GSH Fire extinguisher training

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General questions about fire safety.

• What would you do if you hear a fire alarm?

  Safe

  At Risk

  N/A

• Can you explain what R.A.C.E means?

  Yes

  No

  N/A

• Have you read ST.Mary's Good Samaritan's hospital fire safety policy in the last 6 months or less ?

  Yes

  No

  N/A

General fire extinguisher questions.

• Have you every used a fire extinguisher before?

  Yes

  No

  N/A

• Can you explain what P.A.S.S means?

  Yes

  No

  N/A

Emergency response questions.

• Who has the authority to turn the MAIN oxygen valve off?

  Safe

  At Risk

  N/A

• Who has the authority to turn off oxygen valves in use in you department?

  Yes

  No

  N/A

Instruct/demonstrate how to use a fire extinguisher to the staff present in the training session.

• Did everyone understand how to use a fire extinguisher?

  Yes

  No

  N/A

Signatures of who attended the training session.

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign