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Property and Facilities Division
Form
10/03
FIRE SAFETY BUILDING REPORT PF174
1
Campus: Building Name: No:
Inspection Date: Inspected by:
1 OCCUPYING DEPARTMENTS
Level Faculty Level Faculty
1 8
2 9
3 10
4 11
5 12
6 Plant Rm
7 LMR
2 CONSTRUCTION
Floor
Roof
Walls External
Walls Internal
Exposure Hazards
3 HAZARD CLASSIFICATION High
Main Use of the Facility
Life Threatening Hazards
Special hazards
Flammable Liquids Storage Hazards
Acid Storage hazards
Bottle Gas Storage hazards
4 WATER SUPPLIES and HYDRANTS
Size of in Ground Water Mains
Fire Hydrant Booster Connection
Size of Internal Hydrant Riser Mains
Distance to nearest External Hydrant
External Hydrants to be raised