Numbers on Duty Survey Form

• Select date

  Date

• Prepared by

• Who did you consult on site: (Full name and title)

• Premier Inn Name & Address

• Description of hotel e.g. Restaurant & PI in one building? Any Extension?

• Number of floors: (including ground)

• Number of rooms:

If the site has an annexe building complete a seperate form for all buildings

• Any shared occupancy or Means of escape?

  Yes

  No

• Provide detailed description of shared means of escape...

• Does the hotel have UA rooms?

  Yes

  No

• Number of UA rooms:

• UA room numbers and location: (inclluding approximate distance from refuge/temporary safe area and/or final exit): (include any that were once UA but have been changed on BART to a different room type).

• Does the site have any regular disabled guests (wheelchair users) who specifically request a UA room that is above ground floor?

  Yes

  No

• Detail of guest and needs...

• Details of fire escape staircases: (including number, internal/external, where they discharge to? list by staircase and details below)

• Is there is an external fire escape staircase?

  Yes

  No

• Does the external fire escape staircase have sufficient room on the external landing area to act as a temporary refuge area (whilst still allowing the final exit door to be closed)?

  Yes

  No

  N/A

• Are there any lifts?

  Yes

  No

• Number of Passenger lifts:

  1

  2

  3

  4

  5

• Are there any firefighting lifts?

  Yes

  No

• Are refuge areas provided?

  Yes

  No

• Details of refuge areas provided (include location, any communication devices and number and location of Evac chairs):

• Photo of a refuge area(s), including a photo of the ccommunications device (take photos of each type)

  Media

• If a refuge communication is installed, where is the location of the main panel? How close to the main front entrance is this?

• Photo showing refuge comms panel & it's relationship to the front door

  Media

• Are there any restrictions to horizontal meanss of escape from the ground floor? E.g. steps out of fire exits?

  Yes

  No

• Detail of any restrictions to horizontal meanss of escape from the ground floor? E.g. steps out of fire exits?

• Photo showing restriction(s)

  Media

• Number on duty overnight currently: (include any security Teams and whether or not they are internal or external)

• Weekdays

• Weekends

• Does the hotel have anyone on sleepover or living on site:

  Yes

  No

• Details of anyone on sleepover or living on site:

• Where is the main fire alarm panel located and is there a repeater panel, if so, where? (If the site has an annexe building describe how the fire alarm panel interacts with the main building or Restaurant e.g. sounder etc)?

• Photo showing fire alarm panel

  Media

• Photo of zone drawing (does the drawing reflect the site site as it is now)

  Media

• Provide details of the fire evacuation procedures (including whether there is a staff/pre-alarm, autodial or a requirement to confirm a fire before the fire brigade will attend)

• Estimated fire brigade response time:

• Provide details of the relationship with the local Fire Authority (including any correspondance or comments relating to evacuation of disabled persons):

• Any known plans for an extension?

  Yes

  No

• Provide details of any extension plans of which the site are aware:

• A general photo showing the Premier Inn / Restaurant

  Media

• Photos of front entrance / reception areas

  Media

• External photos showing where the fire exits discharge to

  Media

• An external photo showing the location of the Assembly Point to the building

  Media

• Photo showing location of any annexe building in relation to the main building

  Media

• List any other comments that you think are relevant:

• Any other photos that you think are relevant

  Media

If you find anything on site that might impact upon the numbers on duty, please phone Janis before you leave the site