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1. EMERGENCY RESPONSE TEAM [ERT ] and FIRE SAFETY
TRAINING
by: Mr. Antonio Zacarias jr.

2. Objectives
After this presentation you will know:
• What is ERT?
• ERT Members
• Roles & Responsibilities of ERT members.
• Fire Introduction.
• Fire Triangle
• What are the Types / classes of Fire

3. • What to do in case of a fire?
• Evacuation guideline.
• Emergency Exit.
• Fire fighting & detecting Equipment's in Prime Hospitals
• Types of Extinguishers in Prime hospital & their usage.
• Safe rooms
• Location of the Assembly Point
• Mock drill

4. INTRODUCTION
WHAT IS ERT (EMERGENCY RESPONSE TEAM) ?
It is a nominated team identified from the staff who have been
specially trained to provide immediate response during any (code
Red or Code Orange) emergency situation as per the defined
protocol.

5. The team comprises of ;
1. Floor in charges / Area in charges
2. Nursing Supervisor
3. Fire marshal
4. Call Center Officer
5. Security Officer
6. Mechanical, Electrical and Plumbing Team (MEP)
7. Clinical Engineering Team
8. QHSE officer
9. FMS Manager
ERT MEMBERS

6. Floor In –charge/Area in charge
Know your area, the people in it, and at least two safe exits.
Guide / direct the patient, relatives, visitors and the staff to
evacuate their respective floor smoothly when code Orange is
announced.
Nursing Supervisor
Assess and liaise with the involved department floor in charge/Area
In charge. Communicate with the head of the Hospital, Health and
safety Coordinator, FMS manager and floor in charge/Area
Incharge in other floor update them about the situation.
Fire Marshal
Is a trained fire fighter. Last person to leave the floor. Lead
occupants to the corridor and wait for the
announcement/instruction.

7. MEP Team
Responsible to isolate the medical gas service / provide gas
cylinders when contacted by Safe Room In charge or any Floor In
charge.
Clinical Engineering Team
Provide Medical equipment if contacted by ERT members.
Call Center officer
Can announce code Red if they receive instruction
from any ERT member,
They also contact Fire Marshal / Bio Medical
Engineer / QHSE Officer /Risk Manager / Civil
Defense as and when required.

8. QHSE Officer
Provide fire training to staff, conduct periodic evacuation drill, supports
ERT members when there is any an Emergency (Internal disaster).
Initiate oversee the investigation and for the reason
also coordinate with Civil defense / Police
Security Officer
Security staff on duty (within the building) to coordinate with other ERT
members and provide necessary support as well as isolate/evacuate /
restrict entry to the building.
Security staff on duty (Out side the building) to coordinate with other ERT
members and stop the entry of vehicle / patient / visitor to the hospital
premises and also coordinate with the Police / Civil Defense.

9. FMS Manager
FMS Manager will investigate the reason & severity of the incident
in coordination with the QHSE Officer / Engineering Department .
HSE Officer and Risk Manager shall share their responsibilities
when either of the one is on leave.

10. FIRE INTRODUCTION ABOUT FIRE
• What is Fire?
–Fire is basically a chemical reaction
combining three elements: Fuel, Heat and
Oxygen.

11. The Fire Triangle
Proportional Ratio

14. The Fire on the candle goes off when it is covered by something……..
Why ?
Because the Oxygen is
not there. it means if one
of the element from the
fire triangle is removed,
the fire goes off.
E.g. 1

15. TYPES OF FIRE
• Class A – Normal Combustibles
• Class B – Flammable Liquids
• Class C – Electrical Circuits, switchboards,
office equipment
• Class D – Combustible Metals such as sodium,
potassium and magnesium
• Class E –Class F / k – Cooking fats and oils

16. Classification / Types of Fire
• wood
• cloth
• paper
• rubber
• many plastics
• gasoline
• oil
• grease
• tar
• oil-based paint
• Lacquer ( varnish )
Extinguished using Water, DCP
Extinguished using DCP & CO2

17. DRY POWDER

18. CLASS K FIRES
• Recently recognized by NFPA 10.
• Fires involving combustible vegetable or animal
non-saturated cooking fats in commercial cooking
equipment.
Extinguished using Fire Blanket &
CO2

19. COMMON REASONS FOR ELECTRICAL FIRE
Overloaded Plug point
Overloaded Adaptors Short circuit Pest Intervention
Unorganized cabling Extension Board abuseExposed live wire

