**FIRE PREVENTION PLAN**

*\[Instructions to planners are in bold italics enclosed in brackets.
Don't include these instructions your final plan\]*

The following elements are included in this fire prevention plan

I.  ***XXX \[name of office\]*** Fire Prevention Policy and general fire
    prevention rules.

II. Identification of workplace fire hazards. Including proper handling
    and storage procedures, potential ignition sources (such as welding,
    smoking and others) and their control procedures, the type of fire
    protection equipment or systems which can control a fire involving
    each of them, and names or regular job titles of the personnel
    responsible for control of fuel source hazards.

III. Procedures to control accumulation of flammable and combustible
     waste materials.

IV. Procedures for regular maintenance of safeguards installed on heat
    producing equipment to prevent accidental ignition or fires,
    including the names or regular job titles of those personnel
    responsible for maintenance of equipment and systems installed to
    prevent or control ignitions or fires.

V.  Fire Suppression and Alarm Equipment and Use.

VI. Unit Emergency Organization

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I.  ***XXX \[name of office\]* Fire Prevention Policy.** It is our
    policy to ensure that all reasonable steps are taken to preserve
    life and property from exposure to fire hazards. The requirements
    stated in this plan identify the basic elements of our fire
    prevention program. They should be a part of the day-to-day
    responsibilities of every manager, supervisor, and employee. They
    apply to all ***XXX \[name of office\]*** field offices and
    facilities. The ***XXX \[name of office\]*** will follow these
    general fire prevention principles:

    A.  Supervisors will apprise employees of the fire hazards of the
        materials

and processes to which they are exposed.

B.  The ***XXX \[name of office\]*** will review with each employee upon
    initial

assignment those parts of this fire prevention plan which the employee
must know to protect the employee in the event of an emergency.

C.  This plan will be kept in the ***\[identify location\]*** and will
    be available for

employee review.

D.  Supervisors will ensure that the identity, address and phone number
    of the

public fire department and other emergency units to be summoned in the
event of a fire will be posted in strategic locations within their
respective departments. See \[***Name of Office Safety Specialist or
CDSO, or local Fire Chief or Fire Marshal\]*** for the appropriate
information to be posted.

E.  Procedures will be established to control the receipt, storage,
    handling,

and use of flammable liquids. The use of safety cans for handling
separate storage of flammables, minimizing concentrations, and proper
identification of containers are typical procedures which shall be
enforced.

F.  No smoking is permitted inside or within 50' of any building, or
    within

designated (signed) hazardous areas. See ***\[Name of Office Safety
Specialist or CDSO\]*** for specific guidelines on areas where smoking
is permitted.

G.  All fire incidents will be investigated and reported. Large fires
    will be

investigated by the local Fire Marshall, minor incidents and close calls
will be investigated by ***\[Name and/or position title of your safety
officer\]***.

H.  Procedures to accomplish after-hours notification of key personnel
    when

the facility is operating at less than normal complement or shutdown
shall be maintained and kept current.

I.  Access of emergency vehicles shall be considered in regard to
    facilities\'

layouts. Parking of cars or other obstructions shall be restricted as
necessary.

J.  Proposed changes in facilities\' layouts, materials, operations, and

constructions shall be reviewed by unit safety personnel as early in the
planning stage as possible in order to establish the necessary fire
prevention measures.

K.  Office managers and safety personnel shall make sure that
    specialized

training is provided to persons with responsibilities for maintenance of
fire-fighting equipment, related systems, and supplies.

L.  Evacuation during fire emergencies will follow the requirements and

procedures described in the ***XXX \[name of office\]*** Emergency
Action Plan.

II. **Identification of workplace fire hazards.** Proper handling and
    storage procedures, potential ignition sources (such as welding,
    smoking and others) and their control procedures, the type of fire
    protection equipment or systems which can control a fire involving
    each of them, and names or regular job titles of the personnel
    responsible for control of fuel source hazards are provided in the
    following table.

