Information
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Site
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Building
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Age of Building
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Prepared by
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Conducted on
Assessment
BUILDING OCCUPANCY
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Able
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Disabled
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Limitations
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Familiar
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Unfamiliar
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Young / Old
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Staff
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Students
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Sleeping
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100 Persons
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150 Persons
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200 Persons +
BUILDING CONSTRUCTION
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Brick
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Concrete
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Cladding
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Timber
NUMBER OF FLOORS
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Single Storey
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2 Storey
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3 Storey +
SOURCES OF IGNITION
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None
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Electrical
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Mechanical
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Chemical
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Flame
AVAILABILITY OF FUEL (FIRE SPREAD)
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Limited
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Paper / Wood
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Combustibles
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Petrol
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Chemicals
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Gas
FIRE DOORS
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Automatic
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Manual
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None / Poor
FIRE DETECTION
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Fully Automatic
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Limited
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Manual
FIRE ALARM
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Fully Automatic
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Limited
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Manual
FIRE FIGHTING
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Sprinklers
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Extinguishers
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Hoses
FIRE ROUTES
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Easy to Use
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Difficult to Use
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Obstructed
FIRE SIGNS
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Sufficient
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Limited
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Insufficient
EMERGENCY LIGHTING
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Tested
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Untested
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Not Available
ELECTRICAL SAFETY
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Tested
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Not Tested
EMOTIONAL COST OF FIRE
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LOW
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MEDIUM
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HIGH
FINANCIAL COST OF BUILDING LOSS
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LOW
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MEDIUM
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HIGH
IMPACT OF BUILDING LOSS
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LOW
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MEDIUM
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HIGH
OVERALL RATING
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OVERALL RATING