SOP 511.09-att-1: Emergency Response Plan Fire Safety Checklist

Division:
Facilities
Effective Date:
September 23, 2020
Reference Code:
IVN06-0001
Topic Area:
511 Policy-Fire Services
PowerDMS:
View on PowerDMS
Length:
263 words

Summary

This is an annual checklist form used to document coordination between Georgia Department of Corrections facilities and local fire departments regarding fire safety and emergency response readiness. The non-departmental Fire Chief completes this form by verifying facility information, reviewing evacuation plans, assessing firefighting capabilities, and identifying key contacts and staging areas. Completed forms must be retained for two years with the facility's emergency plan and also filed with the local fire service jurisdiction.

Key Topics

  • fire safety checklist
  • emergency response plan
  • evacuation plan
  • fire department coordination
  • firefighting capability
  • emergency lighting
  • fire extinguishers
  • hydrants
  • facility staging area
  • emergency contact procedures
  • fire safety inspection
  • local fire chief
  • facility administrator

Full Text

SOP 511.09
Attachment 1

9/23/20
Page 1 of 2

GEORGIA DEPARTMENT OF CORRECTIONS
EMERGENCY RESPONSE PLAN
FIRE SAFETY CHECKLIST

I `.` Correctional Facility:

Name

Address

Phone

Administrator

Fire Safety Inspector

II. Local Fire Department:

Name

Address

Phone

Distance from Facility

Fire Chief

III. Date of Orientation Visit to Facility:

IV. Checklist (initialed by the Non-Departmental Fire Chief having local jurisdiction):

A. Meeting with Facility Administrator

B. Relevant Organizational Chart of Facility

C. Floor Plan of Facility

D. Evacuation Plan of Facility

E. Tour of Facility

F. Firefighting Capability of Facility:

1) Personnel

Retention schedule: Upon completion, a copy of this form shall be retained with the Facility Fire Safety/Emergency
and Evacuation Plan for two (2) years and then shall be destroyed. This form shall also be retained with the Plan on
file at the fire service location having local jurisdiction.

SOP 511.09
Attachment 1

9/23/20
Page 2 of 2

2) Hydrants

3) Extinguishers

4) Emergency Lighting

G. Utility Master Controls:

1) Gas

2) Water

3) Electricity

H. Staging Area upon Arrival

I. Facility Staff to Contact upon Arrival

J. Accessibility Routes for Local Firefighting

K. Discussion of Facility Emergency Plans

L. Date of Meeting to Update Emergency Plans

_______ ________________
Facility Administrator Date

_______ ________________
Fire Chief Date

This form is to be completed annually.

Send one copy to:

Manager, GDC Fire Services and Life Safety

P. O. Box 1529
300 Patrol Road
Forsyth, Ga. 31029
Phone (478) 992-5291

Fax (478) 992-5292

Retention schedule: Upon completion, a copy of this form shall be retained with the Facility Fire Safety/Emergency
and Evacuation Plan for two (2) years and then shall be destroyed. This form shall also be retained with the Plan on
file at the fire service location having local jurisdiction.

Attachments (2)

  1. Emergency Response Plan Fire Safety Checklist (263 words)
  2. Institutional Fire Incident Report (153 words)
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