Skjema
Facility Report
The information in this form is treated as confidential and will be arkived accordingly. It will only be used by the lenders in evaluating facilities of potential borrowers and/or as grounds for Applications for indemnity for loan objects.
Institution profile
Name of borrowing institute:
Contact person:
Title:
Director:
Telephone:
Security supervisor
Telephone:
Exhibition manager:
Telephone:
Mailing adress:
Street adress:
Shipping adress:
Telephone:
E-mail:
Fax:
Website:
Purpose of loan:
Exhibition title:
Exhibition period:
Describe your institution:
Instructions for completing the facility report
All questions which are applicable to Your institution must be answered.
The Floor plan
Attach floor plans of the exhibition building indicating:
Where will the loan object be displayed
Vents within exhibition areas
Fire doors
Portable fire extinguishers, fire suppresssion and detection systems
(Overhead) waterpipes
HVAC systems
Passage from object receiving area to display areas clearly marked
Areas permitting food/drinks
Guard stations
Environmental readings
Attach a copy of actual relativ humidity and temperature readings from the last twelve month for display area(s) in which loan objects would be displayed.
| Date of completion | Loan item storage area | Loan item display area | |
|---|---|---|---|
| Original building | |||
| Addition 1 | |||
| Addition 2 | |||
| Addition 3 |
| Original building | Adobe | Brick | Concrete | Glass | Safety glass | Steel | Stone | Wood | Fabric/carpet | Other |
|---|---|---|---|---|---|---|---|---|---|---|
| Exterior walls | ||||||||||
| Interior walls | ||||||||||
| Floors | ||||||||||
| Ceilings | ||||||||||
| Structural support |
| Addition(s) | Adobe | Brick | Concrete | Glass | Safety glass | Steel | Stone | Wood | Fabric/carpet | Other |
|---|---|---|---|---|---|---|---|---|---|---|
| Exterior walls | ||||||||||
| Interior walls | ||||||||||
| Floors | ||||||||||
| Ceilings | ||||||||||
| Structural supports |
Fire protection
Are all your building structures freestanding?
If no, are the structures separated by fire doors?
How many floors does your exhibition building have?
If more than one floor, indicate access between levels; stairs, elevator, other
Indicate the layout of your exhibition space(s); one room, series of rooms, other
Describe the type and location of public activities that take place in your building, other than exhibitions
Do these activities take place in the exhibition?
Are you undergoing construction or renovation at this time? if yes, explain
If construction work will occur, how will potential fire hazards be monitored?
What is the rating of your building?
Is the entire building protected by a fire and/or smoke detection alarm system?
If yes, indicate type / if no, indicate areas not protected
Are all emergency exit doors equipped with alarms?
Do doors automatically unlock when a fire alarm is activated?
How often are the systems checked and by whom?
Are fog nozzles installed?
How often are fire hoses and cabinets inspected and maintained?
| System activation | Temporary exhibition galleries | Temporary exhibition storage areas |
|---|---|---|
| Selv- activated heat detection | ||
| Selv- activated smoke detection | ||
| Control panel | ||
| Manual pull stations | ||
| Water flow switches in sprinkler system |
| In-house central station (propriety system) | |
|---|---|
| In-house audible devises | |
| Local fire station - Direct line | |
| UL/FM-approved sentral station (specify comapny) | |
| Other (specify) |
| Sprinklers | Received | Stored | Exhibited | Year installed |
|---|---|---|---|---|
| Wet pipe | ||||
| Dry pipe | ||||
| Pre-action | ||||
| Other (specify) | ||||
| Who is responsible for turn-off? | ||||
| Are staff and guards trained in turn-off procedures | ||||
| Gaseous fire suppresion systems | Received | Stored | Exhibited | Year installed |
|---|---|---|---|---|
| Halon | ||||
| Clean agent | ||||
| Other (specify) |
| Received | Stored | Exhibited |
|---|---|---|
| Received | Stored | Exhibited | |
|---|---|---|---|
| Pressurized water | |||
| Carbon dioxide | |||
| Dry chemical | |||
| Foam | |||
| Halon | |||
| Acid | |||
| Other |
Fire protection - extinguishers
How often are portable fire extinguishers tested?
How often is your staff trained in the use of portable fire extinguishers?
Are the doors between floors or rooms fire resistive or smoke-sealed?
How far is your facility from the nearest fire station?
What is the responsetime for the nearest fire department?
How far is your institution from the nearest fire hydrant?
How often does the fire department makes sure the fire hydrant works?
Is your nearest fire department staffed 24 hours a day?
Has the nearest fire department an action plan for your institution?
If no, are you willing to devise such a plan with nearest your fire department?
Do you have an established fire emergency procedure?
How well is the staff trained in this procedure?
Security
Serurity personnel
Do you have 24 hour human guard security?
Is there a staffed controll senter with visual oversight over the entire facility?
If no, would you be willing to hire additional guards?
Do you have a trained supervisor in charge at all times?
Are your security people specially trained for your facility?
Do you conduct background checks on guards prior to hiring?
Do you have sign in/sign out procedure for staff?
Do your staff, visitors to your staff and special guests wear identifying badges?
Are security personnel placed at all entrances and exits of the building during opening hours?
Are the contents of bags, briefcases, etc checked upon entering or exit?
How many galleries are designed to each guard?
Is a guard assigned during installation and deinstallation?
Is access to the exhibition area restricted during installation and deinstallation?
How often is the exhibition with list of objects checked when closed?
Do you maintain records on internal movement and relocation of loan objects?
Who is authorized to sign for the removal of objects from the building?
How often are exterior perimeter checks of the building carried out?
Do you have an emergency response plan?
How frequently is your staff trained in its implementation?
What emergency procedures are observed in the case of theft or vandalism?
| Security employees of your facility With certified training | |
| Security employees of your facility | |
| Other staff | |
| Contractors from outside service company. (name of company) | |
| Students | |
| Volunteers | |
| Other (specify) |
| Armed | |
| Pager-equipped | |
| Phone-equipped | |
| Radio-equipped | |
| Other (specify) |
| Security personell | Throughout building | Throughout building | In exhibition | In exhibition |
|---|---|---|---|---|
| Stationary | Patrolling | Stationary | Patrolling | |
| During public hours | ||||
| When closed to the Public, but open to staff | ||||
| During closed hours |
Checklist for attachemends
Is the floor plan attached?
Are the tempeture and humidity readings attached?