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STATE I]ANK OF INDIA

SEC U RI TY DEPA RT]\4E^UT
FIRE SAFETY AUDIT FORMAT

i Branch Code 2T+2'

Ndmeoflhe Bmnch /offir" ?o)rl-o Lo o f\Jmo y
lll circre/NetworrdzBo,RBo r-) /r&j|ft), ) ili.;*-t".1 f s".,^.v"b,ar's-
iv PF\oandNameufFire/SecuriiyOfllcer cqp|, p G,SL ..'
Dare ofAudit by Fire/Securiry Officer
Lasl Fire Audit Dare and Srarus
vll Branch Manager's Name-PF No and mait Q. ftf . 9?
^)tlk/38)8?
'? ^.,-.
viii BM's Mobile No. CC li i tr ?4 99q
Sbi.oylazoebL,t-o,in,
ix ControlleFl PF No and maillD Agrn!" S-6,a,0 gcq_ e Sbl.CO- ro
Controller-2 PF No and Mail lD
Branch Address P q J-q rt o tvc5qr, p. B , Ns. Z,- t g\cJ,a1!b.o,A-\
PIN f oec2)-
xiii Telephone Number with STD code o\b -2X'l - azTl
xiv No. oifloors G' f,lo"t- '
'I'otal Caeet Area(Sq ft)

\vi Classifi cation of Bdilding l*€h*hr/ High Rise Mixed/ Occupancy

Low'Rise/Lo)rRise Mixed€ceq:ncp _
xvii Building Type o:*1wo
xviii Electrical Load (KW)
)iiri Date ofthe last Eleclrical Audit
(Oplional)
xx
Any Fire lncident in the Pasi Yes{e/
FIRE OFFICER/AUDITOR REMARKS
FIRE PRE\TNTIoN Mf, ASURES
AIl old disposable rccords, broken lirrnirure elc accumulated ;9ltrop
. ar{f/.,. / &1o"rr
have b€en cleared.
al the premises
#qr" KYh "pl
1

l- i"r rh+ Atr"'r!.

Combustjble leaf litler / waste paners etc in and around the branch is l.dt Fr lr o*i9Uoo
removed / cleaned periodicallv
No Slationery / Records are srot.d I kept in the Systen' I UpS roont YfsNo r/b""r.i U",t^o lr.Ph
I SroraSe racks in Stationery / R€cofd room kept at a saG distance of3ft from Yes/pd let - 9?..lrv- Xro m +
i^tiLl-
electdcal points / s\\'irch,/junction boxes.
In the panlry / canlcen, commercial LPC is used WNo^lef-
App+i€€bl,e- - -+, :" J,J-'3" s '-t t^ 6 *-+-
tu) "
FIRE OFFICEfuAUDITOR REMARKS
I] SERVER AND UPS ROOM
(a)Server room walls have brickwork and plasler finishing and Yry No r i".l*
,.-suA- *u"{t* wolt
€xtendcd upto ceiling with I hour fire resistant door ..lL|{c& F!'r,!iltr
(b)Servef l{oonr have dual AC units having timer circuit device J€€+id Not . rl,(
with independent circuit Applicable - 'I \ru ulj &v b(.,
(a)UPS roorn walls have b'i"k'lo*;nd;la.ter finishi"e;;; Yls ,No
,.,\ Nci&rbs
,.
r.ir+
exlended upto ceilingwith I hour fire resislanl dool ,
^ 9ta$f<n m
Sq.rr.
.&.1 L*'
(b)Wheiher Exhaus! fan insta ed in UpS Roorn Yes A]€lNo!
_l
I]JIT OFFICER/AUDITOR REMARKS
\'"''h.li' b
'l-s
C ELECTRICAL SAFtrTY
,lt''t'",rt':,,^
iTffi*,;,u,
 \fuir \rLpfl] S\\ ilch
\1('Ll to crt-olllhe clcclric suppl) to entire Yfs t..!o rral
"
r.9l\ Sr.i14'
brx rrh hai been rrrtfkcd ar)d kno\n to securil\ quard 'bmnch stat'f.
\\ lrethef \lL CB \l( tl l: I ( B rre pro\ idcd and apparcntly in order Y/es Aio.
.\ll frrent likr '\if C ()rditlorrLng tLnils. DistributionrJunclion
.qrL ves$
l.Li\cs. Scr\.f. (.onrpUt.r Lrnits etc hNe been gi\cn suppl) thfough
\1. {.\l .r..nrL, r...i( rl ..rkcr,Jipj.pcrcapac,r\
ir)Afe.lcclfical \!ires properl\ covered/insulated to prevent exposure of Y* ,Yo

1b)Are\irc'propefl)nttnchcdloti\tures.plugs.circnitbreakers,andoiher Yes A/o

Itl\r. !l!.lri!ll ro\cfi in plicc ior.iunctiou bo\es. Oullels. and panel Yi6s No iyp\ s,1"r"
6 ( e^r- lbp )^
fo\.f 'Lrtfl\ r! rc.oftl Srarinrrir r(x'f ls lrrade ihftiugh Plug and Sockel c fan

\\ irtcr nccLlllLrlirtion seepagc ir ihe fremises and dripping on electrical Y/es n'.lo

