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Emergency Evacuation and Fire Prevention Plan Training <br />Date: <br />Instructor: Title: <br />Emergency Evacuation Plan Elements to be Reviewed <br />❑ Emergency Escape Procedures <br />❑ Escape Route Assignments <br />❑ Special Procedures for Personnel to Operate Critical Equipment <br />❑ Procedures to Account for Employees <br />❑ Special Rescue and Medical Personnel <br />❑ Employee Training Programs <br />Fire Prevention Plan Elements to be Reviewed <br />❑ Major Workplace Fire Hazards <br />❑ Fire Prevention Practices <br />❑ Fire Equipment Maintenance Personnel <br />❑ Means of Reporting Fires and other Emergencies <br />❑ Alarm Systems <br />❑ Personnel Responsible for Control of Fuel Source Hazards <br />❑ Proper Maintenance Procedures <br />❑ Proper Housekeeping <br />Other Elements to be Reviewed <br />❑ Names and Titles of Emergency and Fire Prevention Plan Coordinators <br />❑ Emergency and Fire Prevention Plan Availability <br />Employees Trained <br />Name /SS# Work Location/Unit Job Title Signature <br />Instructor's Signature: <br />04/25/16 <br />PDFConvert. 1073 5. 1. Section 6_- _Security <br />Attachment umber 5 \n <br />F -9 Page 298 <br />