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Tool 3 – SAMPLE FACILITY EMERGENCY ORGANIZATION FORM

TOOL 3

SAMPLE FACILITY EMERGENCY ORGANIZATION FORM

The Facility Emergency Organization (D.E.O.) is largely a fire-handling organization since fire is one of the emergencies most frequently encountered. Putting out fires in incipient stages, however, is only one of the jobs the D.E.O. may perform. The Division Emergency Organization should have a plan of action for every conceivable emergency, regardless of how remote the chances of such an event occurring might be. They should be able to act immediately and correctly during a tornado or hurricane warning, follow through automatically after a flood warning, handle a fire or explosion with highly effective coordination, and help the company recover from such incidents with a minimum of damage or disruption.

Their responsibilities are important indeed, since jobs could be lost unless members of the Division Emergency Organization react quickly and effectively.  Effective response can result only if they understand what they are expected to do, and how that fits in with what others will be doing.  While only a few will be assigned to the D.E.O., all employees should know where and how to give the alarm in case of a fire.  The remainder of the employees not involved in the handling of emergencies should get out of the danger area as directed, in as orderly a manner as possible as outlined in the facility evacuation plan.

The Division Emergency Organization is not a separate, stand-alone emergency plan.  All emergency planning is to be carried out in conformity with established Emergency Action Plans.

Staffing the facility Emergency Organization

The Facility Manager has the ultimate responsibility for ensuring that there is an effective D.E.O.  This includes the formation, training and maintenance of the organization.  The basic D.E.O. functions should include:  person in charge, fire alarm notifier, sprinkler valve operator, response team, shut-down person and a salvage squad.  Attached to this program is a listing of emergency organization assignments and responsibilities.

The F.E.O plan should be in writing, along with written responsibilities of all members of the group.  The F.E.O's basic organizational structure should be outlined, with provisions made for periodic training of personnel.

Facility Emergency Organization Assignments and Responsibilities

The person in charge must:

1.         Be familiar with the facility and any inherent special hazards.
2.         Know the care and operation of all protection systems.
3.         Be familiar with salvage and rescue facilities and methods.
4.         Train D.E.O. members in their assigned responsibilities (fire alarm notifier).
5.         Direct initial emergency action until arrival of professional assistance.
6.         Contact appropriate insurance representatives as soon as possible.

Sprinkler control person will:

1.         Try sprinkler control valve(s) for the affected system to make sure they are fully open when the alarm is sounded.
2.         Stand by sprinkler control valve(s) to make sure they remain open until instructed to close them by person in charge or fire chief, per advance plan.
3.         Reopen valve(s) promptly if need develops after instructions are received to close them.
4.         Check valve for full open position, lock, and make full flow drain test when protection is restored.

Fire alarm notifier:

1.         Employees designated on each shift to sound the alarm.
2.         Will promptly call the public fire department and direct them to the fire.

Response team:

1.         Use fire extinguishers in the incipient stages of fires.
2.         Be familiar with proper extinguishers to use for the various types of fires.
3.         Assist in the evacuation of the building (per established evacuation plan).

Shut-down person:

1.         Shuts down supplies of flammable gas and liquids.
2.         Shuts down power.

Salvage squad:

1.         Covers and/or moves stock and equipment.  Immediately begins smoke and water clean-up and salvage of damaged stock and equipment.
2.         Make arrangements to replace fused sprinklers as soon as possible.

Facility Emergency Organization Assignments and Responsibilities Continued

Emergency phone numbers will be available to designated member of the D.E.O.; i.e., person in charge, fire alarm notifier.

Facility Emergency Organization - Assignment Sheet

Emergency Notification and Important Phone Numbers
1.         Fire:                                                                 4.         Facility Manager:
2.         Police:                                                 5.         Corporate Office:
3.         Ambulance:                                                     6.         Insurance carrier:

PRIVATE  PERSONNEL

       A Shift

       B Shift

       C Shift

       D Shift

Personnel in charge
Alternate

 

 

 

 

Sprinkler control person
Alternate

 

 

 

 

Fire alarm notifier
Alternate

 

 

 

 

Shut off person
Alternate

 

 

 

 

Responsibilities:

The person in charge:
1.         Being familiar with the facilities and any inherent special hazards.
2.         Knowing the care and operation of all protection systems.
3.         Being familiar with salvage and rescue facilities and methods.
4.         Training program for D.E.O. members.
5.         Directing initial emergency action until arrival of professional assistance.
6.         Contacting Insurance carrier possible.

Sprinkler control person:
1.         Trying sprinkler control valve(s) for the affected system to make sure they are fully open when the alarm is sounded.
2.         Standing by sprinkler control valve(s) to make sure they remain open until instructed to close them by person in charge or fire chief, per advance plan.
3.         Reopening valve(s) promptly if need develops.
4.         Checking valve for full open position, locking, and making full drain test when protection is restored.

Fire alarm notifier:
1.         Employees designated on each shift to sound the alarm.
2.         Will promptly call the public fire department and direct them to the fire.
3.         Notify the D.O.E.

Response team:
1.         Use fire extinguishers in the incipient stages of fires.
2.         Be familiar with proper extinguishers for use for the various types of fires.
3.         Assist in the evacuation of the building.

Shut-down person:
1.         Shuts down supplies of flammable gas and liquids.
2.         Shuts down power and/or ventilation in accordance with prearranged plans.

Salvage squad:
1.         According to prepared plans, covers and/or moves stock and equipment.  Immediately begins smoke and water clean-up and salvage of damaged stock and equipment.
2.         Replaces fused sprinklers as soon as possible.


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