Report
For
NHS Shetland
FIRE EMERGENCY MANAGEMENT PLAN
GILBERT BAIN HOSPITAL
C.S. TODD & ASSOCIATES LTD
August 2014
FIRE EMERGENCY MANAGEMENT PLAN
GILBERT BAIN HOSPITAL
Report by:
K. LOGIE GIFireE
C.S. Todd & Associates Ltd
Hutton Roof
Eglinton Road
Rushmoor
Farnham
Surrey
GU10 2DH
Tel:
Fax:
E-mail:
Website:
01252 792088
01252 794165
office@cstodd.co.uk
www.cstodd.co.uk
January 2015
CONTENTS
Page
1.
INTRODUCTION
1
2.
DEFINITIONS
3
3.
EVACUATION STRATEGY AND FIRE ALARM OPERATIONAL
SEQUENCE
4
4.
ACTION IN THE EVENT OF A FIRE ALARM ACTIVATION –
OVERVIEW
6
5.
EVACUATION AREAS
8
6.
SPECIFIC ROLES AND RESPONSIBILITIES
9
7.
ASSEMBLY POINTS
12
8.
FIGURES
13
APPENDIX A
APPENDIX B
APPENDIX C
APPENDIX D
APPENDIX E
-
Alarm Zones.
Ward/Department Evacuation Strategies.
Fire Response Team.
Assembly Points.
Escape Route Plans.
FIGURES
Figure 1
Overview of a Fire Emergency in a Patient Area
Figure 2
Overview of a Fire Emergency in a Non-Patient Area
Figure 3
Duties of Receptionist
Figure 4
Duties of Emergency Controller
Figure 5
Duties of Staff in Ward/Department in Alarm Zone of Fire Origin
Figure 6
Duties of Staff From Other Wards/Departments
Figure 7
Duties of Fire Response Team
Figure 7A
Duties of Member(s) of Fire Response Team investigating the alarm
Figure 7B
Duties of Member(s) of Fire Response Team meeting the Fire and
Rescue Service
Figure 7C
Duties of Member(s) of Fire Response Team acting as Assembly
Point Co-ordinators
Figure 7D
Duties of Member(s) of Fire Response Team tasked with extending
the evacuation to other areas
Figure 8
Duties of Fire Warden
1. INTRODUCTION
1.1
This document outlines how NHS Shetland will manage an evacuation due to
a fire emergency at the Gilbert Bain Hospital.
1.2
Specifically, it describes the roles and responsibilities of the key staff, in
particular the hospital management, the main receptionist, the Fire Response
Team, nursing staff and Estates engineers.
1.3
The person in overall charge of an evacuation is the Emergency Controller.
This role will be undertaken by a senior manager or senior nurse during the
day, but at night will be delegated to the senior nurse on duty.
1.4
The receptionist is the person who will ensure that the fire and rescue service
has been summoned. The Fire alarm system at the Gilbert Bain Hospital is
linked to an automatic fire response system which informs the local fire
brigade that an alarm has been raised. The receptionist also plays a vital role
in summoning key staff in the event of an escalating incident.
1.5
The Fire Response Team will be assigned various duties in response to a fire
emergency. These include:





Investigating fire alarm conditions.
Meeting the fire and rescue service on their arrival.
Assisting nursing staff in evacuating those at immediate risk.
Acting as Assembly Point Co-ordinators to ensure relevant areas are
evacuated.
Extending the evacuation to other areas in the event of an escalating
incident.
1.6
These, and the duties of others with specific roles and responsibilities, are
described in detail later in this document.
1.7
The management of fire emergencies requires that there be an effective
means of communication between the receptionist, Emergency Controller,
Fire Response Team and the fire and rescue service. A combination of
pagers and two-way radios will be used for this purpose.
1.8
The overall strategy for evacuation of the hospital in a fire is one of
progressive horizontal evacuation (PHE). For PHE to work efficiently and
safely there need to be specific evacuation strategies in place for each patient
area within the hospital. These strategies, and their implications for the
operation of the fire alarm system, are described later in this document.
1.9
The next section of this document contains definitions of the terms used later.
Section 3 is a summary of the evacuation strategy for the hospital and the
operational sequence of the fire alarm system. In Section 4, an overview is
given of the sequence of actions that would be followed in the event of a fire
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 1
alarm activation in the hospital. Details of the evacuation areas into which the
hospital is divided are given in Section 5.
