof)

Yes Yes Yes Yes

No No No No

N.A

11 12 13 14

Yes Yes Yes Yes

No No No No

N.A

N.A

15 16

Yes Yes

No No

N.A

::2::

::2:: 17 Whether emergency lighting with a minimum 2 mtrs battery backup is provided for the escape route i.e corridors, exits, stair cases etc., Whether electrical safety is ensured as per IS 1646: 1982 (installation & Maintenance ) Whether Miniature circuit Breakers are provided to prevent short circuits. Whether the kitchen area is segregated from the function hall to prevent spreading of fire. Whether first and fire extinguishers and fire buckets are provided at suitable locations as per Is:2190:1992. Class A: Whether Two Nos. of water type fire extinguishers of 9 liters capacity each per 600m2 or part with minimum 4 Nos. per compartment / floor are provided (Extinguishers should be so located as to be available within 25 m radious. Class B (for Kitchens) Whether minimum 2 DCP extinguishers of 5Kg capacity are provided in the kitchen. Whether minimum 2 DCP extinguishers of 5 kg capacity are provided near the gas Bank. Whether minimum, two co2 extinguishers of 4.5 kg. capacity are provided near the electrical mains If basement is provided with an area of 200m2 or more, whether automatic sprinkler are provided For buildings of height below 15m, whether the following fire safety measures are provided Hose reel Wet riser (for two storeys & above) Down comer (If seating capacity is more than 1000) Automatic sprinkler system (in case seating capacity is 1000 persons min. or covered area above 1500m2 or in case of basement area 200m2 or more) Automatic detection and alarm system (where sprinklers are not installed) Whether underground sump of 50,000 liters capacity is provided. Terrace tank of 500 Litres for hose reel in case of sprinklers in basement and down corner. One electric and one diesel pump of 1620 LPM and one electric pump of 180 LMP near underground sump. One electric pump of 450 LPM in case of hose reel, 900 LPM in case of down comer and 1620 LPM in case of sprinkles. Yes No

18 19 20 21 22

Yes Yes Yes Yes Yes

No No No No No

23 24 25 26 27 (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix)

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No No No No No No NA. NA. NA. NA.

NA.

::3::

::3:: 28. i) ii) iii) iv) For buildings of height 15m & above whether following fire safety measures are Provided ? Hose reel Wet riser Yard hydrant Automatic sprinkler system (in case seating capacity exceeds 1000 persons or area above 1500 m2 or in case of basement area exceeding 200 M2) Manually operated electric Fire Alarm system Automatic Detection and alarm system Under ground static water storage tank of 1.00 lakh litres Terrace Tank of 10,000 litres., One electric and one diesel pump of 2850 LPM and one electric pump of 180 LPM near underground static water tank Whether all the emergency telephone Nos. are displayed at prominent places and office room. Whether the staff/security personnel are trained in usage of fire extinguishes/fire safety systems. Whether fire drill is conducted once in 6 months to make all employees well versed in emergency plan of action. Whether dos and donts in case of fire are prominently displayed at conspicuous places Whether transformer Fire Safety is ensured.

Yes Yes Yes Yes

No No No No

v) vi) vii) viii) ix) 29 30 31 32 33

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No No NA.

Date :

Signature of the Owner/Occupier

CHECK LIST FOR SELF-APPRAISAL OF FIRE SAFETY IN CINEMA THEATRES (AS PER IS 4878 1986, NBC and other IS standards and codes ) A. Name & address of OWNER ______________________________________________________ B. Location and Address of Building : Ward No: Circle No: Ward Name: Zone:

