• Location

  • Conducted on

  • Exercise Coordinator

  • What Happened

Staff Response Checklist

Staff Response: Marshalling and Searching for cause of alarm

  • Did all staff report to the marshalling point quickly

  • Were all areas checked for fire and smoke

  • Were detectors checked (ie did staff look at the detectors in the ceiling to see if the red light was constant)

  • Were rooms with closed doors checked for heat before entering (with back of hand)

Staff Response: Upon Discovery of fire or smoke (RACE principle)

  • R: were all people removed from immediate danger

  • A: Did staff alert the warden and other staff in the area of the fire/smoke

  • C: Did staff contain the fire / smoke by closing the door (and windows if applicable)

  • E : Did staff make the correct decision to extinguish or not to extinguish

Staff Response: Evacuation response

  • Were patients evacuated in the correct order

  • Select the most appropriate evacuation equipment

  • Competently use the evacuation equipment

  • Were all doors closed

  • Were suitable objects left outside all checked rooms (Such as bins, folders, etc.)

  • Were any essential secondary items evacuated if safe to do so

  • Did staff evacuate to a safe place (as directed by warden)

  • Did staff remain at assembly point under wardens directions until stand down

Warden Response Checklist

Warden Response: Code Red Procedures

  • Ensure Warden Vest worn

  • Ensure staff are kept quiet and are close enough to hear instructions

  • Ensure a search of area coordinated to find cause of fire alarm

  • Instructed searchers to "Search for fire and smoke"

  • Instructed searchers to "Check closed doors with back of hand for heat before entering"

  • Instructed searchers to "Check detectors- If the red light is constant, the detector has been activated"

  • Instructed searchers to "If you find a fire or smoke, remember the RACE principle"

  • Ensure Controller notified of search results (via WIP phone or other methods)

  • Ensure traffic control organised to prevent persons entering area

Warden Response: Code Orange Procedures

  • Ensure Controller notified of the need to evacuate and informed of evacuation location (via WIP phone or other methods)

  • Ensure the appropriate evacuation stage selected (immediate area only, lateral, outside, etc)

  • Ensure patients evacuated in correct order

  • Ensure all rooms checked for occupants and appropriate objects left outside checked room (bins, folders, etc.)

  • Ensure doors and windows closed (to contain spread of fire and smoke)

  • Ensure final sweep of area done (with or without help) to check that all occupants evacuated, by looking for objects outside each room

  • If time permits, ensure any essential materials evacuated

  • Once evacuated, ensure Controller notified of evacuation status (Via WIP Phone, runner or other methods)


Recommendation 1

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Recommendation 2

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Recommendation 3

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Recommendation 4

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Recommendation 5

  • Issue

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.