The specific roles and
responsibilities of the principals involved are outlined in Section 6. Finally, in
Section 7, the location of each of the assembly points is given.
1.10
The submission of this report constitutes neither a warranty of future results
by C.S. Todd & Associates Ltd nor an assurance against risk. The report
represents only the best judgement of the consultant involved in its
preparation, and is based, in part, on information provided by others. No
liability whatsoever is accepted for the accuracy of such information.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 2
2. DEFINITIONS
1.1
The following are definitions for specific terms used in this document:
Alarm Zone
An area of the hospital, such as a ward
or department, in which the alarm
(whether the ‘Alert’ or ‘Evacuate’ signal)
is sounded.
‘Alert’
Fire alarm signal (intermittent tone) to
indicate that there is a fire alarm
elsewhere in the building.
Assembly Points
Designated areas for those such as
independent patients, non-clinical staff,
non-essential staff and visitors to gather
following evacuation of the building.
Emergency Controller
Person responsible for implementing the
hospital’s fire emergency plan (normally
the most senior member or of the
hospital’s management team or senior
nurse. e.g. Hospital Manager or the
Nominated Officer (Fire), or Deputy or
senior nurse in their absence). At night,
this role is delegated to the Senior Nurse
on duty and the on call Estates person.
‘Evacuate’
Fire alarm signal to indicate a need to
evacuate the area in which the signal is
sounded (a continuous tone).
Fire Response Team
Designated team of staff from Estates,
management, fire wardens and porters
assigned to manage evacuations of the
hospital.
Fire Warden
Person working in a non-patient area
responsible for ensuring that a specific
part of their workplace is clear and
accounting for staff following an
evacuation.
Outbuilding
The boiler house, laundry, stores,
Estates workshop and other buildings on
the site separate from the main hospital
building.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 3
3. EVACUATION STRATEGY AND FIRE ALARM OPERATIONAL
SEQUENCE
3.1
The evacuation strategy for the Gilbert Bain Hospital is based on progressive
horizontal evacuation of the building, i.e. the building is evacuated in phases
over a period of time, with those at immediate risk moved first and the need
for subsequent movement determined as the incident develops.
3.2
To facilitate this, there is a two stage fire alarm system. There are two fire
warning signals: 'Alert' and 'Evacuate'. These are as follows:
'Alert'
Intermittent (pulsing) tone.
'Evacuate'
Continuous tone.
3.3
The strategy is intended to ensure safe and efficient evacuation of patients
and others in the event of fire, while also minimizing disruption from false
alarms.
Accordingly, the evacuation will be restricted to a single
ward/department initially. The ‘Evacuate’ signal will be sounded in that area
(alarm zone). At the same time, the 'Alert' signal will be generated in other
areas (alarm zones), where necessary, to alert key staff to the need to provide
assistance and to standby ready to receive evacuees or to evacuate, if
subsequently necessary.
3.4
Where the origin of the alarm is remote from patient areas, the extent to which
the ‘Alert’ is sounded will be limited so as not to cause unnecessary
disturbance.
3.5
Where the origin of the alarm is an outbuilding, the ‘Evacuate’ is sounded in
that outbuilding only, and no ‘Alert’ is sounded in the main hospital building.
3.6
Evacuation of non-patient access areas and areas where patients are classed
as ‘independent’, i.e. able to evacuate without assistance (e.g. Outpatients),
will involve occupants leaving by the nearest exit and congregating at
designated assembly points (see Section 7).
3.7
Evacuation of patient access areas where patients are classed as ‘high risk
(dependent)’ or ‘very high risk (high dependency)’, in accordance with SHTM
86 definitions of ‘Persons at Risk’, will involve movement of patients internally
to an adjacent area. This will usually be an adjoining ward/department,
provided there is sufficient fire separation between the two.
3.8
A list of the alarm zones for the hospital building is given in Appendix A.
3.9
Individual ward/department evacuation strategies are given in Appendix B.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 4
3.10
The primary and secondary evacuation routes from each area of the hospital
are given in Appendix E.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 5
4. ACTION IN THE EVENT OF A FIRE ALARM ACTIVATION –
OVERVIEW
4.1
The following paragraphs describe, in brief, the sequence of events and the
actions to be taken in response to a fire alarm activation. The action taken
will depend upon the location of the source of the alarm. This is illustrated in
Figures 1 and 2.
