You requested information regarding fire risk assessments. Specifically you asked for:

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Sybil Brown
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1 Executive Corridor Darlington Memorial Hospital Hollyhurst Road Darlington DL3 6HX Switchboard Tel: Foundation Office: Corporate Records Office: Request for Information Reference: Direct line: only 27 November 2017 Freedom of Information Act 2000 Request for Information Thank you for your request for information received on 7 November 2017 in relation to the County Durham and Darlington NHS Foundation (). We are dealing with your request under the provisions of the Freedom of Information Act You requested information regarding fire risk assessments. Specifically you asked for: 1. There is a requirement for an area to have full cover when it comes to areas of responsibility for fire, please provide a) A list all areas of responsibility for Hospital, including the company who has control i.e., PFI Company or Service Company. Can a document showing all parties are satisfied with this requirement be provided? Current Site areas of responsibility/control Location Occupation Regulatory Reform (Fire Safety) 2005 (Responsible Person) Wards 1 & 2 Lower Ground Accident & Emergency/Urgent Care Centre Radiology (X-Ray Imaging and MRI) Body Store Hospital Radio Regeneration Kitchen (Located on Corridor) General Waste Storage Area AHU Plant Room LV Switch Room Ground Emergency Generator Room Medical Wards 3, 5 & 6 Operating Theatres Chemotherapy

2 Main reception (Outpatients), including Orthopaedic and Fracture Clinics Stroke Unit (W4) Rehabilitation Day Unit Physiotherapy Department Cardio Pulmonary Investigations Department Orthodontics Department Medical Illustrations Department Ophthalmology Prayer Room Main Restaurant WRVS Regeneration Unit (Located on Ward3) General Waste Storage Areas First Gynaecology Outreach Department (W10) Mara Unit (W15) Gynaecology (W8) Pathology Operating Theatres Midwifery Led Unit (W8) Children s Ward (W7) and Children s Outpatients Children s Day Care/ Outpatients/ Children s Admissions Women Centre (Gynaecology and Colposcopy Pathology Pharmacy Fallow Space Regeneration Unit (Located on Mara Unit) General Waste Storage Area Second General Surgical/Orthopaedic Ward (18) Orthopaedics Ward (19) Day Care Ward (20)/Endoscopy Main Plant Room Elderly Wards (16 & 17) Operating Theatres x 4 Oral and Maxillofacial Surgery/Orthodontics Anaesthetics Department Regeneration Unit (Located on Corridor) Third (Roof Void) Plant Rooms Walkway Roof Voids Throughout main buildings Roof/ceiling voids Risers Main Hospital Streets Staircases and escape route staircases Lift Lobby s

3 Buildings Estates building Receipt & Delivery Unit (RDU) Education Block Ground / Ist / 2 nd floor Criterion/ Works Buildings/ Whole compound Buildings 33B Escomb Rd Lifts Main Hospital Corridors and Education Centre Toilet Areas Main Corridors Medical Gasses Manifold Rooms Medical Gas Cylinder Stores Bulk Oxygen Liquid Plant Various locations External Area behind Education Centre Car Parks and Grounds Hospital Car Parks Hospital Grounds Storage and Waste Storage areas Service and Delivery yard Storage areas Main Hospital Waste Compound Plant and Electrical rooms Rooms Hospital Plant Rooms Switchgear Rooms LV/HV rooms and external buildings Emergency generator plantroom Manifold rooms Fire Officer I can confirm that the fully understand the requirement of the Regulatory Reform fire safety order, we have the most staff on the site and and Criterion follow our procedures in the shared building we occupy. There is no formal agreement re responsibility for areas. b) Are all areas shown on the above covered by risk assessments? List dates fire risk assessments were completed and how often they are reviewed. Fire Officer I can confirm that all of the areas listed above which are the responsibility of the have a current Fire Risk Assessment we carry out the assessments on an annual basis Lower Ground Urgent Care Center 28/06/2017 Yearly 28/06/2018

4 Lower Ground Lower Ground Lower Ground Lower Ground Ground Ground Ground Fertility clinic 23/10/2017 Yearly 23/10/2018 Ward 1 12/06/2017 Yearly 12/06/2018 Ward 2 27/06/2017 Yearly 27/06/2018 X-Ray 27/06/2017 Yearly 27/06/2018 Ward 3 and 4 28/06/2017 Yearly 28/06/2018 Ward 5 04/05/2017 Yearly 11/05/2017 Ward 6 04/05/2017 Yearly 24/05/2017 Ground Ground Outpatients department Rehab Day Unit and Physiotherapy 28/06/2017 Yearly 28/06/ /05/2017 Yearly 04/05/2018 Ward 7 04/05/2017 Yearly 24/05/2017 Ward 8 04/05/2017 Yearly 04/05/2018 Ward 9 04/05/2017 Yearly 04/05/2018 Ward 10 12/06/2017 Yearly 12/06/2018 Mara Unit 12/06/2017 Yearly 12/06/2018 Pharmacy 20/06/2017 Yearly 20/06/2018

