Fillable F5 SC Firefighting Facilities Checklist

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F5 SC Firefighting Facilities Checklist

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Form
Firefighting facilities checklist
F5 FM
Page 1 of 8 Fire and Emergency New Zealand Operations
F5 SC Firefighting Facilities Checklist 3 September 2018
This check sheet is not mandatory but should be completed and included with other documentation that is
required as part of the building consent process. It is intended that this information form part of the Fire
Engineering Brief process as detailed within the International Fire Engineering Guidelines.
The applicant is to complete Part A and B before consulting with Fire and Emergency New Zealand. Part C will
be completed in consultation with a Fire and Emergency representative.
The representative will be appointed by the Fire Region in which the building will be located. Please refer to
the telephone directory white pages for contact details under FIRE SERVICE.
Disclaimer: Please note that neither Fire and Emergency, nor any member or representative of Fire and
Emergency assumes responsibility for the accuracy of this Firefighting facilities checklist. The role of the Fire
and Emergency with the checklist is to be carried out in conjunction with the applicant. While Fire and
Emergency endeavours to carry out these functions accurately, we do not assume responsibility for the
information or claims contained on this checklist.
Part A
(to be completed by applicant)
Administration
1. Property address
Street number
Lot number
Street name
Town/suburb
City/Region
Premises / Company
name
2. Applicant details
Applicant name
Street number
Street name
Town/suburb
City/Region
Phone number
Fax number
Mobile number
Email address
3. Project details
Tick the appropriate box
New building
☐
Addition/alterations
☐
Change of use
☐
Form – Firefighting facilities checklist
Page 2 of 8 Fire and Emergency New Zealand Operations
F5 SC Firefighting Facilities Checklist 3 September 2018
Building use
1. Building description
Number of floors above lowest final exit
Number of basement floors
Floor area (largest floor)
m
2
2. Predominant building use
Tick the appropriate box
Residential, apartment, terrace
☐
Transient sleeping – hotel, motel, boarding house, hostels
☐
Community care – rest home, hospital
☐
Community – public, church, school, recreation
☐
Merchandising – shop, shopping centre, exhibitions
☐
Industrial – factory, office
☐
Other (please specify)
3. Does building require a liquor license?
Yes ☐
No ☐
4. Owner details (if different from applicant)
Owner name
Street number
Street name
Town/Suburb
City/Region
Phone number
Fax number
Mobile number
Email address
5 (a). All buildings
Tick the appropriate box
Are hazardous substances stored?
Yes ☐
No ☐
Are early childhood facilities provided?
Yes ☐
No ☐
Is specialised care for people with a disability provided?
Yes ☐
No ☐
Is specialised nursing, medical or geriatric care provided?
Yes ☐
No ☐
Are people in lawful detention?
Yes ☐
No ☐
Does the building have a sprinkler system compliant with NZS 4541:2013 or NZS 4515:2009?
If Yes, go to section 5 (c) on the next page. If No, go to section 5 (b) on the next page.
Form – Firefighting facilities checklist
Page 3 of 8 Fire and Emergency New Zealand Operations
F5 SC Firefighting Facilities Checklist 3 September 2018
5 (b). Unsprinklered buildings
Tick the appropriate box
Are there facilities for more than 10 employees?
Yes ☐
No ☐
Do 100 or more people gather?
Yes ☐
No ☐
Is accommodation provided for more than 5 people?
Yes ☐
No ☐
5 (c). Sprinklered buildings
Tick the appropriate box
Do 100 or more people gather in a common venue?
Yes ☐
No ☐
If you have replied Yes to any of the questions in sections 5 (a, b and c), the building will require an evacuation
scheme as required under Subpart 4 – Evacuation schemes, of the Fire and Emergency New Zealand Act 2017.
6. Firefighting water
Refer Firefighting Water Supplies Code of Practice NZS PAS 4509:2008.
Fire and Emergency use only
6.1 Scale of proposed building works
Agree with values
Does the proposed building work increase the maximum Firecell Area?
