Audit

Alterations and/or changes, "Since the last inspection have there been any building works in the Ward / Dept area?
(such works may have altered fire plans, signage, means of escape etc)"

If you identify significant changes in risk or make any significant changes to your working practices, you must tell others who share the premises and re-train staff, conduct a full FRA.

"How many staff have a disability? (Consider that special evacuation arrangements may need to be made)"

What time is the premises in use?

What is the maximum number of staff in the Ward / Dept; at peak times? (All groups: medical, administration, cleaners, others)

What is the maximum number of patients & visitors at peak times?

How many staff have attended fire warden training?

Is there enough fire wardens to cover the Ward / Dept?

1.0 FIRE POLICY/PLAN

1.1 Is a copy of the Ward / Dept fire plan readily available for all staff?

1.2. Are Fire Instructions prominently displayed beside the fire alarm call points and/or in other appropriate locations?

2.0 MEANS OF ESCAPE (FIRE DOORS)

2.1. Are all fire exits and doors readily open-able from the inside without the need for a key or code?

2.2. Are all fire exit doors undamaged and unobstructed?

(Also consider, Smoke or Heat detector heads must be undamaged and kept clear of obstruction)

2.3. Are fire resisting doors kept closed? (Except those held open by magnets) (Remove wedges, hooks or any other unauthorised means of holding fire doors open)

2.4. Are all fire resisting doors fitted with smoke seals?

(Smoke seals are usually protruding rubber or brush type strips. They should be in good condition with no gaps around door edges)

2.5. Are fire doors correctly labelled?
(Exit doors - ‘Fire Door Keep shut’
Store/Utility rooms/risers - ‘Keep Locked Shut’
Automatic & hold open doors - ‘Automatic Fire Door Keep Clear)"

2.6. Do the self-closing devices on fire resisting doors work correctly?

(Fire doors should close fully into their frames and not catch on the floor or any other obstruction
Do magnetic hold open devices attached to doors and walls appear to be in good working order?)

3.0. MEANS OF ESCAPE (EVACUATION ROUTES)

3.1. Are staircase enclosures leading to or from the Ward / Dept free from stores & any other obstruction?
(e.g. Furniture, beds, trolleys, pallets, medical equipment, waste)

3.2. Are common area corridors leading to or from the Ward / Dept free from stores & any other obstruction?

3.3. Are all fire safety signs in good condition and can they be seen clearly?
(Signs include: Fire exit signs and door signage)

3.4. Are all escape routes provided with adequate emergency lighting?
(Escape routes include corridors and stairways as well as any external route leading outside)

3.5. Do the staff know exactly where the ASSEMBLY POINT for their Ward / Dept is?

(Consider they may need to get there at night or in poor lighting conditions
Does the Ward / Dept have a procedure for ‘vertical or horizontal evacuation’ of patients?)


4.0. FIRE FIGHTING EQUIPMENT

4.1. Are the fire alarm break glass call points clearly visible and kept unobstructed?

4.2. Are fire extinguishers mounted on wall brackets, approved cupboards or on stands, unobstructed and fitted with security seals?

(security seals are usually plastic tabs or pull rings)

4.3. Where there is a kitchen, is a Fire Blanket provided?

(Where a blanket is provided is there a clear space below its container so that it can be withdrawn easily?
Fire blankets must not be sited directly over sources of the heat hazard. Toasters must only be used if approved by the MTW FSO and not left unattended whilst in use).

5.0. HAZARDOUS MATERIALS & CYLINDERS

5.1. Are any flammable liquids or gases used or stored in the Ward / Dept?

(List them & the maximum quantities stored. Consider also, pressure vessels and any other equipment that may add to ‘fire loading’ or be a source of combustion)

5.2. Are the flammable liquids or gases used or stored in the Ward / Dept kept in appropriate cupboards and receptacles?

(Confirm the location and type of storage used, photos. Some storage areas and cupboards may need to be fire retardant with special fire suppression measures)"

5.4. Are all oxygen bottles or other medical gases stored correctly in approved areas and on approved racks or trolleys?

5.5. Is the process / procedure known for the removal or safe storage of dangerous substances

6.0. HOUSEKEEPING & ARSON

6.1. Are all areas kept free from combustible waste, cardboard and the build up of linen, or similar materials?

6.2. Is there any evidence of smoking in the Ward / Dept and adjacent common areas or staircases?
Also E-cigarettes, batteries and chargers

6.3. Are there adequate security measures within the Ward / Dept?

(Measures to deter unauthorised entry being adhered to, display material hazards)

6.4 Are existing control measures controlling the Risk of Fire, including arson suitable?

7.0. ELECTRICAL

7.1. Have all items of portable electrical equipment been PAT tested within the last 12 months?

(Labels with dates may be attached to plugs)"

7.2. If portable electric heaters are provided in the Ward / Dept (Emergency use only) are they being controlled?

(All sources of heat producing equipment, including toasters must be serviced and maintained and kept free from covers & obstruction)

7.3. Are there extension leads in use?

(One plug per socket; Plugs must not be overloaded, daisy chains extensions and tightly coiled flexes are not allowed, Does all electrical wiring appear to be in a satisfactory condition? Do not touch bare wiring, isolate the problem and call the Facilities Help Desk immediately)

8.0 Fire Prevention - Portable Fire fighting Equipment

8.1 Is there adequate provision of portable fire extinguishers which are suitable types for the fire risks where they are positioned?

8.2 Are all portable fire extinguishers and fire blankets suitably located, positioned on brackets securely fixed to the wall and available for immediate use — not obstructed or hidden?

8.3 Are the locations of all portable fire extinguishers and fire blankets clearly identifiable even without the provision of appropriate signs?

Comments

Additional Comments, What needs to be done to make each situation safe? Action by who? Date to be completed.

MTW Fire Safety Officer Signature John Sinclair
Ward / Department Manager Signature
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.