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The Fire Watch Checklist form is an essential tool designed to ensure safety in various environments, particularly in healthcare settings like the Lancaster General Hospital. It guides staff through the necessary steps for conducting effective fire watches, focusing on critical conditions that must be met when unusual fire risks are present. These risks may arise during hot work processes, or when sprinkler and fire alarm systems are impaired due to maintenance, inspections, or renovations. The form includes specific areas to be monitored, such as exits and corridors, and requires documentation of compliance with several conditions, ensuring accessible fire extinguishers and that fire watches continue for at least thirty minutes following hot work. Additionally, it emphasizes the importance of vigilant patrols of the designated areas—covering not just common spaces but also stairwells and lounges. Should signs of smoke or fire be detected, it instructs personnel to activate the nearest alarm and notify occupants immediately. This comprehensive approach reinforces the commitment to safety and preparedness in a shared space.

Fire Watch Checklist Example

Lancaster General Hospital

Fire Watch Checklist and Log

Project/Department: _____________________________ List Fire Watch Areas_______________________

Name of Building:

LGH

WBH

Campus

Other: ____________________________________

Reason(s) for Fire Watch (indicate all that apply below):

 

Hot Work

 

 

 

Sprinkler System Impairment

Fire Alarm System Impairment:

 

_____ regular maintenance

_____ regular maintenance

 

_____ inspection

 

 

_____ inspection

_____ renovation/demolition work

_____ other (explain)

_____ renovation/demolition work

 

_____ other (explain)

 

Ensure the following Conditions (where applicable): (1) Exits, corridors, & stair towers are free from obstructions; (2) fire extinguishers are easily accessible & in the immediate area of hot work; (3) fire watch continues at least 30 minutes after hot work is completed (if applicable); (4) hot work permit current and accessible (if applicable); (5) temporary partitions are smoke tight and made of limited combustible materials. Return completed sheets to the LGH Safety Department; fax 717- 544-4946.

EACH AREA MUST BE CHECKED HOURLY AND DOCUMENTED BELOW

Date

Time

Person Conducting Watch

Comply with conditions

mm/dd/yyyy

 

 

listed above?

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

am/pm

 

YES

NO

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

am/pm

 

YES

NO

 

am/pm

 

YES

NO

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

 

 

 

 

 

am/pm

 

YES

NO

 

 

 

 

 

 

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YES

NO

 

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YES

NO

 

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NO

 

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YES

NO

 

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YES

NO

Fire watch procedure:

Patrol your designated area. Include corridors, hallways, lobbies, stairwells, lounges, and other common areas. O Enter all stairwells - open doors and look into each stairwell.

O Enter all common areas including basement, lounges, laundry room, and dining areas.

Document completion of rounding on the Fire Watch Checklist & Log.

Look for observable signs of smoke and/or fire.

At first sign of smoke or fire, Fire Watch personnel must:

Pull the nearest fire alarm pull station. Nearest active pull station location: ______________________________

Notify building occupants in the immediate area by shouting “Condition Red”.

Call the emergency number:

O

Cell Phone:

911

 

 

 

 

O

Internal extensions:

LGH 77911

Health Campus 43911

WBH 82911

Satellites 911

Do not put yourself in jeopardy. If you suspect smoke and/or fire, call the emergency number as quickly as possible.

REVISED: 12/26/2011 2:17:00 PM; 11/05/2009; 11/30/2009; 11/2011

Form Characteristics

Fact Name Description
Purpose of the Form The Fire Watch Checklist is designed to ensure fire safety during specific conditions, such as hot work or impairment of fire protection systems. It provides a structured method for monitoring potentially hazardous areas.
Conditions for Compliance Key conditions must be checked and documented hourly. These include ensuring exits are clear, fire extinguishers are accessible, and continued fire watch activities for at least 30 minutes after hot work is completed.
Emergency Procedures In the event of smoke or fire, the form outlines immediate actions, such as activating the nearest fire alarm, notifying others verbally, and calling emergency numbers without putting oneself in danger.
Return of Completed Forms After documenting the necessary watch activities, completed checklists must be returned to the LGH Safety Department. This helps ensure accountability and proper record-keeping for safety compliance.

