Report For NHS Shetland

Report For NHS Shetland FIRE EMERGENCY MANAGEMENT PLAN GILBERT BAIN HOSPITAL C.S. TODD & ASSOCIATES LTD August 2014

FIRE EMERGENCY MANAGEMENT PLAN GILBERT BAIN HOSPITAL Report by: K. LOGIE GIFireE C.S. Todd & Associates Ltd Hutton Roof Eglinton Road Rushmoor Farnham Surrey GU10 2DH Tel: 01252 792088 Fax: 01252 794165 E-mail: office@cstodd.co.uk Website: www.cstodd.co.uk January 2015

CONTENTS 1. INTRODUCTION 1 Page 2. DEFINITIONS 3 3. EVACUATION STRATEGY AND FIRE ALARM OPERATIONAL SEQUENCE 4 4. ACTION IN THE EVENT OF A FIRE ALARM ACTIVATION OVERVIEW 6 5. EVACUATION AREAS 8 6. SPECIFIC ROLES AND RESPONSIBILITIES 9 7. ASSEMBLY POINTS 12 8. FIGURES 13 APPENDIX A - Alarm Zones. APPENDIX B - Ward/Department Evacuation Strategies. APPENDIX C - Fire Response Team. APPENDIX D - Assembly Points. APPENDIX E - Escape Route Plans.

FIGURES Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 7A Figure 7B Figure 7C Figure 7D Figure 8 Overview of a Fire Emergency in a Patient Area Overview of a Fire Emergency in a Non-Patient Area Duties of Receptionist Duties of Emergency Controller Duties of Staff in Ward/Department in Alarm Zone of Fire Origin Duties of Staff From Other Wards/Departments Duties of Fire Response Team Duties of Member(s) of Fire Response Team investigating the alarm Duties of Member(s) of Fire Response Team meeting the Fire and Rescue Service Duties of Member(s) of Fire Response Team acting as Assembly Point Co-ordinators Duties of Member(s) of Fire Response Team tasked with extending the evacuation to other areas Duties of Fire Warden

1. INTRODUCTION 1.1 This document outlines how NHS Shetland will manage an evacuation due to a fire emergency at the Gilbert Bain Hospital. 1.2 Specifically, it describes the roles and responsibilities of the key staff, in particular the hospital management, the main receptionist, the Fire Response Team, nursing staff and Estates engineers. 1.3 The person in overall charge of an evacuation is the Emergency Controller. This role will be undertaken by a senior manager or senior nurse during the day, but at night will be delegated to the senior nurse on duty. 1.4 The receptionist is the person who will ensure that the fire and rescue service has been summoned. The Fire alarm system at the Gilbert Bain Hospital is linked to an automatic fire response system which informs the local fire brigade that an alarm has been raised. The receptionist also plays a vital role in summoning key staff in the event of an escalating incident. 1.5 The Fire Response Team will be assigned various duties in response to a fire emergency. These include: Investigating fire alarm conditions. Meeting the fire and rescue service on their arrival. Assisting nursing staff in evacuating those at immediate risk. Acting as Assembly Point Co-ordinators to ensure relevant areas are evacuated. Extending the evacuation to other areas in the event of an escalating incident. 1.6 These, and the duties of others with specific roles and responsibilities, are described in detail later in this document. 1.7 The management of fire emergencies requires that there be an effective means of communication between the receptionist, Emergency Controller, Fire Response Team and the fire and rescue service. A combination of pagers and two-way radios will be used for this purpose. 1.8 The overall strategy for evacuation of the hospital in a fire is one of progressive horizontal evacuation (PHE). For PHE to work efficiently and safely there need to be specific evacuation strategies in place for each patient area within the hospital. These strategies, and their implications for the operation of the fire alarm system, are described later in this document. 1.9 The next section of this document contains definitions of the terms used later. Section 3 is a summary of the evacuation strategy for the hospital and the operational sequence of the fire alarm system. In Section 4, an overview is given of the sequence of actions that would be followed in the event of a fire Fire Emergency Management Plan Gilbert Bain Hospital Page 1

alarm activation in the hospital. Details of the evacuation areas into which the hospital is divided are given in Section 5. The specific roles and responsibilities of the principals involved are outlined in Section 6. Finally, in Section 7, the location of each of the assembly points is given. 1.10 The submission of this report constitutes neither a warranty of future results by C.S. Todd & Associates Ltd nor an assurance against risk. The report represents only the best judgement of the consultant involved in its preparation, and is based, in part, on information provided by others. No liability whatsoever is accepted for the accuracy of such information. Fire Emergency Management Plan Gilbert Bain Hospital Page 2