If Yes continue completing section 6.
Yes ☐
No ☐
Yes ☐
No ☐
Does the proposed building work increase the Fire Load Energy Density
(FLED) in the largest Firecell?
If Yes continue completing section 6.
Yes ☐
No ☐
Yes ☐
No ☐
If No to both questions, do not continue with section 6, go straight to Part C on page 5.
Yes ☐
No ☐
6.2 Detail which method from NZS PAS 4509:2008 is being used:
Method 1 used, go to question 6.3 below.
Method 2 used, go to question 6.6 on the next page.
6.3 Building water supply classification – Method 1
Agree with values
Fire Load Energy Density (FLED)
Yes ☐
No ☐
Largest Floor Area/Firecell
m
2
Yes ☐
No ☐
Required water supply classification
FW
Yes ☐
No ☐
6.4 Available firefighting water supply
Agree with values
Reticulated
Flow rate within 135 m
l/s
No. of hydrants
Yes ☐
No ☐
Flow rate within 270 m
l/s
No. of hydrants
Yes ☐
No ☐
Adequate flow and number
At least one hydrant within 135 m
Yes ☐
No ☐
Yes ☐
No ☐
Note: The National Commander Urban has directed that Fire and Emergency will check these supplies in
line with the NZS PAS 4509:2008 Firefighting water supplies code of practice and N5 POP Firefighting
water supplies policy.
[6.7 Refers]
Form – Firefighting facilities checklist
Page 4 of 8 Fire and Emergency New Zealand Operations
F5 SC Firefighting Facilities Checklist 3 September 2018
Non-reticulated
Agree with values
Minimum water storage within 90 m
Yes ☐
No ☐
Volume
m
3
Yes ☐
No ☐
Available water supply classification
FW
Yes ☐
No ☐
6.5 Available water supply
Agree with assessment
Is ‘Available water supply’ at 6.4 greater than or equal to ‘Required Water Supply’
at 6.2 on the previous page
Yes ☐
No ☐
Yes ☐
No ☐
Mitigating policy adequate
If No, then Mitigation Policy is required.
N/A ☐
Yes ☐
No ☐
6.6 Building water supply classification – Method 2
Agree with assessment
Is calculation in accordance with Code of Practice?
(NZS PAS 4509:2008 appendix H and J provides the method of calculation
approved and accepted by Fire and Emergency)
Yes ☐
No ☐
Yes ☐
No ☐
Adequate water supply
Yes ☐
No ☐
6.7 Water testing
Adequate for design
Results and map provided
Yes ☐ No ☐ Yes ☐ No ☐
Hydrant locations shown on drawing
Yes ☐ No ☐
Water authority has a list of approved testers that carry out water testing on their network. A full copy of
water testing results including a map of the building/s and all hydrants used in the test is required.
Yes ☐ No ☐
Form – Firefighting facilities checklist
Page 5 of 8 Fire and Emergency New Zealand Operations
F5 SC Firefighting Facilities Checklist 3 September 2018
Part C
(to be completed in conjunction with the local District Chief Fire Officer/Area Manager
or appointed representative (most often local FRMO/VSO/Operational Officer) prior to
submitting documentation for building consent)
Firefighting facilities
checklist
1. Firefighting water
Fire and Emergency use only
Firefighting water availability from Part B Section 6 meets Fire and Emergency requirements.
Answer N/A if answer is No to both questions in 6.1
N/A ☐
Yes ☐
No ☐
2. Fire and Emergency access to site
Fire and Emergency use only
Gate key required
Yes ☐
No ☐
Access width adequate
Yes ☐
No ☐
Hardstanding to within 20 m of main entrance, or
Yes ☐
No ☐
Hardstanding to within 20 m of sprinkler inlet, or
N/A ☐
Yes ☐
No ☐
Hardstanding to within 20 m of building hydrant system inlet
N/A ☐
Yes ☐
No ☐
Hardstanding for aerial appliances provided
N/A ☐
Yes ☐
No ☐
3. Fire and Emergency access to building
Fire and Emergency use only
Building access points for Fire and Emergency identified
Yes ☐
No ☐
Doors open on activation of fire alarm
Yes ☐
No ☐
Door keys required
Yes ☐
No ☐
Lift control provided
N/A ☐
Yes ☐
No ☐
Key type
Lobby control
Car control
Lift motor room
4. Waterway – Refer to NZS4510:2008 and NZS4541:2007
Fire and Emergency use only
4.1 Brigade inlet location(s) suitable:
Hydrant
N/A ☐
Yes ☐
No ☐
Sprinkler
N/A ☐
Yes ☐
No ☐
4.2 Complete this section in conjunction with Fire and Emergency Fire Engineers who have sight of overall design and
access to relevant drawings.
Hydrant outlet locations suitable and safe. All points within reach of:
N/A ☐
Yes ☐
No ☐
N/A ☐
Yes ☐
No ☐
Min. pressure (≥ 600 kpa)
Type of key securing outlet
To assist with assessment the above should be clearly marked up on drawings
N/A ☐
Yes ☐
No ☐
40 m arc if sprinklered protected floor, or
32 m arc if Non-sprinkler protected floor
Form – Firefighting facilities checklist
Page 6 of 8 Fire and Emergency New Zealand Operations
F5 SC Firefighting Facilities Checklist 3 September 2018
4.3 Sprinkler house (pump/valve set)
Location suitable?
N/A ☐
Yes ☐
No ☐
Type of door key
Type of key securing valves
4.3 Isolation valves
Sprinkler floor isolation valves location suitable?
N/A ☐
Yes ☐
No ☐
Floor isolation valves location clearly indicated
N/A ☐
Yes ☐
No ☐
5. Fire alarm panel
Fire and Emergency use only
Control panel required
Yes ☐
No ☐
Addressable panel location suitable or VDU required at mimic panel location
N/A ☐
Yes ☐
No ☐
Fire alarm panel location suitable
N/A ☐
Yes ☐
No ☐
Suitable indicating light required, which is either:
coloured red, or
incorporates a white strobe with the word “FIRE” coloured red illuminated
N/A ☐
Yes ☐
No ☐
Mimic panel(s) required
N/A ☐
Yes ☐
No ☐
Sector panel(s) required
N/A ☐
Yes ☐
No ☐
ATS connection required
N/A ☐
Yes ☐
No ☐
Fire alarm brigade connection required by
6. Fire control centre
Fire and Emergency use only
Emergency Warning Intercommunication System (EWIS) provided
EWIS panel located within Fire Control Centre
EWIS co-located with FIP
N/A ☐
N/A ☐
N/A ☐
Yes ☐
Yes ☐
Yes ☐
No ☐
No ☐
No ☐
Fire Systems Centre location suitable for Fire and Emergency (state the location, must have direct
access to outside)
N/A ☐
Yes ☐
No ☐
Fire Fan Control Panel (FFCP) instructional schematic provided
Beside FFCP at location?
N/A ☐
N/A ☐
Yes ☐
Yes ☐
No ☐
No ☐
7. First aid firefighting
Fire and Emergency use only
Fire hose reels provided in accordance with NZS 4503:2005 Hand operated firefighting equipment
N/A ☐
Yes ☐
No ☐
Fire extinguisher(s) provided in accordance with NZS 4503:2005
N/A ☐
Yes ☐
No ☐
Form – Firefighting facilities checklist
Page 7 of 8 Fire and Emergency New Zealand Operations
F5 SC Firefighting Facilities Checklist 3 September 2018
Drawing information
Drawing number
Version
Date
Drawn by
Additional information/notes
Reference
Comments
Form– Firefighting facilities checklist
Page 8 of 8 Fire and Emergency New Zealand Operations
F5 SC Firefighting Facilities Checklist 3 September 2018
Part D
(ensure all relevant drawings are date stamped)
Fire and Emergency New Zealand
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District
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Completed 10 November 2021

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