\ri.k.f fclirlijd to llre salc!). s\\ irching olT po$er aud energ)' sa\ ing etc are Yf,s No
pilslcd ir t rc trrrnch
I I {t ( )tjt l( hlt .\L DITOR l{l.Nl,\Rlis
lillill PROI FC IIO\IFlltl ('Oi\ l ltoL IXTINGUISH EITS AND FIllf,
.\1.,\ttlt s\ s] ulI
\fe lir.c\trngLr \hcfr I\allablc in lbc lbllo\\lngsork area audclearlr Y/s ,No arL.rd $rn ,.re
:Iir i,.J r rJ ircccirihlc ' ,
r\oF 'r.hir.y-ra ,
\:\ rJ.r, |.I(.rI r, -. j-f-+- l i f.+ ,lr<:tr - 1'r,
I t(,r I : lt.rlt \\.rr. I u: t.r,c.q,..)-1",i/L:{br.r-r."3/6\} t.-l*,,ln15
( Srrtrio,rery ltoom iJterCO: I-)pc (qlr.,) ^ Xi( ,
\r! [ irc t\rLngrishcrr r cr]lio|lc(L in Col Dl fefilled rrnd inspecred YcsX
1l \,ri. IrcrlroI Dalr ol last fcljll rg .,0 oltlrR
l)rr rq rc'Jilling. $as it opefared b\ rhe occLrpal]r5 ol llle site l
L )4s \o
ll \ci nreIlioi date ol-dcnronstftrrion cctificatc.
l\ rrloDrirli. ire dc(ectrL,n.l1ld al! n s\stc|l1 illstallcd irr the branchl
AIE?'|ie*bI-
l.l li lhc iutr, nrtr. Jire delcctior) nn,L alaflr svsterr in *ofkiDg condition'l Yesi Ne*Ne+
ls irLrto (llalcr \ i1h nurorralic lif€ detection and alan s\ nern inslalled in the
Applicebre-
rtr I\ .trLl! rlr.lef in!tnllcd $ ith rL(()rinli! Ufe deteclion and alann 5\stenr in
\ofkrng cLindilron l Ap?+i€tt$e"
rttL, oFFlcER,AUDll'OR I{t_i\tARtiS
I l)G sut /(;u\EILA.TOR
(jcneratu is r)ol placcd insidc th. preniscs (1fYes D2 and E3 oplioD to be #rsi' Noi++of
cnabled) Appliea$e--
 rL..r i.r r! \t.. lrr(\rl (...rrcr.. .f(!.1 .\.l.red i ilor((l.onld I(.arrd
placsd rt a sali location Applicable
\t ler\lr\ro 6 ks ABa or CO:- j ]-5 kg capacit) ilre cxtinguisher is ptaceJ Yssl+l€l Not
r.Lrr the Dr!sel Gcneralol.
Applicable..
'TIIAI\I\G .\\I),\\\'AItT]NI]SS
r' -. r.' t .t. _.r. rJ .r',(r.t I k r \. tl,cup(- i.,. .t'firc,rl:trnr \\.rem:
'r' ,rc \ 1\ te ,.Ul rc5fi r oI fitc Jlar.l. b\ ,rrnr b/
!r\ rr! \mLikf lo rll thc \nrok! dcloclors installed in rhe piernises Jo^-r
i l.itiIg .l l rc Alatl)ts lfc bei|{ fecorded in Securin Iulornratic,n Regrsler
pr,'\ilcd l)\ I re Ilnl
\ I b, u,r!lr irrtt ure .or!."a'ri' ililjiliatio,r and op-ation c,t fire-

\i\ll(r\
l [il, oFFJCt]ti \t-DII]tt RIN.i.\RK-
I.'IItF, I.-XI'I'S AND EvACU.AI'ION
\ic,rnrsrl:cr.\ .\it doors c carl\ nr:rrked rDd Illur inated and evacualioD
1r!l!\ posicJ |l lhc \\orf. arers ri irh clear dircctions on how to exit? ]@
lltl (lFFl( hl{,.\L DllOIt RENI.\ltliS
CO}I IIOLS I)I I'LACE/PIIACTICED FOR HIGH RISE BUILDI\CS
l)o.s thc sild ha\c a $r-ittcn cnrer,teno preparedncss plan?
\\ lrcrr lrlr iJ a\ rilablc .r ceLrriorrarr noLice IN CASI OF FIRE. DO \OT
l Sl: l llil. [,Sl- S] \ll{(ASI o\LY lr s becn drspta)ed.
\rc thd l:lo.r \larihlls nL.rlriIrr€J rnd aNafc of theif duties and

I),)ei r re \rlc hil\c l Ijrfe ll\lrrnr S\slerrr l

Does thc site hl\ c ilul{)niLrtic sprirklers l

l)oes rrr: sitc harc t|irincd ilfc pcr jonncll

Doe\ the ritc hir\c ir l,Lrblic ;\ddrL.;s (P.-\) Svstenr for notiling pcrsonnel rc

t(t. f)l- \l
t)noR Iift\1.\Rtis
r I:R
I l\\'u\t ol{\ ()t t- lu uxl t\(;ulsHERS r{I THE BR{NCH
COI Gas I Kg
( O: Gas.l.5 Kg
CO: (irs ll5 KB
\\ ucr COI l\ pe 9llrs
D(I'JKg
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