Guidelines on Utilizing Fire Watch Checklist

Filling out the Fire Watch Checklist form is an essential task requiring attention to detail. Each part of this form needs to be completed accurately to ensure safety and compliance. Proper documentation helps keep everyone informed and prepared in case of emergencies.

  1. Project/Department: Fill in the name of the project or department in the designated space.
  2. List Fire Watch Areas: Clearly specify the areas that will be monitored.
  3. Name of Building: Enter the name of the building, specifically noting "LGH WBH Campus" if applicable.
  4. Other: If there are any other relevant buildings, list them here.
  5. Reason(s) for Fire Watch: Indicate all applicable reasons by marking the appropriate boxes. Provide explanations for options marked as "other." Be thorough and clear.
  6. Conditions Checklist: Ensure that all the listed conditions are met, including checks on exits, fire extinguishers, hot work permits, and smoke-tight temporary partitions.
  7. Hourly Checks: Document the date, time, and the individual conducting the fire watch. Check the box indicating whether conditions have been complied with, marking 'YES' or 'NO' next to each entry.
  8. Fire Watch Procedure: Patrol your designated area, including all specified locations. Ensure you document your rounds on the checklist.
  9. Emergency Steps: If smoke or fire is observed, follow the emergencies steps and document the location of the nearest fire alarm pull station.
  10. Return Completed Sheets: Once finished, return all completed Fire Watch Checklist forms to the LGH Safety Department via fax at 717-544-4946.

What You Should Know About This Form

What is the purpose of the Fire Watch Checklist form?

The Fire Watch Checklist form is designed to ensure safety during situations that elevate fire risk. Whether due to hot work activities, sprinkler system impairments, or fire alarm system issues, this form helps to monitor environments at Lancaster General Hospital. Completing the checklist guarantees that all necessary precautions are in place and documented, ultimately safeguarding the wellbeing of everyone in the building.

Who is responsible for completing the Fire Watch Checklist?

It is the responsibility of designated personnel to complete the Fire Watch Checklist. This individual must patrol the areas that have been identified for monitoring and make sure all conditions are met. Each person's name should be recorded, providing accountability and ensuring the safety protocols are followed properly.

What specific conditions need to be checked during the Fire Watch?

The checklist outlines several key conditions that must be verified. These include ensuring exits, corridors, and stair towers are free from obstructions. Additionally, fire extinguishers should be immediately accessible in areas where hot work takes place. Fire watch must continue for at least 30 minutes after hot work is completed, and a current hot work permit needs to be available where applicable. Temporary partitions should also be smoke-tight and composed of limited combustible materials.

How often should the Fire Watch areas be inspected?

Fire Watch areas should be inspected hourly. Each inspection must be documented on the checklist, noting the date, time, and the person conducting the watch. This regular monitoring is crucial for maintaining safety and ensuring prompt action can be taken if any issues arise.

What actions should be taken if smoke or fire is detected?

If smoke or fire is observed, immediate steps must be taken. The first action is to pull the nearest fire alarm pull station. Then, notify nearby occupants by shouting “Condition Red.” Finally, contact emergency services by dialing 911 or using internal extensions specific to the hospital. It is vital to prioritize personal safety and alert others without putting oneself in danger.

Where should completed Fire Watch Checklist forms be submitted?

Once the Fire Watch Checklist has been filled out and completed, it should be returned to the LGH Safety Department. Completed forms can be submitted via fax to 717-544-4946. Keeping these records helps in maintaining ongoing safety measures and allows for appropriate follow-up actions if necessary.

Common mistakes

Filling out the Fire Watch Checklist form may seem straightforward, but mistakes continue to occur. One common error is leaving the Project/Department section blank. This information is crucial as it indicates where the fire watch is taking place. In a large facility like Lancaster General Hospital, multiple departments may be engaged in hot work simultaneously. If a department is unlisted, it can lead to confusion during emergencies and hinder response efforts.

