FSMP: MONITORING OF FIRE AND LIFE SAFETY PERFORMANCE

Monitoring of fire and life safety performance is conducted on an ongoing basis in a number of ways.

1. Staff knowledge and skills
The monitoring of staff knowledge and skills is conducted through regular observation of performance by supervisors, including performance during fire drills; through formal supervision meetings; through annual performance evaluations; and through training and refresher training conducted each year.

2. Level of staff participation
The monitoring of staff participation is conducted through means described above, and particularly during actual fire drills and fire safety training.

3. Monitoring and inspection activities
Hazard/safety surveillance inspections are conducted on each campus at least quarterly. Hazard surveillance inspection reports, fire inspection reports conducted by the local fire inspectors, and investigation findings are reviewed by campus Environment of Care Committees, as they occur or are completed.

4. Emergency and incident reporting
All incident reports, including reports related to fire safety issues and the required Mandatory School Fire Reporting Form are reviewed by supervisors, nursing staff, clinical staff, and program administrators some of whom are members of the campus Environment of Care Committee.

Incidents that are not documented require follow up by supervisors, and incident reports that are not completed correctly or according to procedure, are returned for follow up by the supervisor.

Data on fire safety incident and emergency reports is maintained and is reviewed on a regular basis, as they occur, by program and agency administration and by the campus Environment of Care Committee.

5. Inspection, preventive maintenance and testing of fire safety and life safety equipment.
As noted above, fire safety and life safety systems, equipment, and components are inspected, tested and maintained on schedules in compliance with the highest/most stringent requirements of equipment manufacturer recommendations or requirements of state, local and/or accreditation and licensing agencies.

These schedules vary from campus to campus and are dependent upon the systems and equipment at the specific campus. The campus-specific schedules are maintained, implemented and documented by the Maintenance Dept. at that campus.