**Identification and Location of Known *XXX \[name of office\]* Fire
Hazards**

*\[Control procedures are the specific methods/practices you will use to
reduce the hazard level and /or the risk of ignition\]*

+----------------+--------------+----------------+----------------+
| **Combustible  | **Location** | **Potential    | **Person or    |
| Hazard**       |              | Ignition       | Position       |
|                |              | Source/s**     | Responsible**  |
+================+==============+================+================+
| 1.             |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 2.             |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 3.             |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 4.             |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 5.             |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 6.             |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 7.             |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| > 8\.          |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+

+----------------+--------------+----------------+----------------+
| **Combustible  | **Location** | **Potential    | **Person or    |
| Hazard**       |              | Ignition       | Position       |
|                |              | Source/s**     | Responsible**  |
+================+==============+================+================+
| 9.             |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 10.            |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 11.            |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 12.            |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 13.            |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 14.            |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 15.            |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+
| 16.            |              |                |                |
+----------------+--------------+----------------+----------------+
| **Control      |              |                |                |
| procedures and |              |                |                |
| proper         |              |                |                |
| extinguisher   |              |                |                |
| type/system:** |              |                |                |
+----------------+--------------+----------------+----------------+

III. **Procedures to control accumulation of flammable and**

**combustible materials and waste materials at *XXX \[name of office\]*
facilities.**

A.  Housekeeping for fire prevention. Employees will control
    accumulations of flammable and combustible waste materials and
    residues so that they do not contribute to a fire emergency.
    Supervisors will ensure that employees maintain their workspaces and
    public areas free of flammable clutter, trash, or debris.

B.  *Maintenance and operating practices shall be in accordance with
    established procedures which will tend to control leakage and
    prevent the accidental escape of flammable or combustible liquids.
    Spills shall be cleaned up promptly.* Rags or paper towels used to
    clean up or wipe oils, solvents, or solvent based paints or cleaners
    will be placed in a properly rated oily rag container until they can
    be properly disposed of.

C.  *Only approved containers shall be used for storing flammable
    liquids.*

No flammable liquids in any quantity may be kept in individual office
areas. *Storage in office occupancies are prohibited except that which
is required for maintenance and operation of the building or equipment.
Such storage shall be kept in closed metal containers stored in a
storage cabinet or in safety cans or in an inside storage room not
having a door that opens into that portion of the building used by the
public.*

D.  Flammable liquids will be stored in flammable liquid storage
    cabinets or

storage rooms that comply with the OSHA requirements in 29 CFR 1910.106.
Flammable storage ***\[cabinet/s*** ***and/or room/s* is/are\]** located
in the following ***\[area/s\];***

-   \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

-   \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

-   \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

    A.  Compressed flammable gases will be stored in their designated
        storage area located
        \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
        Refillable compressed gas tanks must be stamped showing that
        hydrostatic inspection has been performed within 12 years of
        manufacture and every 5 years following; those under 100\#
        capacity must have an overfill protection device.

    B.  ***\[Identify and describe control measures for any other
        special processes or conditions at your office that utilize
        flammable or combustible materials or generate flammable or
        combustible waste.\]***

IV. **Procedures for regular maintenance of safeguards installed on heat
    producing equipment to prevent accidental ignition or fires.**
    Including the names or regular job titles of those personnel
    responsible for maintenance of equipment and systems installed to
    prevent or control ignitions or fires.

    A.  **Maintenance**. The ***XXX \[name of office\]*** will ensure
        that equipment and systems (identified in the table below)
        installed on heat producing equipment to prevent accidental
        ignition of combustible materials are regularly and properly
        inspected and maintained according to established procedures.

    B.  **Equipment control devices**. The ***XXX \[name of office\]***
        will ensure, through periodic inspection or testing, that all
        control devices on equipment involved with combustible materials
        in the workplace (identified in the table below) are operable.
        Manufacturers\' recommendations will be followed to assure
        proper maintenance procedures.

**Safeguards Installed on Heat Producing Equipment to Prevent Accidental
Ignition or Fires**

***XXX \[name of office\]***

+--------------------------+--------------+--------------------------+
| **Equipment or Control   | **Location** | **Person or Position     |
| Device**                 |              | Responsible**            |
+==========================+==============+==========================+
| 1.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 2.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 3.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 4.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 5.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 6.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 7.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 8.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 9.                       |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 10.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+

+--------------------------+--------------+--------------------------+
| **Equipment or Control   | **Location** | **Person or Position     |
| Device**                 |              | Responsible**            |
+==========================+==============+==========================+
| 11.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 12.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 13.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 14.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 15.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 16.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 17.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 18.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 19.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 20.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 21.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 22.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 23.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 24.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 25.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 26.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 27.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 28.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 29.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 30.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+
| 31.                      |              |                          |
+--------------------------+--------------+--------------------------+
| Maintenance and /or      |              |                          |
| inspection required,     |              |                          |
| frequency:               |              |                          |
+--------------------------+--------------+--------------------------+

V.  **Fire suppression and alarm equipment use and management.**

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A.  ***XXX \[name of office\] policy on employee use of fire
    extinguishing***