Another frequent oversight involves failing to check all the Reasons for Fire Watch. Accurate completion of this section is important for understanding why the fire watch is necessary. By not indicating the specific reason—be it hot work, renovation, or system impairment—responsibility and accountability may become unclear. This is essential for ensuring proper measures are taken to safeguard the area during operations.

Additionally, some individuals neglect to verify the Compliance with Conditions for each hour of the fire watch. The conditions outlined in the checklist are not mere suggestions; they are essential for maintaining safety. Failing to note whether conditions are met can result in increased risk during hot work activities. Checking and documenting compliance helps ensure that all safety measures are actively enforced throughout the process.

Finally, poor documentation of the Date and Time entries represents another mistake that can have serious implications. Each hour of fire watch must be documented accurately, maintaining a clear log of activities undertaken. In an emergency, having precise records of who was monitoring which areas and when can be critical. Neglecting this step might lead to ineffective safety responses and jeopardize the well-being of everyone involved.

Documents used along the form

The Fire Watch Checklist form serves as an essential document for maintaining safety standards during specific situations. Along with this checklist, several other forms and documents are often utilized to ensure a comprehensive approach to fire safety and building compliance. Below is a list of these related documents.

  • Hot Work Permit: This document grants permission for work that generates heat, sparks, or open flames. It outlines safety precautions to be followed during hot work operations.
  • Building Fire Safety Plan: This plan provides guidelines for fire safety within the building. It includes evacuation routes, emergency contacts, and responsibilities during a fire incident.
  • Fire Alarm System Maintenance Log: This log tracks the regular maintenance and inspections of the fire alarm system. It ensures that the fire alarms are operational and compliant with safety standards.
  • Fire Extinguisher Inspection Record: This document records the inspection of fire extinguishers. It verifies that all extinguishers are accessible, operational, and properly maintained.
  • Emergency Evacuation Plan: This plan outlines the process for safely evacuating individuals from the building in case of a fire or other emergencies. It is vital for ensuring everyone knows their evacuation routes.
  • Incident Report Form: In the event of a fire or emergency, this form captures details about the incident. It is essential for reviewing safety measures and improving future safety protocols.
  • Training Records for Fire Watch Personnel: This document maintains records of training completed by fire watch personnel. It ensures that those responsible for monitoring fire safety are adequately trained and equipped to handle emergencies.

Utilizing these forms and documents, alongside the Fire Watch Checklist, creates a robust framework for managing fire safety. Their combined use fosters a proactive approach to preventing incidents and ensuring the safety of all individuals within the facility.

Similar forms

  • Fire Safety Audit Checklist: This document serves a similar purpose by assessing fire safety measures in various locations. Both forms emphasize compliance with safety protocols and require documentation of checks conducted on-site.
  • Hot Work Permit: Like the Fire Watch Checklist, a Hot Work Permit outlines safety precautions before starting tasks that involve flames or sparks. It establishes guidelines to minimize fire risk during operations.
  • Emergency Action Plan: Both involve procedures for emergencies related to fire incidents. They set forth clear actions to take, ensuring everyone's safety and a quick response in dire situations.
  • Building Evacuation Plan: A Building Evacuation Plan shares a common goal of ensuring safety during emergencies. It lays out exit routes and protocols, much like the Fire Watch Checklist provides details on hazards and monitoring.
  • Incident Report Form: Similar to recording conditions found in fire watches, an Incident Report Form documents specific events or safety violations after they occur, allowing for future assessments and improvements.
  • Safety Inspection Checklist: Both documents focus on identifying potential hazards and ensuring that all safety measures are in place. They both require routine checks and follow-ups, promoting a culture of safety.
  • First Aid Log: While focusing on health incidents instead of fire, a First Aid Log also requires documentation of incidents. Both instruments ensure that details are recorded for accountability and future reference.
  • Building Inspection Report: This type of report assesses compliance with safety standards, similar to the Fire Watch Checklist. Each aims to document the state of safety measures in a physical space.
  • Occupancy Safety Plan: Like the Fire Watch Checklist, this plan is essential for ensuring a safe environment for all occupants. It includes specific protocols for monitoring and maintaining safety, especially in areas with higher risks.