C. License No. and date of issue (Issued by Licensing Authority under AP Cinema Rules) : D. Date, when commenced operation as cinema E. Building Plans ,Permit No. and date(Issued by Local./Licensing Authority (IS 4878 3.5/7) i: Give copy of approved building plans ii. Mark present open spaces around the building in the above drawings (IS 4878 4.1.4/5, 6 ,NBC Part- iii 4.6,8.3.1.C and NBC IV 7.4), AND/OR show present open spaces around the building as per Annexure-A.F. Give copy of Auditorium Drawing showing i) Aisles Widths ii). No of Seats between Aisles iii). No of Seating rows between cross aisles and iv) No and width of exit doors ( Show present status by marking originally approved plan or mark as per Annexure B(IS 4878 3.7.2.3.3 NBC Part- ii 12.2.5 and NBC Part- IV 12.3)G. No. of Fixed Seats provided and licensed capacity (IS 4878 10.3.1.1 and AP Cinema Rules) S.No. Fire safety measure Yes No 1* Type of Whether the construction is of type 1, including for balconies, galleries, Yes No Construction tiers, lobby corridors(IS 4878 cl 15.1;NBC Part- IV Clause l5) 2* Whether specifications for all fire safety items like fire resistant doors Yes No used as fire-breaks or for stairs/lifts are followed(IS 4878 cl15.5,15.6 &NBC Part- IV cl 7.6.1/3,7.8,,8.27) 3* Whether ceiling material is fire resistant as per is 476, VQ acoustic Yes No Ceotex etc(IS 4878 cl 15.7 &NBC Part- IV cl.7.15, A.P. Cinemas (Regulation) Rules11.2 4*Access/ Whether width of abutting road is minimum 12 Metres wide and not Yes No Open places dead ended(IS4878 cl 4.1.1/3 & NBC Part- IVcl 7.4) 5* 6* 7* Whether entrance gate width& head room are 4.5metres and 5mtrs respectively (IS 4.1..1/3, NBC Part- IV 7.4 &NBC Part- iii cl4.6 Whether open space front & other three sides is Min.12mtrs & 6 mtrs. for buildings below 15mtrs height. if building height exceeds refer to MSBR1981 8.c (IS4878 cl.6.1, NBC Part- iii cl8.2.3.1.c) a)Whether approach to building and open spaces on all sides up to 6mtrs width is hard faced for 18 ton fire vehicle and is motor able& b)whether this open space is maintained free of parking, and kept free of any obstructions, structures or fixtures up to a ht. of 4.5mtrs above which 0.9mtr balconies allowed(IS 4878 cl2.39,4.1.4/7,6.1/2,8.1 appdx. Land MSBR1981 8.c,10) Whether no cinema house is on top of other occupancy (IS 4878 cl 5.2) Yes Yes Yes

NA

No No No

8*

Yes

No

:2: S.No. 9.* 10.* General Exit Requirements 11.* Fire safety measure Whether separation walls of 4hrs. fire resistance in Mixed Occupancy are provided (IS 4878 c15.2) Whether every public place including tier balcony etc., have safe exit without passing through another occupied unit (IS4878 10.2.1/14 and NBC Part- IV 8.2.1/9) Whether all escape Exit routes are clearly visible & illuminated signs with battery backed emergency alternate power supply(IS4878 cl. 10.2.5 & NBC Part- IVcl8.2.5,8.15.3/4/10, Appendix D 14.b) Whether there are Fire Check doors for fire resistance of one hour to prevent spread of smoke, in escape routes, Particularly entrance to lifts and stairs which are prone to funnel/flue effect(IS4878 10.2.9&NBC Part- 8.2.7) Whether persons admitted/waiting seating do not encroach exits(NBC Part- IV12.4.6) Whether exits suffice simultaneously for cinemas and other occupancy, if any, unless Fire Department determines that conditions are such that simultaneous occupancy does not occur(IS 4878cl10.2.11/12,NBC Part- IV cl.12.4.8/9 ) if no. of seats are exceeding 1000, whether half the exits lead directly outdoors, completely separate from exits serving other Part-s of the building (IS4878cl.10.2.15) Whether occupant load is based on ACTUALS, but not less than that given in is 4878cl10.3.1 and NBC Part- IV cl 8.3(if seats are fixed, they determine the no. of occupants i.e.(0.6&0.3 sq.mtrs per person for auditorium and waiting spaces respectively) Whether capacity of aggregate width of exits is based on occupant load and occupants that can be safely evacuated per 50cms of exit, which is 40,50&60 for stairs, ramp and doors, respectively (IS 4878 cl 10.3.2 and NBC Part- IV cl 8.3/4/5/6) Whether there are sufficient number of stair cases so that the travel distance doesnt exceed 30mtrs(15metres in basements) and they provide exits in different directions(IS 4878 cl. 10.3.3&NBC PartIVcl. 8.5) Whether there are at least 4, 3, 2 exits of 2mtrs width opening outwards for 1000,or 600 to1000 or 600 seats respectively. if less give actual No and width (IS4878 cl.10.4 and NBC Part- IV cl. 8.6 &12.4.1) Whether doorways are minimum 2mtrs wide and open into corridors or through landings into enclosed staircases for continuous protected egress (IS4878 cl.10.5.1/4&NBCPart-IV cl .8.7) Whether exit doors are open able from served side without keys 9is4878 cl. 10.5.5 and NBC Part- IV8.7.5) Yes Yes Yes Yes No NA No No No