***Equipment to fight fire.***

***[\[\*\*\*DECISION POINT 1]{.underline}: Stipulate here whether all of
your employees or only***

***designated employees are authorized to are authorized to attempt to
fight small***

***fires. If you opt to allow any employee to attempt to extinguish
small fires, you must annually train every employee in the facility to
operate the fire extinguishing equipment. If only designated personnel
are authorized, they must also be trained annually.\]***

Upon being informed of a fire by the fire alarm sounding/flashing, a
voice alarm,

or a visible flame or smoke, trained occupants may attempt to extinguish
fires with the

provided fire extinguishers, evacuating if it becomes apparent that a
fire is not going to

be quickly and easily extinguished. All other occupants not engaged in
fire fighting will

evacuate immediately, following the prescribed procedures detailed in
the Fire

Response section of the Emergency Action Plan.

***\[OR:\]***

Only designated, trained members of the Unit Emergency Organization
(UEO) s may

attempt to extinguish fires with the provided fire extinguishers. All
other occupants

will evacuate immediately, following the prescribed evacuation
procedures detailed in

the Fire Response section of the Emergency Action Plan.

***\[[\*\*\*DECISION POINT 2]{.underline}: You must determine and
describe the specifics of fire extinguisher training required for your
facility\]***

B.  **Portable fire extinguisher training and education. *XXX \[name***

***of office\]*** will provide an educational program to familiarize
***\[choose* all employees *or* members of the UEO*, as appropriate to
your choice in decision point 1\]*** with the general principles of fire
extinguisher use and the hazards involved with incipient stage fire
fighting. This training will consist of ***\[describe training program
here; name of any programs or videos used, length of class, degree of
hands-on training, etc.\]***

This training will be provided upon initial employment, and annually
thereafter in the month of ***\[XXX\]***.

C.  **Management of Portable fire extinguishing equipment. *\[Required
    regardless of whether employees are authorized to use the
    equipment\]. ***Requirements of this section apply to the placement,
    use, maintenance, and testing of portable fire extinguishers. This
    section does not apply to extinguishers provided for use on the
    outside of workplace buildings or structures. Only approved portable
    fire extinguishers will be used to meet the requirements of this
    section.

    1.  **General requirements.** ***XXX \[name of office\]*** will
        > mount, locate and

identify fire extinguishers so that they are readily accessible to
trained employees without subjecting the employees to possible injury.

2.  ***XXX \[name of office\]*** will not provide or make available in
    > the

workplace portable fire extinguishers using carbon tetrachloride or
chlorobromomethane extinguishing agents. Any employee finding such an
extinguisher should report the find to the Safety Officer.

3.  ***XXX \[name of office\]*** will assure that portable fire
    > extinguishers are

maintained in a fully charged and operable condition and kept in their
designated places at all times except during use.

4.  **Selection and distribution.** Portable fire extinguishers will be

provided for employee use and selected and distributed based on the
classes of anticipated workplace fires and on the size and degree of
hazard which would affect their use. See Appendix A for extinguisher
classifications.

5.  **Inspection, maintenance and testing. *\[Name/s of designated
    persons/positions; suggest more than one person is named\]*** will
    be responsible for ***\[***performing ***or*** arranging ***as
    appropriate\]*** for the inspection, maintenance and testing of all
    portable fire extinguishers used by this company.

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i.  **Monthly inspections. Portable extinguishers will be visually**
    inspected monthly ***\[Name of designated person/position\]*** and
    documented by initialing and dating the extinguisher tag at the time
    of inspection.

> **ii. Annual maintenance check.** Portable fire extinguishers will be

subjected to an annual maintenance check by a certified inspector and
documented. The inspector will record the annual maintenance date on an
extinguisher tag and the tag will remain in the extinguisher for one
year after the annual inspection, or the life of the shell, whichever is
less.

> **iii. Hydrostatic testing. *\[Name of designated person/position\]***
> will

will assure that hydrostatic testing is performed by certified persons
with suitable testing equipment and facilities. Alternate equivalent
protection will be provided when portable fire extinguishers are removed
from service for maintenance and recharging. ***\[Name of designated
person/position\]*** will maintain and provide upon request, evidence
that the required hydrostatic testing of fire extinguishers has been
performed at the time intervals shown in Appendix B. Such evidence will
be in the form of a certification record which includes the date of the
test, the signature of the person who performed the test and the serial
number, or other identifier, of the fire extinguisher that was tested.
Such records shall be kept until the extinguisher is hydrostatically
retested at the time interval specified in Table 1 or until the
extinguisher is taken out of service, whichever comes first.

