Form -1

Rev.01/2014
GENERAL INFORMATION
Name of Factory
Contact Person
Phone
E-mail
Address/location details
Product type
Factory Information
General Layout of the premises as per floor
if yes then provide the drawing
Occupiable roof (if any)
Occupiable roof if "Yes", provide detail information
Area per floor
Workers per floor
Type of construction (Brick/steel etc)
Storage, wearhouse location with area, type and size, exterior wall thickness
Location of boiler, generator room, respective size, exterior wall and thickness
Sprinkler system, if fitted
If 'Yes' Do you have hydraulic calculation for Sprinkler System?
If 'Yes' please provide copy.
Standpipe system, if fitted
If 'Yes' Do you have hydraulic calculation for Standpipe System?
If 'Yes' please provide copy.
What is the capacity of the fire pump?
What is the water source and capacity?
Where is the location of Fire Brigade connection, please specify.
Do you have Automatic Fire Detection System Installed?
If 'Yes' please provide SHOP drawing, if available. Type of Heat/Smoke detectors?
If 'Yes' please provide SHOP drawing, if available.
Do you have Fire door installed?
If 'Yes' please provide locations.
What is the width of EXIT doors?
What is the width of stairway?
What is the type of Extinguishers available in each floor?
How many numbers are there per floor?
What is the travel distance of extinguishers?
List of heat generating equipment like strenter machine etc and their location?
Is there any outstanding fire safety related issue raised during third party inspection which
needs to be addressed immediately?
What is the existing lighting system in stores?
Any other fire safety related issue by management that needs to be addressed?