FIRE IMPAIRMENT NOTICE

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1 Notification of Fire System Isolation FIN NORA No. Complete Fire Impairment Notice (FIN) before any impairment. Note 3 business days notice is required. Submit the FIN to the BAC Airport Facilities on fire.notification@bne.com.au, Attach a site drawing showing area to be isolated and affected works area. Impairment 1. No Impairments are to be carried out unless this form is signed off by the Airport Facilities Representative 2. Airport Facilities Representative will the FIN to the following: - risk.compliance@bne.com.au and or fax to FM Global redtagau@fmglobal.com Fax (03) Fire Contractor at the time of isolation to take the completed FIN to the Duty Terminal Managers Office to advise DTM of the Fire Impairment and then the actual FIN to be displayed on the Fire Panel-Terminal Isolations Only. For all outer buildings, FIN to be displayed at FIP De-isolation 1. Complete Section (E) of this notification following De-isolation and send to as above 2. Place the FIN in the Completed display FIN area on the FIP. 3. Airport Facilities Representative will the closed out FIN to the following: - risk.compliance@bne.com.au and or fax to FM Global redtagau@fmglobal.com Fax (03) Call BAC Terminal Compliance Coordinator (07) for any questions or further clarification on the Impairment Procedures in normal business working hours Monday to Friday. SECTION A - To be completed by Company requesting isolation Company Name Name of person requesting isolation Include contact details Type of impairment NOTE Maintenance Repair Building Works 1. Simultaneous isolations are not allowed: e.g. Sprinkler & Detection, without a risk assessment. 2. Simultaneous isolations and Hot Works are not allowed Sprinkler - Provide Sprinkler System number below Refer block plan Fire pump Fire Hydrant Alarm/detection system Special extinguishing system - CO2 or Gas system Other Building, Location of Impairment, List Detectors/Systems to be Isolated: Refer iserver specific Be Reason for and description of impairment Be specific (3).doc Page 1

2 Time shut off: a.m. p.m. Date: Expected duration of impairment: Will system(s) be fully restored daily? Yes No SECTION B - To be completed by responsible person ie Project Manager, Maintenance Co-ordinator, Retail Manager, Property Manager OR Tenant Facility Manager Responsible Person Mobile Date Precautions being taken Hot work prohibited? Has a Hot Works Permit been completed? Area Vesdas Smoking controlled? Hot Works Permit Number if applicable: Work during i Fire extinguishers or small hose available? Is a Fire watch or watchmen required? Hazardous op Contractor is aware of Emergency Procedures and has contact information on site in case or accidental fire system activation. Note: If Hot Works Permit is required a copy of the HOT Works Permit is to be included with the FIN along with NORA details (If hot work is being carried out as part of the isolation a 4hr minimum fire watch is required following completion of hot works) Comments The responsible person acknowledges that they have reviewed the FIN application, and have considered the impact of the works on the Fire System, and Building Operations. All reasonable steps have been taken to ensure no impact to occupants or BAC Operations Name: SECTION C - To be completed by BAC Airport Building Facilities Representative Name: Mobile: Date: Comments: Airport Facilities acknowledges that they have reviewed the FIN application, and have approved the isolation to proceed. (3).doc Page 2

3 Airport Facilities Rep : Section D To be completed by BAC approved Fire Contractor carrying out isolation at the time of the isolation Technician Name Date Time Company Log Book Updated? Aviation Rescue & Fire Fighting (ARFF) notified? Phone Duty Terminal Manager Notified? Signed DTM (NA for outer buildings) For non-terminal buildings, FIN must be placed In FIP (Fire Indicator Panel) BAC Project Manager Notification? Section E To be completed by BAC approved Fire Contractor carrying out de-isolation Time restored: am pm Date: Your name: Log Book Updated? Aviation Rescue & Fire Fighting (ARFF) notified? Phone Duty Terminal Manager Notified? Signed DTM (NA for outer buildings) For non-terminal buildings, completed FIN must be placed In FIP (Fire Indicator Panel) BAC Project Manager Notification? Other Notification? (3).doc Page 3

4 1. Company Requesting isolation to complete their section (A) in consultation with BAC Project Manager 2. BAC Responsible Person / Project Manager to review section A and then complete their section acknowledging that they have considered the impact of the works on the Fire System, and Building Operations. All reasonable steps have been taken to ensure no impact to Operations. The FIN is then sent to the BAC Airport Facilities Representative fire.notification@bne.com.au 3. The BAC Airport Facilities Representative will then: Review the FIN and reconcile the areas requested to be isolated against existing fire impairment notices. Review the FIN to ensure it has been completed satisfactorily and that the control measures that have been put in place will reduce BAC residual risk to an acceptable level If the FIN process is unsatisfactory, it will be returned to the BAC Responsible Person / Project Manager with the appropriate comments 4. Once the BAC Airport Facilities Representative is satisfied that the FIN has been satisfactorily completed, it will be sent to the following: BAC Responsible Person / Project Manager BAC Risk & Compliance risk.compliance@bne.com.au BAC Insurer FM Global redtagau@fmglobal.com 5. The BAC Responsible Person / Project Manager will then forward the FIN to the BAC approved contractor and formally request the fire isolation to be conducted 6. The BAC approved contractor will arrive on site at the agreed time. Prior to conducting the fire isolation, the BAC approved contractor will notify the following: Aviation Rescue & Fire Fighting (ARFF) that fire protection systems or water supplies is out of service ITB Duty Terminal Manager on and Alarm Monitoring Office for all BAC building isolations The BAC approved contractor must display the FIN in the following location ITB To be displayed on the front of the mimic EWIS panel in the Duty Terminal Managers office. The Duty Manager must sign the FIN DTB - To be displayed on the front of the mimic EWIS panel in the Alarm Monitoring Offices office. The AMO must sign the FIN 7. De- Isolation. At the agreed time the BAC approved contractor must advise the following: Aviation Rescue & Fire Fighting (ARFF) ITB Duty Terminal Manager on and Alarm Monitoring Office (3).doc Page 4

5 The BAC approved contractor will then conduct the de-isolation ensuring all systems are normal. all systems are normal the contractor will complete Part B of the FIN and will place the FIN in the completed FIN folder within located at the Duty Managers Office or AMO Once 8. The BAC Airport Facilities Representative will collect all completed FINS weekly and will forward to BAC Insurers (3).doc Page 5

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