Smoke Contamination Exposure Checklist - Aviva Loss Prevention Standards V 1.2

• Date

  Date

• Completed by

• Location
  Address

• To view our Loss Prevention Standard that supports this checklist, please view the following link : https://broker.aviva.co.uk/documents/view/aviva_smoke_contamination_lps.pdf

Smoke Contamination Exposure Checklist

• 1. Has a quantified property damage and business impact study been completed for smoke contamination at your site?

  Yes

  No

  N/A

• 2. Are there any floor or ceiling voids?

  Yes

  No

  N/A

• •Consider these within the following:<br>(a) As an exposure that could be contaminated?<br>(b) As a source of a smoky fire (cable insulation fire) which could cause contamination?

  Yes

  No

  N/A

• 3. Are there accurate drawings showing the ventilation layout for the site?

  Yes

  No

  N/A

• 4. Is there the potential to contaminate one area of the site with smoke transported from another area?

  Yes

  No

  N/A

• 5. Are there networked or manifolded ventilation systems?

  Yes

  No

  N/A

• 6. Is the type and coverage of automatic fire detection on site appropriate for the risk and exposure of smoke contamination?

  Yes

  No

  N/A

• 7. Is automatic fire detection provided within the ventilation system? <br><br>Downstream of any filter media or air moving equipment; across or within any air returns?<br>

  Yes

  No

  N/A

• 8. Are the site ventilation systems interlocked to shut down upon automatic and/or manual fire alarm activation?

  Yes

  No

  N/A

• 9. Do you isolate the interlock between the ventilation system and the fire alarm system for testing, maintenance, etc.?

  Yes

  No

  N/A

• •How do you assure yourself that this is reinstated?

• 10. Are there accurate fire compartmentation drawings for the site?

  Yes

  No

  N/A

• 11. Are any fire doors, shutters, dampers, etc. appropriate for smoke containment?

  Yes

  No

  N/A

• 12. Are appropriate fire/smoke dampers provided within the ventilation systems positioned consistently with the fire compartmentation philosophy, i.e. in place at fire compartment walls/floors?

  Yes

  No

  N/A

• 13. Are the actuation mechanisms for any fire doors, shutters, dampers, etc. appropriate for smoke containment, i.e. do they close automatically on a fire alarm/smoke signature rather than on a fusible or frangible element/heat signature?

  Yes

  No

  N/A

• 14. Are all penetrations through fire compartments sealed with appropriately approved/listed fire stopping materials?

  Yes

  No

  N/A

• 15. Do you complete regular, e.g. quarterly, recorded fire compartment wall/floor visual inspections?

  Yes

  No

  N/A

• 16. Do you complete a formal annual fire compartment wall/floor audit?

  Yes

  No

  N/A

• 17. Are you exposed to any owned or third party yard storage; external fire loads; nearby exposing buildings that if they caught fire could be entrained into your building or building ventilation system?

  Yes

  No

  N/A

• How do you manage this exposure to your business?

• 18. Is smoke decontamination and clean-up considered as part of the Business Recovery Plan, including within the ventilation systems?

  Yes

  No

  N/A

• 19. Do you have a formal relationship with a salvage/recovery company?

  Yes

  No

  N/A

• 20. Are the above threats to your business specifically considered in your Management of Change processes?

  Yes

  No

  N/A

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• Additional Comments

• Completed by (Name and Signature)

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