Rocky Mountain College Fire Safety Report
This report is to be completed immediately after ANY fire safety equipment is engaged and or an unathorized fire occurs on campus.
Staff member completing this report:
*
First Name
Last Name
Date
*
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Month
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Day
Year
Date Picker Icon
Time of Incident Notification
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Minutes
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AM/PM Option
Location
*
Alden Hall
Anderson Hall
Aviation Hall
Bair Family Science Center
Bair Family Student Center
Charles Morledge Science Building
Connor Hall
Eaton Hall
Flight Operations (Airport)
Fortin Education Center
Jorgenson Hall
Losekamp Hall
Morledge-Kimball Hall
Outdoor Area
Paul M. Adams Memorial Library
Prescott Hall
Rimview Hall
Tech Hall
Tyler Hall
Other
Fire Safety Equipment Engaged
*
Fire Alarm
Fire Extinguisher
Smoke Detector
Sprinkler
Pull station
Other
Reason Fire Safety Equipment Was Engaged (select one):
*
Vandalism
Smoke
Fire
Testing
System error
Non-Emergency Notification
Other
Emergency Services Contacted
*
Yes
No
Time emergency services contacted:
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Minutes
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AM/PM Option
Emergency Services Responded/On Scene
*
Yes
No
Time emergency services arrived on scene:
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Minutes
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AM/PM Option
Alarm Tech (or facilities staff member) Contacted
*
Yes
No
Time alarm tech (or facilities staff member) was contacted:
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Hour
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Minutes
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AM/PM Option
Alarm Tech (or facilities staff member) Responded/On Scene
*
Yes
No
Time alarm tech (or facilities staff member) arrived on scene:
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Hour
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Minutes
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AM/PM Option
Building Evacuated
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Yes
No
Time building evacuation completed:
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Minutes
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AM/PM Option
Time building reoccupied:
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Minutes
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AM/PM Option
If test - where there spaces/individuals that did not properly evacuate?
Yes
No
If Yes - spaces and names if available
Other Notes:
Submit
Should be Empty: