Audit

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Department Questions

If there is a fire in your department, what are your response procedures? (RACE/PASS)

If the fire is in an adjacent department, what are your response procedures? (prepare for influx of patients/visitors/ TMs- clear hallway, close patient doors, etc.)

What does RACE Stand for? (rescue-alarm-contain-extinguish/evacuate)

What does PASS stand for? (pull-aim-squeeze-sweep)

Where is your nearest fire extinguisher?

Where is your nearest pull station?

Who has the authority to shut off oxygen? ( NS- nurse in charge of the department- Respiratory- FD)

Evacuation Team Questions

Who has the authority to shut off oxygen? ( NS- nurse in charge of the department- Respiratory- FD)

What is the duty of the evacuation team? (aid in evacuation procedures)

Did the Nursing Supervisor bring the grand master key?

Where should patients and guests be evacuated? (horizontal, into adjacent smoke compartment)

Drill Information

Was Code Red and correct location paged 3 times?

Did the evacuation team response within 1 minute?

Were fire alarm devices functioning properly in the drill area?

Did fire doors close and latch in drill area?

Did the monitoring company receive the alarm signal? What time?

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.