20. EARLY DETECTION & FIRE CONTROL
Fire Detection & Alarm System which
includes
- Detectors smoke, heat & Gas
- Manual Call Point (Break Glass / Press
Here)
- Fire alarm Bell
- Fire Alarm Zone/Master Panels
20

21. Fire Suppression system which
includes
- Fire Extinguishers
- Fire Blanket
- Fire Hose reel
- Sprinkler System
- Fire Hydrant (Dry Riser)

25. Fire Extinguisher Anatomy
DISCHARGE HOSE
DISCHARGE NOZZLE
DISCHARGE ORIFICE
BODY
DATA PLATE
CARRYING
HANDLE
PRESSURE GAUGE
(for the permanent pressure
fire extinguishers)
DISCHARGE LEVER
DISCHARGE LOCKING PIN
AND SEAL

28. TYPES OF EXTINGUISHERS
Foam Extinguisher
• suitable for class B Fires & Kitchen fires
Dry Powder Extinguisher (Universal extinguisher)
Carbon Dioxide Extinguisher (Electrical Fire)
Duration of extinguisher: 20 -30 sec
28
“FIRE PREVENTION” IS BETTER THAN “FIRE -FIGHTING”

29. Fighting the Fire
Sweep side to side
Aim low at the
base of flames
Squeeze the
handle
Pull the pinP
A
S
S

30. WHAT TO DO IN CASE OF A FIRE
•RACE:
R – Rescue
A – Alarm
C – Confine the fire
E – Extinguish (if trained) and evacuate
30

31. WHAT TO DO IN CASE OF A FIRE
On discovering or suspecting a fire
Rescue -yourself & the nearby patient
Alarm- locate the break glass to initiate fire alarm;
or shout “FIRE, FIRE, FIRE “loudly at the top of your voice
Large Fire -Get to the nearest telephone line, announce CODE
RED and specify the location of the fire
Confine the fire- shut doors, remove flammable material away
on exiting –if possible –ie waster paper bins
Extinguish/Evacuate-Use the right extinguisher to put out the fire –only use if
trained. Find nearer safe exit from the building & leave if advised.

32. WHAT TO DO IN CASE OF A FIRE
•Break the Glass Raise the Alarm
.

33. Emergency Telephone Numbers
Code Red : 7666
Or
Emergency Services namely
Police – 999
Ambulance – 998
Civil defense – 997
Dubai Electricity and Water Authority (DEWA) – 991

34. Provide Information
Your name
Location
Type of Fire
Size of Fire
Who else is there with you?

35. ERT team on hearing announcement Code
red/Code orange will take charge of the
situation to evacuate the area / floor .
The people evacuated from each floor should
assemble at the nearest Fire Assembly point
to follow the instructions.
Once evacuated the building , the reentering
will be subject to the clearance by ERT- QHSE
officer / FMS Manager / Govt authority .

36. Before evacuating a room or block, close
the windows and door behind you

37. Emergency Exits:
•There are 26 emergency exits doors Here in PH from rooftop to Basement 2
and 8 exit doors identified to exit from the building in case of emergency.
•There are floor plan & exit directional signage's provided in all floors to
reach the final exit in the ground floor leading to the Assembly points

38. EMERGENCY EVACUATION GUIDELINES
• Code ORANGE is the Emergency Evacuation Code
• ERT Team take charge of the situation upon Code
ORANGE
• Follow the RACE procedure.
• Evacuate the premises through the nearest emergency
exit to the assigned assembly points.
• Never use Elevator to escape.
• Do not panic, Stay calm, Give clear & exact direction.
• Don’t run during evacuation time.
• Assemble at the assembly points till head count is completed
and final clearance is given to re-enter in to the building.
38

39. ASSEMBLY POINT s
39
- Infront of the hospital, near to valet
parking area

40. • The ERT conducts Evacuation Drill
regularly. Please attend these Fire
Drills.
• The use of Fire Extinguisher is
demonstrated to all staff at the
assembly point as part of the Fire
safety training /Drill.
MOCK EVACUATION DRILL

41. Central Medical Gas Supply –
Area Alarm Panel
Area Alarm Panel
monitors various gas
pressures (O2, N2O, Air 4
Bar,Air 7 Bar, Vacuum) of
the area and gives an
alarm if detected below
or above set pressures

42. AVSU – Area Valve Service Units
Area Valve Service Units –
These need to be closed in
case of a major leakage or
fire (after ensuring the
availability of portable
oxygen cylinders for
patients)