Annual Fire Safety Report - Scdf

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ANNUAL FIRE SAFETY REPORTNote:1. Fire Safety Managers (FSMs) and Building Owner are advised to periodically update andreview the Annual Fire Safety Report. This report should include up-to-date information offire safety within the premises and rectification measures taken to ensure a fire-safeenvironment.1. BUILDING INFORMATIONName ofBuildingAddressNo. ofstoreysOccupantLoad (OL)Gross FloorArea (GFA)2. BUILDING OWNERName ofBuildingOwnerContact NoEmailaddress3. PROVISION OF EMERGENCY PREPAREDNESS (EP) MEASURES1Updated EmergencyResponse Plan (ERP)2Validity of FireCertificate (FC)3Name of appointedFSMContact NoYes/No*Date of updated ERP:*delete appropriatelyDD/MM/YY to DD/MM/YYEg 15/06/20 to 14/06/214Details of trainedCERT membersEmailaddress1.2.3.4.5.6.

4. DETAILS OF ANNUAL FIRE SAFETY REPORT4.1 RECORD OF TRAINING CONDUCTEDCategoryDate of TrainingFromToBrief Descriptionof TrainingNo. ponse Team(CERT)Fire WardensOthers (pleasespecify)4.2 RECORDS OF FIRE SAFETY WORKS, IMPROVEMENT OF BUILDING STRUCTURE, LAYOUT, FIREPROTECTION SYSTEMS AND OTHER FIRE SAFETY MEASURESType of works/improvementDescription of works/improvementDate of implementation4.3 FIRE EVACUATION DRILLS CONDUCTEDS/NDateNo. ofoccupantsNo. ofparticipantsTime taken forevacuationIssues faced

4.3.1 REVIEW OF FIRE EVACUATION DRILLSS/NIssues facedRecommendations4.4 FINDINGS OF FIRE SAFETY CHECKS & RECTIFICATION WORKSS/NDate of firesafety checkFire safety issue(s)identifiedRectification work(s) taken by Building Owner4.5 SCHEDULE OF FIRE SAFETY ACTIVITIES FOR THE NEXT 12 MONTHSS/NDateFromBrief Description of ActivityTo4.6 MATTERS ARISING FROM PREVIOUS REPORT (Eg. Outstanding fire safety issues, rectificationworks)S/NIssue(s)Action(s) taken

4.7 ARSON PREVENTION PLAN (APP)A)ARSON RISK ASSESSMENTIdentifying critical locations of fire safety systemsB)Identifying fire hazardsC)Checks on adequacy of existing security measuresD)Scenario PlanningA)FIRE SAFETY MANAGEMENT PROCEDURESInspection procedures of fire safety systemsB)Fire safety housekeepingC)Education and training to occupants

RISK REDUCTION MEASURESOutline risk reduction measures for each risk factor identified during risk assessment process.E.g. Measures to reduce losses and disruption resulting from a fire4.8 ANY OTHER ACTIONS TAKEN TO IMPROVE FIRE SAFETY5. DECLARATION BY FSMDeclarationSignatureI, (Name of FSM) herebydeclare that I have prepared the Annual Fire Safety Reportaccurately to the best of my knowledge. I have also submittedthis report to the building owner on (dateof submission).6. DECLARATION BY BUILDING OWNERDeclarationI, (Name of BuildingOwner/Occupier) hereby declare that I have reviewed theAnnual Fire Safety Report with my Fire Safety Manager on(insert date) and this includes rectifying thefire safety issues identified. I also declare that the requiredEmergency Preparedness measures stated in Para 3 above arein place in my premises. this report to the building owner on(date of submission).Signature

4.4 FINDINGS OF FIRE SAFETY CHECKS & RECTIFICATION WORKS S/N Date of fire safety check Fire safety issue(s) identified Rectification work(s) taken by Building Owner 4.5 SCHEDULE OF FIRE SAFETY ACTIVITIES FOR THE NEXT 12 MONTHS S/N Date Brief Description of Activity From To 4.6 MATTERS ARISING FROM PREVIOUS REPORT (Eg.

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