Three Year Fire Report Review 2016-2018

Fire Statistics: 2016-2018

Number of fires reported on campus for 2016-2018: 0

Year Fires on Cause Injuries Value of Was it # of Campus resulting in damages Arson Deaths treatment at a medical facility 2018 0 NA NA NA NA NA 2017 0 NA NA NA NA NA 2016 0 NA NA NA NA NA

FIRE SAFETY MANAGEMENT PLAN

Purpose

The purpose of this Fire Safety Management Plan is to provide an executive overview of how fire safety management and the fire/evacuation plan protects faculty, staff, students and visitors and buildings from the hazard of fire and the products of combustion at Baptist College of Health Sciences.

Scope

This Fire Safety Management Plan applies to Baptist College of Health Sciences, which consists of five separate buildings, with main address of 1003 Monroe, Memphis, Tn. 38103.

Objectives

A. Comply with accepted standards of fire prevention and safety. B. Provide a safe and secure environment for staff, students and visitors. C. Integrate fire prevention and fire safety practices into daily operations. D. Identify opportunities to improve performance.

Fundamentals

The college has a Safety Council (SC) consisting of a cross representation of the facility’s staff. The SC monitors training and competence of staff and assesses conditions of the physical plant, grounds and equipment through building inspections, environmental rounds, safety inspections and various performance improvement initiatives. Through review of information, management is able to make the best decisions regarding safety concerns and to evaluate fire safety performance related to key issues with opportunities for improvement. The SC evaluates all fire prevention issues. It takes action and makes recommendations to the facility leadership, including Executive Team. The SC may issue assignments to committee members and non-committee staff for follow-up actions/improvements and completion of reports.

A. Facility buildings are inspected for compliance with law and regulation, including the Life Safety Code and State of Tennessee fire and building codes. Deficiencies with these codes are correct as quickly as practical. Plans for improvement are developed and tracked to completion when deficiencies cannot be corrected within a short period of time. Interim Life Safety Measures (ILSMs) are considered whenever staff, students and visitors are exposed to an increased risk.

B. The fire protection and fire/life safety systems, equipment and components are maintained in a state of readiness and are tested periodically to assure that the systems perform as designed. These tests are organized to assure inclusion of all areas and devices as required, and are documented, and the results reviewed by the Safety Committee. C. Staff readiness is maintained by staff training, and by fire drills which are scheduled once per term. When conducted these drills are observed and the resulting reports evaluated. Where issues are identified they are corrected, or reported to the SC for further action.

Organization and Responsibility

A. The co-chairs of the Safety Committee reports and as appropriate, communicates safety related concerns about identified issues and regulatory compliance. The Safety Committee receives reports on activities of the fire prevention program. B. The chairs of the Safety Committee reviews reports and, as necessary, communicates concerns about key issues and regulatory compliance to appropriate departments and staff. The administration collaborates with appropriate departments, services, and staff to establish operating and capital budgets for the fire prevention program. C. The Chairpersons of the SC have responsibility for identification, collection, and analysis of information regarding safety deficiencies; development of Plans for Improvement, accident and injury prevention and investigations; and emergency response. Training of staff and students is facilitated by the respective managers and programs sponsored by Administrative Services for employee development. D. Membership on the SC is by appointment from the President and members of the Executive Team. The SC meets as often as is necessary on a regular basis (usually monthly) to receive reports and to conduct reviews of fire prevention issues. Additional meetings may be scheduled at the request of the SC Chairpersons. E. The President authorizes key staff to take immediate and appropriate action in the event of an emergency. An emergency is a situation that poses an immediate threat to life or health or threatens damage to equipment or buildings. F. Department directors and managers are responsible for orienting new staff members to the department programs and job specific fire prevention procedures. G. Individual staff members are responsible for learning and following job and task specific procedures for safe operations. Individual staff members are also responsible for learning and using reporting procedures.

