Canada Vulnerable Occupancy Fire Drill Scenario Form 2014-2026 free printable template

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Vulnerable Occupancy Fire Drill Scenario Form This Section Completed by Owner / Operator This guideline is intended to assist facility administrators and Chief Fire Officials with the development and validation of the annual fire drill scenario requirement in care occupancies care and treatment occupancies and retirement homes. Submit the plan to the Chief Fire Official for approval of the Fire Drill Scenario. Document Prepared by Proposed Date for Fire Drill Observation Date Submitted to Chief...Fire Official for APPROVAL Date Prepared by Alternative Date Chief Fire Official Approval of Fire Drill Scenario Print Name Signature Date Verification of Fire Drill Scenario Variables Verify the following prior to running the actual fire drill. Adjust scenario times as required if discrepancies identified. Does the Fire Drill Scenario represent the lowest staffing level as identified in the Fire Safety Plan Is the detection method provided in Step 2 A table C. 1 properly identified and used in...calculation Will the identified point of safety accommodate everyone from the evacuated zone Is the door rating provided in Step 3 A properly identified and used in calculation Actions from Directive 2014-02 The actual time to respond to the room of fire origin remove occupant s from the room and close the door to the room. containing the room of fire origin to the next Time Verification by the Fire Service Time Calculated By Owner Show time from Step 2 C Available Time Confirmed - Y or N...Record actual time to complete task Acceptable Y or N Pass Fail YES NO Was the actual time to respond to the room of fire origin remove occupant s from the room and close the door to the room within the time permitted origin to the next point of safety within the time permitted Were all identified Supervisory Staff duties from Fire Safety Plan completed as shown above Did the fire drill observation identify any Supervisory Staff duties performed that were not shown in the Fire If the fire drill...observations determine that insufficient supervisory staff is available to perform the fire safety duties as described in the Fire Safety Plan appropriate enforcement options provided in OFMEM TG-01-2012 Fire Safety Inspections and Enforcement should be utilized to ensure the safety of the occupants. This is time available after the door to the room of fire origin is closed. List Supervisory Staff duties to be carried out as noted in the Approved Fire Safety Plan May include calling 911 pulling...fire alarm or other duty to ensure resident safety Method of Alarm Activation for Fire Drill Scenario May be direct fire alarm activation silent alarm verbal notification PRACTICE the fire drill scenario and supervisory duties prior to fire service observations to ensure time requirements are obtained with minimum staffing levels. Ensure the Fire Department has the most current Fire Safety Plan. Options to improve evacuation times can be found on page 15 of the OFMEM Guideline TG-01-2013....Submit the plan to the Chief Fire Official for approval of the Fire Drill Scenario. Document Prepared by Proposed Date for Fire Drill Observation Date Submitted to Chief Fire Official for APPROVAL Date Prepared by Alternative Date Chief Fire Official Approval of Fire Drill Scenario Print Name Signature Date Verification of Fire Drill Scenario Variables Verify the following prior to running the actual fire drill. Adjust scenario times as required if discrepancies identified. Does the Fire Drill...Scenario represent the lowest staffing level as identified in the Fire Safety Plan Is the detection method provided in Step 2 A table C. Door rating - min. A Determine the minimum water supply duration for automatic sprinklers from the following information No sprinklers 0 minutes Sprinkler system water supply duration minutes Sprinklers designed to NFPA 13D 20 minutes min. B Municipal water supply to sprinklers 60 minutes Test Reports or other documentation. the point of safety. This is time...available after the door to the room of fire origin is closed. List Supervisory Staff duties to be carried out as noted in the Approved Fire Safety Plan May include calling 911 pulling fire alarm or other duty to ensure resident safety Method of Alarm Activation for Fire Drill Scenario May be direct fire alarm activation silent alarm verbal notification PRACTICE the fire drill scenario and supervisory duties prior to fire service observations to ensure time requirements are obtained with minimum...staffing levels. Ensure the Fire Department has the most current Fire Safety Plan. Options to improve evacuation times can be found on page 15 of the OFMEM Guideline TG-01-2013. Check all Fire Code applications here. Safety AND Closing the Door to the Room of Fire Origin Check applicable door type / rating Identify the type of door to the room of fire origin. Wood panel or Hollow-core wood 5 min 45 mm solid-core wood 15 min 20-min. rated door in 20 min labelled frame 20 min Hollow metal / steel...door 30 min 45 min labelled door in 45 min labelled frame 45 min Door rating information may be found on suite door frame and on door near hinges. Door rating - min. A Determine the minimum water supply duration for automatic sprinklers from the following information No sprinklers 0 minutes Sprinkler system water supply duration minutes Sprinklers designed to NFPA 13D 20 minutes min. B Municipal water supply to sprinklers 60 minutes Test Reports or other documentation. the point of safety. This...is time available after the door to the room of fire origin is closed. List Supervisory Staff duties to be carried out as noted in the Approved Fire Safety Plan May include calling 911 pulling fire alarm or other duty to ensure resident safety Method of Alarm Activation for Fire Drill Scenario May be direct fire alarm activation silent alarm verbal notification PRACTICE the fire drill scenario and supervisory duties prior to fire service observations to ensure time requirements are obtained with...minimum staffing levels. Complete the 4 steps below when seeking a fire service approval of the fire drill scenario. PART 1 PROPERTY INFORMATION Property Operating Name Contact Name Occupancy Address City/Town Licensing Agency Contact number Occupancy Classification CHECK Below Care Occupancy Care and Treatment Occupancy Retirement Home Postal Code Licensing Number PART 2 CONTACT INFORMATION Owner Name Owner Address Email address PART 3 APPROVED FIRE DRILL SCENARIO TIP The Ontario Fire Code...requires monthly fire drills to be performed in care occupancies and care and treatment occupancies. The local fire service observes an annual fire drill to determine sufficient supervisory staff is available to perform fire safety duties described in the Fire Safety Plan. Every person required to implement a fire safety plan must have completed an acceptable training program/course by January 1 2017. Additional requirements and Compliance dates can be found in the Compliance Schedule. Check...all Fire Code applications here Step 1 - Develop a Scenario Representing Lowest Staffing Level Complement Floor A B Select a zone/floor area of fire origin involving residents/patients in resident/patient rooms that poses the greatest evacuation challenge for staff. Zone Number of residents/patients in the fire compartment that will require evacuation to a point of safety Outside Building Identify the point of safety to which origin will be evacuated. Exit stairwell min. 30 minutes fire...resistance rating Adjacent Zone min. 30 minutes fire resistance rating Page 1 of 4 OFMEM C D Select a resident/patient room within this zone/floor area that would represent the room of fire origin. Room Simulate the time of day representing the lowest staffing level complement available to respond to the room of fire origin. Time of day Total residents/patients in the room Number of staff available to respond Submit drawings to the fire service that show the building features and the proposed...area affected by the fire drill. Include the proposals listed above on the drawing so that the scenario can be reviewed and approved. Evacuations in stairwells with non- ambulatory residents may be labour intensive.

