Rapid Visual Screening of Buildings for Potential Seismic Hazards

FEMA-154 Data Collection Form

HIGH Seismicity

Address: __________________________________________________
_________________________________Zip _______________
Other Identifiers _____________________________________________
No. Stories ________________________________ Year Built ________
Screener _____________________________ Date _________________
Total Floor Area (sq. ft.) _______________________________________
Building Name ______________________________________________
Use _______________________________________________________

PHOTOGRAPH

Scale:
OCCUPANCY
Assembly
Commercial
Emer. Services

Govt.
Historic
Industrial

Office
Residential
School

Number of Persons
0 10
11 100
101-1000 1000+

Hard
Rock

SOIL TYPE
C
D

Avg. Dense
Rock Soil

Stiff
Soil

FALLING HAZARDS
E

Soft Poor
Soil Soil

Unreinforced
Chimneys

Parapets

Cladding Other:
_____________

BASIC SCORE, MODIFIERS, AND FINAL SCORE, S

BUILDING TYPE

W1

W2

S1

S2

S3

S4

S5

C1

C2

C3

PC1

(MRF)

(BR)

(LM)

(RC SW)

(URM INF)

(MRF)

(SW)

(URM INF)

(TU)

PC2

RM1

RM2

(FD)

(RD)

URM

Basic Score
Mid Rise (4 to 7 stories)
High Rise (> 7 stories)
Vertical Irregularity
Plan Irregularity
Pre-Code
Post-Benchmark

4.4
N/A
N/A
-2.5
-0.5
0.0
+2.4

3.8
N/A
N/A
-2.0
-0.5
-1.0
+2.4

2.8
+0.2
+0.6
-1.0
-0.5
-1.0
+1.4

3.0
+0.4
+0.8
-1.5
-0.5
-0.8
+1.4

3.2
N/A
N/A
N/A
-0.5
-0.6
N/A

2.8
+0.4
+0.8
-1.0
-0.5
-0.8
+1.6

2.0
+0.4
+0.8
-1.0
-0.5
-0.2
N/A

2.5
+0.4
+0.6
-1.5
-0.5
-1.2
+1.4

2.8
+0.4
+0.8
-1.0
-0.5
-1.0
+2.4

1.6
+0.2
+0.3
-1.0
-0.5
-0.2
N/A

2.6
N/A
N/A
N/A
-0.5
-0.8
+2.4

2.4
+0.2
+0.4
-1.0
-0.5
-0.8
N/A

2.8
+0.4
N/A
-1.0
-0.5
-1.0
+2.8

2.8
+0.4
+0.6
-1.0
-0.5
-0.8
+2.6

1.8
0.0
N/A
-1.0
-0.5
-0.2
N/A

Soil Type C
Soil Type D
Soil Type E

0.0
0.0
0.0

-0.4
-0.8
-0.8

-0.4
-0.6
-1.2

-0.4
-0.6
-1.2

-0.4
-0.6
-1.0

-0.4
-0.6
-1.2

-0.4
-0.4
-0.8

-0.4
-0.6
-1.2

-0.4
-0.6
-0.8

-0.4
-0.4
-0.8

-0.4
-0.6
-0.4

-0.4
-0.6
-1.2

-0.4
-0.6
-0.4

-0.4
-0.6
-0.6

-0.4
-0.6
-0.8

FINAL SCORE, S
COMMENTS

Detailed
Evaluation
Required
YES NO

* = Estimated, subjective, or unreliable data

DNK = Do Not Know

BR = Braced frame
FD = Flexible diaphragm
LM = Light metal

MRF = Moment-resisting frame

RC = Reinforced concrete
RD = Rigid diaphragm

SW = Shear wall
TU = Tilt up
URM INF = Unreinforced masonry infill

Rapid Visual Screening of Buildings for Potential Seismic Hazards

FEMA-154 Data Collection Form

MODERATE Seismicity

Address: __________________________________________________
_________________________________Zip _______________
Other Identifiers _____________________________________________
No. Stories ________________________________ Year Built ________
Screener _____________________________ Date _________________
Total Floor Area (sq. ft.) _______________________________________
Building Name ______________________________________________
Use _______________________________________________________

PHOTOGRAPH

Scale:
OCCUPANCY
Assembly
Commercial
Emer. Services

Govt.
Historic
Industrial

Office
Residential
School

Number of Persons
0 10
11 100
101-1000 1000+

Hard
Rock

SOIL TYPE
C
D

Avg. Dense
Rock Soil

Stiff
Soil

FALLING HAZARDS
E

Soft Poor
Soil Soil

Unreinforced
Chimneys

Parapets

Cladding Other:
_____________

BASIC SCORE, MODIFIERS, AND FINAL SCORE, S

BUILDING TYPE

W1

W2

S1

S2

S3

S4

S5

C1

C2

C3

PC1

(MRF)

(BR)

(LM)

(RC SW)

(URM INF)

(MRF)

(SW)

(URM INF)

(TU)

PC2

RM1

RM2

(FD)

(RD)

URM

Basic Score
Mid Rise (4 to 7 stories)
High Rise (>7 stories)
Vertical Irregularity
Plan Irregularity
Pre-Code
Post-Benchmark

