Information
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Fire Drill Location
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Conducted on
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Observed by
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Personnel Coordinating Drill
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Date & time fire drill initiated
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Fire Drill was initiated by the Approved Representative
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Responsible Person provided brief to all staff involved before start of drill
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Responsible Person provided a debrief at end of drill
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Evacuation time reasonable ?
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Overall Coordinator identifiable ?
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Fire Wardens identifiable ?<br>
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Procedures in place to call fire service ?<br>
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Building swept for missing persons ?
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Appropriate assembly point(s) ?
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Evacuation generally calm ?
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Specific Evacuation plans available for each ward/department/tenant ?
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Cause and effect appropriate ?
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Appropriate evacuation strategy ?
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Overall coordinator designated (with deputies to cover for leave) ?
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Fire wardens designated, with sufficient numbers to cover leave ?
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Fire wardens adequately trained for evacuation ?
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Fire wardens adequately trained for firefighting ?
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PEEPs set up ?
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PEEPSs appropriate ?
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Procedures in place for investigating cause of alarm ?
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Appropriate assembly points ?
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Procedures in place for calling the fire service ?
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Procedures in place for roll call ?
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Procedures in place for liaising with Fire Service Officer in Charge ?
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Floor plans available for fire service ?
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Appropriate procedures in place for providing care to evacuated patients ?
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Appropriate procedures for returning to operation after minor incident or false alarm ?
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Observations
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Recommendations
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Time taken from first siren to all items completed
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Signature of Nominated Supervisor
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Signature of observer