2. DEFINITIONS 1.1 The following are definitions for specific terms used in this document: Alarm Zone Alert Assembly Points Emergency Controller Evacuate Fire Response Team Fire Warden An area of the hospital, such as a ward or department, in which the alarm (whether the Alert or Evacuate signal) is sounded. Fire alarm signal (intermittent tone) to indicate that there is a fire alarm elsewhere in the building. Designated areas for those such as independent patients, non-clinical staff, non-essential staff and visitors to gather following evacuation of the building. Person responsible for implementing the hospital s fire emergency plan (normally the most senior member or of the hospital s management team or senior nurse. e.g. Hospital Manager or the Nominated Officer (Fire), or Deputy or senior nurse in their absence). At night, this role is delegated to the Senior Nurse on duty and the on call Estates person. Fire alarm signal to indicate a need to evacuate the area in which the signal is sounded (a continuous tone). Designated team of staff from Estates, management, fire wardens and porters assigned to manage evacuations of the hospital. Person working in a non-patient area responsible for ensuring that a specific part of their workplace is clear and accounting for staff following an evacuation. Outbuilding The boiler house, laundry, stores, Estates workshop and other buildings on the site separate from the main hospital building. Fire Emergency Management Plan Gilbert Bain Hospital Page 3

3. EVACUATION STRATEGY AND FIRE ALARM OPERATIONAL SEQUENCE 3.1 The evacuation strategy for the Gilbert Bain Hospital is based on progressive horizontal evacuation of the building, i.e. the building is evacuated in phases over a period of time, with those at immediate risk moved first and the need for subsequent movement determined as the incident develops. 3.2 To facilitate this, there is a two stage fire alarm system. There are two fire warning signals: 'Alert' and 'Evacuate'. These are as follows: 'Alert' 'Evacuate' Intermittent (pulsing) tone. Continuous tone. 3.3 The strategy is intended to ensure safe and efficient evacuation of patients and others in the event of fire, while also minimizing disruption from false alarms. Accordingly, the evacuation will be restricted to a single ward/department initially. The Evacuate signal will be sounded in that area (alarm zone). At the same time, the 'Alert' signal will be generated in other areas (alarm zones), where necessary, to alert key staff to the need to provide assistance and to standby ready to receive evacuees or to evacuate, if subsequently necessary. 3.4 Where the origin of the alarm is remote from patient areas, the extent to which the Alert is sounded will be limited so as not to cause unnecessary disturbance. 3.5 Where the origin of the alarm is an outbuilding, the Evacuate is sounded in that outbuilding only, and no Alert is sounded in the main hospital building. 3.6 Evacuation of non-patient access areas and areas where patients are classed as independent, i.e. able to evacuate without assistance (e.g. Outpatients), will involve occupants leaving by the nearest exit and congregating at designated assembly points (see Section 7). 3.7 Evacuation of patient access areas where patients are classed as high risk (dependent) or very high risk (high dependency), in accordance with SHTM 86 definitions of Persons at Risk, will involve movement of patients internally to an adjacent area. This will usually be an adjoining ward/department, provided there is sufficient fire separation between the two. 3.8 A list of the alarm zones for the hospital building is given in Appendix A. 3.9 Individual ward/department evacuation strategies are given in Appendix B. Fire Emergency Management Plan Gilbert Bain Hospital Page 4

3.10 The primary and secondary evacuation routes from each area of the hospital are given in Appendix E. Fire Emergency Management Plan Gilbert Bain Hospital Page 5