Processes of the Fire Prevention Program

A. Written Management Plan

B. Managing Fire Safety Risks

• The Safety Officers, along with Manager of Facilities, are responsible for the development and maintenance of a written management plan for fire safety. • The Safety Officers, along with the Manager of Facilities, are the persons designated by the President as responsible for managing the fire prevention program. 4

• The Safety Officers, Vice President of Administrative Services, and Manager of Facilities review changes to regulation, assess needed changes to fire protection and life safety equipment, and perform activities essential to implement the fire prevention program. • The Safety Officers share responsibility for associated activities with Risk Management.

C. The Fire Safety Management Plan, the Fire/Evacuation Plan section of the Safety Manual, and Student Resident Handbook describe the processes that Baptist College uses to manage fire safety.

D. Staff, students, and visitors are protected from the fire, smoke, and products of combustion through a fire safe environment. Features of this fire safe environment at Baptist College include fire sprinklers, construction and use of features of building fire/smoke compartments for containment of fire/smoke, and as areas of refuge, and routine training and drills to include the use of fire alarms.

E. Processes for Protecting Staff, Students, Visitors, and Property

• Maintain an effective Building Maintenance Program for all smoke and fire detection, fire alarms, fire suppression, fire/smoke containment equipment and features of fire/smoke resistant construction. • Provide routine staff training to include use of fire alarm and suppression equipment. • Maintain an effective maintenance program for all identified alarm, suppression and containment equipment, including processes for regularly inspecting, testing and maintaining Fire Protection & Fire Safety Systems, ongoing building inspections, testing and documentation of building, fire suppression, and fire alarm systems. This will be documented by the Manager of Maintenance/Facilities. The following elements are included in the maintenance program: a) maintaining Fire/Smoke wall integrity; b) inspecting and testing of all fire suppression equipment; c) maintaining portable fire extinguishers, including monthly visual inspection, and vendor required maintenance inspections; d) testing of fire detection and alarm systems as required by local/national codes, or other authorities having jurisdiction; e) documenting identified Life Safety Code deficiencies and corrective actions in the Building Maintenance Program; and f) routine inspections of dorm rooms for compliance with fire safety program.

F. The Fire/Evacuation Procedures in the Baptist College Safety Manual address the elements of facility wide fire response, area-specific needs including fire evacuation routes, and specific roles and responsibility of staff and students.

G. Proposed Acquisitions Reviewed for Fire Safety.

H. Director of Safety and Organizational Compliance and Manager of Maintenance are responsible for managing the program to determine if new products meet code requirements.

I. Director of Safety and Organizational Compliance and Manager of Maintenance responsible for providing that products installed during construction/renovation projects meet applicable Life Safety Code regulation.

J. There are portable fire extinguishers located in the hallways on all buildings and floors. Their locations are indicated on the Evacuation Plans posted in the campus buildings. However, during a fire emergency employees should activate the fire alarm at the pull boxes and immediately evacuate the building. Therefore, no maintenance or training is required for employee use of fire extinguishers. [29 CFR 1910.157(b)]. The College those offer voluntary extinguisher training annually.

Compliance with Life Safety Code

A. Fire Drills • Fire Drill Frequency – Documentation of fire drills conducted each trimester in all buildings is available from Manager of Maintenance. • Most drills are unannounced. • All staff, students and residents are expected to participate in the fire drills. • Fire drills are critiqued to identify deficiencies and opportunities for improvement. • Annual evaluation of effectiveness of fire response training according to the fire plan is the responsibility of the Co-Safety Officers and Manager of Maintenance. • The current fire alarm/drill critique form includes an evaluation of staff knowledge on the following elements: a) when and how to sound fire alarms (where such alarms are available), b) when and how to transmit for offsite fire responders, c) containment of smoke and fire, d) fire extinguishment, and e) preparation for building evacuation.