Stored pressure dry chemical extinguishers that require a 12 year
hydrostatic test will be emptied and subjected to applicable maintenance
procedures every 6 years. Dry chemical extinguishers having
non-refillable disposable containers are exempt from this requirement.
When recharging or hydrostatic testing is performed, the 6 year
requirement begins from that date.

In addition to an external visual examination, an internal examination
of cylinders and shells will be made prior to being tested or subjected
to hydrostatic tests.

Portable extinguishers will be hydrostatically tested at the intervals
listed in Appendix B, except under any of the following conditions:

-   When the unit has been repaired by soldering, welding, brazing, or
    use of patching compounds.

-   When the cylinder or shell threads are damaged.

-   When there is corrosion that has caused pitting, including corrosion
    under removable name plate assemblies.

-   When the extinguisher has been burned in a fire.

-   When a calcium chloride extinguishing agent has been used in a
    stainless steel shell.

Extinguishers in these categories will be permanently removed from
service.

An inventory of all fire extinguishers located at ***XXX \[name of
office\]*** follows on the next page.

***XXX \[name of office\]* Fire Extinguisher Inventory**

+---------+---------+---------+---------+---------+---+---+---+
| **Extin | **Extin | *       | **Due   | **Year  |   |   |   |
| guisher | guisher | *Size** | Date    | Hydr    |   |   |   |
| Loc     | Type**  |         | for     | ostatic |   |   |   |
| ation** |         |         | Annual  | Testing |   |   |   |
|         |         |         | Insp.** | Due**   |   |   |   |
+=========+=========+=========+=========+=========+===+===+===+
|         | **A**   | **B**   | **C**   | **Medi  |   |   |   |
|         |         |         |         | a/Prope |   |   |   |
|         |         |         |         | llant** |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 1.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 2.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 3.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 4.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 5.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 6.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 7.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 8.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 9.      |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 10.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 11.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 12.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 13.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 14.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 15.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 16.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 17.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 18.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 19.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 20.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 21.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 22.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 23.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 24.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 25.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 26.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| **Extin | **Extin | *       | **Due   | **Year  |   |   |   |
| guisher | guisher | *Size** | Date    | Hydr    |   |   |   |
| Loc     | Type**  |         | for     | ostatic |   |   |   |
| ation** |         |         | Annual  | Testing |   |   |   |
|         |         |         | Insp.** | Due**   |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
|         | **A**   | **B**   | **C**   | **Medi  |   |   |   |
|         |         |         |         | a/Prope |   |   |   |
|         |         |         |         | llant** |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 27.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 28.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 29.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 30.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 31.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 32.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 33.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 34.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 35.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 36.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 37.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 38.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 39.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 40.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 41.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 42.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 43.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 44.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 45.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 46.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 47.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 48.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 49.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 50.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 51.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 52.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+
| 53.     |         |         |         |         |   |   |   |
+---------+---------+---------+---------+---------+---+---+---+

D.  **Sprinkler Systems.**

    1.  **Sprinkler system security.** Sprinkler system security control
        valves shall be ***\[choose either* wire \"sealed\" *or* keyed
        locked*\]*** in the open position. All riser and valve locations
        shall be maintained free of storage and protected against damage
        by barrier or enclosures.

    2.  **Sprinkler System Shutdown.** Safety and fire prevention
        require-ments will be followed in any required shutdown or
        impairment of automatic sprinkler protection systems Planned
        impairment of automatic sprinkler systems shall be permitted
        only upon approval of the management responsible for the
        operations involved and shall be of the minimum possible
        durations.

Any person initiating or performing any action affecting sprinkler
protection will determine that all of the following have been
accomplished:

i.  Location maintenance supervisor and the manager of the affected area
    are notified in advance of the intended shutdown.

ii. Fire protection procedures to be relied upon during shutdown have
    been reviewed and are satisfactory

iii. Equipment is on hand for quickly restoring service in the event of
     an emergency.

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```
E.  **Alarm Systems.** Supervisors will ensure that alarm systems are
    tested

on ***\[a/an monthly/quarterly/annually, as appropriate, or as
recommended by the manufacturer or local Fire Marshal\]*** basis to
ensure the system is in working order. A written record of alarm tests
will be maintained by ***\[Name or position title of responsible
person\].***

VI. **UNIT EMERGENCY ORGANIZATION**

***XXX \[name of office\]*** has designated personnel as members of the
Unit Emergency Organization (UEO). These employees are authorized,
trained and equipped to deal effectively with small fires and similar
emergencies.

