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Worksheet Cover Sheet
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EVALUATION WORK SHEETS FOR
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THE FIRE AND LIFE SAFETY INDEX FOR
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EXISTING RESIDENTIAL HIGH-RISE BUILDINGS
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FACILITY:BUILDING:
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FIRE COMPARTMENTS(S) EVALUATED
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EVALUATOR:DATE:
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PURPOSE:
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X
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Complete this work sheet for each fire compartment (floor) Where conditions are the same in several fire compartments, one work sheet sheet can be used for those fire compartments.
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X
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HAVE A MAJORITY OF THE UNIT OWNERS VOTED TO OPT OUT OF REQUIRED SPRINKLER PROTECTION?
<< Answer by placing a "Yes" or "No" in the box on the left.
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THE SPRINKLER OPT-OUT VERSION OF THE LIFE SAFETY EVALUATION DOES NOT PROVIDE AN EQUIVALENT LEVEL OF LIFE SAFETY TO BUILDING OCCUPANTS AND FIRE FIGHTERS.
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Existing highrise residential building means any building that has floors used for human occupancy located more than 75
feet above the highest grade and contains dwelling units.
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Table 1. Occupant and Firefighter Risk Parameters
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Risk Parameters
RISK PARAMETER VALUES
#DIV/0!
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MOBILITYNORMAL OR LIMITEDREQUIRE**If the building fire emergency plan contains provisions which identify those building occupants that require assistance and establish procedures for the safe evacuation of these occupants, the risk values for "Normal or Limited Mobility" can be used.
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1.RESIDENT EVACUATION CAPABILITY
STATUSMOBILITYASSISTANCE
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OCCUPANT RISK FACTOR (O1)
1.502.50#DIV/0!
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FIREFIGHTER RISK FACTOR (FF1)
1.603.00
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ENTER (O1)
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ENTER (FF1)
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2. OCCUPANT LOADRESIDENTS
1 TO 25
26 TO 5051 TO 100> 100
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OCCUPANT RISK FACTOR (O2)
1.001.101.201.30
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FIREFIGHTER RISK FACTOR (FF2)
1.001.101.201.30
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ENTER (O2)
The occupant load is
persons
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ENTER (FF2)
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3. FIRE COMPARTMENT LOCATION (L)
FLOOR9TH FLOOR OR LOWER10TH TO 19TH20TH TO 29TH> 30TH
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OCCUPANT RISK FACTOR (O3)
1.101.201.301.40
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FIREFIGHTER RISK FACTOR (FF3)
1.101.501.802.00
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ENTER (O3)
Highest floor with residential dwellings is
floor.
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ENTER (FF3)
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Table 2. Risk Factor Calculations
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O1 O2 O3
ORF
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OCCUPANT RISK FACTOR (ORF)XX=0.00
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FF1 FF2 FF3
FFRF
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FIREFIGHTER RISK FACTOR (FFRF)
XX=0.00
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Table 3A and 3B Building Status
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Table 3A. New Buildings
Table 3B. (Existing Buildings)
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ORFORFORFORF
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1.00x0.00=0.000.60x0.00=0.00
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FFRFORFFFRFFFRF
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1.00x0.00=0.000.60x0.00=0.00
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This facility is an existing building.
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OCCUPANT RISK FACTOR (ORF)0.00
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FIREFIGHTER RISK FACTOR (FFRF)
0.00
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