|
Date Checked |
Emergency numbers are accurate and posted near every telephone |
___________ |
Most recent inspection by fire department |
___________ |
Fire Extinguishers operable |
___________ |
Smoke alarms operable |
___________ |
Sprinkler system operable |
___________ |
Water detectors operable |
___________ |
Halon system operable |
___________ |
Public address system operable |
___________ |
Operable flashlights place in every department and Civil Defense
Shelter |
___________ |
Transistor radio operable |
___________ |
Staff familiarized (by tour not map) with locations of fire extinguishers,
flashlights, radio Civil Defense Shelter, and how to reach members
of the in-house disaster recovery team |
___________ |
Most recent fire drill |
___________ |
Most recent civil defense drill |
___________ |
Most recent tornado drill |
___________ |
CB radio ________________________________________________________ |
Cut-off switches and valves:
Electric_________________________________________________________
Gas___________________________________________________________
Water__________________________________________________________
Sprinkler system (if separate)________________________________________
|
Disaster boxes___________________________________________________
(boxes contain plastic sheeting, scissors, mops, sponges, papertowels
and other equpment that can be easily stored throughout the facility
and quickly retrieved when a disaster, such as a leaky roof, occurs) |
Fans __________________________________________________________ |
Fire Alarms _____________________________________________________ |
Fire extinguishers ________________________________________________ |
First aid kits _____________________________________________________ |
Flashlights _____________________________________________________ |
Freezer or wax paper _____________________________________________ |
Fungicides _____________________________________________________ |
Heavy-duty extension cords ________________________________________ |
Mops _________________________________________________________ |
Nylon monofilament ______________________________________________
(Nylon monofilament, or fishing line, can be used like a clothesline
to hang and dry small books; catalog cards and photos can be attached
to the line with clothespins for drying.) |
Paper towel supply _______________________________________________ |
Plastic milk crates _______________________________________________ |
Plastic sheeting _________________________________________________ |
Plastic trash bags ________________________________________________ |
Portable generator _______________________________________________ |
Rubber gloves __________________________________________________ |
Safety helements (hard hats) _______________________________________ |
Smoke alarms __________________________________________________ |
Sponges, pails, brooms ___________________________________________ |
Sump pump or portable pump ______________________________________ |
Transistor radio _________________________________________________ |
Unprinted newsprint ______________________________________________ |
Water detectors __________________________________________________ |
Water hoses ____________________________________________________ |
Waterproof clothing _______________________________________________ |
Wet-Dry vacuum _________________________________________________ |
Date member of in-house disaster recovery team toured all locations
noted above: ________________________________________________________________ |
|
Service |
Name of contact |
Telephone number |
Fire Dept. |
_______________________________ |
________________ |
Police Dept. |
_______________________________ |
________________ |
Ambulance |
_______________________________ |
________________ |
Civil Defense |
_______________________________ |
________________ |
Insurance Company |
_______________________________ |
________________ |
Legal Advisor |
_______________________________ |
________________ |
Utility Companies:
Electric
Water
Gas |
_______________________________
_______________________________
_______________________________
_______________________________
|
________________
________________
________________
________________ |
Electrician |
_______________________________ |
________________ |
Plumber |
_______________________________ |
________________ |
Carpenter |
_______________________________ |
________________ |
Exterminator |
_______________________________ |
________________ |
Chemist |
_______________________________ |
________________ |
Myocologist |
_______________________________ |
________________ |
|
_______________________________ |
________________ |
|
_______________________________ |
________________ |
