Three Year Fire Report Review 2016-2018 1 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 2 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. 3 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. 5 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