Republic of the Philippines

Department of the Interior and Local Government

Bureau of Fire Protection
NATIONAL HEADQUARTERS
Agham Road, Brgy. Bagong Pag-asa, Quezon City

MEMORANDUM

FOR: CSUPT JOSELITO A CORTEZ, DSC

Director for Operations, BFP-NHQ

SUBJECT: Submission of After Fire Drill Report

DATE: 20 June 2019

Submitted hereunder is the After Fire Drill Report of CARSIGMA District Hospital
conducted by GMA Fire Station, Brgy. Poblacion 1, GMA, Cavite.

1. Time and Date Conducted: 1000H/June 20, 2019

2. Type of Occupancy: Health Care
3. Name of Establishment: CARSIGMA District Hospital
4. Address: Brgy Poblacion 1, GMA, Cavite
5. No. of Occupant: 50
6. Fire Safety Inspection Certificate: Yes/No: Yes
7. Established Fire Brigade: Yes/No: No
8.a. No. of Personnel: ___(w/ COC) ___(w/out COC)
8.b. No. of Fire Truck/Rescue n/a
Vehicle:
8.c. Contact Details: 09984475455
9. Fire Extinguisher, Emergency Light, Manual
Building Fire Protection and Alarm
Alarm & Smoke Detector, Stand Pipe
System:
System, Sprinkler System
10. Detailed emergency evacuation plan of the establishment specifying the designated
evacuation areas.

CARSIGMA
District Hospital
PARKING

Evacuation Area

---------- --------- Cong. Road ------------- ------------

Prepared by:

FO1 Krizel E Talattad

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