4.2
On receipt of the alarm at the hospital’s fire panel in the main reception, the
receptionist will confirm the activation to the fire and rescue service by
telephone, and notify key personnel, in particular the Emergency Controller
and Fire Response Team, by pager, telephone or radio, as appropriate.
4.3
The Emergency Controller and Fire Response Team will proceed to the fire
panel located at the main reception. The Emergency Controller will then
deploy members of the Fire Response Team to carry out specific tasks.
4.4
In the event that the main reception is affected by fire, the Emergency
Controller and Fire Response Team will rendezvous at Patient Travel, located
on the lower ground floor of the Administration Building, adjacent to the
repeater panel.
4.5
The fire and rescue service will be met at the main reception.
4.6
A member of the Fire Response Team will be sent to the area of alarm origin
to investigate and report to the Emergency Controller. Others will be
deployed by the Emergency Controller as necessary.
4.7
Designated nursing staff (when available) from unaffected wards/departments
would be expected to attend the rendezvous point in the main reception, and
would be deployed to assist evacuation of patients as directed by the Fire
Response Team. The entrance at Patient Travel would be the alternative
rendezvous point, should access to the main reception not be possible.
4.8
The Emergency Controller will take instruction from the fire and rescue
service as to what further action is required of the Fire Response Team.
4.9
The Emergency Controller will instruct the receptionist to contact all the
Lerwick based emergency staffing team should additional staff be required to
assist within the Gilbert Bain Hospital.
4.10
The decision to evacuate other areas of the hospital in the event of an
escalating incident would be taken by the Emergency Controller in conjunction
with the officer in charge of the fire and rescue service. Should it be
necessary, the evacuation of other areas will be undertaken by members of
the Fire Response Team going to the evacuation areas in question and
manually activating the fire alarm system by operating a fire alarm call point.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 6
4.11
If evacuation were prolonged, hospital management would be expected to
disperse people from assembly points and implement contingency plans in
the event that areas of the hospital cannot be re-entered.
4.12
In the unlikely event of a major incident involving the need to evacuate the
entire main hospital building, the master evacuate control on the fire panel
would be operated by the Emergency Controller and members of the Fire
Response Team would be deployed to all wards/departments to inform them
of the need to exit the building and move patients to either any or all of the
following; Lerwick Health Centre on South Road, Montfield Board
Headquarters, Burgh Road, Lerwick Hotel, South Road, Shetland Hotel, North
Road and Clickimin Centre, Lochside.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 7
5. EVACUATION AREAS
5.1
The evacuation areas (alarm zones) into which the hospital is divided are
listed in Appendix A.
5.2
The specific evacuation strategy and associated fire alarm cause and effect
logic for each ward/department is outlined in Appendix B. This also includes
non-patient areas and outbuildings.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 8
6. SPECIFIC ROLES AND RESPONSIBILITIES
6.1
The following describes the duties of those with specific roles and
responsibilities in a fire emergency. These are illustrated in Figures 3–8.
Receptionist
6.2
On receipt of an initial fire alarm, the receptionist shall:






Acknowledge the alarm.
Make a 999 call to confirm the activation with the fire and rescue service.
Summon the Emergency Controller to the fire panel in the main reception.
Inform the Hospital Manager, Nominated Officer (Fire) and Duty Engineer.
Notify the Fire Response Team.
Act on instructions from the Emergency Controller.
(See Figure 3 for a summary of the above.)
Emergency Controller
6.3
In the event of a fire alarm condition, the Emergency Controller shall:








Proceed to the fire panel in the main reception.
Collect radio from fire box at the main reception and liaise with porters and
(radios and ward staff; Ronas, Ward 1 and Ward 3 radios).
Receive information from the receptionist.
Ensure the fire and rescue service has been called.
Direct the Fire Response Team and other available resources to ensure
effective control of the incident and safe evacuation of those at risk.
Pass information and plans to the fire and rescue service on their arrival.
Liaise and take instructions from the fire and rescue service.
On instructions from the fire and rescue service, either escalate the
incident and evacuate other areas, or initiate stand-down and
reoccupation.
(See Figure 4 for a summary of the above.)
