Form Fp 1 - Application For A Fire Certificate Page 2
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2
3
4(d)
Number of persons employed to
(f)
Maximum number of persons other
work in the premises … … … … … … …
than persons at work likely to be in
the premises at any one time
… … … … … … ..
(e)
Maximum number of persons at work
(g)
Number of persons (including staff,
or it is proposed will work in the
guests and other residents) for whom
premises at any one time (including
sleeping accommodation is provided
employees, self employed persons
in the premises:
and trainees):
(i)
Below the ground floor of the
(i)
Below the ground floor of the
building … … … … … … ..
building … … … … … … ..
(ii)
On the ground floor of the
(ii)
Above the first floor of the
building … … … … … … ..
building … … … … … … ..
(iii)
On the first floor of the
(iii)
In the whole of the premises ...
building … … … … … … ..
(iv)
In the whole of the premises ...
4.
If the premises consist of part only of a building, the uses to which the other parts of the building are
put (on a floor by floor basis)
(a)
Total number of floors (excluding
Approximate date of construction
5.
6.
basements) in the building in
of the premises … … … … … … ..
which the premises are situated
(b)
Total number of basements in
that building … … … … … … ..
7.
Nature and quantity of any explosive or highly flammable materials stored or used in or under the premises (See Note 8)
Maximum quantity
Materials
Maximum quantity
Method of storage
liable to be exposed
stored
at any one time
(continue on a separate sheet if necessary)
8.
Details of fire fighting equipment available for use in the premises (See note 10)
Nature of equipment
Number provided
Where installed
Is the equipment
regularly
maintained?
(a) Hosereels
Yes/No
(b) Portable fire
Yes/No
extinguishers
(c) Others (specify type
Yes/No
eg sand/
water buckets,
fire blanket)
(continue on a separate sheet if necessary)
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