4. ACTION IN THE EVENT OF A FIRE ALARM ACTIVATION OVERVIEW 4.1 The following paragraphs describe, in brief, the sequence of events and the actions to be taken in response to a fire alarm activation. The action taken will depend upon the location of the source of the alarm. This is illustrated in Figures 1 and 2. 4.2 On receipt of the alarm at the hospital s fire panel in the main reception, the receptionist will confirm the activation to the fire and rescue service by telephone, and notify key personnel, in particular the Emergency Controller and Fire Response Team, by pager, telephone or radio, as appropriate. 4.3 The Emergency Controller and Fire Response Team will proceed to the fire panel located at the main reception. The Emergency Controller will then deploy members of the Fire Response Team to carry out specific tasks. 4.4 In the event that the main reception is affected by fire, the Emergency Controller and Fire Response Team will rendezvous at Patient Travel, located on the lower ground floor of the Administration Building, adjacent to the repeater panel. 4.5 The fire and rescue service will be met at the main reception. 4.6 A member of the Fire Response Team will be sent to the area of alarm origin to investigate and report to the Emergency Controller. Others will be deployed by the Emergency Controller as necessary. 4.7 Designated nursing staff (when available) from unaffected wards/departments would be expected to attend the rendezvous point in the main reception, and would be deployed to assist evacuation of patients as directed by the Fire Response Team. The entrance at Patient Travel would be the alternative rendezvous point, should access to the main reception not be possible. 4.8 The Emergency Controller will take instruction from the fire and rescue service as to what further action is required of the Fire Response Team. 4.9 The Emergency Controller will instruct the receptionist to contact all the Lerwick based emergency staffing team should additional staff be required to assist within the Gilbert Bain Hospital. 4.10 The decision to evacuate other areas of the hospital in the event of an escalating incident would be taken by the Emergency Controller in conjunction with the officer in charge of the fire and rescue service. Should it be necessary, the evacuation of other areas will be undertaken by members of the Fire Response Team going to the evacuation areas in question and manually activating the fire alarm system by operating a fire alarm call point. Fire Emergency Management Plan Gilbert Bain Hospital Page 6

4.11 If evacuation were prolonged, hospital management would be expected to disperse people from assembly points and implement contingency plans in the event that areas of the hospital cannot be re-entered. 4.12 In the unlikely event of a major incident involving the need to evacuate the entire main hospital building, the master evacuate control on the fire panel would be operated by the Emergency Controller and members of the Fire Response Team would be deployed to all wards/departments to inform them of the need to exit the building and move patients to either any or all of the following; Lerwick Health Centre on South Road, Montfield Board Headquarters, Burgh Road, Lerwick Hotel, South Road, Shetland Hotel, North Road and Clickimin Centre, Lochside. Fire Emergency Management Plan Gilbert Bain Hospital Page 7

5. EVACUATION AREAS 5.1 The evacuation areas (alarm zones) into which the hospital is divided are listed in Appendix A. 5.2 The specific evacuation strategy and associated fire alarm cause and effect logic for each ward/department is outlined in Appendix B. This also includes non-patient areas and outbuildings. Fire Emergency Management Plan Gilbert Bain Hospital Page 8

6. SPECIFIC ROLES AND RESPONSIBILITIES 6.1 The following describes the duties of those with specific roles and responsibilities in a fire emergency. These are illustrated in Figures 3 8. Receptionist 6.2 On receipt of an initial fire alarm, the receptionist shall: Acknowledge the alarm. Make a 999 call to confirm the activation with the fire and rescue service. Summon the Emergency Controller to the fire panel in the main reception. Inform the Hospital Manager, Nominated Officer (Fire) and Duty Engineer. Notify the Fire Response Team. Act on instructions from the Emergency Controller. (See Figure 3 for a summary of the above.) Emergency Controller 6.3 In the event of a fire alarm condition, the Emergency Controller shall: Proceed to the fire panel in the main reception. Collect radio from fire box at the main reception and liaise with porters and (radios and ward staff; Ronas, Ward 1 and Ward 3 radios). Receive information from the receptionist. Ensure the fire and rescue service has been called. Direct the Fire Response Team and other available resources to ensure effective control of the incident and safe evacuation of those at risk. Pass information and plans to the fire and rescue service on their arrival. Liaise and take instructions from the fire and rescue service. On instructions from the fire and rescue service, either escalate the incident and evacuate other areas, or initiate stand-down and reoccupation. (See Figure 4 for a summary of the above.) Staff in the ward/department where the Evacuate is sounded 6.4 On hearing the Evacuate signal, staff shall: Search the area to identify if there is a fire and where it is located. If there is no fire, the senior member of staff on duty in the ward/department should inform the Emergency Controller (via the receptionist or radio) or the member of the Fire Response Team attending the area. Fire Emergency Management Plan Gilbert Bain Hospital Page 9