Staff in the ward/department where the ‘Evacuate’ is sounded
6.4
On hearing the ‘Evacuate’ signal, staff shall:


Search the area to identify if there is a fire and where it is located.
If there is no fire, the senior member of staff on duty in the
ward/department should inform the Emergency Controller (via the
receptionist or radio) or the member of the Fire Response Team attending
the area.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 9




If there is a fire, commence the movement of patients away from the fire
and into the adjacent sub-compartment/compartment within the
ward/department.
If safe to do so, tackle the fire with appropriate fire extinguishing
appliances.
Continue
moving
patients
horizontally
into
adjoining
subcompartments/compartments while it is safe to do so.
Take instructions from the senior member of staff on duty in the
ward/department.
(See Figure 5 for a summary of the above.)
Staff in wards/departments where the ‘Alert’ is sounded
6.5
On hearing the ‘Alert’ signal, staff designated to assist in an emergency shall:





Proceed to the rendezvous point in the main reception.
In the event that the main corridor is affected by fire, rendezvous at Patient
Travel.
Take instruction from the Fire Response Team as to where assistance is
required.
Assist staff in moving patients while it is safe to do so.
Take instructions from the senior member of staff on duty in the
ward/department.
It is not necessary for staff to report back to their wards on the status of the
alarm and they should not return to their wards/departments until advised by
the Fire Response Team that the incident is over.
(See Figure 6 for a summary of the above.)
Fire Response Team
6.6
The Fire Response Team, on hearing the alarm or being informed of an
incident by pager, radio or telephone, shall proceed to the fire panel in the
main reception. In the event that the main reception is affected by fire, the fire
repeater panel will be used to monitor the incident, and the Fire Response
Team should proceed to Patient Travel.
(See Figure 7 for a summary of the above.)
6.7
On instruction from the Emergency Controller, members of the Fire Response
Team shall proceed to the area in which the fire alarm condition has
originated and establish the nature, location and extent of the incident. They
shall inform the Emergency Controller as soon as possible if there is a fire.
6.8
If there is a fire, they shall assist nursing staff in moving patients and, if safe to
do so, tackle the fire with the nearest suitable fire extinguishing appliances.
(See Figure 7A for a summary of the above.)
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 10
6.9
On instruction from the Emergency Controller, a member of the Fire
Response Team shall proceed to meet the fire and rescue service on their
arrival at the main reception.
(See Figure 7B for a summary of the above.)
6.10
On instruction from the Emergency Controller, members of the Fire Response
Team shall proceed to the designated fire assembly points to act as Assembly
Point Co-ordinators. They shall take reports from the fire wardens and shall
relay information on the status of the evacuation to the Emergency Controller.
(See Figure 7C for a summary of the above.)
6.11
On instruction from the Emergency Controller, members of the Fire Response
Team shall proceed to areas of the hospital identified as next to be
evacuated. Once there, they shall inform the senior staff member on duty and
then activate a fire alarm call point. They shall then assist staff in moving
patients.
(See Figure 7D for a summary of the above.)
Fire Wardens (designated within Local Fire Plan)
6.12
Fire wardens in non-patient access areas, shall, on hearing the ‘Evacuate’
signal:




Sweep their area to establish it is clear.
Identify if anyone requires assistance to escape.
Where appropriate, ensure someone remains with the person (the fire
warden should not remain, as this will delay the process of notifying the
fire and rescue service that the area is clear).
Proceed to the assembly point and liaise with the Assembly Point Coordinator.
(See Figure 8 for a summary of the above.)
6.13
No specific action is necessary from fire wardens in response to an ‘Alert’
signal, other than to prepare for a possible evacuation, and if any disabled
staff or visitors are present, to instigate procedures for their evacuation.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 11
7. ASSEMBLY POINTS
7.1
Assembly points have been identified for the various parts of the hospital.
The location of each assembly point is as follows:
Assembly Point A – Main Hospital Entrance.
Assembly Point B – Laundry.
Assembly Point C – Staff Residents Car Park.
Assembly Point D – Administration Building Car Park.
