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Fire Watch Checklist PDF Details

Fire watch is an important and serious job, but it can be easy to forget some of the things that need to be done during a shift. A fire watch checklist can help make sure that everything is covered. Having a checklist also helps ensure that the fire watch shift is completed properly and safely. There are many things that need to be done during a fire watch shift, and it can be easy to forget something if you're not careful. That's why having a checklist is so important. The fire watch checklist can help make sure that everything is covered, and it also ensures that the proper procedures are followed. This keeps everyone safe and helps prevent any accidents from happening.

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Question	Answer
Form Name	Fire Watch Checklist
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	fire watch forms, fire watch log general sample, fire watch log, fire watch checklist forms

12

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
_____ regular maintenance

	_____ inspection	_____ renovation/demolition work
	_____ inspection	_____ other (explain)
	_____ 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

	am/pm		YES	NO
	am/pm		YES	NO
	am/pm		YES	NO
	am/pm		YES	NO
	am/pm		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

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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.

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