Patient Safety Tool: Sample Fire Safety Plan

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The Minnesota Health Department offers a free, downloadable sample fire safety plan for healthcare organizations.

The six-page form allows healthcare providers to specify its purpose for a fire safety plan, policy, general fire safety information, immediate fire procedures and fire drill procedures. The document also provides space to detail a building evacuation plan.

Download the sample fire safety plan (doc) for use in your own facility.

Note: View our database providing 150 reports that link to free, downloadable and adaptable tools for use in surgery centers, hospitals and other organizations by clicking here.

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