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Questionnaire PDF

This document contains a 20 question survey assessing fire risk and emergency preparedness at Dyal Singh College. The survey asks respondents about existing fire safety measures, any past fire incidents, vulnerabilities and causes of fire, evacuation procedures, emergency plans and training, and suggestions for improvements. Respondents are asked to provide background information and answer questions regarding the college's fire extinguishers, alarms, escape routes, emergency contacts and whether fire risks are regularly reviewed.

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Priyanka Sheoran
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71% found this document useful (7 votes)
13K views4 pages

Questionnaire PDF

This document contains a 20 question survey assessing fire risk and emergency preparedness at Dyal Singh College. The survey asks respondents about existing fire safety measures, any past fire incidents, vulnerabilities and causes of fire, evacuation procedures, emergency plans and training, and suggestions for improvements. Respondents are asked to provide background information and answer questions regarding the college's fire extinguishers, alarms, escape routes, emergency contacts and whether fire risks are regularly reviewed.

Uploaded by

Priyanka Sheoran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FIRE HAZARDS, RISK ASSESSMENT AND ITS MANAGEMENT

IN DYAL SINGH COLLEGE


QUESTIONNAIRE
A. Respondent background
1. Name: _____________________
2. Age: _____________________
3. Gender: Male Female
4. Educational qualification: ______________________________
5. Occupation: _________________________________________

B. Fire risk assessment


1) Do you have any fire safety measure in your college?
Yes
No
2) If yes, which of the following?
⮚ Sprinkler system
⮚ Smoke detector
⮚ Fire extinguisher
⮚ Safety space
⮚ Any other
3) Have you experienced any fire incidence in your college?
Yes
No
If yes, please specify it________________________________
__________________________________________________
4) Was your college affected by the fire?
Yes
No
If yes, please mention it when ___________________________
____________________________________________________
5) What was the estimated loss?
❖ Loss of properties
❖ Loss of life(s)
❖ Physical injury deformity
❖ All of the above
❖ None of the above
6) What do you think is/are the most common cause/causes of fire
outbreak?
⮚ Electrical fault
⮚ Carelessness
⮚ Others
7) What do you think is the fastest way to evacuate students and staff
in a high rise?
❖ Fire exit doors
❖ Fire escape staircase
❖ Windows
❖ Elevators
❖ None of the above
8) How long will it take for all the occupants to escape to a place of
safety once a fire has been detected?
i. less than half an hour
ii. Half an hour
iii. One hour
iv. Two hours
v. More than two hours
9) Are all escape routes easily identifiable, free from any obstruction?
_____________________________________________________________
___________________________________________________
10) Are there sufficient extinguishers sited throughout the college?
Yes
No
Don’t know
11) Which of the following area in college is more vulnerable to fire?
a) Canteen
b) Parking area
c) Geography department
d) Chemistry lab
e) Library
f) Physics lab
g) Other ________________
12) Are the right type of extinguishers located close to the fire hazards
and can users gain access to them without exposing themselves to
risk?
Yes
No
If yes, please specify it
______________________________________________________
______________________________________________________
13) Is there any emergency plan or Disaster cell in college, to take
quick actions in case of fire outbreak?
Yes
No
If yes, please mention it
______________________________________________________
______________________________________________________
14) If yes (Q.13), does the emergency plan take account of all
reasonably foreseeable circumstances?
Yes
No
15) Do you know any emergency contact numbers?
Yes
No
If yes, please mention_____________________________________
16) Has staff been trained in how to call the fire brigade, use fire
extinguisher, basic fire prevention?
i. Know
ii. Don’t know
17) Is there an automatic fire detention and alarm system in your
college?
i. Yes
ii. No
iii. Don’t know
18) Do you have a site map or building plan showing the location of
the active fire extinguisher and emergency exits?
i. Yes
ii. No
iii. Don’t know
If yes, do mention about the map/plan
___________________________________________________
___________________________________________________
19) Has a procedure been established to review the fire risk
assessment periodically?
i. Annually
ii. After a fire related incident
iii. If a significant change occur to layout
iv. No procedure
20) Any suggestion or change you want to make in the existing disaster
preparedness plan of college or any improvement you want to
suggest, please mention it.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

-----THANK YOU-----

FIRE HAZARDS, RISK ASSESSMENT AND ITS MANAGEMENT  
IN DYAL SINGH COLLEGE 
QUESTIONNAIRE 
A. Respondent background 
1. Name: _
5) What was the estimated loss? 
❖ Loss of properties 
❖ Loss of life(s) 
❖ Physical injury deformity 
❖ All of the above 
❖
11) Which of the following area in college is more vulnerable to fire? 
a) Canteen  
b) Parking area 
c) Geography department
16) Has staff been trained in how to call the fire brigade, use fire 
extinguisher, basic fire prevention? 
i. 
Know  
ii. 
D

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