Information
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Location
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Conducted on
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Exercise Coordinator
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What Happened
Staff Response Checklist
Staff Response : Marshalling and Searching for cause of alarm
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Did all staff report to the marshalling point quickly
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Were all areas checked for fire and smoke
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Were detectors checked (ie did staff look at the detectors in the ceiling to see if the red light was constant)
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Were rooms with closed doors checked for heat before entering (with back of hand)
Staff Response: Upon Discovery of fire or smoke (RACE principle)
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R: were all people removed from immediate danger
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A: Did staff alert the warden and other staff in the area of the fire/smoke
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C: Did staff contain the fire / smoke by closing the door (and windows if applicable)
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E : Did staff make the correct decision to extinguish or not to extinguish
Staff Response: Evacuation response
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Were patients evacuated in the correct order
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Did staff select the most appropriate evacuation equipment
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Did staff competently use the evacuation equipment
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Were all rooms checked for people
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Were all doors closed
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Were suitable objects left outside all checked rooms (Such as pillows, bins, folders, etc.)
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Were any essential secondary items (I.e histories) evacuated if safe to do so
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Did staff evacuate to a safe place (as directed by warden)
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Did staff remain at assembly point under wardens directions until stand down
Warden Response Checklist
Warden Response: Code Red Procedures
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Ensure Warden Vest worn
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Ensure staff are kept quiet and are close enough to hear instructions
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Ensure a search of area coordinated to find cause of fire alarm
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Instructed searchers to "Search for fire and smoke"
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Instructed searchers to "Check closed doors with back of hand for heat before entering"
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Instructed searchers to "Check detectors- If the red light is constant, the detector has been activated"
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Instructed searchers to "If you find a fire or smoke, remember the RACE principle"
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Ensure Controller notified of search results (via phone or other methods)
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Ensure traffic control organised to prevent persons entering area
Warden Response: Code Orange Procedures
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If evacuation required, ensure the appropriate evacuation stage selected (immediate area only, lateral, outside, etc)
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Ensure Controller notified of the need to evacuate and evacuation location (via phone or other methods)
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Ensure patients evacuated in correct order (I.e Independent first, able to assist next, not able to assist last)
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Ensure all rooms checked for occupants and appropriate objects left outside checked room (pillows, bins, folders, etc.)
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Ensure doors and windows closed (to contain spread of fire and smoke)
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Ensure final sweep of area done (with or without help) to check that all occupants evacuated, by looking for objects outside each room
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If time permits, ensuring essential materials evacuated such as patient histories, etc.
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Once evacuated, ensure Controller notified of evacuation status (Via phone, runner or other methods)
Recommendations
Recommendation 1
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Issue
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Action
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To be completed (By Whom and When)
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Add media
Recommendation 2
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Issue
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Action
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To be completed (By Whom and When)
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Add media
Recommendation 3
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Issue
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Action
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To be completed (By Whom and When)
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Add media
Recommendation 4
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Issue
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Action
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To be completed (By Whom and When)
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Add media
Recommendation 5
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Issue
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Action
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To be completed (By Whom and When)
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Add media
