CAN-ASC-2.2 – Emergency Egress (Exit)
11. Practices and procedures
Information
Table of contents
During an emergency that requires occupants to exit the building, the general population will follow the evacuation routes that are clearly marked, or they will exit the building the same way they entered. People with disabilities will need to follow their PEEP procedures and have more information about the options to exit quickly and safely. This Standard provides this guidance.
This Clause contains a list of the specific actions that shall be included in the fire safety plan and the procedures that need to be followed.
11.1 Items Included in the fire safety plan
There are specific items that shall be identified and included in the fire safety plan. It is important to note that the NFC 2020 specifically requires that provisions be made for people requiring assistance.
11.1.1 Information in the fire safety plan
The objective of the fire safety plan is to establish a systematic method for the safe and orderly evacuation of all occupants of the building, including a person with a disability.
The fire safety plan shall include information on:
- sounding the fire alarm;
- notifying the fire department or 9-1-1 Centre;
- instructing occupants on the procedures to be followed when the fire alarm sounds;
- evacuating occupants, including special provisions for people requiring assistance;
- confining, controlling and extinguishing the fire;
- appointing and organizing of designated supervisory staff to carry out emergency safety duties;
- training of supervisory staff and other occupants on their responsibilities before, during and after an emergency situation;
- ensuring that the posted fire evacuation plan is compliant with Clause 16.3;
- assisting in assigning a buddy;
- ensuring all people who requested a buddy and a back-up buddy have one assigned;
- the type, location and operation of the building fire emergency systems, including diagrams;
- holding of fire drills;
- the measures for controlling fire hazards in and around the building;
- the inspection and maintenance of building facilities provided for the safety of occupants;
- the location of the areas of refuge;
- ensuring that the design and maintenance of the areas of refuge are compliant with Clause 12.1;
- ensuring that the notification systems are operational and in compliance with Clause 13.1;
- ensuring that communications systems in the area of refuge and other notification systems are compliant with Clause 12.1.5; and
- ensuring that the personal emergency evacuation plans (PEEP) for occupants with a disability are included in the fire safety plan.
A fire safety plan is required for all federally regulated buildings in Canada, and a copy of that plan is required to be provided to the arriving emergency services – typically through a fire safety plan box. The fire safety plan is intended to be used during all emergency situations.
11.2 Interested parties
There are many people involved in a successful emergency evacuation such as:
- building occupants;
- external emergency service personnel; and
- building occupants charged with the responsibility of maintaining the personal safety of building occupants.
11.2.1 Roles and responsibilities of the various interested parties
11.2.1.1 The role of the emergency wardens
Emergency wardens are individuals who are responsible for the safety of the people in their building or on their designated floors. The emergency wardens shall do the following:
- Communicate with all people with disabilities.
- Direct the emergency response in a building or on a floor, as detailed in the fire safety plan and directed by the first responders.
- Be responsible to ensure the safe evacuation of people with disabilities.
- Ensure that each person with a disability in their building has a PEEP and knows what to do in an emergency.
- Check whether any visitors have completed a visitor PEEP.
- Know where to obtain the services of sign language interpreters, translators and where to obtain assistive devices.
11.2.1.2 The role of the first responder(s)
First responders are people with specialized training who are among the first to arrive and provide assistance at the scene of an emergency. First responders typically include law enforcement officers, paramedics, emergency medical technicians and firefighters.
The fire department’s primary responsibility in a fire situation is to deal with fire suppression.
During an emergency, the first responders are responsible to do the following:
- First assess the situation and call other emergency response agencies, if necessary.
- Obtain the fire safety plan and PEEPs once arriving on the scene.
- Implement the fire safety plan, including the PEEPs.
- Provide guidance on when it is safe to exit the building.
- Check the areas of refuge and assist in the evacuation of people with disabilities and their buddies.
- Assist a person with a disability and their buddies to safely exit the building.
- Check all areas of the building to ensure that everyone has left the building.
11.2.1.3 The role of the person with a disability
Some information on emergency egress issues that relate to individuals with various disabilities is provided in Annex A.
A person with a disability shall:
- develop a PEEP in conjunction with the emergency warden and buddies;
- ensure that emergency wardens and buddies know and understand their personal situation and how to best assist;
- describe their preferences as to lifting or transferring;
- describe any areas of concern such as loud noises, the use of assistive devices, areas of pain, etc.;
- know the location of the accessible egress routes and the areas of refuge;
- know how to use an evacuation device, if applicable; and
- be aware of the location of the muster points.
