FIRE AND EVACUATION PLAN
Rescue 1122, Mardan
BUILDING NAME _________________ ADDRESS_______________________ CIT ___________________________ P!an B"___________________________
BUILDING NAME# ______________________________
This Fire Plan is to be used by staff* to protect visitors and themselves from fire or other emergencies requiring evacuation from the building.
Re$%r& a!! '(res, even if fire is immediately contained. D(a! 1122)
BUILDING SPECIFIC FIRE PROTECTION COMPONENTS
F(re C%*$%nen& Building is constructed of Non-combustible structural materials, principally concrete and steel Combustible structural materials, principally wood Corridor doors should be in the closed position during a fire emergency Automatic Fire Sprin lers are installed in building. Fully sprin lered !artially sprin lered" #efine areas with sprin lers$ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Smo e #etectors are installed in building &anually activated red fire alarm pull stations are located in the e'it routes of this building. Audible fire signal installed in building (ype ) *fill in+ %%%%%%%%%%%%%%%%%%%%%% e.g. ,orn, chime, automatic voice message -isual fire signal *e.g. strobe lights+ installed in building Fire .'tinguishers in building A / B / C (ype *for use on most fires+ 0ther *fill in+ %%%%%%%%%%" for use on *fill in+%%%%%%%%%%%%%%%%%% Areas of 1efuge or Non-Ambulatory Staging Areas 2dentified and !osted 3ocation ) %%%%%%%%%%%%%%% es N%
Fa*(!(ar(+a&(%n Become familiar with the floor plan for the building and now the locations of$ &anual !ull Stations *&!S+, fire e'tinguishers, and telephones .'it routes and e'it doors 4 .'it using stairs only when above or below the ground level.
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BUILDING NAME# ______________________________
TRAINING (he F(re and E,acua&(%n P!an consists of two essential elements, both of which must be present for it to succeed$ 5. -r(&&en .u(de!(nes / $%s&ed (n'%r*a&(%n - (he plan contains general information applicable to the entire building, as well as specific guidelines and floor plans for each floor within the building. Fire evacuation signs located in each building and near the e'it stairwells are designed to complement the plan. 6. E*$!%"ee &ra(n(n. - 7our training is essential to the success of this plan. 8ithout training the fire plan will not wor for you or your associates, so ta e time to learn and practice the procedures on a regular basis. GENERAL FIRE PROCEDURE 2f a fire occurs, you should follow the R)A)C)E. procedure$ R0 A0 C0 E0 Rescue Rescue anyone *this includes yourself+ who is in immediate danger from the fire. 1emove these people to the closest safe area, simultaneously notifying other staff of the fire and its location. 3n%4 45ere a!&erna&e e6(&s are !%ca&ed. RESCUE ALARM CONFINE E1TINGUIS2
A!ar* 2f you are the first person to discover a fire, communicate your discovery to other staff in the area, activate the closest fire alarm activating device" ca!! 1122 'r%* &5e neares& sa'e !%ca&(%n) I' "%u are (n,%!,ed (n rescue, send s%*e%ne &% ca!! 1122)
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BUILDING NAME# ______________________________
C%n'(ne Confine the fire by closing all of the doors in and around the fire area. (his will help eep fire and smo e from contaminating the e'it paths during evacuation. 2t also helps to eep the fire to a much smaller area and aids in preventing it from spreading to other areas.
E6&(n.u(s5 (here is no better time to control and extinguish a fire than in its early stage. 9tili:e fire e'tinguishers acronym * P)A)S)S)+ if you discover a fire in its earliest stage. 2f a fire is well developed, however, the best thing to do is close the doors around it and get out. #o not place yourself at unnecessary ris 4your greatest value is as a rescuer, not as a firefighter. P0PULL Stand bac from the fire and pull the pin. A0AIM Aim the no::le at the base of the flame S0S7UEE8E quee!e the handle S0S-EEP "eep the no::le from side to side at the base of the flames until the fire is completely e'tinguished. (he 1122 9'(re sec&(%n: is responsible for e'tinguishing fires at the ;u(!d(n.. 7ou should never hesitate to call 1122. Remember that fire, even a small fire, presents an extreme risk to staff and everyone inside the building, so dont hesitate act immediately! As a Re*(nder# All fires will re;uire an investigation as to the cause. A report must be ta en by .mergency 0fficer 5566 after each event. 8ait for an A33 C3.A1 from 1escue 5566 #epartment before re-occupying a building after a fire evacuation.