If there is a fire, commence the movement of patients away from the fire and into the adjacent sub-compartment/compartment within the ward/department. If safe to do so, tackle the fire with appropriate fire extinguishing appliances. Continue moving patients horizontally into adjoining subcompartments/compartments while it is safe to do so. Take instructions from the senior member of staff on duty in the ward/department. (See Figure 5 for a summary of the above.) Staff in wards/departments where the Alert is sounded 6.5 On hearing the Alert signal, staff designated to assist in an emergency shall: Proceed to the rendezvous point in the main reception. In the event that the main corridor is affected by fire, rendezvous at Patient Travel. Take instruction from the Fire Response Team as to where assistance is required. Assist staff in moving patients while it is safe to do so. Take instructions from the senior member of staff on duty in the ward/department. It is not necessary for staff to report back to their wards on the status of the alarm and they should not return to their wards/departments until advised by the Fire Response Team that the incident is over. (See Figure 6 for a summary of the above.) Fire Response Team 6.6 The Fire Response Team, on hearing the alarm or being informed of an incident by pager, radio or telephone, shall proceed to the fire panel in the main reception. In the event that the main reception is affected by fire, the fire repeater panel will be used to monitor the incident, and the Fire Response Team should proceed to Patient Travel. (See Figure 7 for a summary of the above.) 6.7 On instruction from the Emergency Controller, members of the Fire Response Team shall proceed to the area in which the fire alarm condition has originated and establish the nature, location and extent of the incident. They shall inform the Emergency Controller as soon as possible if there is a fire. 6.8 If there is a fire, they shall assist nursing staff in moving patients and, if safe to do so, tackle the fire with the nearest suitable fire extinguishing appliances. (See Figure 7A for a summary of the above.) Fire Emergency Management Plan Gilbert Bain Hospital Page 10

6.9 On instruction from the Emergency Controller, a member of the Fire Response Team shall proceed to meet the fire and rescue service on their arrival at the main reception. (See Figure 7B for a summary of the above.) 6.10 On instruction from the Emergency Controller, members of the Fire Response Team shall proceed to the designated fire assembly points to act as Assembly Point Co-ordinators. They shall take reports from the fire wardens and shall relay information on the status of the evacuation to the Emergency Controller. (See Figure 7C for a summary of the above.) 6.11 On instruction from the Emergency Controller, members of the Fire Response Team shall proceed to areas of the hospital identified as next to be evacuated. Once there, they shall inform the senior staff member on duty and then activate a fire alarm call point. They shall then assist staff in moving patients. (See Figure 7D for a summary of the above.) Fire Wardens (designated within Local Fire Plan) 6.12 Fire wardens in non-patient access areas, shall, on hearing the Evacuate signal: Sweep their area to establish it is clear. Identify if anyone requires assistance to escape. Where appropriate, ensure someone remains with the person (the fire warden should not remain, as this will delay the process of notifying the fire and rescue service that the area is clear). Proceed to the assembly point and liaise with the Assembly Point Coordinator. (See Figure 8 for a summary of the above.) 6.13 No specific action is necessary from fire wardens in response to an Alert signal, other than to prepare for a possible evacuation, and if any disabled staff or visitors are present, to instigate procedures for their evacuation. Fire Emergency Management Plan Gilbert Bain Hospital Page 11