5.2
N/A
N/A
-3.5
-0.5
0.0
+1.6

4.8
N/A
N/A
-3.0
-0.5
-0.2
+1.6

3.6
+0.4
+1.4
-2.0
-0.5
-0.4
+1.4

3.6
+0.4
+1.4
-2.0
-0.5
-0.4
+1.4

3.8
N/A
N/A
N/A
-0.5
-0.4
N/A

3.6
+0.4
+1.4
-2.0
-0.5
-0.4
+1.2

3.6
+0.4
+0.8
-2.0
-0.5
-0.2
N/A

3.0
+0.2
+0.5
-2.0
-0.5
-1.0
+1.2

3.6
+0.4
+0.8
-2.0
-0.5
-0.4
+1.6

3.2
+0.2
+0.4
-2.0
-0.5
-1.0
N/A

3.2
N/A
N/A
N/A
-0.5
-0.2
+1.8

3.2
+0.4
+0.6
-1.5
-0.5
-0.4
N/A

3.6
+0.4
N/A
-2.0
-0.5
-0.4
2.0

3.4
+0.4
+0.6
-1.5
-0.5
-0.4
+1.8

3.4
-0.4
N/A
-1.5
-0.5
-0.4
N/A

Soil Type C
Soil Type D
Soil Type E

-0.2
-0.6
-1.2

-0.8
-1.2
-1.8

-0.6
-1.0
-1.6

-0.8
-1.2
-1.6

-0.6
-1.0
-1.6

-0.8
-1.2
-1.6

-0.8
-1.2
-1.6

-0.6
-1.0
-1.6

-0.8
-1.2
-1.6

-0.6
-1.0
-1.6

-0.6
-1.0
-1.6

-0.6
-1.2
-1.6

-0.8
-1.2
-1.6

-0.6
-1.2
-1.6

-0.4
-0.8
-1.6

FINAL SCORE S
COMMENTS

Detailed
Evaluation
Required
YES NO

* = Estimated, subjective, or unreliable data

DNK = Do Not Know

BR = Braced frame
FD = Flexible diaphragm
LM = Light metal

MRF = Moment-resisting frame

RC = Reinforced concrete
RD = Rigid diaphragm

SW = Shear wall
TU = Tilt up
URM INF = Unreinforced masonry infill

Rapid Visual Screening of Buildings for Potential Seismic Hazards

FEMA-154 Data Collection Form

LOW Seismicity

Address: __________________________________________________
_________________________________Zip _______________
Other Identifiers _____________________________________________
No. Stories ________________________________ Year Built ________
Screener _____________________________ Date _________________
Total Floor Area (sq. ft.) _______________________________________
Building Name ______________________________________________
Use _______________________________________________________

PHOTOGRAPH

Scale:
OCCUPANCY
Assembly
Commercial
Emer. Services

Govt.
Historic
Industrial

Office
Residential
School

Number of Persons
0 10
11 100
101-1000 1000+

Hard
Rock

SOIL TYPE
C
D

Avg. Dense
Rock Soil

Stiff
Soil

FALLING HAZARDS
E

Soft Poor
Soil Soil

Unreinforced
Chimneys

Parapets

Cladding Other:
_____________

BASIC SCORE, MODIFIERS, AND FINAL SCORE, S

BUILDING TYPE

W1

W2

S1

S2

S3

S4

S5

C1

C2

C3

PC1

(MRF)

(BR)

(LM)

(RC SW)

(URM INF)

(MRF)

(SW)

(URM INF)

(TU)

PC2

RM1

RM2

(FD)

(RD)

URM

Basic Score
Mid Rise (4 to 7 stories)
High Rise (>7 stories)
Vertical Irregularity
Plan Irregularity
Pre-Code
Post-Benchmark

7.4
N/A
N/A
-4.0
-0.8
N/A
0.0

6.0
N/A
N/A
-3.0
-0.8
N/A
+0.2

4.6
+0.2
+1.0
-2.0
-0.8
N/A
+0.4

4.8
+0.4
+1.0
-2.0
-0.8
N/A
+0.6

4.6
N/A
N/A
N/A
-0.8
N/A
N/A

4.8
+0.2
+1.0
-2.0
-0.8
N/A
+0.6

5.0
-0.2
+1.2
-2.0
-0.8
N/A
N/A

4.4
+0.4
+1.0
-1.5
-0.8
N/A
+0.6

4.8
-0.2
0.0
-2.0
-0.8
N/A
+0.4

4.4
-0.4
-0.4
-2.0
-0.8
N/A
N/A

4.4
N/A
N/A
N/A
-0.8
N/A
+0.2

4.6
-0.2
-0.2
-1.5
-0.8
N/A
N/A

4.8
-0.4
N/A
-2.0
-0.8
N/A
+0.2

4.6
-0.2
0.0
-1.5
-0.8
N/A
+0.4

4.6
-0.6
N/A
-1.5
-0.8
N/A
+0.4

Soil Type C
Soil Type D
Soil Type E

-0.4
-1.0
-1.8

-0.4
-0.8
-2.0

-0.8
-1.4
-2.0

-0.4
-1.2
-2.0

-0.4
-1.0
-2.0

-0.4
-1.4
-2.2

-0.4
-0.8
-2.0

-0.6
-1.4
-2.0

-0.4
-0.8
-2.0

-0.4
-0.8
-2.0

-0.4
-0.8
-1.8

-0.2
-1.0
-2.0

-0.4
-0.8
-1.4

-0.2
-0.8
-1.6

-0.4
-0.8
-1.4

FINAL SCORE, S
COMMENTS

Detailed
Evaluation
Required
YES NO

* = Estimated, subjective, or unreliable data

DNK = Do Not Know

BR = Braced frame
FD = Flexible diaphragm
LM = Light metal

MRF = Moment-resisting frame

RC = Reinforced concrete
RD = Rigid diaphragm

SW = Shear wall
TU = Tilt up
URM INF = Unreinforced masonry infill