11.2.1.4 The role of the buddy
The buddy shall do the following:
- Assist in notifying the person with a disability of an emergency.
- Know how to use an evacuation device, if applicable.
- Participate in the development of the PEEP.
- Be aware of the location of the accessible egress route and area of refuge.
- Know the appropriate way to communicate with and assist the person with a disability and discuss their PEEP.
- Be aware of the locations of the person with a disability that they are going to accompany.
- Be aware of the location of the muster points.
- Participate in fire drills with the person with the disability.
11.3 Personal Emergency Evacuation Plan (PEEP)
11.3.1 Introduction to Personal Emergency Evacuation Plan
A personal emergency evacuation plan (PEEP) is a documented plan tailored to an individual’s needs and abilities, and it provides information on how an individual who may require assistance will evacuate in the event of an emergency, either with assistance, the use of special equipment or device, or both.
PEEPs are critical to the safety of people with disabilities, including employees, clients and visitors.
The NFC and the Provincial Fire Codes that require that all buildings have a fire safety plan state that information on emergency egress for all occupants, including people with disabilities be developed.
PEEPs shall be developed for each person who self-identifies as having a disability or who requires assistance that impacts emergency egress.
There are two types of PEEP forms:
- A person who regularly works in a building shall use the “Employee PEEP” form. Employees include “hybrid” employees and telework employees and contractors.
The completed PEEP form shall be approved, communicated and updated annually.
Note: This would include the individual with a disability that would either work full time or have a hybrid schedule and be in office only 2-3 days a week. A sample Employee PEEP is provided in Annex B.
- A person who is a visitor, works in the building for just a short time, or only has a temporary issue shall use the “Visitor PEEP” form.
Visitor PEEP forms shall be developed by the person responsible for emergency evacuation together with the visitor.
Note: A sample Visitor PEEP form is provided in Annex B.
11.3.2 Employee Personal Emergency Evacuation Plans
A person with a disability together with their manager, and those responsible for the safe evacuation procedures for the building shall:
- develop an employee PEEP for an employee with a disability who identify as needing assistance in an emergency.
Employee PEEPs shall be provided for all organizations.
The employee PEEP or at least the name of the individual that requires assistance needs to be included in the overall Registry List for the emergency warden that has a direct link to the Fire/Police/Paramedics in an emergency.
The employee PEEP shall:
- be provided to the employee with a disability in their format of choice;
- be provided to the employee with a disability’s buddy and support team (buddy and alternate buddy);
- be included in the fire safety plan and emergency response plan;
- be stored in a known, easily accessible location;
- be maintained by the building owner or their property manager and emergency floor warden;
- be communicated to the property manager and/or building owner if tenanted; and
- be kept private from nonessential users, as required.
11.3.3 How to prepare employee Personal Emergency Evacuation Plans (PEEP)
The person responsible for developing the fire safety plan for the facility, together with the person with a disability and their buddy shall meet to develop a personalized evacuation plan. They shall do the following:
Assess and identify the emergency evacuation accommodation needs and determine what kind of support is required.
Note: For example, guidance, personal assistance, alerting or communication.
- Discuss and identify the preferred evacuation strategy.
- Assess the building design for potential building risks, hazards or constraints.
- Inform the building manager, the health and safety officer, the emergency warden or security of the personalized PEEP.
- Complete the PEEP and provide a copy to the person with a disability and their buddy in their preferred format.
- Review the PEEP annually and update it if there are any changes in circumstances.
- Practice the PEEP with the buddy, and others if required in the PEEP, during emergency drills.
- Test any equipment or procedures.
Note: A standard Employee PEEP shall be developed as per the template in Annex B.
11.3.4 Information to be included in the employee PEEP
A PEEP shall be developed which includes:
- the names and contact information of the person with a disability who has self-identified as needing assistance;
- alternate contact information;
- the workplace locations in the building and the work schedule;
- the procedures for alerting others of the work location;
- confirmation on whether evacuation is possible using the stairs;
- confirmation on whether additional time is needed to evacuate;
- the most appropriate procedures for evacuation;
- the preferred method of transferring, lifting or carrying or using an evacuation device (see Annex D);
- the type of equipment required to evacuate and the location of any equipment or devices required, such as an evacuation chair, a personal alarm;
- alternate format requirements;
- the name and contact information of the support team (buddy and alternate buddy);
- confirmation on whether assistive technologies are required for communication;
- the preferred alerting system;
- the preferred communication mode;
- factors that would be encountered that could cause greater distress for the individual, e.g., smoke exposure, flashing lights, loud noises, straps and braces, issues of pain or strength;
- the location of any areas of refuge and muster points;
- the location of the nearest exits and fire alarms;
- the preferred accessible egress route and an alternate route;
- a diagram of the egress route, alternate route, areas of refuge, shelter in place locations and exterior muster points; and
- any training to fulfill the requirements of the PEEP.