7. ASSEMBLY POINTS 7.1 Assembly points have been identified for the various parts of the hospital. The location of each assembly point is as follows: Assembly Point A Main Hospital Entrance. Assembly Point B Laundry. Assembly Point C Staff Residents Car Park. Assembly Point D Administration Building Car Park. Fire Emergency Management Plan Gilbert Bain Hospital Page 12

FIGURES Fire Emergency Management Plan Gilbert Bain Hospital Page 13

FIGURE 1 14

FIGURE 1 - OVERVIEW OF A FIRE EMERGENCY IN A PATIENT AREA FIRE ALARM ACTIVATION Evacuate signal given in Alarm Zone of fire origin Indicated on fire panel in Main Reception Alert signal given in other Alarm Zones as appropriate Fire and rescue service summoned by receptionist Fire response team attend fire panel in Main Reception Staff investigate and move patients as necessary Designated staff from other wards/departments assemble at Main Reception Response team investigate and coordinate evacuation as necessary Continued 15

FIGURE 1 - OVERVIEW OF A FIRE EMERGENCY IN A PATIENT AREA (CONTINUED) Fire and rescue service arrive on site Officer in charge (OIC) assumes control of incident Incident escalates and evacuation extended to other areas as directed by OIC Incident under control and stand down/ re-occupation once directed by OIC 16

FIGURE 2 17

FIGURE 2 - OVERVIEW OF A FIRE EMERGENCY IN A NON-PATIENT AREA FIRE ALARM ACTIVATION Indicated on fire panel in Main Reception Evacuation signal given in Alarm Zone of fire origin Alert signal given in other Alarm Zones as appropriate Fire and rescue service summoned by receptionist Fire response team attend fire panel in Main Reception Occupants of Alarm Zone of fire origin evacuate to assembly point Response team investigate and co-ordinate evacuation as necessary Continued 18

FIGURE 2 - OVERVIEW OF A FIRE EMERGENCY IN A NON-PATIENT AREA (CONTINUED) Fire and rescue service arrive on site Officer in charge (OIC) assumes control of incident Incident escalates and evacuation extended to other areas as directed by OIC Incident under control and stand down/ re-occupation once directed by OIC 19

FIGURE 3 20

FIGURE 3 DUTIES OF RECEPTIONIST ALARM INDICATED ON FIRE PANEL IN MAIN RECEPTION Acknowledge alarm Telephone fire and rescue service using 999 Inform: Emergency Controller Hospital Manager Nominated Officer (Fire) Duty Engineer Contact off-duty staff as necessary Await further instructions from Emergency Controller 21

FIGURE 4 22

FIGURE 4 DUTIES OF EMERGENCY CONTROLLER ONCE INFORMED OF A FIRE Proceed to fire panel in Main Reception and await arrival of Fire Response Team Confirm with receptionist that the fire and rescue service has been notified Take charge and give instructions to Fire Response Team Liaise with fire and rescue service on attendance Comply with instructions from OIC 23

FIGURE 5 24

FIGURE 5 DUTIES OF STAFF IN WARD/DEPARTMENT IN ALARM ZONE OF FIRE ORIGIN ON HEARING THE EVACUATE SIGNAL Investigate alarm and establish location of the fire Move patients most at risk to next sub-compartment/ compartment Continue moving patients horizontally to adjoining sub-compartment/ compartment if necessary Take instructions from senior nurse on duty in ward/department 25

FIGURE 6 26

FIGURE 6 DUTIES OF DESIGNATED STAFF FROM OTHER WARDS/DEPARTMENTS ON HEARING THE ALERT SIGNAL Proceed to rendezvous point at Main Reception If rendezvous point is affected by fire, proceed to alternative location at Patient Travel Take instructions from Fire Response Team Assist Fire Response Team in evacuating patients from affected area 27

FIGURE 7 28

FIGURE 7 - DUTIES OF FIRE RESPONSE TEAM ON BEING INFORMED OF A FIRE ALARM ACTIVATION Proceed to fire alarm panel, Main Reception Take instruction from the Emergency Controller Investigate alarm Meet fire and rescue service Act as Assembly Point Co-ordinator Extend evacuation to other areas See Fig. A See Fig. B See Fig. C See Fig. D 29

