Name of Building: Safety Services UCL Estates Gower Street, London WC1E 6BT BUILDING FIRE SAFETY OCCUPANT FAMILIARISATION TRAINING Building No: _______ The following persons have received a verbal brief and site familiarisation in accordance with ‘Annex A’ to UCL Mandatory Fire Safety Instruction No: 03: NAME DEPARTMENT CAPACITY (Manager / FEM / Dept Safety Officer / Other) DATE SIGNATURE ______________________________________________________________________________________________________________________________________________________________________ Name of Person Undertaking the Familiarisation Brief & Training: PAGE: ____ of _____ Appointment: Date: Issued By: UCL Fire Safety Manager on behalf of the Director of UCL Estates, Gower Street, WC1E 6BT Signature: [Annex B, to UCL Mandatory Fire Safety Instruction No: 03]