Audit

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Building details

Building number

Building level

Type of building

Type of alarm

Smoke detector?

Thermal detector?

Sprinkler?

Vesda?

Other?

Personnel responding

SLHD Fire officers

FRNSW

NSW Police

Ambulance service of NSW

Class of fire

Ordinary combustibles

Electrical

Flammable liquid

Other

Method of extinguishing

Portable extinguisher

Hose reel

Fire blanket

Sprinkler

Other

Casualties

Patients

Staff

Visitors

Other

Statement relating to the incident

Statement

Hospital fire officer recommendation

Recommendations

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.