FIGURE 7A 30

FIGURE 7A DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM INVESTIGATING THE ALARM TO INVESTIGATE ALARM Proceed to location as detailed by Emergency Controller Search and investigate and report back If a fire, assist with evacuation of people from the area Only if safe to do so, tackle fire Move to safe place, report back and await further instructions 31

FIGURE 7B 32

FIGURE 7B DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM MEETING THE FIRE AND RESCUE SERVICE TO MEET THE FIRE AND RESCUE SERVICE Identify yourself to the fire and rescue service on arrival at Main Reception Escort fire and rescue service to fire panel in Main Reception Await further instructions from Emergency Controller 33

FIGURE 7C 34

FIGURE 7C DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM ACTING AS ASSEMBLY POINT CO-ORDINATORS TO ACT AS ASSEMBLY POINT CO-ORDINATOR Proceed to designated assembly point (outside Main Reception, Laundry, Staff Residency or Administration Building) Take reports from Fire Wardens Inform Emergency Controller of all persons requiring assistance to escape Upon request, update Emergency Controller of status of the evacuation Only on receipt of instructions from Emergency Controller, inform staff it is safe to re-enter the building 35

FIGURE 7D 36

FIGURE 7D DUTIES OF MEMBER(S) OF FIRE RESPONSE TEAM TASKED WITH EXTENDING THE EVACUATION TO OTHER AREAS TO EXTEND THE EVACUATION TO OTHER AREAS Proceed to area identified by Emergency Controller as requiring evacuation Where possible, identify person in charge of area, e.g. matron, and inform them of the need to evacuate Operate a fire alarm MCP within that area Assist with the evacuation of people from the area Report back to Emergency Controller and await further instructions 37

FIGURE 8 38

FIGURE 8 DUTIES OF FIRE WARDEN ON HEARING THE EVACUATE SIGNAL Follow procedures and carry out sweep and search of designated area Leave the building and proceed to the assembly point Inform Assembly Point Co-ordinator that the area is clear or that there are persons still present and whether they need assistance to escape 39

APPENDIX A ALARM ZONES 40

The table below sets out the designated Fire alarm zones for the Gilbert Bain Hospital. A diagrammatical plan of the zones is located within the fire box at the main reception. Copies can be obtained from NHS Estates. Pharmacy and Porters Mortuary and Stores Orthotics and Kitchen Medical Physics Outpatients, Dental and Reception A&E X-Ray Theatre CDU Audiology/Labs Medical Records and Cafeteria CT/ECG Ward 1 Maternity and Renal Plant Room and Link Corridor Ronas Ward Ward 3 Offices and Link Corridor Administration Building 41

APPENDIX B WARD/DEPARTMENT EVACUATION STRATEGIES WARD/DEPARTMENT PAGE Outpatients and Dental 43 A & E or X-Ray 44 Theatres 45 Audiology & Laboratories 46 CT & ECG 47 Maternity &Renal 48 Ward 1 49 Ronas Ward 50 Ward 3 51 Administration Building 52 Outbuildings 53 Main Hospital building (total evacuation) 54 42

OUTPATIENTS AND DENTAL Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN OUTPATIENTS, DENTAL & RECEPTION Evacuate signal given in Outpatients, Dental & Reception Alert signal given in all other areas of the main hospital building Evacuation Strategy Patients evacuate to Assembly Point A Alternatively, patients moved internally to refuge in A&E 43

A&E or X-RAY Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN A&E or X-RAY Evacuate signal given in A&E or X-RAY Alert signal given in all other areas of the main hospital building Evacuation Strategy Preferably, patients moved internally to refuge in A&E or X-RAY Alternatively, patients moved internally to refuge in Outpatients 44

THEATRE Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN THEATRE Evacuate signal given in Theatre Alert signal given in CDU Alert signal given in all other areas of the main hospital building Evacuation Strategy Preferably, patients moved internally to refuge in CDU Alternatively, patients moved internally to refuge in A&E 45

AUDIOLOGY & LABS Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN AUDIOLOGY & LABS Evacuate Signal Given In Audiology & Labs Alert signal given in all other areas of the main hospital building Evacuation Strategy Patients evacuate to Assembly Point B Alternatively, patients moved internally to refuge in A&E 46

