Homepage > Blank Fire Watch Checklist Template
Article Guide

Understanding fire safety protocols is crucial in any facility, especially in environments like hospitals where the stakes are high. The Fire Watch Checklist form serves as a vital tool in this regard, ensuring that all necessary precautions are taken when fire risks increase. This checklist is designed for specific situations such as hot work activities or impairments to sprinkler and fire alarm systems. In completing the form, personnel will note the fire watch areas and the name of the building, which in this case is the Lancaster General Hospital at the WBH Campus. The checklist includes essential conditions that must be monitored, such as maintaining unobstructed exits, ensuring fire extinguishers are readily accessible, and documenting that fire watch continues for at least 30 minutes post-hot work activity. Additionally, individuals tasked with fire watch are required to patrol designated areas and actively look for signs of smoke or fire, preparing them to respond promptly if a situation arises. The checklist also emphasizes the importance of immediate communication and the need to contact emergency services without delay. Completing and returning the checklist to the Safety Department not only helps maintain compliance but also reinforces a culture of safety among everyone in the facility.

Form Sample

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

 

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

Document Specifications

Fact Name Description
Purpose The Fire Watch Checklist is designed to ensure safety during hot work or system impairments.
Documentation Each area must be checked hourly and documented to maintain accountability for safety.
Conditions Specific conditions such as accessible fire extinguishers must be met for effective fire watch.
Emergency Protocols Fire Watch personnel should pull the nearest alarm and notify occupants immediately in case of smoke/fire.
Completion Reporting Completed checklists are to be returned to the LGH Safety Department for review.
State Regulations This checklist aligns with state fire safety laws in Pennsylvania, particularly regarding hot work permits.

Steps to Filling Out Fire Watch Checklist

Once you receive the Fire Watch Checklist form, it is essential to fill it out accurately to ensure the safety of all building occupants. After completing the checklist, you will submit it to the LGH Safety Department. Keep in mind that safety and compliance are priorities during this process.

  1. Start by entering the Project/Department name at the top of the form.
  2. List the Fire Watch Areas for the designated project.
  3. Specify the Name of Building as "LGH WBH Campus" or another name, if applicable.
  4. Indicate the Reason(s) for Fire Watch by checking the relevant boxes, including options like 'Hot Work' or 'Sprinkler System Impairment'.
  5. For impairments, provide specific details by noting whether it is due to regular maintenance, inspection, or renovation/demolition work, and explain any other reasons.
  6. Verify the necessary conditions and ensure they are met, such as exits being clear and fire extinguishers being accessible.
  7. Document the Date and Time of the fire watch checks.
  8. Record your name as the Person Conducting Watch.
  9. For each time check, answer whether conditions were compliant by marking 'YES' or 'NO' in the appropriate section.
  10. Continue the fire watch as instructed and complete rounds in all designated areas.
  11. Return the completed Fire Watch Checklist to the LGH Safety Department, either in person or via fax at 717-544-4946.

More About Fire Watch Checklist

What is the purpose of the Fire Watch Checklist?

The Fire Watch Checklist serves as an essential tool for monitoring fire safety in designated areas, particularly during situations that may pose a fire risk, such as hot work or system impairments. It ensures that all necessary conditions are met to prevent fires and that any potential hazards are addressed promptly. The checklist must be filled out accurately to maintain a safe environment for all occupants.

Who is responsible for conducting the fire watch?

The responsibility of conducting the fire watch typically falls to a designated individual within the project or department. This person should be trained to recognize fire hazards and understand the procedures to follow should smoke or fire be detected. The individual is expected to patrol the assigned area regularly, checking specific conditions outlined in the checklist.

How often should areas be checked, and what should be documented?

Each area under fire watch must be checked hourly. The person conducting the watch must document the date, time, and whether the conditions required in the checklist were complied with during each check. Accurate and complete records are vital for accountability and safety audits.

What steps should be taken if smoke or fire is detected?

If smoke or fire is observed, the designated fire watch personnel must take immediate action. This includes pulling the nearest fire alarm, alerting nearby occupants by shouting “Condition Red,” and contacting emergency services using the appropriate phone number. It is crucial to prioritize safety and not to engage in any risky behavior while responding to a fire emergency.

What should be included in the reason(s) for the fire watch?

Reasons for initiating a fire watch can include various situations such as hot work activities, sprinkler system impairments, and fire alarm system impairments due to maintenance, inspections, or renovations. It is important for the checklist to accurately reflect the reasons to ensure proper precautions are in place.

