Scribd
Upload
19K views3 pages

FSMR Template

This fire safety maintenance report summarizes the fire protection systems and life safety activities for a building. It includes details of the fire pump system, fire detection and alarm system, fire extinguishers, emergency lights, smoke extraction fans and training conducted. The report also provides information on the number and types of exits, maintenance of egress components, fire suppression systems, fire detection and alarm components, smoke control systems, emergency power supply and testing of elevator recall systems. Records of inspections, testing and preventative maintenance were noted for each system.

Uploaded by

Marisol Carmona Go
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
19K views3 pages

FSMR Template

This fire safety maintenance report summarizes the fire protection systems and life safety activities for a building. It includes details of the fire pump system, fire detection and alarm system, fire extinguishers, emergency lights, smoke extraction fans and training conducted. The report also provides information on the number and types of exits, maintenance of egress components, fire suppression systems, fire detection and alarm components, smoke control systems, emergency power supply and testing of elevator recall systems. Records of inspections, testing and preventative maintenance were noted for each system.

Uploaded by

Marisol Carmona Go
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

(COMPANY HEADING / LOGO)

FIRE SAFETY MAINTENANCE REPORT


A. SHORT DESCRIPTION OF THE BUILDING

I.BUILDING NAME
II.COMPLETE ADDRESS
III.CONTACT NUMBER
IV.CONTACT PERSON
V.EMAIL ADDRESS
VI.GROSS FLOOR AREA
VII.NUMBER OF FLOORS
VIII.TYPE OF USE

B. STATEMENT OF TESTING AND MAINTENANCE STANDARDS USED

C. DISCUSSIONS OF FIRE PROTECTION AND LIFE SAFETY ISSUES

1. The building is equiped with fire safety equipment as follows:

I. FIRE PUMP SYSTEM BRAND TYPE QUANTITY CAPACITY CUT-OUT CUT- IN

II. FIRE DETECTION AND ALARM BRAND TYPE QUANTITY CAPACITY


SYSTEM

III. FIRE EXTINGUISHERS BRAND TYPE QUANTITY STATUS

III. EMERGENCY LIGHTS BRAND TYPE QUANTITY STATUS

III. SMOKE EXTRACTION FAN BRAND TYPE QUANTITY STATUS

2. Life Safety Activities


NR TYPE OF TRAININGS / SEMINARS RESOURCE FREQUENCY DATE CONDUCTED

D. EXITS AND MEANS OF EGRESS

a. Number of active Exits

NR LOCATION TYPE QUANTITY MAKE LOCK TYPE

b. Maintenance records done on egress component such as doors ans eclosed


stairways;

NR LOCATION TYPE QUANTITY MAKE LOCK TYPE

E. FIRE SUPPRESSION

a. Maintenance and testing records done on fire pumps, sprinkler system,


portable fire extinguishers, standpipes and other fire suppression systems;

NR EQUIPMENT FREQUENCY OF FREQUENCY OF PMS FREQUENCY DATE LAST


INSPECTION TESTING TESTED

b. Result of Annual fire pump tests, annual main drain tests, and water flow test
for standpipe, submit other test results as appropriate;

NR DESCRIPTION TEST FLOW IN TEST TESTING DATE LAST


GPM PRESSURE IN FREQUENCY TESTED
PSI

F. FIRE DETECTION, ALARM, COMMUNICATION AND EVALUATION SYSTEM


a. Testing and maintenance records done on components of the Detection and
Alarm system including the fire alarm control panel;

NR EQUIPMENT FREQUNECY OF TESTING PMS FREQUENCY DATE LAST


INSPECTION FREQUENCY TESTED
G. SMOKE CONTROL MANAGEMENT
a. Maintenance and testing records of the various component of the smoke
management system. Including test records for pressurization fans for flows
and fan controls.

NR EQUIPMENT FREQUNECY OF TESTING PMS FREQUENCY DATE LAST


INSPECTION FREQUENCY TESTED

H. EMERGENCY POWER SUPPLY


a. Maintenance and testing records of the system components of the emergency
power supply.

NR TYPE QUANTITY TOTAL TESTING DATE LAST


CAPACITY (KVA) FREQUENCY TESTED

I. OTHER TESTING AND MAINTENANCE RECORDS, INCLUDING TEST RESULTS OF


ELEVATOR RECALL SYSTEM.

NR TYPE QUANTITY CAPACITY IN TESTING DATE LAST


PAX FREQUENCY TESTED

Prepared by: Noted by:

_____________________________ _____________________________
( Safety Officer ) (Owner / Representative)

**Kindly attach pictures and other records of actual testing and PMS conducted on fire fighting
equipments.

You might also like