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  • H&S Checklist

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    Boopathi Nagarathinam
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    This document contains a survey about emergency evacuation procedures. It asks questions to determine if the respondent is aware of emergency procedures in their building, if they require written procedures in alternate formats like Braille, large print or audio, if emergency signs are clear, if they can hear alarms and raise them, if they need assistance evacuating, and if they have mobility issues with stairs or a wheelchair. The goal is to evaluate accommodations needed for effective emergency evacuation.

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    This document contains a survey about emergency evacuation procedures. It asks questions to determine if the respondent is aware of emergency procedures in their building, if they require written procedures in alternate formats like Braille, large print or audio, if emergency signs are clear, if they can hear alarms and raise them, if they need assistance evacuating, and if they have mobility issues with stairs or a wheelchair. The goal is to evaluate accommodations needed for effective emergency evacuation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views4 pages

    H&S Checklist

    Uploaded by

    Boopathi Nagarathinam
    This document contains a survey about emergency evacuation procedures. It asks questions to determine if the respondent is aware of emergency procedures in their building, if they require written procedures in alternate formats like Braille, large print or audio, if emergency signs are clear, if they can hear alarms and raise them, if they need assistance evacuating, and if they have mobility issues with stairs or a wheelchair. The goal is to evaluate accommodations needed for effective emergency evacuation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    Are you aware of the emergency evacuation procedures which operate in the building(s) in which you work?

    YES

    q q q q

    NO

    q q q q

    5.

    Do you require written emergency evacuation procedures:


    YES 5a NO

    Do you require written emergency procedures to be supported by BSL (British Sign Language) interpretation? YES NO

    5b

    Do you require the emergency evacuation procedures to be in Braille? YES NO

    5c

    Do you require the emergency evacuation procedure to be on tape? YES

    q q q

    NO

    q q q

    5d

    Do you require the emergency evacuation procedures to be in large print? YES NO

    6.

    Are the signs which mark emergency routes and exits clear enough for you?
    YES NO

    EMERGENCY ALARM
    7. Can you hear the fire alarm(s) in your place(s) or work?
    YES

    NO

    DONT KNOW

    q
    8. Could you raise the alarm if you discovered a fire?
    YES

    NO

    DONT KNOW

    q
    ASSISTANCE
    9. Do you need assistance to get out of your place of work in an emergency?
    YES

    NO

    DONT KNOW

    q
    If

    NO please go to Question 13

    10.

    Is anyone designated to assist you to get out in an emergency?


    YES

    NO

    DONT KNOW

    q
    If ___

    NO please go to Question 12. If YES give name(s) and location(s)

    _______________________________________________________________________________

    _______________________________________________________________________________ ___

    GETTING OUT
    11. Can you move quickly in the event of an emergency?
    YES

    NO

    DONT KNOW

    q
    12. Do you find stairs difficult to use?
    YES

    NO

    DONT KNOW

    q
    13. Are you a wheelchair user?
    YES

    NO

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