Fire Watch Checklist PDF Details

The Fire Watch Checklist form serves as a critical tool in maintaining safety and compliance within facilities requiring constant monitoring, such as Lancaster General Hospital. This comprehensive document outlines the necessary steps and protocols for conducting a fire watch across various departments or areas within the LGH WBH Campus and other specified locations. It lists reasons for initiating a fire watch, which might include hot work, sprinkler system impairment, or fire alarm system impairment, among others, both during routine maintenance and specific operations like renovation or demolition work. Key conditions that must be checked include ensuring exits and stairwells are clear, fire extinguishers are accessible, and the continuation of fire watch for a designated period after the completion of any hot work. The form requires hourly documentation of the fire watch by the person conducting it, affirming whether the conditions were met, and features specific instructions for responding to signs of smoke or fire, including the activation of fire alarms and notification protocols. Updated periodically, this form reinforces the procedural integrity of the fire watch process, ensuring that all regulatory and safety measures are strictly followed to protect the facility and its occupants.

QuestionAnswer
Form NameFire Watch Checklist
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfire watch forms, fire watch log general sample, fire watch log, fire watch checklist forms

Form Preview 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

 

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YES

NO

 

 

 

 

 

 

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YES

NO

 

 

 

 

 

 

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NO

 

 

 

 

 

 

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NO

 

 

 

 

 

 

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NO

 

 

 

 

 

 

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NO

 

 

 

 

 

 

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NO

 

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NO

 

 

 

 

 

 

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NO

 

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NO

 

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NO

 

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NO

 

 

 

 

 

 

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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

How to Edit Fire Watch Checklist Online for Free

It's easy to fill in the fire watch inspection form form using this PDF editor. The following steps will assist you to immediately get your document ready.

Step 1: The initial step will be to choose the orange "Get Form Now" button.

Step 2: Now you can update the fire watch inspection form. The multifunctional toolbar lets you insert, erase, adapt, and highlight content or conduct similar commands.

To be able to create the file, type in the information the program will request you to for each of the appropriate parts:

completing fire watch forms step 1

Jot down the information in ampm ampm ampm ampm ampm ampm ampm, Comply with conditions listed, Fire watch procedure, Patrol your designated area, o Enter all stairwells open doors, and Document completion of rounding.

Filling in fire watch forms stage 2

Indicate the crucial information in Document completion of rounding, Pull the nearest fire alarm pull, o Cell Phone o, Internal extensions, Do not put yourself in jeopardy, Revised PM, LGH, Health Campus WBH, and Satellites part.

Entering details in fire watch forms stage 3

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