12.*

Yes

No

13.* 14.*

Yes Yes

No No

15.*

Yes

No

16.* 17.*

Yes Yes

No No

18.

Yes

No NA

19.*

Yes

No

20.*

Yes

No

21*

YES No ..3.

S.No. 22.* Corridors and passage ways 23*

24.* internal Staircases 25* 25 .a*

25. b. 26* 27* 28* 29 30* External Stairs 31* 32* 33* 34* 35*

:3: Fire safety measure Whether the width of the exits is not less than the aggregate required width of exit doors leading in the direction of the egress (IS4878 cl.10.6 &NBC Part- IV 8.8.1) Whether the corridors and passageways and stairs lifts have fire/smoke resistant doors, and adequate ventilation and illumination required to ensure safe travel (NBC Part- IV 8.2.7, 8.8.3, 8.15.4) Whether the internal staircase width is minimum 2mtrs. And width of the tread 30cms and riser height 15cms &not more than 15 steps per flight(IS4878 9.10 &NBC Part- IV8.9.6c/7/8) Whether construction of internal staircase is with noncombustible materials(IS4878 10.7.1& NBC Part- IV 9.1) Whether the internal Staircase is self contained with at least one external wall and whether it is completely enclosed (IS 4878 10.7.2 & NBC IV 8.9.2) Note: internal staircase should not be around lift unless the staircase is totally enclosed by material of fire resistance rating as that of Type-I construction Whether the internal staircase is terminating at ground floor level and access to basement is through separate stairs to prevent smoke if any escaping to upper levels (NBC Part- IV 8.9.10.m) Whether the hand rails of staircase are minimum 100 cms height (IS4878 10.7.6 & NBC Part- IV 8.9.9) Whether staircases are designed such that the number of people in between floor landings in staircase is not less than those on each floor (IS 4878 10.7.7 & NBC Part- IV 8.9.10) Whether staircases contain no electrical shafts / AC ducts or gas pipes (IS 4878 10.7.5 & NBC Part- IV 9.4/10f) Whether no winders are there in case of stairs turning at an angle (IS 4878 10.7.8) Whether external stairs are directly connected to ground (IS 4878 10.8.2 & NBC Part- IV 8.11.2) Whether entrance to the external stairs is separate and remote from internal stairs (IS 4878 10.8.3 &NBC Part- IV 8.11.3) Whether no wall / window opening is closed to external stair case (IS 4878 10.8.4 &NBC Part- IV 8.11.4) Whether open able vents / ducts to outer air are provided at landings to facilitate venting of smoke, if any, and rescue / fire fighting (NBC Part- IV 7.12.3 D 1.4 ) Whether route to the external stairs always free of any obstructions or doors needing keys for egress ((IS 4878 10.8.5/10.5.5 & NBC Part- IV 8.11.5 / 8.7.5) Whether external stairs are constructed by non combustible materials and doors leading to it have required fire resistance ((IS 4878 10.8.6 &NBC Part- IV 8.11.6)

Yes Yes Yes

No NA No No

Yes Yes Yes

No No No

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

No NA No No No No NA No No No No No No ..4..

