Professional Documents
Culture Documents
Checklist - Mercantile Occupancy - For R.A. 9514 (Fire Code) Revised 2019
Checklist - Mercantile Occupancy - For R.A. 9514 (Fire Code) Revised 2019
____________________
(Name of Owner) DATE
(Name of Establishment)
(Address)
I. GENERAL INFORMATION
Name of Building _________________________________________________________________________________
Business Name _________________________________________________________________________________
Address ________________________________________________________________________________________
Nature of Business ________________________________________________________________________________
Name of Owner/Occupant___________________________________ Contact No._______________________
Name of Representative______________________________________ Contact No. ______________________
No. of Storey__________ Height of B1dg. __________(m) Portion Occupied_____________________________
Area per flr __________________________sqm Total Flr. Area ______ ___________________________sqm
Building Permit No ___________ Date Issue_______ Occupancy Permit No.______ Date Issued ___________
Latest FSIC Issued Control No. _______________ Date Issued_______________ FC Fee_____________________
Certificate of Fire Drill __________________ Date Issued_________________ FC Fee__________________
Latest Notice to Correct Violations Control No. ____________________________ Date Issued _______________
Name of Fire Insurance Co/Co-Insurer________________ Policy No.___________ Date Issued _______________
Latest Mayor's/Bus. Permit _________ Date Issued______ Municipal License No._____ Date Issued _________
Latest Certificate of Electrical Inspection No. __________________ Date Issued__________________________
Other Information _________________________________________________________________________________
II.BUILDING CONSTRUCTION
Beams ________________________ Columns_____________________ Flooring _________________________
Exterior Walls__________________ Corridor Walls_________________ Room Partitions ___________________
Main Stair_____________________ Windows_____________________ Ceiling ___________________________
Main Door____________________ Trusses_______________________ Roof ____________________________
III. SECTIONAL OCCUPANCY (Note: Indicate specific usage of each floor, section or rooms)
IV. CLASSIFICATION
Occupancy Classification: [ ] A [ ] B [ ] C [ ] Others ___________________________________________
Occupant Load:_________________ (Requirement: 2.8 sq.m per person for street level; 5.6 sq. m for upper floors and 9.3 sq. m. for
offices, storage, and shipping and not open to the general public)
Any renovations [ ] Yes [ ] No if Yes, specify ________________________________________________
Underground: [ ] Yes [ ] No Windowless: [ ] Yes [ ] No
V. EXIT DETAILS
Capacity of Horizontal Exit (Corridor Hallway):____________________ (Requirement:100 persons per unit of exit width per min)
Capacity of Exit Stair: ___________________________________ (Requirement: 60 persons per unit of exit width per min)
No. of Exits_________________________________________________ Remote [ ] Yes [ ] No
Minimum Requirement: No. of Exits: Two (2) units per floor
Location of Exit___________________________________________________________________________________
Maximum Travel Distance Requirement from Farthest Room: 30.5 m without AFSS & 46m with AFSS
Any Enclosure Provided [ ] Yes [ ] No Min of 2-hr fire rating- 4-storey or more, Min of 1 hr, fire rung- less than 4-storey
MEANS OF EGRESS
Readily accessible [ ] Yes [ ] No Obstructed [ ] Yes [ ] No
Travel distance within limits? [ ] Yes [ ] No Dead-ends within limits [ ] Yes [ ] No
Adequate illumination [ ] Yes [ ] No Proper rating of illumination [ ] Yes [ ] No
Panic hardware operational? [ ] Yes [ ] No Door swing in the direction of exit? [ ]Yes [ ] No
Doors open easily [ ] Yes [ ] No Self-closure operational [ ] Yes [ ] No
Bldg w/Mezzanine [ ] Yes [ ] No Mezzanine with proper exits [ ]Yes [ ] No
Corridors & aisles of sufficient size [ ] Yes [ ] No
A. VERTICAL EXITS
1. Main stairway: Width___________________________ Construction _________________________________
Are there railings provided [ ] Yes [ ] No Made of _____________________________________________________
Any enclosure provided [ ] Yes [ ] No Enclosure construction________ Any opening [ ] Yes [ ] No
Fire door construction_________________________ Door equipped w/ Self-closing device [ ] Yes [ ] No
Door proper rating: [ ] Yes [ ] No Door provided w/ vision panel: [ ] Yes [ ] No If Yes, made of _____________
