False Alarm Records

This template can be used to investigate and document false alarms. Identifying the causes can lead to better management of resources and better use or control of the facilities.

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Healthcare
False Alarm Records

False Alarm Records

General Information

Report

Staff On Duty/ Visitors

Residents Present

Visitors

Details Of Incident

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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False Alarm Records

This template can be used to investigate and document false alarms. Identifying the causes can lead to better management of resources and better use or control of the facilities.

1. Date and Time of Alarm

2. Zone / Device Number

3. Cause

4. Date / Time Fault Cleared

1. Time fire brigade called

2. Time taken to get everyone to the assembly point

3. Evacuation required

1. Name of the Person 1

2. Name of the Person 2

3. Name of the Person 3

4. Name of the Person 4

5. Name of the Person 5

6. Name of the Person 6

7. Name of the Person 7

8. Name of the Person 8

9. Name of the Person 9

10. Name of the Person 10

11. Name of the Person 11

12. Name of the Person 12

13. Name of the Person 13

14. Name of the Person 14

15. Name of the Person 15

16. Name of the Person 16

17. Name of the Person 17

18. Name of the Person 18

19. Name of the Person 19

20. Name of the Person 20

1. Name of the Person 1

2. Name of the Person 2

3. Name of the Person 3

4. Name of the Person 4

5. Name of the Person 5

6. Name of the Person 6

7. Name of the Person 7

8. Name of the Person 8

9. Name of the Person 9

10. Name of the Person 10

11. Name of the Person 11

12. Name of the Person 12

13. Name of the Person 13

14. Name of the Person 14

15. Name of the Person 15

16. Name of the Person 16

17. Name of the Person 17

18. Name of the Person 18

19. Name of the Person 19

20. Name of the Person 20

1. Were any visitors present at the time of the incident?

2. If yes, please mention the names of the visitors

1. What was the root cause of the incident

2. Was anybody hurt?

3. What measures can be taken to avoid such incidents in the future?