What should be done with the completed checklist?

Once the fire watch is completed and the checklist is filled out, it must be returned to the Lancaster General Hospital Safety Department. This submission ensures that all fire watch activities are documented and available for review. It is recommended to fax the completed form to the designated fax number provided in the instructions.

Common mistakes

  1. Inadequate identification of the area - Failing to clearly specify the "Fire Watch Areas" can lead to confusion about where the watch is being conducted.

  2. Missing reasons for Fire Watch - Not indicating the specific reason(s) for the Fire Watch can compromise accountability and understanding. It's essential to mark all applicable options such as "Hot Work" or "Sprinkler System Impairment."

  3. Overlooking condition checks - Neglecting to ensure that exits, corridors, and stair towers are free from obstructions can pose serious safety risks.

  4. Failure to document patrol rounds - Not recording the date, time, and the person conducting the watch can affect audit trails and accountability.

  5. Inaccurate responses regarding compliance - Marking "Yes" or "No" without properly evaluating compliance with listed conditions can result in misleading records.

  6. Not reporting observable signs of smoke or fire - Ignoring the requirement to look for signs of potential hazards can be life-threatening. Immediate action must be taken upon detection.

  7. Improper submission - Failing to return the completed checklist to the LGH Safety Department can prevent proper tracking and may lead to unnecessary risks in the future. Always ensure to fax to the correct number.

Documents used along the form

The Fire Watch Checklist form is a crucial document used to ensure safety protocols are followed during potentially hazardous conditions, such as hot work operations or system impairments. Alongside this checklist, several other forms and documents play important roles in maintaining safety compliance. Below is a list of these documents, each serving a unique purpose in the fire safety protocol.

  • Hot Work Permit: This form grants permission for operations involving open flames or heat that could ignite flammable materials. It outlines specific safety measures that must be in place before hot work begins.
  • Emergency Action Plan: This document details procedures for responding to various emergencies. It includes evacuation routes, designated assembly points, and key responsibilities for staff during a fire incident.
  • Fire Safety Training Records: These records demonstrate that employees have received necessary training on fire safety protocols and emergency response, ensuring everyone understands their role in a fire situation.
  • Building Inspection Report: This report documents the condition of the building's fire safety systems, including alarms, extinguishers, and exit routes, ensuring compliance with safety regulations.
  • Incident Report Form: Used after a fire-related incident, this form captures details about what occurred, the response taken, and any injuries or damage, providing information for future prevention strategies.
  • Fire Safety Equipment Inspection Log: This log tracks the status and service history of fire safety equipment such as extinguishers, sprinklers, and alarms, verifying that they are maintained and operational.
  • Fire Drill Log: This document records details about fire drills conducted within the facility, including participation rates and observations, which are essential for evaluating preparedness.
  • Visitor Log: Keeping track of visitors is important for safety during emergencies. This log ensures that all individuals in the building can be accounted for in the event of a fire.
  • Compliance Certificates: These documents certify that the building meets local fire codes and safety regulations, providing peace of mind that all necessary assessments have been successfully completed.

Utilizing these documents in conjunction with the Fire Watch Checklist form enhances overall safety efforts and ensures that all necessary precautions are in place to protect lives and property. Each document has its own significance, contributing to a comprehensive fire safety strategy.

Similar forms

The Fire Watch Log is quite similar to the Fire Drill Report. Both documents serve the essential purpose of ensuring safety during potentially hazardous situations. The Fire Drill Report is utilized to document the outcomes of regular fire drills, while the Fire Watch Log captures ongoing monitoring when specific risks, such as hot work or system impairments, necessitate heightened vigilance. Both forms emphasize the need for documentation, showing when checks have been made and whether conditions are compliant with safety standards.

Another document that shares similarities with the Fire Watch Checklist is the Hot Work Permit. This permit outlines the safety requirements and precautions that must be followed when conducting work that generates sparks or flames. Like the Fire Watch Checklist, the Hot Work Permit ensures that proper measures are taken to prevent fire hazards, including the identification of fire watch personnel and conditions that must be monitored during the work process. Both put significant focus on maintaining a safe environment throughout potentially risky operations.

The Equipment Inspection Record also aligns closely with the Fire Watch Checklist. Both documents emphasize the importance of routinely verifying the operational status of safety equipment. For instance, the Fire Watch Checklist ensures fire extinguishers are accessible, while the Equipment Inspection Record verifies that such safety gear functions properly. They both facilitate accountability through precise documentation and regular checks, promoting a proactive approach to safety in different circumstances.

