EMERGENCY EVACUATION PLAN Form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PROJECT DETAILS

• Premises Address:

  Yes

  No

  N/A

• Project Name:<br><br>

  Yes

  No

  N/A

• Project Code:

  Yes

  No

  N/A

• Project Manager Name:

  Yes

  No

  N/A

• Description Of Premises:

  Yes

  No

  N/A

EMERGENCY EVACUATION PLAN

• FIRE EVACUATION STRATEGY:

  Yes

  No

  N/A

• To raise the alarm and evacuate the building immediately.

• METHOD OF FIRE DETECTION:

  Yes

  No

  N/A

• The following methods of detection are implemented in the premises:

• Automatic detection by smoke detectors linked to a fire alarm.

• Manual detection with activation of call points.

• Other (please specify)

• ACTION OF DISCOVERING FIRE:

  Yes

  No

  N/A

• Upon discovering a fire the following action should be taken:

• Activate one of the call points.

• If you are hosting visitors ensure they are accompanied to the muster point and remain until everyone is accounted for.

• ACTION ON HEARING A FIRE:

  Yes

  No

  N/A

• Upon hearing an alarm the following action should be taken:

• Leave the building immediately:

• Do not stop to collect belongings:

• Make your way to the muster point, senior person or fire warden to call for the fire and rescue service:

• CALLING THE FIRE AND RESCUE SERVICES:

  Yes

  No

  N/A

• In the event of an emergency evacuation the fire and rescue service will be called by dialling 999. The hierarchy of individuals responsible for making this call is:

• Team Leader:

• Fire Warden:

• Other Members of Staff

• Where these individuals are not present, the most senior person at the project will take the responsibility.

• IDENTIFICATION OF KEY ESCAPE ROUTES:

  Yes

  No

  N/A

• The main escape route is:

• A secondary escape route is:

• Schematics Of Fire Escapes Have Been Prepared And A Copy Is Stored In The Relevant Section Of The Fire Safety Manual:

  Yes

  No

  N/A

• (The regional FM Advisor should be contacted to organise the preparation of these schematics for your premises)

• FIRE WARDENS:

  Yes

  No

  N/A

• Trained fire wardens for this project are:

• 1.

• 2.

• 3.

• 4.

• 5.

• FIRE WARDEN RESPONSIBILITIES:

  Yes

  No

  N/A

• The main responsibilities of the fire wardens at this site are:

• 1. Conduct weekly alarm bell tests where applicable.

• 2. Conduct monthly fire extinguisher (and emergency lighting checks in liaison with the landlord or centre manager)

• 3. Assist the project manager in fire management on site.

• 4. Arrange and execute 6 - monthly evacuation drill in liaison with the landlord and report on findings to the project manager.

• 5. Ensure all staff have been given appropriate fire evacuation information.

• 6.

• 7.

• 8.

• 9.

• 10.

• Please Note: This section may need to be extended if there are several fire wardens with different responsibilities.

• ASSEMBLY POINT:

  Yes

  No

  N/A

• The designated assembly point for this project is:

• FIRE FIGHTING EQUIPMENT:

  Yes

  No

  N/A

• The following fire fighting equipment is provided within these premises:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• Location:

• Types of Extinguishers:

• TRAINING:

  Yes

  No

  N/A

• Training and instructions on the emergency evacuation plan is given to staff and volunteers regularly. A record of this training is kept in the relevant section of the fire safety manuel.

• Training And Instruction Will Be Given By:

• PERSONNEL EMERGENCY EVACUATION PLAN (PEEP)

  Yes

  No

  N/A

• Where individuals are identified who need assistance in the evacuation of this premise a personnel emergency evacuation plan (PEEP) will be developed.

• The Person Responsible For The Development Of Individual PEEP's is:

• LIAISON WITH FIRE AND RESCUE SERVICES:

  Yes

  No

  N/A

• Where the fire and rescue service has been called for assistance the hierarchy of individuals responsible for liaising with the fire and rescue service is:

• 1. Fire Warden

• 2. Team Leader

• 3. Other Project Worker

• Where these individuals are not present, the most senior person at the project will take this responsibility.

• ADOPTION OF EMERGENCY EVACUATION PLAN:

  Yes

  No

  N/A

• MANAGER NAME:

• CONTACT NUMBER:

• Regional FM Advisor has been consulted on this plan?

  Yes

  No

  N/A

• Fire Wardens at this project have been consulted in the development of this plan?

  Yes

  No

  N/A

• This emergency evacuation plan should be kept within the relevant section of the fire security manuel. a copy of this plan must be given to the regional FM Advisor. This plan will be reviewed annually by the project manager with support from the fire warden(s)