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BUILDING NAME# ______________________________
BUILDING ASSEMBL AREA / EVACUATION PROCEDURE
(o be filled in by Building Coordinator and #epartment 3eads in consultation with 9C#,S Fire !revention BUILDING ASSEMBL AREA Pr(*ar" Asse*;!" Area# A!&erna&e Asse*;!" Area# E,acua&(%n Ass(s&ance Area<# < Area for non-ambulatory persons or those in need of rescue assistance Note$ (he on-scene incident commander has the final decision on the assembly area based on the event. .vacuation of victims must begin when the fire alarm sounds or evacuation is ordered by the incident commander *1escuer from 5566+ or !ublic Safety 0fficer *Fire/!olice+. &ovement will begin with relocation of victims most affected by the .mergency in the following order$ 5+ -ictims in immediate danger 6+ Ambulatory victims =+ Non-ambulatory victims
EVACUATION PROCEDURE
5. 2f you are the first person to discover a fire or other emergency necessitating a building evacuation, ca!! 1122 *from a landline+ or *from a cellular phone+. Communicate your discovery to other staff in the area and activate the closest fire alarm device. For response to criminal activities, refer to 5.a. below. I' "%u are (n,%!,ed (n rescue, send s%*e%ne &% ca!! 1122. a. For criminal activities, such as a bomb threat, active shooter, or hostage situation, call rescue police 5> from a land line or cellular phone. 9nless directed by emergency responders *5566 or 5>+, d% n%& ac&(,a&e the fire alarm system. i. For a bomb threat, turn off all two-way communication devices, such as two-way radios, cell phones. 6. Building Coordinator or owner will$ a. 2f it is safe to do so$ i. (a e the des copy of building?s Fire and .vacuation !lan before vacate the building.
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BUILDING NAME# ______________________________
ii. !ut on emergency vest and sweep the assigned floor, assist with victim evacuation and safely evacuate the building. iii. Contact Ambulance operations *5566+ to notify of evacuation via pager. b. Act as 3iaison to the on-scene 2ncident Commander *typically or fire+ i. !roceed to the incident command post *generally a police car or fire engine+. ii. Communicate where non-ambulatory persons are staged in the building. c. Special 2nstructions @@ delete if not applicableAA i. (he Building Notification system for this building is *fill in+ %%%%%%%%%%%%%%%%%% e.g. telephone paging system or air horns. ii. 2n the event of a criminal activity, such as a bomb threat, active shooter, or hostage situation, activate the Building Notification system 0N37 8,.N directed by emergency responders *fire or police+. iii. @@delete if not applicableAA 2f the building does not have an audible fire alarm$ use the Building Notification system to inform people to evacuate the building =. #epartment / 9nit Coordinator a. 2f it is safe to do so, i. !rimary Care Networ Clinics$ 2f there is time and it is safe to do so, switch AC# to BNightC mode or contact (echnical 0perations Center *D-D=>E+ after evacuating to switch AC# to BNightC mode. ii. 0r - (elephone the answering service and notify of evacuation. 1elay the name and pager number of the physician on call and any other pertinent information *e.g., the estimated duration of the evacuation, and/or forward telephones to a nearby !CN clinic, if appropriate+. b. (a e the patient schedule before vacating the building. c. Assist with removal of patients and staff. d. Assign staff member*s+ to sweep public spaces of floor / area, if it is safe to do so. e. .vacuate building and go to Assembly Area. f. Account for all staff" if staff are not accounted for, attempt to contact and verify location. g. 1eport any persons nown to be in the building to the Building Coordinator, who will give report to on-scene 2ncident Commander. h. 2f it was not safe to switch AC# before evacuation, call the (echnical 0perations Center *,elp #es + at F5G-E=D-D=>E and re;uest to remotely switch AC# system during evacuation. i. 8hen the emergency has been resolved and the clinic is able to return to routine business operations, return the phones to normal. D. Nurses and !hysicians will$ a. .nsure that patients are properly draped and able to be transported
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BUILDING NAME# ______________________________
