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Premises / Establishment/Building: Xxxxxxx Address: Xxxxxx, Xxxxx Date of Assessment: October 5, 2013
Total Connected Loads Conforms to Allowable Ckt Limit Physical State/Condition of Apparatus, Wiring System or Connected Loads Operational Functionality of Apparatus, Wiring System or Connected Loads Servicing/ Maintenance/ Component Expiration Record Availability/ Functionality of Fire Extinguishing System Housekeeping Absence of Combustible Dust & Other Mtrls

Operation During Power Failure

Lock-out/Tagout Procedure In-place


Lighting Outlets Convenience Outlets Special Outlets Emergency Lights Fire Alarm System Fire Suppression/ Extinguishing System

n/a n/a n/a

n/a n/a

n/a n/a

* * n/a n/a *

n/a n/a n/a n/a none

none none n/a n/a none

n/a n/a n/a n/a n/a

n/a n/a

Passed Passed

Existing units disconnected Sealed battery replacement necessary Fire extinguishers okay; Fire hydrant needs verification of connection to pressurized water source.







Legend: * - Electricity during power outage supplied by emergency generator set

** - Fire suppression provided by portable fire extinguishers only

Findings: As to the time of inspection, generally the electrical installation poses no electrical fire hazard; Fire detection and suppression system (fire hydrant) needs addressing of found deficiencies. Recommendation: As stated in remarks. Assessor: Conforme: Owner/Owners Representative/Building Administrator

Xxxx X. Xxxxxxx Electrical Practitioner PRC License # Xxxxxx License Expiration: October 2014

Description of Electrical Fire Risk Assessment

Annual risk assessment/inspection could be enough but frequency can be shortened, i.e., semi-annually (or depending on the use of the area, introduction of new materials, equipment, appliance, and increased traffic of people). Connected loads to a branch circuit must not exceed the total allowable wattage for that circuit (as defined in the Philippine Electrical Code). Physical condition of the wiring system or apparatus should show no sign of insulation damage, embrittlement or cracking, does not pose eventual conductor shorting or metallic casing/body grounding, and no indication of overloading such as insulation color change or burnt smell. Operational functionality tests were carried out to check performance of wiring system, apparatus or equipment under normal conditions. These did not involve short circuit test or the like. Housekeeping or regular cleaning to prevent build-up of combustible materials (in the forms of dusts and materials that may be brought-in by birds and rats) Method of inspection is ocular (other methods may involve thermographic surveys to identify hotspots, usually done annually) Some assessment criteria are not applicable (n/a) to some risk area and as such is indicated. The procedure in this electrical fire risk assessment approach was developed by JGP 2013.

References: 1. Fire Safety Risk Assessment: Factories and Warehouses 2. Philippine Electrical Code 2009 Edition