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Overview of FENZ Fire Evacuation Report

Description: Send the completed report to the Fire Information Unit, by email evacuation@fireandemergency.nz or post to Fire Information Unit, Fire and Emergency New Zealand, PO Box 68444, Victoria Street West, Auckland 1142.
Attach any relevant files e.g. the document sent to FENZ

Intermittent: Completed on an ad-hoc basis

Inspection Details

Inspector name

Additional Information

Inform Management

Submit Maintenance Request

Maintenance Request Description

Checklist Items

Part C - Evacuation Details: Time taken to evacuate (in minutes and seconds)

Part E - Additional Comments: Please add any further comments you would like to add

Part D - Assessment Outcomes: When was the last training session for permanent occupants held?

Part D - Assessment Outcomes: Were ‘FIRE ACTION NOTICES’ in place? If no, detail issue and action taken to remedy it

Part D - Assessment Outcomes: Were systems in place to assist anyone who could not self-evacuate and if so, did the systems function? If no, detail issue and action taken to remedy it

Part D - Assessment Outcomes: Were all exit ways clear? If no, detail issue and action taken to remedy it

Part D - Assessment Outcomes: Was the evacuation alarm/method of alerting occupants clearly heard in all areas of the building? If no, detail issue and action taken to remedy it

Part D - Assessment Outcomes: Occupants accounted for or building determined to be clear in accordance with the evacuation scheme? If no, detail issue and action taken to remedy it

Part D - Assessment Outcomes: Did any injuries occur during this trial evacuation? If yes, detail the injuries that occurred during the trial evacuation

Part D - Assessment Outcomes: Did any equipment to assist with the evacuation work as intended? If no, detail issue and action taken to remedy it

Speak to someone for follow up: Tick this box if you would like to speak to someone about this trial.

Part C - Evacuation Details: Time of Evacuation

Part C - Evacuation Details: Date of evacuation

Part B - Contact Person Details: Phone number

Part B - Contact Person Details: Mobile number

Part B - Contact Person Details: Email address

Part B - Contact Person Details: Contact person's name

Part A - Building Description: Scheme Reference

Part A - Building Description: Building Name

Part A - Building Description: Address

Files

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