:4: 36* 37* if spiral stair case are provided whether the height of the building not exceeding 9 meters (NBC Part- IV 8.11.10) Whether width of external staircase is not less than 100 cms and tread and riser dimensions and risers per flight same as per internal stairs? if different indicate actual status Note : Fire tower is the preferred escape route which is enclosed stair case , approached from floors through landings separated from floors and stairs by fire resistant doors (NBC Part- IV 3 & 8.13) Whether roofs of buildings above three storey have direct access to street and if used for habitable purpose to have stairs extended to provide them exit facility ((IS 4878 10.9) Whether horizontal exits have width of minimum 200 cms with at least one fire door of self closing type ((IS 4878 10.10.1 /2 &NBC Part- IV 8.12.1 /2) Whether doors are open able at all times from both sides (IS 4878 10.10.5 &NBC Part- I IV 8.12.5) If building height is above 15 meters whether refuge area of 15 sq.metres is provided on external walls (NBC Part- IV 8.12.3 , D. 1.11) Note : For 24 to 30 meters , served area to be two consecutive floors and the refuge area is to be on the periphery (NBC PartIV 8.12.3) Floor area on opposite / refuge side , to be not less than 0.3 sq. mts for every occupant on served side and to have adequate exits for these occupants.(IS 4878 10.10.3 NBC IV 8.4.3 and 8.12.3) Whether the gradient of Ramps is not more than 1 in 10 and never steeper than 1 in 8 and surface skid proof (NBC Part- IV 8.14) Whether no ramp is abutting the street without level space to ensure traffic safety (IS 4878 4.1.6 ) Note : in plots over 2000 sq. metres ramp shall be within building line for safety reasons (GO 423 MA & UD dated 31.7.98) Whether clear 1.2 metres aisles at right angles to line of seating are provided such that no seat is more than seven seats away from the aisle((IS 4878 10.12.1 &NBC Part- IV 12.4.2) Whether one meter width cross aisles are provided for every 10 rows (IS 4878 10.12.1 &NBC Part- IV 12.4.2) Note : While ramps are preferred in aisles , steps if any should not be less than 3 numbers (IS 4878 10.12.3) Whether druggist matting and floor covering if any are flame retardant and well fastened to the floor (IS 4878 10.12.5 &NBC Part- IV 12.6.1) Yes Yes No No

38 39* Horizontal exits 40* 41

Yes Yes Yes Yes

No NA No No No NA

42 Ramps 43

Yes Yes

No NA No NA

44 Aisle* 45*

Yes Yes

No No

46*

Yes

No ..5..

:5: 47* Electrical Safety 48* 49* Whether electrical safety complies with Indian Electrical Rules , including related electrical standards / codes stipulated therein i.e., 29/45/46 etc., (NBC Part- I 7.7& NEC iii 3 and is 4878 14 & is 1646 , 10028 & 732) Whether all electrical materials comply with applicable Indian standards (IER 29 , is 732 3.4.1 &NBC viii 2-2.9.1.4) Whether all electrical installations are done by licensed electrical contractor and supervised by holder of competency certificate / permit issued by state government (IER 29/45 , is 4878 14.1 / 2/ 4 is 732 3.5 NBC Part- viii-2 9.3.2.6 & Apdx C) Note : Completion drawings showing all circuits to enable functional checks to verify compliance with applicable rules related to fire safety (IER 45, IS 732 3.1/9 NBC VIII -2, 9.1.5 and 9.2) Whether emergency and escape lighting is powered by source a) independent of normal power for stairs / exit roads and fire alarm b) with 1.5 hours and 4 hours respectIVely of battery backup (IS 4878 10.2.5 : 14.5 NBC Part- IV-8.15, D , 1.14) a)&b) Whether alternate/emergency generator fed Direct power circuits for fire pumps, lifts, smoke exhausters, fire alarm, P.A./audio-visual systems(IS4878 14.1 NBC IVD1.5.p,1.6.4.3;1.12/14/15) Whether transformers if in basement, have enclosure of 4hrs rating auto high velocity spray/emulsifying systems . (IS4878 15.10.3,15.14.2 NBC IVD1.16.b/c) Whether transformers room/enclosure, location and ventilation/exhaust are such that no smoke or fumes their from can ingress into exit/escape roots or other Part-s of the building (IS4878 15.14.2 NBC IV12.6.2) Whether transformer plinth is at least 15 cms above grade and if oil filled should have curbs to prevent egress of leaking oil into any parking area ( NBC Viii-2-4.2.2.c/g) Whether periodical verification of proper functioning and efficacy of emergency/alternate power supplies and related user equipment related to fire safety is taken care of ( IER 46 :is 4878 3.9.4 & Is 16463.6&15.1) Whether indoor transformers have auto high velocity water spray or emulsifying systems(IS 4878- 15.10.3 ) Whether strict compliance with I.E.R 29/45/46 and is- 732 and NBC Viii for electrical safety to prevent short circuit is taken care ofNote: Lightning protection should be installed as per Is 4878-15.12, Is2309&NBCViiii2-11) if in mixed occupancy whether the requirements of most hazardous ones are complied with unless separated by 4 hrs fire resistant wall (IS4878 15..2 NBC IV7.5.) Whether fire resistant doors 1 hrs rated in escape routes, Part-icularly at entrances to lifts, staircases, etc are provided (IS4878 10..2.9,15.6 NBC IV8.2.7 & is 3614.) Yes No