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 12
FIGURES
Fire Emergency Management Plan – Gilbert Bain Hospital
Page 13
FIGURE 1
14
FIGURE 1 - OVERVIEW OF
A FIRE EMERGENCY
IN A PATIENT AREA
FIRE ALARM
ACTIVATION
Evacuate signal given in
Alarm Zone of fire origin
Indicated on fire panel
in Main Reception
Alert signal given in
other Alarm Zones as
appropriate
Fire and rescue service
summoned by
receptionist
Fire response team
attend fire panel in Main
Reception
Staff investigate and
move patients as
necessary
Response team
investigate and coordinate evacuation as
necessary
Continued
15
Designated staff from
other wards/departments
assemble at Main
Reception
FIGURE 1 - OVERVIEW OF
A FIRE EMERGENCY
IN A PATIENT AREA
(CONTINUED)
Fire and rescue service
arrive on site
Officer in charge (OIC)
assumes control of
incident
Incident escalates and
evacuation extended
to other areas as
directed by OIC
Incident under control
and stand down/
re-occupation once
directed by OIC
16
FIGURE 2
17
FIGURE 2 - OVERVIEW OF
A FIRE EMERGENCY
IN A NON-PATIENT AREA
FIRE ALARM
ACTIVATION
Evacuation signal given
in Alarm Zone of fire
origin
Indicated on fire panel
in Main Reception
Alert signal given in
other Alarm Zones as
appropriate
Fire and rescue service
summoned by
receptionist
Fire response team
attend fire panel in
Main Reception
Response team investigate
and co-ordinate evacuation
as necessary
Continued
18
Occupants of Alarm
Zone of fire origin
evacuate to assembly
point
FIGURE 2 - OVERVIEW OF
A FIRE EMERGENCY
IN A NON-PATIENT AREA
(CONTINUED)
Fire and rescue service
arrive on site
Officer in charge (OIC)
assumes control of
incident
Incident escalates and
evacuation extended
to other areas as
directed by OIC
Incident under control
and stand down/
re-occupation once
directed by OIC
19
FIGURE 3
20
FIGURE 3 – DUTIES OF RECEPTIONIST
ALARM INDICATED
ON FIRE PANEL IN
MAIN RECEPTION
Acknowledge alarm
Telephone fire and rescue
service using 999




Inform:
Emergency Controller
Hospital Manager
Nominated Officer (Fire)
Duty Engineer
Contact
off-duty staff
as necessary
Await further instructions
from
Emergency Controller
21
FIGURE 4
22
FIGURE 4 – DUTIES OF EMERGENCY CONTROLLER
ONCE INFORMED
OF A FIRE
Proceed to fire panel in
Main Reception and await
arrival of Fire Response
Team
Confirm with receptionist
that the fire and rescue
service has been notified
Take charge and give
instructions to Fire
Response Team
Liaise with fire and rescue
service on attendance
Comply with instructions
from OIC
23
FIGURE 5
24
FIGURE 5 – DUTIES OF STAFF IN WARD/DEPARTMENT
IN ALARM ZONE OF FIRE ORIGIN
ON HEARING THE
EVACUATE SIGNAL
Investigate alarm and
establish location
of the fire
Move patients most at risk
to next
sub-compartment/
compartment
Continue moving patients
horizontally to adjoining
sub-compartment/
compartment if necessary
Take instructions from
senior nurse on duty in
ward/department
25
FIGURE 6
26
FIGURE 6 – DUTIES OF DESIGNATED STAFF FROM OTHER
WARDS/DEPARTMENTS
ON HEARING THE
ALERT SIGNAL
Proceed to rendezvous
point at
Main Reception
Take instructions from
Fire Response Team
Assist Fire Response Team
in evacuating patients from
affected area
27
If rendezvous point is
affected by fire,
proceed to
alternative location at
Patient Travel
FIGURE 7
28
FIGURE 7 - DUTIES OF FIRE RESPONSE TEAM
ON BEING INFORMED OF A
FIRE ALARM ACTIVATION
Proceed to fire alarm panel,
Main Reception
Take instruction from the
Emergency Controller
Investigate alarm
Meet fire and rescue
service
Act as Assembly Point
Co-ordinator
Extend evacuation to
other areas
See Fig. A
See Fig. B
See Fig. C
See Fig. D
29
FIGURE 7A
30
FIGURE 7A – DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM
INVESTIGATING THE ALARM
TO INVESTIGATE ALARM
Proceed to location as
detailed by
Emergency Controller
Search and investigate and
report back
If a fire, assist with
evacuation of people from
the area
Only if safe to do so, tackle
