Title Page
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SITE NAME
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SET GPS LOCATION
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REPORT PREPARED BY
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DATE OF EVACUATION
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TIME OF EVACUATION
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THE FIRE ALARM "MxPro 5 SERIES"; THE FIRE ALARM PANNEL LOOKS LIKE THIS:
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FIRE ZONES AND LOCATION OF PANEL (ROOM BEHIND MAIN RECEPTION):
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MAKE SURE THE MONITORING STATION IS CONSIDERED IF THERE IS SUCH AN ARRNAGEMENT
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PLEASE USE THE NOTES FEATURE WHEN REQUIRED/NEEDED TO RECORD MORE DETAILS
EVACUATION DETAILS
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FIRE BRIGADE CALLED
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IF FIRE BRIGADE CALLED WHAT TIME DID THEY ARRIVE (IF NOT, TYPE N/A).
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WAS SOMEONE APPOINTED TO INVESTIGATE THE FIRE
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WHAT ARE THE EVACUATION ZONES EFFECTED (ON THE PANNEL AND REFER TO MAP FOR POSSIBLE ACTIVATION LOCATIONS)
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WHAT WAS THE CAUSE OF THE EVACUATION
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EVACUATION TYPE (ACCIDENT; PLANNED DRILL; FAULT; MISUSE; ACTUAL FIRE; OTHER)
- ACCIDENT
- PLANNED DRILL
- FAULT
- MISUSE
- ACTUAL FIRE
- OTHER
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HAS THE ALL CLEAR BEEN GIVEN TO ZONE 1
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HAS THE ALL CLEAR BEEN GIVEN TO ZONE 2
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HAS THE ALL CLEAR BEEN GIVEN TO ZONE 3
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HAS THE ALL CLEAR BEEN GIVEN TO ZONE 4
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NO ONE FAILED OR REFUSED TO LEAVE THE BUILDING, IF THIS IS NOT THE CASE PLEASE PROVIDE DETAILS IN THE NOTES TAB.
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THE TRAFFIC WAS MANAGED TO ENSURE FIRE BRIGADE ACCESS AND PEOPLE SAFETY
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HOW LONG DID IT TAKE TO EVACUATE EVERYONE FROM THE BUILDING (A GOOD TIME IS 2.5 MINS)
MOCK FIRES (PLANNED DRILLS)
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WERE MOCK FIRES HAVE BEEN USED TO GET PEOPLETO BECOME AWARE OF ALTERNATE EXITS<br>(PERSON HOLDING A PICTURE OF A FIRE BLOCKING A ROUTE)<br>
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WERE THERE MOCK FIRE OBSERVATIONS (N/A OR ADD TO NOTES).
GENERAL COMPLIANCE
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WAS THE EVACUATION A SWEEP OR ROLL CALL
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THERE WAS NO SHORTAGE OF FIRE SAFETY PERSONNEL
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FIRE MANAGEMENT PERSONNEL WERE ACTIVELY<br>GETTING EVERYONE OUT OF THE BUILDING, AND THEY<br>REPORTED THE ALL CLEAR TO THE FIRE OFFICER OUTSIDE
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WHERE PRESENT, FIRE ALARM PANEL INTERFACES DID WORK (REMEMBER TO RE-SET SYSTEMS WHERE REQUIRED)
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WAS THE FIRE ALARM SOUNDERS WERE HEARD IN ALL PARTS OF THE BUILDING .
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IS THERE A CURRENT FIRE ALARM SERVICE CERTIFICATE AND HAVE ALL REMEDIALS BEEN CLOSE OUT (6 MONTHLY TESTING)
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IS THERE A CURRENT EMERGENCY LIGHT SERVICE CERTIFICATE AND HAVE ALL REMEDIALS BEEN CLOSED OUT (AT LEAST YEARLY)
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DID DOOR INTERLOCKING SYSTEMS RELEASE ON ACTIVATION OF THE FIRE ALARM
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PEOPLE DID NOT USE THE PASSANGER LIFT
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DID THE LIFT GROUND ON ACTIVATION OF THE FIRE ALARM
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HAS THE PASSANGER LIFT GOT A SIGN THAT STATES - "DO NOT USE IN THE EVENT OF A FIRE"
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WHERE FIRE EXTINGUISHERS HAVE BEEN DISTCHARGED <br>(MAKE A NOTE TO RAISE A REACTIVE JOB TO RE-FILL).
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WHERE PEEPs/GEEPs WERE IN PLACE DID THEY WORK ACCODING TO THE AGREED PLANS
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AS FAR AS YOU CAN TELL DID THE FIRE DOORS OPERATE CORRECTLY
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IS THERE A DESIGNATED ASSEMBLEY POINT, CONFIRM IT IS<br>NOT TO CLOSE TO THE BUILDING BUT FAR ENOUGH AWAY TO<br>ENSURE SAFETY
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THE FIRE ASSEMBLEY POINT IS CLEARLY VIABLE AND IN A GOOD STATE OF REPAIR
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DID THE APPOINTED PERSON OR PERSONS TAKE A FIRST AID KIT TO THE ASSEMBLEY POINT
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WERE FIRE PERSONNEL WEARING HIGH VIZ
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THERE WAS NO EXCESSIVE NOISE
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WAS THERE A SECURITY CONSIDERATION IN PLACE <br>(E.G APOINTED PERSONS WATCHING FIRE ESCAPES TO REPORT ANY THEAFT ATTEMPTS)
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FIRE PERSONNEL MAINTAINED ADEQUATE TRAFFIC MANAGEMENT AND CROWD CONTROL
OBSERVATION OTHER
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OBSERVATION 1
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OBSERVATION 2
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OBSERVATION 3
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OBSERVATION 4
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OBSERVATION 5
REVIEW
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RATE OVERALL EFFECTIVENESS OF FIRE PROCEDURES
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RATE OVERALL TIME TO EVACUATE
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RATE EFFECTIVENESS OF FIRE SYSTEMS
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REATE EFFECTIVENESS OF PEOPLE MANAGEMENT
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RATE FIRE EVACUATION MANAGEMENT TEAMS COMMUNICATION
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SIGNITURE OF PERSON FILLING IN THIS REPORT
