FIRE SAFETY - PATIENT AREAS CHECKLIST

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--- GENERAL FIRE SAFETY OVERVIEW ---
[ ] Last Fire Safety Inspection Date
[ ] Patient Area Square Footage
[ ] Area Occupancy Type (e.g., ICU, General Ward) (ICU, General Ward, Pediatrics, Burn Unit, Other)
[ ] Brief Description of Patient Area Layout and Potential Fire Hazards
[ ] Presence of Oxygen/Medical Gases in Use? (Yes, No)
[ ] Name of Person Responsible for Fire Safety in this Area
[ ] Current Fire Risk Rating (based on facility assessment) (Low, Moderate, High)

--- FIRE DETECTION AND ALARM SYSTEMS ---
[ ] Alarm System Test Frequency (Months)
[ ] Last Alarm System Test Result (Passed, Failed - Corrective Action Required, Not Performed)
[ ] Date of Last Alarm System Inspection
[ ] Description of Any Alarm System Deficiencies Found (and corrective actions taken)
[ ] Smoke Detectors Functionality (All Operational, Some Deficiencies - Refer to Notes)
[ ] Heat Detectors Functionality (if applicable) (All Operational, Some Deficiencies - Refer to Notes, Not Applicable)
[ ] Number of Smoke Detectors Tested and Functioning
[ ] Notes on Audible Alarm Levels & Clarity

--- FIRE SUPPRESSION SYSTEMS ---
[ ] Sprinkler Head Coverage Condition (Visual Inspection Rating 1-5, 5=Excellent)
[ ] Sprinkler System Test Date (Last Flow Test) (Within Last Year, Within Last 6 Months, Outside Recommended Timeline - Requires Review, Not Applicable (No Sprinkler System))
[ ] Number of Fire Extinguishers Present
[ ] Fire Extinguisher Inspection Status (Last Inspection) (Current & Compliant, Expiring Soon - Review Required, Out of Date - Requires Replacement, Not Applicable)
[ ] Date of Last Fire Extinguisher Inspection
[ ] Fire Blanket Condition (Good, Damaged/Soiled - Requires Replacement, Not Present, Not Applicable)
[ ] Any Observed Deficiencies or Notes Regarding Fire Suppression Systems

--- EMERGENCY EGRESS & EXIT ROUTES ---
[ ] Are Exit Doors Easily Openable? (Yes, No, N/A)
[ ] Are Exit Signs Visible and Functional? (Yes, No, Partially Obscured)
[ ] Emergency Lighting Functioning Correctly? (Yes, No, Needs Testing)
[ ] Number of Clear Exit Route Width (in feet/meters)
[ ] Observed Obstructions (if any)
[ ] Are Exit Route Maps Present & Up-to-Date? (Yes, No, N/A)
[ ] Are Exit Doors Propped Open? (Yes, No, N/A)
[ ] Any other relevant observations about exit routes?

--- MEANS OF ESCAPE - OBSTRUCTIONS ---
[ ] Are exit routes clear of obstructions? (Yes, all routes clear, No, minor obstructions present, No, significant obstructions present)
[ ] If obstructions are present, describe them:
[ ] Width of the narrowest exit passage (in inches):
[ ] Are exit signs visible and unobstructed? (Yes, No, Not Applicable)
[ ] Are emergency lighting fixtures functional and providing adequate illumination? (Yes, No, Not Applicable)
[ ] Note any issues with exit signage or emergency lighting:
[ ] Upload photos of any obstructions or concerns:

--- FIRE SAFETY EQUIPMENT - ACCESSIBILITY & CONDITION ---
[ ] Fire Extinguisher Quantity - Verified
[ ] Fire Extinguisher Inspection Tags (Current & Valid?) (Yes, No, N/A)
[ ] Fire Blankets Present? (Yes, No, N/A)
[ ] Fire Blankets - Condition (Clean, Unobstructed?) (Good, Needs Cleaning, Damaged/Needs Replacement, N/A)
[ ] Emergency Lighting - Functioning Properly? (Yes, No, N/A)
[ ] Comments/Details (e.g., specific extinguisher issues)
[ ] Photo Evidence (e.g., extinguisher labels)
[ ] Hose Reel Cabinet - Accessible & Unobstructed? (Yes, No, N/A)

--- PATIENT & STAFF TRAINING & AWARENESS ---
[ ] Frequency of Fire Safety Drills (per year)
[ ] Type of Fire Safety Training Provided to Staff (Basic Fire Awareness, Fire Extinguisher Training, Evacuation Procedures, Specialized Training (e.g., for high-risk areas))
[ ] Last Fire Safety Training Session for Staff
[ ] Which fire safety topics are covered in training? (Evacuation Procedures, Fire Extinguisher Use, Reporting Fires, Emergency Contact Information, Patient Assistance During Evacuation)
[ ] Summary of Patient Fire Safety Information Provided
[ ] Method of communicating fire safety information to patients (Verbal Instructions, Written Materials, Visual Aids (e.g., posters))

--- HOUSEKEEPING & STORAGE ---
[ ] Are flammable materials stored in approved containers? (Yes, No, N/A)
[ ] Distance of flammable materials from heat sources (in feet/meters, specify unit in notes)
[ ] Which of the following housekeeping practices are in place? (Regular dust removal, Proper disposal of waste materials, Control of linen storage, Secure storage of medical supplies, None of the above)
[ ] Description of linen storage methods.
[ ] Any observations regarding the general tidiness and organization of the patient area regarding fire safety. Include any potential hazards noticed.
[ ] Is storage height compliant with fire safety guidelines? (Yes, No, N/A)
[ ] Date of last housekeeping review related to fire safety.

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