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Understanding the Canada Vulnerable Occupancy Fire Form

Overview of the Canada Vulnerable Occupancy Fire Form

The Canada Vulnerable Occupancy Fire Form is a crucial document designed for residential facilities that care for individuals who may require additional assistance during emergencies. This form outlines the requirements for emergency preparedness and fire drill scenarios specifically tailored for facilities like retirement homes, care occupancies, and care treatment occupancies.

Key Features of the Form

This form includes several key features that facilitate effective emergency management. It requires detailed property information, identifies the occupancy classification, and provides sections for contact information of both the owner and local fire officials. It also emphasizes the importance of developing fire drill scenarios that reflect real-life conditions for vulnerable residents.

Best Practices for Completing the Form

To ensure accuracy and compliance, follow specific best practices when filling out the Canada Vulnerable Occupancy Fire Form. Each section should be completed fully, including accurate contact information and occupancy details. Regularly review fire safety plans and train staff according to the identified needs and challenges, ensuring every individual involved is well-prepared for emergencies.

When to Use the Canada Vulnerable Occupancy Fire Form

The form should be used annually or whenever there are significant changes in occupancy conditions, staffing levels, or fire safety plans. It is essential for ensuring ongoing compliance with fire safety regulations and for validating the effectiveness of fire drill scenarios conducted within the facility.

Who is Required to Complete this Form

Facility administrators and owners of care occupancies are primarily responsible for completing the Canada Vulnerable Occupancy Fire Form. Local fire officials may also play a role in reviewing and approving the submitted scenarios to ensure they meet established safety standards.

Security and Compliance Considerations

Maintaining security and compliance is critical when handling the Canada Vulnerable Occupancy Fire Form. Authorized personnel should always manage the documentation, and data must be collected and stored in accordance with local safety regulations. Regular training and updates in fire safety practices will help ensure that everyone involved understands their responsibilities and the importance of the procedures outlined in the form.

Frequently Asked Questions about ship fire drill scenario sample form

What types of facilities must use the Canada Vulnerable Occupancy Fire Form?

Facilities such as retirement homes, care occupancies, and treatment centers for vulnerable populations are required to use this form to ensure compliance with fire safety regulations.

How often should the Canada Vulnerable Occupancy Fire Form be reviewed?

The form should be reviewed annually or whenever significant changes occur in occupancy or staffing to maintain compliance with current fire safety standards.