FLOOR WARDEN INFORMATION SHEET by stariya

VIEWS: 51 PAGES: 1

									                          ONE BUNKER HILL
         2009 WARDEN FIRE & LIFE SAFETY INFORMATION SHEET
                Please complete and fax to 213-622-3643

Firm Name:____________________________            Office/Floor #_________________

Tenant Contact:_________________________          Tel.: ________________________

Today’s Date: __________________________

                                Floor/Suite Wardens:

MAIN FLOOR / SUITE WARDENS (Please note if CPR or First Aid trained):

Name:___________________________Location:______________Tel.:_____________

Name:___________________________Location:______________Tel.:_____________

Name:___________________________Location:______________Tel.:_____________


ALTERNATE FLOOR WARDEN:

Name:___________________________Location:______________Tel.:_____________

Name:___________________________Location:______________Tel.:_____________

Name:___________________________Location:______________Tel.:_____________


Does your suite have Emergency Procedures Manual? _________


Do you have a Warden orange safety vest? _________ (one per Floor/Suite Warden,
including Alternates)

Number of employees in your office: _______


Physically impaired employees in your office: ________


NAME              NATURE OF DISABILITY            AREA        FLOOR#
_____________________________________________________________________

____________________________________________________________________

Emergency Contact Name ______________________Home Tel.: _________________
                                             Cell Phone:_________________

								
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