Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Staff Procedures

  • 1. Did staff pull the pull station?

  • 2. Did staff know the emergency number to call?

  • 3. Did staff close doors promptly?

  • 4. Does staff know where the fire extinguisher(s) are located?

  • 5. Could staff explain how to use a fire extinguisher or P.A.S.S (Pull, Aim, Squeeze, Sweep).

  • 6. Did staff know the meaning of RACE? Rescue, Alarm, Contain, Extinguish.

  • 7. Was staff able to locate medical gas zone valves?

  • 8. Did staff know who is authorized to shut off medical gas zone valves? FRESH, Fire Chief, Respiratory Therapy, Engineering, Safety Officer, House Coordinator.

  • 9. We're evacuation corridors cleared of carts and or any other temporary obstructions?

  • 10. Did staff know where and how to move patients away from fire location?

  • 11. Was the staff able to locate their written fire and evacuation/relocation plan and the evacuation diagram?

  • 12. Was staff able to locate emergency preparedness manual and the emergency conditions matrix?

Fire Response

  • 13.

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