5 Pathology, Bio Labs and office area 20/06/2017 Yearly 20/06/2018 Womens centre 20/06/2017 Yearly 20/06/2018 Ward 16 28/06/2017 Yearly 28/06/2018 Ward 17 27/06/2017 Yearly 27/06/2018 Ward 18 28/06/2017 Yearly 28/06/2018 Ward 19 27/06/2017 Yearly 27/06/2018 Ward 20 28/06/2017 Yearly 28/06/2018 Anaesthetics maxilliofacial and orthodonics 16/08/2017 Yearly 16/08/2018 Theatres 16/08/2017 Yearly 16/08/2018 General Hospital PGME 20/07/2017 Yearly 29/07/ There is a mandatory requirement under article 17 of the Regulatory Reform (fire safety) Order 2005 to carry out maintenance on fire safety equipment s please provide a list for maintenance carried out at BAH showing:- Equipment Date the last maintenance schedule was completed. Periodic time of maintenance EG. Weekly daily monthly Who completed the maintenance i.e. In house, 3rd party or external contractor

6 Which British Standard or code of practice is used for compliance, please provide British standard number and paragraph or HTM number and paragraph. Above Information required for:- Emergency Generators Fire Extinguishers/portable firefighting equipment Portable Appliance testing Dry/Wet risers Fire Doors Fire hydrants emergency lighting inert gas systems Fire alarm systems smoke and ventilation damper tests Lightning conductors Main hospital earth testing Fixed electrical testing Medical gas testing of pipes and pressure tests Gas installations, natural gas Cooking Ductwork and filters

7 Information below from /Criterion Equipment Date the last maintenance schedule was completed Periodic time of maintenance EG. Weekly daily monthly Who completed the maintenance IE. In house, 3rd party or external contractor Which British Standard or code of practice is used for compliance, please provide British standard number and paragraph or HTM number and paragraph Emergency Generators 17/10/17 21/9/17 Monthly & Annual In-house and Contractor HTM Fire Extinguishers/portable firefighting equipment 29/10/17 20/06/17 Monthly & Annual In-house and Contractor BS EN :2009 Portable Appliance testing 8/11/16 Annual Contractor BS 7671:2008 Incorporating Amendment 3: (NOTE PLANNED TESTING 22/11/17) Dry/Wet risers 25/5/17 6-Monthly In-House Not tested as greed in Water Safety Group Meeting due to potential of legionella. (/CDDFT) Fire Doors Various (Apr-Jun 17) 6-Monthly In-house BS 8214:2008 Fire hydrants 20/06/17 Annual Contractor BS 9990: 2015 emergency lighting Various (Jan-Dec 17) Monthly & Annual In-house BS to 10 inert gas systems 22/6/17 Annual Contractor BS EN :2008

8 Fire alarm systems Various (Jan-Dec 17) Weekly & Annual In-house and Contractor BS :2013 smoke and ventilation damper tests Various (Jan-Oct 17) Annual In-house BS 5588 BS 9999:2017 HTM Lightning conductors 19/9/17 11-Monthly Contractor BS EN :2006 Main hospital earth testing 19/05/17 6 Monthly In-house BS 7671:2008 incorporating Amendment 3 and HTM Fixed electrical testing Various (Jan-Dec 17) Yearly - In-house In-house BS 7671:2008 incorporating Amendment 3 and HTM Medical gas testing of pipes and pressure tests Gas installations, natural gas 6/9/17 Quarterly Contractor HTM Part B 18/10/17 Annual Contractor The Gas Safety (Installation and use) Regulations 1998 BS 6644:2011 BS 6173:2009

In line with the Information Commissioner s directive on the disclosure of information under the Freedom of Information Act 2000 your request will form part of our disclosure log.

9 In line with the Information Commissioner s directive on the disclosure of information under the Freedom of Information Act 2000 your request will form part of our disclosure log. Therefore, a version of our response which will protect your anonymity will be posted on the County Durham and Darlington NHS Foundation website. If you have any queries or wish to discuss the information supplied, please do not hesitate to contact me on the above telephone number or at the above address. If you are unhappy with the way your request for information has been handled, you can request a review by writing to: The Chief Executive County Durham & Darlington NHS Foundation Darlington Memorial Hospital Hollyhurst Road Darlington DL3 6HX If, you remain dissatisfied with the handling of your request or complaint, you have a right to appeal to the Information Commissioner at: The Information Commissioner s Office Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Telephone: Website: There is no charge for making an appeal. Yours sincerely Joanna Tyrrell Freedom of Information Officer

2. For each infestation, please list a) the type of vermin and b) the ward / department within the hospital which was affected

2. For each infestation, please list a) the type of vermin and b) the ward / department within the hospital which was affected Chelsea and Westminster Hospital Information Governance Team Chelsea Harbour Harbour Yard Unit 111, 1 st Floor London SW10 0XD 01/03/2016 Our Ref: FOI 2015-134 Dear Requester Please accept our apologies