A.  The number of employees assigned to the ***XXX \[name of office\]***
    UEO will

be maintained at a level suitable to deal effectively with possible
emergencies and provide adequate coverage during normal duty hours. Any
manager, supervisor, or employee may serve on the UEO.

B.  UEO members must be physically capable, without undue strain, of

moving rapidly on foot and to lift and operate the heaviest extinguisher
deployed in the facility. Persons with cardiac or pulmonary conditions
should not serve on the UEO.

C.  All members of the UEO shall be fully trained in the
    responsibilities

assigned to them. Training schedules will be established and kept
current, to include a minimum of one fire extinguisher training session
and six practice drills annually.

D.  The UEO Chief (UEOC) is ***\[Enter name or position title here\].***
    The

UEOC will provide effective organization and control in emergencies, and
will create a list of alternates to ensure that there is always an
employee designated to serve in the absence of the UEOC. Safety
personnel will provide advice and support on organ-ization, equipping,
training, and functioning of the UEO.

**Information on emergency evacuation procedures and the**

**assignment of associated evacuation responsibilities are contained
in**

**the *XXX\[name of office\] Emergency Action Plan.***

**APPENDIX: FIRE EXTINGUISHER REFERENCE MATERIAL**

**TABLE 1: CLASSES OF FIRE EXTINGUISHERS**

+----------------------------------------------------------------------+
| Class A fires. Class A fires are classed as ordinary combustibles or |
| fibrous material, such as wood, paper, clothe, rubber and some       |
| plastics. Portable fire extinguishers for use by employees on Class  |
| A fires will be distributed so that the travel distance for          |
| employees to any extinguisher is 75 feet (22.9 m) or less.           |
|                                                                      |
| Class B fires. Class B fires are classed as flammable or combustible |
| liquids such as gasoline, kerosene, paint, paint thinners and        |
| propane. Portable fire extinguishers for use by employees on Class B |
| fires will be distributed so that the travel distance from the Class |
| B hazard area to any extinguisher is 50 feet (15.2 m) or less.       |
|                                                                      |
| Class C fires. Class C fires are classed as energized electrical     |
| equipment, such as appliances, switches, panel boxes and power       |
| tools. Portable fire extinguishers for use by employees on Class C   |
| fires will be distributed so that the travel distance from the Class |
| C hazard area to any extinguishing agent is 50 feet (15.2 m) or      |
| less.                                                                |
|                                                                      |
| Class D fires. Class D fires are classed as certain combustible      |
| metals, such as magnesium, titanium, potassium and sodium. Portable  |
| fire extinguishers or other containers of Class D extinguishing      |
| agent used by employees will be distributed so that the travel       |
| distance from the combustible metal working area to any              |
| extinguishing agent is 75 feet (22.9 m) or less.                     |
+----------------------------------------------------------------------+

**TABLE 2: INSPECTION INTERVALS FOR FIRE EXTINGUISHERS**

+----------------------------------------------------------------------+
| **[Type of Extinguishers]{.underline} [Test Interval (years)         |
| ]{.underline}**                                                      |
|                                                                      |
| Soda acid (soldered brass shells) (until 1/1/82) 1                   |
|                                                                      |
| Soda acid (stainless steel shell) 5                                  |
|                                                                      |
| Cartridge operated water and/or antifreeze 5                         |
|                                                                      |
| Stored pressure water and/or antifreeze 5                            |
|                                                                      |
| Wetting agent 5                                                      |
|                                                                      |
| Foam (soldered brass shells) (until 1/1/82) 1                        |
|                                                                      |
| Foam (stainless steel shell) 5                                       |
|                                                                      |
| Aqueous Film Forming foam (AFFF) 5                                   |
|                                                                      |
| Loaded stream 5                                                      |
|                                                                      |
| Dry chemical with stainless steel 5                                  |
|                                                                      |
| Carbon dioxide 5                                                     |
|                                                                      |
| Dry chemical, stored pressure, with mild steel,                      |
|                                                                      |
| brazed brass or aluminum shells 12                                   |
|                                                                      |
| Dry chemical, cartridge or cylinder operated,                        |
|                                                                      |
| with mild steel shells 12                                            |
|                                                                      |
| Halon 1211 or 1301\* 12\*                                            |
|                                                                      |
| Halon substitute 12                                                  |
|                                                                      |
| Dry powder, cartridge or cylinder operated with                      |
|                                                                      |
| mild steel shells 12                                                 |
|                                                                      |
| \*Replace with Halon substitute when extinguisher is due for         |
| hydrostatic testing                                                  |
+----------------------------------------------------------------------+

.