Door swing in the direction of exit travel (when required) [ ] Yes [ ] No
Stairways Pressurized [ ] Yes [ ] No [ ] N/A If pressurized, what type or method ________________________
Date Last Tested _________________________________________________________________________________
2. Secondary Stair/Fire Escape: Number______________________________ Width________________________
Construction_________________ Are there railings provided [ ] Yes [ ] No Made of _____________________
Location: [ ] Interior [ ] Exterior Exits accessible [ ] Yes [ ] No
Any obstruction [ ] Yes [ ] No Termination/Discharge of Exits __________________________________
Any enclosure provided [ ] Yes [ ] No Enclosure construction_________________________________
Any opening [ ] Yes [ ] No Opening protected [ ] Yes [ ] No
Are fire door provided [ ] Yes [ ] No Width_____________ Fire door construction____________________
Door provided with vision panel [ ] Yes [ ] No If Yes, made of__________________________________
Door equipped w/ Self-closing device [ ] Yes [ ] No Doors & enclosure proper rating [ ] Yes [ ] No
Doors open easily [ ] Yes [ ] No Self-closing device operable [ ] Yes [ ] No
Door equipped w/ panic hardware [ ] Yes [ ] No Operable [ ] Yes [ ] No
Door swing in the direction of exit travel [ ] Yes [ ] No Enclosure properly protected [ ] Yes [ ] No
Fire escape pressurized [ ] Yes [ ] No [ ] N/A If pressurized. What type or method___________________________
Date Last Tested _________________________________________________________________________________
B. HORIZONTAL EXITS
Width of door/s ________________ Construction_____________________ With vision panel [ ] Yes [ ] No
Door swing in the direction of egress travel [ ] Yes [ ] No With Self-closing device [ ] Yes [ ] No
Width of corridors or hall ways ________________________ Construction _____________________________
Corridor walls extended from slab to slab [ ] Yes [ ] No Properly illuminated [ ] Yes [ ] No
Exit readily visible [ ] Yes [ ] No Clear and unobstructed [ ] Yes [ ] No
Properly marked w/ illuminated exit sign [ ] Yes [ ] No With illuminated directional sign [ ] Yes [ ] No
Properly located [ ] Yes [ ] No
C. RAMPS
Provided [ ] Yes [ ] No Type: [ ] Interior [ ] Exterior Width______________ class __________________
Railings provided [ ] Yes [ ] No Height from the floor _____________________ (Requirement: 91 cm)
Any enclosure provided [ ] Yes [ ] No Construction __________________________________________________
Are fire doors provided [ ] Yes [ ] No Width__________ Fire door construction ________________________
Door equipped w/ Self-closing device [ ] Yes [ ] No Door with proper rating [ ] Yes [ ] No
Door provided w/ vision panel [ ] Yes [ ] No If Yes, made of _______________________________________
Door swing in the direction of exit travel (when required) [ ] Yes [ ] No
Any obstruction ________________________ Termination/Discharge of exit ___________________________
B. EXIT SIGNS
Exit Signs Illuminated [ ] Yes [ ] No Location ________________________________________________
Source of Power [ ] AC/DC [ ] Others Readily visible [ ] Yes [ ] No
Minimum Letter Size ________________________ Min. Requirement: Height of 11.5 cm & width of 19.0 mm
Exit Route Plan posted on: Lobby/Hallways [ ] Yes [ ] No Rooms [ ] Yes [ ] No
Directional Exit Signs [ ] Yes [ ] No Location ________________________________________________
C. WARNING/SAFETY SIGNS
[ ]”No Smoking” [ ] “Dead End” [ ] Elevator Sign [ ] Keep Door Closed
Other, specify _ __________________________________________________________________________________
X. OPERATING FEATURES
Fire Safety Program (Under the supervision of the Chief Local Fire Service)
Fire Brigade Organization [ ] Yes [ ] No
Fire Safety Seminar [ ] Yes [ ] No
Employees trained in emergency procedures [ ] Yes [ ] No
Fire/Evacuation Drill [ ] Yes [ ] No
Date Last Conducted: _______________________________________________________________________
XI. DEFECTS / DEFICIENCIES NOTED DURING INSPECTION (Attached pictures, sketch and others)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________.
XII. RECOMMENDATIONS
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________.
ACKNOWLEDGED BY:
________________________________________ ____________________________________________
Signature Over Printed Name of Owner/ Fire Safety Inspector/s
Representative
____________________________________________
CHIEF, FIRE SAFETY ENFORCEMENT SECTION
APPROVED / DISAPPROVED:
____________________________________________
CITY / MUNICIPAL FIRE MARSHAL
PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG
MAGBENTA O MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”