fire
Move to safe place, report
back and await further
instructions
31
FIGURE 7B
32
FIGURE 7B – DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM MEETING
THE FIRE AND RESCUE SERVICE
TO MEET THE
FIRE AND RESCUE
SERVICE
Identify yourself to the fire
and rescue service on
arrival at Main Reception
Escort fire and rescue
service to fire panel in Main
Reception
Await further instructions
from Emergency Controller
33
FIGURE 7C
34
FIGURE 7C – DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM ACTING AS
ASSEMBLY POINT CO-ORDINATORS
TO ACT AS ASSEMBLY POINT
CO-ORDINATOR
Proceed to designated assembly
point (outside Main Reception,
Laundry, Staff Residency or
Administration Building)
Take reports from Fire Wardens
Inform Emergency Controller of all
persons requiring assistance to
escape
Upon request, update Emergency
Controller of status of the
evacuation
Only on receipt of instructions
from Emergency Controller, inform
staff it is safe to re-enter the
building
35
FIGURE 7D
36
FIGURE 7D – DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM TASKED
WITH EXTENDING THE EVACUATION TO OTHER AREAS
TO EXTEND THE
EVACUATION TO OTHER
AREAS
Proceed to area identified
by Emergency Controller as
requiring evacuation
Where possible, identify
person in charge of area,
e.g. matron, and inform
them of the need to
evacuate
Operate a fire alarm MCP
within that area
Assist with the evacuation
of people from the area
Report back to Emergency
Controller and await further
instructions
37
FIGURE 8
38
FIGURE 8 – DUTIES OF FIRE WARDEN
ON HEARING THE
EVACUATE SIGNAL
Follow procedures and
carry out sweep and search
of designated area
Leave the building and
proceed to the assembly
point
Inform Assembly Point
Co-ordinator that the area is
clear or that there are
persons still present and
whether they need
assistance to escape
39
APPENDIX A
ALARM ZONES
40
The table below sets out the designated Fire alarm zones for the Gilbert Bain Hospital.
A diagrammatical plan of the zones is located within the fire box at the main reception.
Copies can be obtained from NHS Estates.
Pharmacy and Porters
Mortuary and Stores
Orthotics and Kitchen
Medical Physics
Outpatients, Dental and Reception
A&E
X-Ray
Theatre
CDU
Audiology/Labs
Medical Records and Cafeteria
CT/ECG
Ward 1
Maternity and Renal
Plant Room and Link Corridor
Ronas Ward
Ward 3
Offices and Link Corridor
Administration Building
41
APPENDIX B
WARD/DEPARTMENT EVACUATION STRATEGIES
WARD/DEPARTMENT
PAGE
Outpatients and Dental
43
A & E or X-Ray
44
Theatres
45
Audiology & Laboratories
46
CT & ECG
47
Maternity &Renal
48
Ward 1
49
Ronas Ward
50
Ward 3
51
Administration Building
52
Outbuildings
53
Main Hospital building (total evacuation)
54
42
OUTPATIENTS AND DENTAL
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
OUTPATIENTS, DENTAL &
RECEPTION
Evacuate signal
given in
Outpatients, Dental &
Reception
Alert signal
given in
all other areas of the
main hospital building
Evacuation Strategy
Patients evacuate to Assembly Point A
Alternatively, patients moved internally to refuge in A&E
43
A&E or X-RAY
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
A&E or X-RAY
Evacuate signal
given in
A&E or X-RAY
Alert signal
given in
all other areas of the
main hospital building
Evacuation Strategy
Preferably, patients moved internally to refuge in A&E or X-RAY
Alternatively, patients moved internally to refuge in Outpatients
44
THEATRE
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
THEATRE
Evacuate signal
given in
Theatre
Alert signal
given in
CDU
Evacuation Strategy
Preferably, patients moved internally to refuge in CDU
Alternatively, patients moved internally to refuge in A&E
45
Alert signal
given in
all other areas of the
main hospital building
AUDIOLOGY & LABS
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
AUDIOLOGY & LABS
Evacuate Signal
Given In
Audiology & Labs
Alert signal
given in
all other areas of the
