Audit

FA - FIRE AREA RESPONSE CRITIQUE

FA01 - Did staff rescue those in immediate danger?

FA02 - Did staff alerts others in/around the fire area?

FA03 - Was the '555' call made appropriately?

FA04 - Did staff activate the fire alarm system?

FA05 - Did staff close patient room & corridor doors?

FA06 - Were corridors free of obstructions for evacuation?

FA07 - Did staff keep calm and guide patients and visitors?

FA08 - Did someone take charge of the situation?

FA09 - Were fire extinguishers deployed?

FA10 - Did non-area staff respond timely to assist?

FB - NON-FIRE AREA RESPONSE CRITIQUE

FB01 - Did someone take charge of the situation?

FB02 - Were all doors closed in corridor?

FB03 - Were corridors cleared of obstructions?

FB04 - Were patients and visitors kept in rooms?

FB05 - Were patients and visitors kept informed?

FB06 - Did staff respond to the fire area to assist?

FC - STAFF KNOWLEDGE

FC01 - Are staff familiar with RACE?
Race Activate Contain Evacuate

FC02 - Are staff familiar with PASS?
Pull the pin Aim. Aim the nozzle. Squeeze the handle. Sweep from side to side.

FC03 - Do staff know the location of the nearest fire alarm pull station?

FC04 - Do staff know the location of the departments portable fire extinguishers?

FC05 - Do staff know the medical gas shutoff valve location and who is authorized to shut down piped gasses to the unit?

FC06 - Do staff know the adjacent smoke compartment?

FD - FIRE SYSTEM CRITIQUE

FD01 - Was the alarm audible throughout the area?

FC02 - Was the alarm visible throughout the area?

FD03 - Did all fire system features work appropriately? Magnetic door holds released, heat, smoke, and strobes all function, and no obvious sprinkler system concerns in area?

FE - EVACUATION CRITIQUE

FE01 - Do staff know the department evacuation plan?

FE02 - Do staff know the appropriate evacuation destination for their patients?

FE03 - Do staff know the evacuation routes / emergency egress routes from their department?

FE04 - Do staff know the difference between horizontal and vertical evacuation?

FE05 - Are staff familiar with appropriate evacuation methods for their patient population?

FE06 - Is evacuation equipment available and appropriate for patient population?

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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.