B. Maintaining Fire Safety Equipment and Building Features (EC. 5. 40) Documentation of Testing 1. Initiating Devices, Fire Detection and Alarm Equipment Are Tested 6

Documentation of fire alarm device testing is available from the Supervisor of Maintenance. • All supervisory signals (except valve tamper switches) are tested at least quarterly. • All valve tamper switches and water flow devices are tested at least semi- annually. • All duct detectors, electromechanical releasing devices, heat detectors, manual fire alarm boxes, and smoke detectors are tested at least annually. 2. Testing Occupant Alarm Notification Devices, Including All Audible Devices, Speakers and Visible Devices: a. Documentation of fire alarm occupant notification device testing annually is available from the Manager of Maintenance. 3. Off – Premises Emergency Forces Notification Transmission Equipment Documentation is available from the Manager of Maintenance that off-premises emergency forces notification transmission equipment is tested at least quarterly 4. Water-Based Automatic Fire-Extinguishing Systems, and Fire Pumps Documentation is available from the Manager of Maintenance that water-based automatic fire-extinguishing systems and fire pumps are tested at least weekly under no flow condition in buildings where installed.. 5. Fire Department Connections Documentation is available from the Manager of Maintenance that Fire Department Connections for water based automatic fire-extinguishing systems are inspected quarterly. 6. Fire Pumps Are Tested Annually Documentation is available from the Manager of Maintenance that water-based automatic fire-extinguishing systems, all fire pumps are tested at least annually under flow. 7. Kitchen Automatic Fire-Extinguishing Systems Documentation is available from the Manager of Maintenance, and at the vendor- provided tags located on the equipment that Kitchen Automatic Fire-Extinguishing Systems are inspected for proper operation at least semi-annually. 8. Portable Fire Extinguishers Documentation is available at the tag on each individual portable extinguisher that all portable fire extinguishers are clearly identified, inspected at least monthly, and maintained at least annually. 9. Fire and Smoke Dampers Documentation is available from the Manager of Maintenance that all fire and smoke dampers are operated at least every four years (with fusible links removed where applicable) to verify that they fully close. 10. Automatic Smoke-Detection Shutdown Devices For Air-Handling Equipment Documentation is available from the Manager Maintenance that all automatic smoke- detection shutdown devices for air-handling equipment are tested at least annually. 11. Horizontal and Vertical Sliding and Rolling Fire Doors

The only horizontal or vertical sliding or rolling fire doors at Baptist College is the Library entrance. Documentation is available from the Supervisor Maintenance that this device is tested for proper operation and full closure at least annually.

C. Fire Safety Policies

1. Policy for Interim Life Safety 2. Written Criteria For Evaluating Various Deficiencies and Construction Hazards

The Daily Construction Checklist is outlined in the policy and procedure for Interim Life Safety Measures Need Evaluation to contain all of the elements of written criteria for evaluating various deficiencies and construction hazards to determine when and to what extent one or more of the following measures apply:

• Ensuring free and unobstructed exits. Staff receives additional information/communication when alternative exits are designated. Buildings or areas under construction must maintain escape routes for construction workers at all times, and the means of exiting construction areas are inspected daily. • Ensuring free and unobstructed access to emergency services and for fire, police, and other emergency forces. • Ensuring that fire alarm, detection, and suppression systems are in good working order. A temporary but equivalent system must be provided when any fire system is impaired. Temporary systems must be inspected and tested monthly. • Ensuring that temporary construction partitions are smoke-tight and built of non-combustible or limited combustible materials that will not contribute to the development or spread of fire. • Providing additional fire-fighting equipment and training staff in its use. • Prohibiting smoking throughout the buildings and in and near construction areas. • Developing and enforcing storage, housekeeping, and debris-removal practices that reduce the building’s flammable and combustible fire load to the lowest feasible level. • Conducting a minimum of one fire drill per building per trimester. • Conduct college wide safety educational programs to promote safety awareness.

