SMT-SEP-FSD24 • LAFLS

BOULEVARD LA

SAMARITAN
MEDICAL
TOWER

TRAINING & CERTIFICATION

FSD

TEAM

TERMS

As a Fire Safety Director at
SAMARITAN MEDICAL TOWER
1127 Wilshire Boulevard
Los Angeles, CA 90017,
I understand and accept my duties to implement and maintain:

1. The L.A.F.D. Approved Emergency Plan.

2. The List of People Who May Need Assistance.

3. A Floor Warden Program.

4. Having a working knowledge of the building’s alarm systems and equipment.

5. Utilization of BIFS.

6. Training of Staff and Residents.

7. Managing the annual Fire Drill.

SELECT ONE

FSD Acknowledgement

I am a Fire Safety Director for 1127 Wilshire Blvd., LA, CA 90017 - SAMARITAN MEDICAL TOWER.

AFSD Acknowledgement

I am an Assistant Fire Safety Director for 1127 Wilshire Blvd., LA, CA 90017 - SAMARITAN MEDICAL TOWER.

Instructor Acknowledgement

I am the L.A.F.D. Certified Consultant for 1127 Wilshire Blvd., LA, CA 90017 - SAMARITAN MEDICAL TOWER.

First Name

Last Name

Department

QUIZ

1. What is the City of Los Angeles Fire Code that governs emergency planning and evacuation requirements in high-rise buildings?

   A.   Ordinance 181642

   B.   FEMA ICS-100.c

   C.   57.408.1- 57.408.11

2. The height of a high-rise building is determined by two points of measurement. They are the distance between the highest occupied floor landing and which other point?

   A.   The top of the elevator machine room.

   B.   The helipad.

   C.   The lowest level of fire vehicle access.

3. A Fire Safety Director Certificate is issued for which location(s)?

   A.   All high-rise buildings over 75-feet in the State of California.

   B.   A high-rise portfolio with no less than 17 high-rise buildings.

   C.   The high-rise building where the Fire Safety Director is employed.

4. This certification means that you understand and accept your duty to implement and maintain which of the below?

   A.   The Los Angeles Fire Department Approved Emergency Plan

   B.   The List of People Who May Need Assistance

   C.   A Floor Warden Program or Exemption

   D.   All of the above

5. As a Fire Safety Director, you understand and accept your responsibilities as they relate to which of the below?

   A.   Having a working knowledge of the building’s alarm systems and equipment.

   B.   Recognizing the utilization of Building Inventory Forms.

   C.   Training of Staff, Floor Wardens, and Occupants.

   D.   Managing the annual fire drill.

   E.   All of the above

6. Part of the requirement to be a Fire Safety Director, is that you must be present on-property during which time period(s)?

   A.   All legal Holidays

   B.   Only Saturdays and Sundays

   C.   Normal business hours (typically 8:00AM – 5:00PM, Monday – Friday)

   D.   Friday nights

7. A Fire Safety Director Certificate is valid for which time period(s)?

   A.   1-year

   B.   3-year

   C.   As long as you are employed at the same address.

8. The goal of an Emergency Plan is to?

   A.   Assist the building owner in meeting legal requirements.

   B.   Establish consistent planning and training.

   C.   Establish specific procedures to get everyone out alive in the event of a disaster.

   D.   All of the above

9. The Emergency Plan is required at three locations. Which location is it not required?

   A.   Parking Office

   B.   Fire Command Center

   C.   Security Desk

   D.   Management Office

10. What is the very first document that should be visible in your Emergency Plan?

   A.   Table of Contents

   B.   Fire Drill report from 10 years ago

   C.   City of Los Angeles High-Rise Building Emergency Plan Approval Page

   D.   Fire Safety Director Certificate

11. What is the second document that should be visible in your Emergency Plan?

   A.   Table of Contents

   B.   Fire Safety Director Certificate.

   C.   Fire Safety Director Annual Review Form

   D.   An assembly area drawing

12. The Fire Safety Director Annual Review Form indicates certain changes within the manual that may have occurred throughout the year. Which information are you responsible for updating?

   A.   Emergency contact telephone numbers

   B.   The Floor Warden List

   C.   The People Who May Need Assistance List

   D.   All of the above

13. If there are no changes to the Emergency Plan from the previous year, then “No Changes” must still be indicated on the Fire Safety Director Annual Review Form.

A. TRUE

B. FALSE

14. The Fire Safety Director’s signature and date must accompany any pages where changes are made within the Emergency Plan?

A. TRUE

B. FALSE

15. The Emergency Plan Verification Form is located where?

   A.   Section 5 – Earthquakes

   B.   Section 8 – Fire Safety Director Duties

   C.   Section 1 – Introduction

   D.   Section 9 - Appendix

16. The Emergency Plan is comprised of three sub-manuals. They include which of the following?

   A.   Staff Manual

   B.   Floor Warden Manual

   C.   Occupant Manual

   D.   All of the above

17. The Fire Safety Director is responsible for distributing a copy of the corresponding sub-manual to people within how many days of arrival on property?

   A.   30-days

   B.   60-days

   C.   14-days

18. For privacy concerns, those who want to be included on the “List of People Who May Need Assistance” must?

   A.   Submit a written letter from their doctor.

   B.   Self-identify their need for rescue by filling-out and submitting the required form.

   C.   Quietly whisper their physical disability to a security guard.

19. In the Occupant Manual, there is a signature form for occupants to acknowledge that they received a copy of the Emergency Plan?

A. TRUE

B. FALSE

20. In addition to being responsible for the establishment, implementation, maintenance, and distribution of the Emergency Plan, the Fire Safety Director must also?

   A.   Make sure Staff and Occupants receive annual training on the plan.

   B.   Document training sessions and attendance.

   C.   Conduct annual fire drills.

   D.   All of the above

BOULEVARD LA

SAMARITANMEDICALTOWER

TRAINING & CERTIFICATION

FSD

TEAM

TERMS

SELECT ONE

QUIZ

SAMARITAN
MEDICAL
TOWER