osBl

S']'ATE BANK O}'INDIA

SEcURITY DEPARTMEN.T
FIRE SAFE Y AUDIT FORMAT

i Branch code \tf t

ii /office
Name ofthe Branch
f 0S.Cp Roo-ol.
iii Circle/ Netwod./ zBolRBo ri\;r$_\1,* cl, / r / A o p t.^f,^"b^-{ g ,,_,*"tr,f +".t f
iv PF No and Name of Fire/Securiry Officer .4t,, 7, L_.9,-
! Dare ofAudit by Fire/Securit].Office.
vr l-ast Fire Audil Dale and Slalus
vir mait V. Ur,-,q {^ieS.^r "r I 1 3 of I O Q O
Managels Nane-pF No and
.-Branch
ID
viii BM'sMobireNo. qe qEt oqqo\- 9bl , !4ls6c gbl ^o,i,l
ix ControlleFl PFNoandnrail ID qnmr\- , ao 5r-c4Sbl , t-o, ir, ,

x Controller-2 pF No and Mail lD

Address
Branch
J. p. f cal - O! r . 6o\^ r- P],\s - Off .t! TA SJ,L!
ii PIN 9 o". o3 g,f , Fo..{ 9re-n&a l"o. J,
xiii I'elephone Number wirh STD code
O \ o . a? g O Ot{ S^ S^
xiv No. offloorc
)iY roral ca+er Area(sq ft) \Zi;"
'
xvi classificarion ofB(ilding
+tig;&is€lHigb Rise Mixed/ occupan v
xvii Building Type
xviii Electrical Load (KW,
xix Date ofthe last Electrical Audit S, U{ ,

(Optionat)
x\ Any Fire Incident in the past t* trol
r rnr orrrcevauorT6RIEM,IERS
r- r n e en r lcmlo tr-n-l eI si nES
.t otO.t;po,uUt.@
Con'br',ribte reai@
rcmo!ed / cleaned pcriodically. > l"ts ol- l&A'.n,or,y
\uS:ali^neflf@ Krp|- rr"lttoto- $inll
I
:EltiryIM
ln tt. panr,r r.a,'re"iiinri".";ariF6 ilis"i
r rrrr orrrcrn ,quoriotr alvea.-i,s Fk tfr i 6{9a,,ft1.
sl:trvEn ,rto uFs n6oM '-t
.u.itl
i^ r 3&t. 4,"r.
rr)ser!er roou rvals ha\" Ur;.t"ort
una pturF niir['ilgrn-J
' TA I},U,.r
slc
e\renocd utrp ceiling $ith I jrour
fire resistanl door -
,u,s"'.u.,noorr,u*o[ln6irr-iffi fi .,.ir.:-uiii.uii. fr iJ5^, + eJs sr,.a'
rvirh independenl circuil l,ro14l-o }<ll f oox..tr
1a'trs ruo r,a.'ibiiil,ir.k6dJEiieri iiniinl
r
e\lendcd rplo "arrs ccrlinB wirlt I lr.,r.r tjre resi5tanl ? ! :.1-rroo"3,^. .,o.,'
door
ib)wherhe' Exhau* fan -staitei iniFsRoom- { X S Lttr,o""J-l, uu11
h 1.t| D,,oalr,_
rr<E orrrceR .r uoiibnTEElnI
s .{06r uqut
8LECl I{ICAL SAr'ETY- ?hg..
t r I "r" br.'.I, r,.orr
1^. ,- .* a4r.{
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Yfs

YFs
t*
n.Jo

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iusl.,. ufs 9".
f"
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i,s tlL gSbt; \ol
'0,
'SB tc'nr.l toxrr.
t','u", ,,q't1 ru,"ctlrJ Sr.,r.,r.,,., rft opw ,/"j;.rq
.lrfrn!terncIt
rn isrnadethroiliTiiliid-{-oc-G
^ Ues 4 c.o.r,
rt.rre,
".c,
r*t,riu,r ,c$[" ,rr rr,. p; jG;d d"pil,Le;"1."d"1 .tt{-14<{-+-+++*-{"
Yd 'No

Yfs,tlo

.1t_,1R\t sNLI<5 ANI) FIRI:

slsl.ENl

\o ["t1,f_J
Yds -r "
qlh/-'. rar"f- (o1
+
.J. sl^1 l.f
Yl' vo .sthr?-t;..rn',
lat..'Jt..L.-.
cll-llE
i ,.,,.r.rJlk ..r ,
_ r:;:++lllll]!:r]re ll rl^".qrri,{al
to
insrallcd in thi branihf
Appl4rahb__
, ,t n,nu U Yes- Nor-Iier- A"d""l ,|-" .aJnqJ
Yes,/ lrlel*or- ,al" An orlh-ft>el
f*d".
:rl*r;t--- "r"ci.ftm;-il,".
,''ntil.,lrori \R \---------
App+ieflde-.
\Ax* Nol-A\x-
App+i€€5+e - uo J:z 7 l.a7
u t
'.
rr. rt r r;t-r-HllttH
.

