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 flashing)

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

Evacuate patients in the correct order

Select the most appropriate evacuation equipment

Competently use the evacuation equipment

All rooms checked for people

Suitable objects left outside all checked rooms (Such as bins, folders, etc.)

Were any essential secondary items evacuated if safe to do so

All doors closed

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 flashing, 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 evacuation location (via WIP phone or other methods)

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

Ensure patients evacuated in correct order (Independent - able to assist - not able to assist)

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)

Controller Response Checklist

Controller Response: Code Red Procedures

Check phone when alarm received

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

Assume manual control of EWIS panel, and turn keyswitch from auto to manual (Button 1)

Silence Alert tone- Press Buzzer Mute button (Button 2) & Master Reset button (Button 3)

Use the p.a system (Press All PA button 4) to ensure site notified " respond red standby (location) including room or corridor number

Don Emergency Controller vest

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

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

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

Ensure fire brigade called (simulated 000 call)

Ensure Frankston Hospital switch called via7222

Ensure traffic control initiated at relevant entrance points

Controller Response: Code Orange Procedures

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

Determine where warden(s) are evacuating to

Announce "respond orange confirmed (location)"

Announce "respond orange standby" for other areas potentially at risk

Request assistance from other units (if required)

Ensure contact established with relevant wardens to determine evacuation status

Ensure succinct situation report provided to fire brigade

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

Ensure Emergency Response Report Form completed

Recommendations

Recommendation 1

Issue

Action

To be completed (By Whom and When)

Add media
Recommendation 2

Issue

Action

To be completed (By Whom and When)

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Recommendation 3

Issue

Action

To be completed (By Whom and When)

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Recommendation 4

Issue

Action

To be completed (By Whom and When)

Add media
Recommendation 5

Issue

Action

To be completed (By Whom and When)

Add media
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.