D. Fire safety system for each on-campus student housing facility.

Building Address Fire Alarm Sprinkler Fire Smoke Evacuation Number Monitoring System Extinguishers Detection Plan and of fire Placard drills annually Campus 1003 Security Y Y Y Y 3 Hub Monroe Consultants Ave

The number of fire drills held annually for the Campus Hub Building was three, (one each term).

E. Below are Baptist College’s policies or rules on portable electrical appliances, smoking, and open flames in student housing facilities taken from the Residence Hall Handbook.

• There must be no tampering with the fire alarm system, including covering or obstructing the room smoke detector and/or alarms. • No smoking is allowed in the building, including outside balconies. • Throwing cigarette butts off the outside balconies is a fire hazard and will result in appropriate disciplinary action. • No burning candles are allowed in the building. This includes candles on birthday cakes and/or candles in Residence Hall rooms. • Under Life Safety Code 17-1, pursuant to T.C.A.-3.1, The following items are not allowed in Residence Hall rooms or balconies: hot plates, electric toasters, toaster ovens, fry pans, fry daddies, electric skillets, electric heaters (chill chasers), or non-Baptist issued bed frames and/or mattresses. • Building decorations that are not allowed in the building include straw, hay, or angel hair. No decorations can be placed on a fire door. No items can be suspended from the ceiling. No decorations can obstruct a hallway, corridor, or exit door. No items can be hung from the balcony. • No item can be placed on the balcony ledge, nor may any personal items be visible above balcony ledge. • Do not overload electrical outlets in the Residence Hall room. No multiple plug adapters are permitted. Power strips may be used if they contain a built-in circuit breaker.

Procedures for student housing evacuation

• The order to evacuate a College building will come from Security; Manager of Maintenance and Operations; Vice President, Business and Finance; or a College Safety Officer. In event of a fire, coordination will occur with the Memphis Fire Department. • Evacuation plans are posted on each floor in all campus buildings. In the event of an alarm or notice to evacuate, students and staff are to assemble in a designated area outside the area of danger:

Residence Hall Building-northwest corner of Parking Lot A (intersection of Madison and Pauline)

Evacuation is to be immediate and complete.

• If the building cannot be reoccupied, students and staff should proceed to the nearest unaffected College building as directed by Maintenance/Operations or Security. • A determination for closing College buildings will be made by the President and Vice President in collaboration with Security, the Manager of Maintenance and Operations and appropriate civil officials. If the closing determination is made during non-business hours, notification will occur through implementation of the College Call Tree, including media notification.

Fire Safety and Education Programs

Baptist College Student Services and Safety Committee sponsors a number of fire safety and education programs including drills, sending out awareness communications, as well as providing hands-on fire extinguisher training to faculty, staff, and students.

Reporting

Below are the titles of each person or organization to which individuals should report that a fire has occurred: College Personnel President - Dr. Betty Sue McGarvey Vice President of Administrative Services – Dr. Adonna Caldwell Vice President of Business Services - Leanne Smith Provost – Dr. Loredana Haeger Vice President of Enrollment Management and Student Affairs – Dr. Tammy Fowler Dean of Student Services – Nancy Reed Director of Alumni and Marketing – Megan Bursi Maintenance Supervisor – Mike Bennett Director for Safety and Organizational Compliance – James Knox Senior Manager of Information Technology – Terri Campbell Director of Student Services & Housing – Jeremy Wilkes 10

Organizations BMHCC Memphis Fire Department Other groups as necessary

At this time Baptist College has not identified any future improvements for fire safety.

Fire Log 2018

This yearend document lists all reported in any Baptist College of Health Sciences building.

January No reported fires.

February No reported fires.

March No reported fires.

April No reported fires.

May No reported fires.

June No reported fires.

July No reported fires.

August No reported fires.

September No reported fires.

October No reported fires.

November No reported fires.

December No reported fires.