Yes Yes

No No

50*

Yes

No

51. * 52. * 53* 54* 55*

Yes Yes Yes Yes Yes

No No No No No

56* 57*

Yes Yes

No No

58 Fire protectio n 59

Yes Yes

No NA No NA ..6..

60 61 62 63 64 65 66

67. * 68. Air conditioning Ventilation 69.

70.

71. * Smoke Venting 72. 73.

:6: Whether doorway or opening in separating walls/floors limit spread fire, smoke by use of 2 hrs rated fire resistant doors/ steel rolling shutters (IS4878 15..3/4 NBC IV7.6 &7.61&7.8 & is 12458.) `Whether opening in walls/floors for cables, plumbing etc are in ducts/shafts enclosure of 2 hrs fire resistant and 1hr fire rated inspection doors (NBC IV7.6, 7.6.3,D 1.9.) Whether seal space between cables etc and shaft is sealed with fillers to stop fire at every floor level (NBC IV7.6.3 ,D 1.9.) Whether surface finishes on walls/ceilings/faade minimize spread of fire or toxic fumes (IS4878 15..7 NBC IV7.15.1 Is12777 Class I Material) Whether use of class 1 flame spread surfacing material and fabric materials used for dcor, carpets , curtains, etc comply with is12777 , NBC IV7.15.2,12.6.1&D1 .2 Whether walls, Partitions or floors lined with combustible material have surface flame spread confirming to is 1642, to prevent rapid fire spread , hampering escape of occupants NBC IV 7.15.5 Whether open able windows on external walls or on fully glazed facades have locks which can be opened with fire-mans axe to enable quick access for rescue of inmates and for fire fighting NBC IV 7.16, D1.7 Whether automatic fire alarm system is installed in auditoria, corridors, canteen storages as per is 2189(IS4878-15.10.11 &NBCIV-7.9&D.5 Whether air-condition system is designed to minimize spreading of fire, smoke& fumes from one fire area/floor to another or to escape/exit path, staircases etc.,(IS4878-15.8.1&NBCIV7.11&D1.17&NBCviii 1/3) if A.C./Ventilation system serves more than one floor area, whether automatic dampers are provided to close in case of fire, or smoke at A.Cs outlet to stop spreading of smoke, to other floors/areas(IS4878 15.8.2&NBC IV-7.11.2 in cinemas with capacity more than 1000, whether fire dampers are so arranged that they actuate automatically in case of fire to prevent smoke circulation with the help of photo-electric or smoke devices(IS4878-15.8..3& NBCIV7.9,7.11.3&is2189/is11360/is2175) Whether natural draft smoke vents with area minimum 3.3% of auditorium/balconies floor area, whose auto-closing is actuated by smoke detectors, are installed.(IS4878-15.14.7&NBCIV7.12.2/4,12.6.11) Whether smoke venting facilities required for safe exit in windowless buildings operates automatically and also manually(NBCIV7.12.1) Whether basements are separately ventilated with grills etc., having 2.5%area of floor and provided alternately with air inlet and smoke outlet ducts at floor& ceiling level respectively(NBCIV-D1.6.4)

Yes Yes Yes Yes Yes Yes Yes

No NA No NA No NA No NA No NA No NA No NA

Yes Yes

No No NA

Yes

No NA

Yes

No NA

Yes

No

Yes Yes

No NA No NA ..7..