main hospital building
Evacuation Strategy
Patients evacuate to Assembly Point B
Alternatively, patients moved internally to refuge in A&E
46
CT & ECG
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
CT/ECG
Evacuate signal
given in
CT/ECG
Alert signal
given in
all other areas of the
main hospital building
Evacuation Strategy
Patients evacuate to Assembly Point A
Alternatively, patients moved internally to refuge in Outpatients
47
MATERNITY & RENAL
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
MATERNITY & RENAL
Evacuate signal
given in
Maternity & Renal
Alert signal
given in
Wards 1, 2 & 3
Evacuation Strategy
Preferably, patients moved progressively within Maternity
Alternatively, patients moved internally (via the link corridor) to refuge in Ward 1
48
Silent in all other areas
WARD1
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
WARD 1
Evacuate signal
given in
Ward 1
Alert signal given in
Ronas Ward
Evacuation Strategy
Preferably, patients moved progressively within Ward 1
Alternatively, patients moved internally (via the link corridor) to refuge in Maternity
49
Silent in all other areas
RONAS WARD
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
RONAS WARD
Evacuate signal
given in
Ronas Ward
Alert signal
given in
Ward 3 & Offices
Evacuation Strategy
Preferably, patients moved progressively within Ronas Ward
Alternatively, patients moved internally to refuge in Ward 3
50
Silent in all other areas
WARD 3
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
WARD 3
Evacuate signal
given in
Ward 3
Alert signal
given in
Ward 2 & Offices
Evacuation Strategy
Preferably, patients moved progressively within Ward 3
Alternatively, patients moved internally to refuge in Ward 2
51
Silent in all other areas
ADMINISTRATION BUILDING
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
ADMINISTRATION BUILDING
Evacuate signal
given in
Administration Building
Silent in all other areas
Evacuation Strategy
Occupants leave by the nearest exit and go to Assembly Point D
52
OUTBUILDINGS
Fire Alarm
Cause & Effect
FIRE ALARM
ACTIVATION
IN
OTHER OUTBUILDINGS
Evacuate signal
given in
other Outbuildings
only
Silent in
main hospital building
Evacuation Strategy
Occupants leave by the nearest exit and go to the nearest assembly point
53
MAIN HOSPITAL BUILDING (TOTAL EVACUATION)
Fire Alarm
Cause & Effect
MASTER EVACUATION
MANUAL ACTIVATION OF
CONTROL ON FIRE PANEL
Evacuate signal
given in all alarm zones in
the main hospital building
Evacuation Strategy
Preferably, patients moved externally to refuge to either any or all of the following; Lerwick Health Centre on South Road, Montfield Board
Headquarters, Burgh Road, Lerwick Hotel, South Road, Shetland Hotel, North Road and Clickimin Centre, Lochside.
54
APPENDIX C
FIRE RESPONSE TEAM
55
The table below are the designated Fire Response Team
Nominated Officer (Fire)
Deputy Nominated Officer (Fire)
Hospital Manager
Duty Engineer (at night)
Estates Staff
Porters
Senior Nurse
56
APPENDIX D
ASSEMBLY POINTS
57
Assembly Point
C
Assembly Point
B
Assembly Point
D
Assembly Point
A
58
APPENDIX E
ESCAPE ROUTE PLANS
WARD/DEPARTMENT
PAGE
Outpatients, Dental & Reception
60
A & E and X-Ray
61
Theatres
62
Audiology & Laboratories
63
CT & ECG
64
Ward 1
65
Ronas Ward
66
Ward 3
67
Administration Building
(ground floor, lower floor)
68
Administration Building
(first floor, second floor)
69
59
OUTPATIENTS, DENTAL &RECEPTION
Primary Exit
Alternative Exit
60
A&E AND X-RAY
Primary Exit
Alternative Exit
61
THEATRES
Primary Exit
Alternative Exit
62
AUDIOLOGY & LABS
Primary Exit
Alternative Exit
63
CT & ECG
Primary Exit
Alternative Exit
64
WARD 1
Primary Exit
Alternative Exit
65
RONAS WARD
Primary Exit
Alternative Exit
66
WARD 3
Primary Exit
Alternative Exit
67
Primary Exit
ADMINISTRATION BUILDING
Alternative Exit
GROUND FLOOR
LOWER GROUND
68
SECOND
FLOOR
ADMINISTRATION BUILDING
Primary Exit
Alternative Exit
FIRST FLOOR
SECOND FLOOR
69
70