Similar to the Fire Watch Checklist, the Safety Meeting Record serves to document discussions around safety issues within a workplace. These records allow teams to communicate the importance of following safety protocols, just as the Fire Watch Checklist outlines the specific conditions and monitoring required for fire safety. Both documents are essential to fostering a culture of safety, reinforcing that ongoing dialogue and documentation are critical in preventing incidents.

The Incident Report is yet another document comparable to the Fire Watch Checklist. While the Fire Watch Checklist focuses on proactive measures to prevent incidents, the Incident Report details what happened during an actual emergency. Both documents are crucial for addressing safety concerns, but they function at different stages of risk management. Together, they offer a comprehensive picture of safety practices within a given environment.

In addition, the Emergency Response Plan has similarities with the Fire Watch Checklist, as both emphasize preparedness in emergency scenarios. The Emergency Response Plan outlines actions to be taken during emergencies, while the Fire Watch Checklist focuses on maintaining safety before an incident occurs. Both documents work together to ensure that all individuals are aware of their responsibilities in protecting themselves and others during emergencies.

Lastly, the Maintenance Log is comparable as it records the status of various systems and equipment. Both the Fire Watch Checklist and Maintenance Log involve regular monitoring and documentation to ensure that the necessary safety measures are in place. They highlight the importance of consistent checks and act as vital components in maintaining safe operational conditions within any facility.

Dos and Don'ts

When filling out the Fire Watch Checklist form, it’s essential to follow specific guidelines to ensure safety and compliance. Here’s a list of things you should and shouldn’t do:

  • Do ensure that all fields are filled out completely, including the project/department name and the reason for the fire watch.
  • Don't leave any information blank. Missing details can lead to confusion during an emergency.
  • Do check each fire watch area thoroughly and document your findings accurately.
  • Don't skip hourly checks. Each area must be monitored and documented consistently.
  • Do report any signs of smoke or fire immediately by pulling the nearest fire alarm and notifying building occupants.
  • Don't put yourself in danger. Always prioritize your safety and the safety of others.
  • Do return the completed checklist to the LGH Safety Department after all necessary checks and documentation are done.

Following these guidelines can help maintain a safe environment for everyone in the building.

Misconceptions

Misconception 1: The Fire Watch Checklist is only necessary during hot work.

Many believe the checklist is applicable only when hot work is happening. In reality, it is also essential during sprinkler system impairments and fire alarm system impairments. Understanding all situations where the form is required can enhance safety management.

Misconception 2: Fire Watch personnel do not need to document their observations.

Some think verbal communication is sufficient for reporting fire watch activities. However, proper documentation on the checklist is crucial. This step provides a record that can be referenced for safety compliance and monitoring.

Misconception 3: Fire Watch personnel can ignore temporary partitions.

There is a belief that temporary partitions do not require attention during a fire watch. It's important to ensure these partitions are smoke-tight and made of limited combustible materials as specified in the checklist. This precaution reduces fire hazards.

Misconception 4: Fire watch duties can be performed by anyone in the area.

Not everyone is equipped to perform fire watch duties. A designated person should conduct the watch, as they are trained to recognize signs of fire and execute the necessary procedures if an emergency occurs.

Misconception 5: Fire watch duties can be completed within a few minutes.

Some may underestimate the time required for a proper fire watch. It is vital to conduct thorough hourly checks and to patrol the entire designated area. This ensures all potentially hazardous conditions are monitored effectively.

Misconception 6: The Fire Watch Checklist is a one-time form.

Many think that once the checklist is completed, it is no longer needed. However, it must be updated regularly, especially during new hot work or system impairments. Continual usage reinforces safety protocols and compliance.

Key takeaways

Here are vital points to understand when filling out and using the Fire Watch Checklist form:

  • This form is essential for documenting fire watch activities at Lancaster General Hospital.
  • Clearly indicate the project or department, the name of the building, and the specific fire watch areas.
  • Note all applicable reasons for fire watch such as hot work and impairments to fire alarm and sprinkler systems.
  • Ensure compliance with specified conditions, including unobstructed exits and accessible fire extinguishers.
  • The checklist must be completed hourly, documenting the time and the person conducting the watch.
  • Fire watch personnel should patrol designated areas, including all stairwells and common areas.
  • Immediately report smoke or fire by using the nearest alarm pull station and notifying nearby occupants.
  • In emergencies, prioritize safety. Never place yourself in danger; always call the emergency number if fire or smoke is suspected.

Return the completed checklist to the LGH Safety Department via fax.