,:-- .-:r'."1il.'''. - ffii-ri-E;J_FlG''iltr .Yes/No/ !+e*.

Appli€abJ€-
 I url lif the \'l.rin I)ierel Cenerallrr Set is norcd in closed conlarner and \€csr++o" Not
place.l ar a sric iocatron Applicable
rl .\i lea\r l\ro 6 kg ALI( or COI- I 1.5 Lg capacil\ flre e\lirguisher is placed Y€sll+o,/ No!
r!irr rhc Diesel Ccrefalol Applicable.'

III.\I\ I \(i \\I) \\\.\RIi\ESS

.1rrori lic r.t lt,rna l€J)q
I

l),,cs tlrc I'rr rch qrrrrd'r)lhcr irafakno$s rhe operarion oftire alafln s\stem? Y€sfNoi Not:
Applicrble- ^. (r<l-..^t,(r.star 11
l),je. llr. 1.r.rr.h !:rit(l othcf nali afc can\ ing out tcstins of fire alann b\ Yls No T4r\. lo"a bY
r:r\ rn! slnoIc rrr all tl]c 51uokc dctccrors inslalled il the premises $+ t^.rd!! r .

le\linS ol I fc r\larnrs lre beitre recorded il Securiq lnformation Register ves'}'

|r\ rde,l lr\ the l|nl,
'\ll brln.h natl are con\efsaot \ ith the locatiorr and operation of fire

,;\ilr,\
IR (II:I]IC E DITOR REM A RKS
R,'AU
(, I.ltiE uxlt s .\\I) l.t\
\r. cnrcfgere] crit rloors^cu.\TI{)\
clclrh marked and lllunrinated and e\acuation
iourc\ l.i1!d n thc \ork a[c0s $ irh cle:rr dircctions otr how to e:(ir? A+prianle
oFFl( l,lt,,\t I)lI OR REI\1.\RliS
II CO\ IROI,S I\ }L,.\CEII'I{ACTICDD FOR HIC}I RISE BUILDINGS
L),,cs thc sLtc hr\c r !tfitcn cnrcltcnc\ pfepafedress plan? Yer \d
\\li!'rc lill L.ia\irilablc a ciutionrr\ nolic. lN CASE OF IrlRE. DONOT \fs'No
| 5L l-lf I L sl: S L\tll( \Sl- O\LY hls been drspla]ed
i \re tlrc lrliNf \lafshals nonrinrtcJ and a\\rfe of theif dLrties and Y* V"
rcrponribrl t ic.r
r
I),,cs thc
' tr llarc r I;re ll)driul S\stenr Yes lxo

I),,e\ rrt \irc hx\e rut()rrratic str rklcrs'l Yes ,!ib

lJo$ thc 'ite har c rraincd tirc pcr\onncll

$s'l'lo
I)oci 1rc iilc hr\ c r t']LrbLic Addr,:rs (f'A) Sl sterrr lbr otiF?ing personnelto vfs'no
()Ft lal:l{ \t l)t loR ttLiv,\Rtis
I I\\'IiYI'OI.I,} OI T'IIiT T]\ f I\GUISHERS AI'TIII BR{NCIT Enter No.
I COI Cas I Kg
(Ol(;rsIiKq
I 0l ( jir\:l 5 K!
\\rrcraO: l\t)e 9ltrs '1

DCP i Kg f)
 lilil i)Flrl( flR \t l)llOJt I{li\1.\Rl\S(Plcis('Ircr)iiol]l-\peofFireExrirlguisherand
i.,1,.1r,rr\. rI ltlr\. L,rlrcr rhrn rtrc ll[ro\. r a]r) toA_.fno!,
\n\ oth0riInportlr t 0bs(.r\ tion\
'ti- i\rqi,, S"6\ "t^l^l,l $n i 9L"J i,.r""{.'- uer

Vo,nn ! uU# i'' itsV b"^ rtr!' h u-{r'|^ '

.A
on ttu /oc'rc" {aN'r"
--r ll i'..! guhrJrnh foi"'| r'oF '"' lpl;d
,\---+ l,\o d. -el,-r^y^.l Ni* ouar-l hb a '{\itt "op e"
* s'9le'" b*sis

Fi.- bl'irl on hots I^o t^-r* I O ptsulf J6 e-t1"

-D yro)- oor.jr,rliJ ot^. rt"*t^L b-t L, .

4'gll* '
p <-f-e q)"rs rr l- p""vI"bJ a'.*'a Wt,,L
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J N"' ,r0hc,|.? fr.viJ.J ir..'s;Jq lo ol'or! 1oor,-, r, or*1

I]I1{t] OI]I]]C}1R' SE('I]RITY OFFICEI{ SICNAI'TJRE DArE I t8/q ]l q .

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