CT & ECG Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN CT/ECG Evacuate signal given in CT/ECG Alert signal given in all other areas of the main hospital building Evacuation Strategy Patients evacuate to Assembly Point A Alternatively, patients moved internally to refuge in Outpatients 47

MATERNITY & RENAL Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN MATERNITY & RENAL Evacuate signal given in Maternity & Renal Alert signal given in Wards 1, 2 & 3 Silent in all other areas Evacuation Strategy Preferably, patients moved progressively within Maternity Alternatively, patients moved internally (via the link corridor) to refuge in Ward 1 48

WARD1 Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN WARD 1 Evacuate signal given in Ward 1 Alert signal given in Ronas Ward Silent in all other areas Evacuation Strategy Preferably, patients moved progressively within Ward 1 Alternatively, patients moved internally (via the link corridor) to refuge in Maternity 49

RONAS WARD Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN RONAS WARD Evacuate signal given in Ronas Ward Alert signal given in Ward 3 & Offices Silent in all other areas Evacuation Strategy Preferably, patients moved progressively within Ronas Ward Alternatively, patients moved internally to refuge in Ward 3 50

WARD 3 Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN WARD 3 Evacuate signal given in Ward 3 Alert signal given in Ward 2 & Offices Silent in all other areas Evacuation Strategy Preferably, patients moved progressively within Ward 3 Alternatively, patients moved internally to refuge in Ward 2 51

ADMINISTRATION BUILDING Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN ADMINISTRATION BUILDING Evacuate signal given in Administration Building Silent in all other areas Evacuation Strategy Occupants leave by the nearest exit and go to Assembly Point D 52

OUTBUILDINGS Fire Alarm Cause & Effect FIRE ALARM ACTIVATION IN OTHER OUTBUILDINGS Evacuate signal given in other Outbuildings only Silent in main hospital building Evacuation Strategy Occupants leave by the nearest exit and go to the nearest assembly point 53

MAIN HOSPITAL BUILDING (TOTAL EVACUATION) Fire Alarm Cause & Effect MASTER EVACUATION MANUAL ACTIVATION OF CONTROL ON FIRE PANEL Evacuate signal given in all alarm zones in the main hospital building Evacuation Strategy Preferably, patients moved externally to refuge to either any or all of the following; Lerwick Health Centre on South Road, Montfield Board Headquarters, Burgh Road, Lerwick Hotel, South Road, Shetland Hotel, North Road and Clickimin Centre, Lochside. 54

APPENDIX C FIRE RESPONSE TEAM 55

The table below are the designated Fire Response Team Nominated Officer (Fire) Deputy Nominated Officer (Fire) Hospital Manager Duty Engineer (at night) Estates Staff Porters Senior Nurse 56

APPENDIX D ASSEMBLY POINTS 57

Assembly Point C Assembly Point B Assembly Point D Assembly Point A 58

APPENDIX E ESCAPE ROUTE PLANS WARD/DEPARTMENT PAGE Outpatients, Dental & Reception 60 A & E and X-Ray 61 Theatres 62 Audiology & Laboratories 63 CT & ECG 64 Ward 1 65 Ronas Ward 66 Ward 3 67 Administration Building (ground floor, lower floor) 68 Administration Building (first floor, second floor) 69 59

OUTPATIENTS, DENTAL &RECEPTION Primary Exit Alternative Exit 60

A&E AND X-RAY Primary Exit Alternative Exit 61

THEATRES Primary Exit Alternative Exit 62

AUDIOLOGY & LABS Primary Exit Alternative Exit 63

CT & ECG Primary Exit Alternative Exit 64

Primary Exit WARD 1 Alternative Exit 65

Primary Exit RONAS WARD Alternative Exit 66

WARD 3 Primary Exit Alternative Exit 67

Primary Exit Alternative Exit ADMINISTRATION BUILDING GROUND FLOOR LOWER GROUND 68

SECOND Primary Exit FLOOR ADMINISTRATION BUILDING Alternative Exit FIRST FLOOR SECOND FLOOR 69

70