Dos and Don'ts

When filling out the Fire Watch Checklist form, it's important to be diligent and precise. Below is a list of things you should do, as well as things to avoid, to ensure that the process runs smoothly and safely.

  • Complete all sections: Make sure to fill out every part of the form, including the date, time, and the name of the person conducting the watch.
  • Document observations: Record any relevant details about your watch, including any conditions that were not compliant.
  • Follow safety protocols: Ensure that all necessary safety measures are in place, like accessible fire extinguishers.
  • Check hourly: Conduct regular checks at least once every hour, as required. Each check should be noted on the log.
  • Communicate effectively: Notify others promptly if there are signs of smoke or fire.
  • Neglect the details: Avoid leaving sections of the form blank or providing incomplete information.
  • Delay reporting: Do not hesitate to pull the fire alarm or notify emergency services if needed.
  • Overlook areas: Do not skip checking any locations within your assigned area, including stairwells and common spaces.
  • Take unnecessary risks: Never put your safety at risk; if a situation feels dangerous, prioritize calling for help.
  • Ignore training: Avoid disregarding any established fire watch procedures or training you've received.

Misconceptions

Misconception 1: The Fire Watch Checklist is only necessary during construction.

Many people believe that fire watch protocols are only relevant when construction activities are underway. In reality, a fire watch may be required for various reasons, including sprinkler system impairments or during routine maintenance. It's essential to assess each situation individually, rather than assuming fire watch is only for construction scenarios.

Misconception 2: The fire watch personnel only need to check the hot work areas.

Another common myth is that fire watch personnel only look after hot work areas. The checklist emphasizes that personnel must patrol entire areas, including corridors, hallways, and lounges. This thoroughness helps ensure safety across all locations within the facility.

Misconception 3: Fire watch is unnecessary if there are smoke detectors installed.

Some individuals assume that smoke detectors or alarm systems eliminate the need for dedicated fire watch personnel. Smoke detectors undoubtedly play a crucial role in fire prevention, but they cannot replace active human monitoring, especially during high-risk activities.

Misconception 4: Completing the checklist is a once-per-day task.

A big misunderstanding is that the checklist only needs to be completed once daily. In fact, the checklist mandates that each area be checked hourly. Continuous monitoring is vital to ensure the safety of all occupants and to respond quickly to any signs of trouble.

Misconception 5: Fire watch personnel can ignore non-hot work areas.

Some might think that if there's no hot work happening, there's no reason to check other areas. This is false. A fire watch must keep an eye on all designated places, as emergencies can arise unexpectedly.

Misconception 6: If nothing seems wrong, the fire watch can stop early.

It’s a misconception that if everything appears normal, the fire watch can conclude its duties before the required time. Fire watch must continue for at least 30 minutes after the completion of any hot work, ensuring safety zones remain secure.

Misconception 7: Fire watch personnel can handle fire emergencies on their own.

Some might believe that fire watch personnel should manage any emergencies independently. This is a dangerous assumption. In case of smoke or fire, the first action should always be to activate the alarm and notify the authorities. Personal safety must always come first.

Key takeaways

When filling out the Fire Watch Checklist form, consider these important points:

  • Understand the Purpose: The form is designed to ensure safety during times of fire risk, especially during hot work or when systems are impaired.
  • Identify Fire Watch Areas: Clearly list all areas being monitored. This aids in accountability and thoroughness in your watch.
  • Document Reasons for Fire Watch: Be specific about why the fire watch is in effect. Accurate documentation helps in emergencies.
  • Check Conditions: Always make sure exits and corridors are clear, and fire extinguishers are accessible. Each condition is crucial for safety.
  • Hourly Checks: Conduct checks at least once an hour, noting the time and the person responsible. This creates a reliable log.
  • Report Signs of Danger: Be vigilant for smoke or fire. If you see any signs, follow the emergency procedures immediately.
  • Return Completed Forms: Submit the checklist to the LGH Safety Department after completing the watch. This keeps records up to date and ensures safety measures are in place.

Using these takeaways makes filling out and using the Fire Watch Checklist straightforward and effective. Keeping safety a top priority benefits everyone involved.