Fire Drill Report: Rosebud Hospital

• Location

• Conducted on

  Date

• Exercise Coordinator

• What Happened
  Address

Staff Response: Marshalling and Searching for cause of alarm

• Did all staff report to the marshalling point quickly

  Yes

  No

  N/A

• Were all areas checked for fire and smoke

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

• R: were all people removed from immediate danger

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Staff Response: Evacuation response

• Evacuate patients in the correct order

  Yes

  No

  N/A

• Select the most appropriate evacuation equipment

  Yes

  No

  N/A

• Competently use the evacuation equipment

  Yes

  No

  N/A

• Were all rooms checked for people

  Yes

  No

  N/A

• Were all doors closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Warden Response: Code Red Procedures

• Ensure Warden Vest worn

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Instructed searchers to "Search for fire and smoke"

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Ensure traffic control organised to prevent persons entering area

  Yes

  No

  N/A

Warden Response: Code Orange Procedures

• If evacuation required, ensure the appropriate evacuation stage selected (immediate area only, lateral, outside, etc)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• If time permits, ensure any essential materials evacuated

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Controller Response: Code Red Procedures

• Go to fire panel, press buttons labelled A and B to acknowledge alarm and display location

  Yes

  No

  N/A

• Open up EWIS panel, and turn keyswitch from auto to manual (labelled 1)

  Yes

  No

  N/A

• Press the red "system fault - silence" button (labelled 2)

  Yes

  No

  N/A

• Use the p.a system to ensure site notified " respond red standby (location) including room or corridor number

  Yes

  No

  N/A

• Don Emergency Controller vest

  Yes

  No

  N/A

• Nominate a scribe and ask them to complete scribe log (page 2 of emergency response report form)

  Yes

  No

  N/A

• If fire, announce "respond red confirmed (location)"

  Yes

  No

  N/A

• Contact warden via WIP phone or runner to determine fire or false alarm and details (location, has fire been extinguished )

  Yes

  No

  N/A

• Ensure fire brigade called (simulated 000 call)

  Yes

  No

  N/A

• Ensure traffic control initiated at relevant entrance points

  Yes

  No

  N/A

• Ensure Frankston Hospital switch called via7222

  Yes

  No

  N/A

Controller Response: Code Orange Procedures

• Contact warden via WIP phone or runner to determine if evacuation is required, (location, has fire been extinguished )

  Yes

  No

  N/A

• Determine where warden(s) are evacuating to

  Yes

  No

  N/A

• Announce "respond orange confirmed (location), and "respond orange standby- rest of hospital)

  Yes

  No

  N/A

• Request assistance from other units (if required)

  Yes

  No

  N/A

• Ensure contact established with relevant wardens to determine evacuation status

  Yes

  No

  N/A

• Ensure succinct situation report provided to fire brigade

  Yes

  No

  N/A

• Announce stand - down after authorisation from fire brigade , including call to FH switch 7222

  Yes

  No

  N/A

• All p.a announcements prefaced with "Attention, Attention"

  Yes

  No

  N/A

Recommendation 1

• Issue

• Action

• To be completed (By Whom and When)

• Add media

  Media

Recommendation 2

• Issue

• Action

• To be completed (By Whom and When)

• Add media

  Media

Recommendation 3

• Issue

• Action

• To be completed (By Whom and When)

• Add media

  Media

Recommendation 4

• Issue

• Action

• To be completed (By Whom and When)

• Add media

  Media

Recommendation 5

• Issue

• Action

• To be completed (By Whom and When)

• Add media

  Media