:7: 74. 75. Whether sufficient precautions are taken so that smoke from basements shall in no case ingress into any exit path/stairs serving upper floors(NBCIV-D1.6.2) Whether use of LPG/Pressure stoves is not resorted to in basements(NBCiii-12.9, NBCIV12.3/D1.6.5) Note: This may be allowed in upper floors if 4hrs fire resistant enclosures are provided / sprinklered. Whether Projection Room is meeting following criteria? a)Has no direct access to auditorium, be self contained, and house only cinematograph apparatus& fire appliances(IS487815.14.8.1) b) has one entrance and alternate exit to open air, with selfclosing fire resistant doors c)All opening/joints be such that no smoke can escape into auditorium(IS487815.14.8.2) d)Enclosure ventilation must not enable communication with any public place in the building(IS487815.14.8.4) e)All electrical wiring must comply with is 1646-13.7) Refer NBC Part- II 3.8 Is 4878 15.10.13.1 and relevant Is codes , NBC Part- IV 7.10.2 Whether the following fixed fire fighting systems are installed? a)Hose-reel (IS 884 &is 3844&NBCIV-7.10.2.table20) b)Wet riser (for 2 storey and above NBC IV-7.10.2.table20) c)Down comer if seating capacity exceeds 1000(NBC IV7.10.2.table20) d)Yard Hydrant(NBC IV-7.10.2.table20 and Is 3844) e)Automatic sprinkler system (if seating capacity exceeds 1000 or covered area exceeds 1500sq,mtrs or basement over 200sq.mtrs(IS4878-15.10.2 & 15.10.13.1& NBC IV7.10.2.table20) f)Manually operated electrical alarm system(IS487815.10.13.1& NBC IV-7.10.2.table20) g)Automatic detection and alarm system(IS4878-15.10.11 & Is 2189& NBC IV-7.9) h)Underground water tank of 1.00lakh litres if building height is more than 15mtrs, and 50000 if building ht. Is less than 15mtrs(NBCIV 7.10.2 table 20) i)Terrace tank of10000 lits. (NBCIV 7.10.2 table 20 j)Fire pumps at Underground tank; one jockey pump 180lpm, one electric and one diesel pump of 1620/2850 for bldg ht. Less than 15 M and more than 15 M respectively(NBCIV 7.10.2 table 20) k)Fire pump at terrace(required if building height is less than 15mtrs) of 450/900/1620, in case of hose reel, down comer, or sprinkler respectively. Yes Yes No NA No NA

76. * Special Fire Hazards

Yes

No

77. * Fixed fire fighting installations

Yes

No

..8..

:8: 78. * Portable fire extinguishers Whether the following portable fire extinguishers are provided as below(IS4878-15.10.15, NBCIV7.10.4/8/9&is2190/934/940 a)Water expelling type@ one per 100 seats reachable within 15mtrs travel distance b)two 9 litres water expelling type (Co2) per 600 sq.mtrs with minimum 4 per comPart-ment/floor if seats are in between 300 to 1000 c) Travel distance to extinguishers not to exceed 15mtrs. d) Additional to b, one 50litressoda acid/ water expelling chemical engine for every 100 sq.mtrs of floor area, if seats exceed 1000 and travel distance not to exceed 25mtrs.(Is 5506& Is 2190 B2) e)For Projector room 2 co2 extinguishers of 4.5kg plus two buckets water, one bucket sand and one blanket just outside the room. f)For transformers, rewinding room etc. DCP Extinguishers & foam trolleys g)Periodical maintenance to be recorded h)usage instructions to be painted on the extinguishers Whether adequate staff training and drill(at least once in a month) on installed fire fighting equipment, evacuation drills is ensured and record there of is maintained (IS4878 15.10.7) Whether clear instructions to be followed in case of fire are posted at conspicuous places(IS4878 15.10.9 NBC Part- IV D 8.1 & Appendix-F) Whether identified person trained in operation of fire extinguishers/evacuation is present while the show is on (IS487815.10.8) Yes No

79. * Fire training &Fire drill 80. * 81. *

Yes Yes Yes

No No No

Signature of the owner/manager Seal/Date NOTE: The fire safety measures with star (*) mark are mandatory