Audit

Unit Drilled

1) Means of egress were properly maintained on the unit? (No unattended storage, storage not blocking safety equipment)?

2) Could staff locate their "Unit Specific Emergency Preparedness Plan"?

3) Could staff identify the information the Unit Specific Plan contains such as number of patients, relocation/evacuation areas and transportation needs?

4) Could staff identify the primary and secondary exit routes - the closest and most appropriate exits?

5) Could staff locate a fire extinguisher?

6) Did staff know how to use the fire extinguisher?

7) Did staff know the location of Oxygen/Medical gas shutoff valves and which rooms the valves control

8) Did staff know who is authorized to cut off the medical gas shut-off valves?

9) Did staff know if there are adequate portable oxygen tanks available in the event of an oxygen failure?

10) Did staff know to call *500 for fire emergencies?

11) Did staff readily know location of pull station to activate the alarm after dialing *500?

12) Did staff ensure safety of all patients and visitors (close doors, cleared corridors, assisted with evacuation or in defend-in-place buildings - ensure they were in rooms and off unit)?

*Note type of staff observed
Score and recommendations

Very Good - 100 Good 90-99 Fair 75- 89 Poor - 74 or below (requires a re-drill to be performed within 30 days) Please review the following recommendations with your staff.

Your area did not perform well and a re-drill is required with in next 30 days. Please take time to review procedures with your staff and contact me with any questions.

Observed areas (units on floor not drilled, two floors above the alarm and one below)

1) Means of egress were properly maintained on the unit? (No unattended storage, storage not blocking safety equipment)?

2) Was the storage cleared during the alarm?

3) Was "Unit Specific Emergency Preparedness Plan" posted?

4) Did Hospital Personnel close doors during alarm?

5) Did Hospital Personnel assist/notify patients and visitors?

Fire alarm system

Did the fire alarm devices work properly (fire doors, horns & strobes)?

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.