Pre-Plan Worksheet - Hampden Township Page 9
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Void Spaces
Applies mainly to multistory buildings where shafts/openings run between the floors
and could permit unnoticed fire spread.
Examples include but are not limited to:
pipe chases, HVAC return air chases, laundry chutes, dumbwaiters, etc.
Decking
Refers to the type of surface that is installed above the roof construction and below
the roof covering. Examples include but are not limited to: metal fluted decking,
poured-in-place concrete, precast concrete, cast-in-place concrete, etc.
Openings
Refers to penetrations through the roof from the interior of the building. Examples
include but are not limited to: HVAC fresh air intake hoods, ventilation exhaust air
hoods, skylights, etc.
Roof Access
Indicate whether or not roof access is available from inside the building through a
hatch or roof scuttle. If access is available, specify the number of hatches/scuttles
and whether stairs or ladders are included as part of the means of egress to the roof.
Elevator
Service Company/Phone Number
Identify the name of your Elevator Service Company plus both the normal hours and
emergency contact phone numbers.
Type of Elevator
Specify the type of elevator(s) that is/are present within your building (e.g.
hydraulic, geared traction, or gearless traction)
Door Key Location
Specify where your elevator door/hoistway key is located for Fire Department or
rescue purposes.
Fire Department Key
Specify where the fire department elevator key is located for use by the Fire
Department in the event of a fire within the building.
Method of Operation
Provide detailed instructions for the proper use of your elevator key in your elevator
in the event of a fire. (Suggestion: Contact your elevator service company for their
specific instructions on how to use the elevator key).
Notes
Provide information regarding your elevator(s) that might be useful to the Fire
Department in the event of a fire or during an elevator rescue.
Include all
information regarding any historical events that have occurred with your elevator(s).
Mechanical Room Notes
Provide pertinent information regarding your elevator mechanical room including but
not limited to:
the room location, emergency shutoff location, hoistway access
location, whether the hoistway and/or the mechanical room are protected by a
sprinkler, whether a pit is located below the elevator and if so, provide the access
location, etc.
HazMat (Hazardous Materials)
Material
Specify the material by its name and indicate whether it is a chemical, radiological,
or biological substance
Amount
Specify the amounts of any hazardous material that is stored or sold by your facility.
Utilize the form of measurement specified on the material packaging.
Examples
include but are not limited to:
ounces, pounds, tons, liters, gallons, 55 gallon
drums, etc.).
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