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Fire Alarm System Check Form |
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Manual: Life Safety and Interim Life Safety Management Manual (Ver 4) External Reference: (JCAHO EC.5.10, EC.5.40)
MCN’s customizable template, Fire Alarm System Check Form, is taken from our Life Safety and Interim Life Safety Management Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors. Here is some sample content from Fire Alarm System Check Form:
| | FIRE ALARM SYSTEM CHECK
Area #
Date
Inspected By
Sprinkler Valves
Close water risers - alarm sounds
Valves open
Water pressure
Open drains
Alarm sounds
Close drains
Fire Alarms
Chimes operative
Bell operative
Fire Stations
Pull alarm
Alarm sounds
Fire doors close
Smoke Detectors
Blow smoke into unit
Unit should trip on unit only
Fire doors close
Blow smoke out of unit
Light should go out
Doors can be reset
Fire Doors
Close and latch when alarm sounds
Reference #1031 Life... |
| Second excerpt: |
| | ...- alarm sounds
Valves open
Water pressure
Open drains
Alarm sounds
Close drains
Fire Alarms
Chimes operative
Bell operative
Fire Stations
Pull alarm
Alarm sounds
Fire doors close
Smoke Detectors
Blow smoke into unit
Unit should trip on unit only
Fire doors close
Blow smoke out of unit
Light should go out
Doors can be reset
Fire Doors
Close and latch when alarm sounds
Reference #1031 Life... |
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