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Text File  |  1991-12-10  |  2KB  |  48 lines
  1.  
  2.                   EMERGENCY TOUR QUESTIONNAIRE
  3.  
  4.  
  5. WHERE IS THE ELECTRICITY SHUT OFF?
  6. _________________________________________________________________
  7. WHERE IS THE EMERGENCY GENERATOR LOCATED?
  8. _________________________________________________________________
  9. WHERE IS THE GAS SHUT OFF VALVE LOCATED?
  10. _________________________________________________________________
  11. WHERE IS THE OVERHEAD SPRINKLER SHUT OFF VALVE LOCATED?
  12. _________________________________________________________________
  13. LOCATE FIRE ALARM BOXES?
  14. ________________________________________________________________
  15. LOCATE FIRE HOSES?
  16. ________________________________________________________________
  17. WHERE ARE THE FIRE EXTINGUISHERS?
  18. ________________________________________________________________
  19. WHERE ARE THE OXYGEN TANKS LOCATED?
  20. _________________________________________________________________
  21. WHERE ARE THE EMERGENCY ELECTRICAL OUTLETS LOCATED?
  22. ________________________________________________________________
  23. WHAT IS THE HOSPITAL PHONE  AND ADDRESS?
  24. _______________________________________________________________
  25. WHERE IS THE DISASTER EVACUATION PLAN?
  26. _______________________________________________________________
  27. WHAT IS THE FIRE DEPARTMENT PHONE NUMBER?
  28. __________________________________________911___________________
  29. WHERE IS THE EMERGENCY GAS SHUT OFF WRENCH?
  30. ________________________________________________________________
  31. WHERE IS THE ANNUNCIATOR PANEL LOCATED?
  32. _______on the wall near _________________________________________
  33.  
  34. PAY PHONE NUMBER  213- ______________________________
  35.  
  36. JOB PHONE NUMBER _________________________________________
  37.  
  38. EMERGENCY  WATER  SUPPLY LOCATION  __________________________________
  39.  
  40. EMERGENCY FOOD SUPPLY LOCATION _____________________________________________
  41.  
  42. SUPERVISOR NAME  ________________________________________________
  43.  
  44.  
  45. EMPLOYEE NAME _____________________________DATE ____________________
  46.  
  47.                                            FILE COPY  ***
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