and assist them in evacuating the premises using the safest e'it. #levators are not to be used. b. (riage patients upon arrival at Assembly Area" as needed, patients will be transported to sister clinics. !atients who can be rescheduled without compromising patient care will be sent home and rescheduled for another appointment. >. All Staff *including nurses and physicians+ will$ a. (a e personal belongings, such as purse or wallet, car eys, and cell phone, if items are immediately available. b. .'it the building using the nearest available e'it or stairs. c. (o the e'tent it is safe to do so, direct patients and/or visitors to evacuate the building using the nearest available e'it or stairs and to gather at the !rimary Assembly Area *or secondary area if primary area is unsafe or unavailable+. i. Note$ (he on-scene 2ncident Commander may designate another assembly area, based on the nature of the emergency. d. Assist any person needing rescue assistance, such as those persons in a wheelchair or gurney, to the .vacuation Assistance Area*s+. i. At least one staff member should remain with patients or nonambulatory persons at each .vacuation Assistance Area. ii. Staff must report on the status and location of all persons needing rescue assistance to the Building Coordinator. e. Hather at the Assembly Area i. All staff MUST report to their #epartment/9nit Coordinator for roll call and instructions. ii. Account for all patients and visitors from their area*s+, if possible. iii. #o not leave the Assembly Area until told to do so by your #epartment/9nit Coordinator. iv. 2nform your #epartment/9nit Coordinator if you have specific information regarding the emergency or about persons needing evacuation assistance. v. #o not re-enter the building until the A33 C3.A1 from the 2ncident Commander is called. Notification to all employees and patients to re-enter the building will be from the 2ncident Commander through the Building Coordinator. G. Special Assignments, if applicable a. Assign departments or units to perform building-specific evacuation tas s, such as place cones to assist with crossing street i. Specify$ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% b. Assign persons to report department-specific evacuation information to the on-scene 2ncident Commander" such as the location of animals in building or location of ha:ardous materials or processes in building. i. Specify$ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
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BUILDING NAME# ______________________________
COMMUNICATION PLAN BUILDING CONTACT LIST (o be filled in by Building Coordinator BUILDING COORDINATOR Name !hone Number Cell !hone .-mail Address ALTERNATE BUILDING COORDINATOR Name !hone Number Cell !hone .-mail Address BUILDING LEADERS2IP IN C2ARGE 0 (' a$$!(ca;!e Name !hone Number .-mail Address ASSEMBL AREA CONTACTS 0 (' a$$!(ca;!e Name !hone Number Cell !hone .-mail Address Name !hone Number Cell !hone .-mail Address
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BUILDING NAME# ______________________________
DEPARTMENT CONTACT LIST (o be filled in by #epartment 3eads UNIT = DEPARTMENT 9%r FLOOR: COORDINATOR9S: 9nit Name Name !hone Number Cell !hone .-mail Address 9nit Name Name !hone Number Cell !hone .-mail Address 9nit Name Name !hone Number Cell !hone .-mail Address 9nit Name Name !hone Number Cell !hone .-mail Address 9nit Name Name !hone Number Cell !hone .-mail Address
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BUILDING NAME# ______________________________
SACRAMENTO CAMPUS EMERGENC CONTACT INFORMATION UC DAVIS FIRE PREVENTION !hone Number 4 Front #es !hone Number - .mergency 0nly !hone Number - .mergency 0nly UC DAVIS POLICE DEPARTMENT !hone Number 4 3andline !hone Number 4 Cellular !hone *F5G+ E=D-=I=G F55 *landline+ *F5G+ E=D-6>>> *cellular phone+ F55 *F5G+ E=D-6>>>
MEDICAL CENTER SAFET 9E2/S: CONTACT# Name Bob 3awson !hone Number *F5G+ E=D-6EDI or *F5G+-E=D-==>> .-mail Address robert.lawsonJucdmc.ucdavis.edu MEDICAL CENTER EMERGENC PREPAREDNESS CONTACT# Name Hlynis Foul !hone Number F5G-E=D-K6G5 .-mail Address glynis.foul Jucdmc.ucdavis.edu UCDMC UC DAVIS PAR3ING / TRANSPORT !hone Number *F5G+ E=D-K55E !ager Number *F5G+ EG6-56=I UCDMC IT=TELECOMMUNICATION !hone Number ,ospital 0perator UCDMC PATIENT ESCORT !hone Number *F5G+ E=D-KEII *F5G+ E=D-EI6I *F5G+ EI=-D=5>
<<<<<<<<<<<<<<<< De!e&e '%r Bu(!d(n.s 4(&5 n% Acade*(c %r Researc5 S&a'' <<<<<<<<<<<<<< SAC RESEARC2 / ACADEMICS SAFET 9E2/S: / EP CONTACT# Name 9C #avis Campus Safety Services !hone Number >=I-E>6-5DF= SOM LABORATOR SAFET OFFICER 9DAVIS:# Name #iane ,offmann !hone Number *>=I+ =ID-IIIG cell .-mail Address dehoffmannJucdavis.edu
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