Note: Information shared in the personal emergency evacuation plan is subject to the person with a disability’s approval.
11.3.5 Personal information
A person with a disability may have personal information relevant to their safety and the safety of emergency personnel that is important to know during an emergency egress situation. It is highly recommended that the person with a disability share all relevant information.
Privacy concerns shall be discussed to ensure that information in the PEEP is not shared inappropriately.
11.3.6 Visitors
Visitors are occupants of a building who are not present on a regular, known and consistent basis. This could include patrons, employees in a hybrid or co-working workplace who work in an office space on an irregular basis, or employees in activity-based workplaces.
A standard Visitor PEEP form shall be developed as per the template in Annex B.
At the check-in or security desk:
- the Visitor PEEP form shall be available at the check-in or security desk;
- a sign requesting visitors who need assistance in an emergency to complete the visitors PEEP shall be posted; and
- staff at the check-in or security desk shall:
- be familiar with emergency evacuation procedures;
- keep a copy of the form and provide it to emergency personnel, as needed;
- be familiar with the evacuation routes; and
- be familiar with alerting systems and communication requirements detailed in the Visitor PEEP.
11.4 Before, during and after an emergency evacuation
11.4.1 Before an emergency
11.4.1.1 Emergency evacuation drills
Before an emergency occurs, each person having been identified as needing assistance shall be assigned a buddy and a backup buddy who is willing to assist in an emergency.
It is the responsibility of the building manager to ensure that buddies are assigned. If no one volunteers to be a buddy, then it is the responsibility of the building manager to provide that service.
Given the importance of the emergency egress drills to ensure that all occupants of a building know the necessary procedures to safely exit the building, all individuals shall participate in the emergency egress drills.
This will ensure that, during an emergency, everyone is aware of what to do and where to go. Drills are conducted to ensure that the plans in place are understood, realistic, safe, and effective.
Drills shall be practised at least every 12 months. For some people with disabilities, executing the entire emergency egress procedure may be stressful, cause harm to their physical or mental well-being, or be extremely time consuming. In these cases, the emergency egress procedure should be executed to the greatest degree possible.
A successful emergency egress drill shall ensure that:
- the warning system and communication is effective and accessible for all building occupants and visitors;
- all occupants are familiar with the established evacuation routes and shelter-in-place procedures;
- the PEEPs are effective and up-to-date for people with disabilities and their buddies;
- building occupants practice their plans;
- all occupants who may be required to assist people with disabilities, such as the emergency warden or the building manager, are familiar with the evacuation requirements for people with disabilities;
- people with disabilities who may need to use an evacuation chair and their buddies are able to effectively and safely use the device;
- the building components such as the call boxes, posted signs and areas of refuge are functioning as designed; and
- procedures are in place to assist visitors who have a disability during an emergency egress.
11.4.1.2 Register with the fire department or 9-1-1 Centre
Many jurisdictions in Canada have a program for people with disabilities and those who feel vulnerable to register their location and provide information on their emergency-related concerns. It is important to keep this information up to date. People should contact their local fire department or 9-1-1 Centre to find out if such a program exists in their locale.
11.4.1.3 Requirements and guidelines for persons (buddies) assisting a person with a disability
The designated buddies who will be assisting a person with a disability and the person with a disability will decide on the best way to safely evacuate during an emergency egress and will include this information in the PEEP.
Some guidelines that shall be followed when developing and executing the PEEP include:
- Buddies shall always ask a person with a disability how they can help before attempting any rescue technique or giving assistance. A buddy shall ask how the person with a disability can best be assisted or moved, and whether there are any special considerations or items that need to come with them.
- People assisting shall ask the person with a disability what is their preferred and safest lifting or transferring technique, and whether an evacuation chair or similar device should be used.
- Before lifting or transferring someone, it is important to discuss personal considerations such as whether there are straps that should be removed, other technical devices attached to a wheelchair that should be removed, or even any sensitive injuries or painful areas.
- Proper lifting techniques shall be used to avoid injury to evacuees or the rescuers (e.g., bending the knees, keeping the back straight, holding the person close before lifting, and using leg muscles to lift).
- When using devices such as an evacuation chair, a buddy shall ensure the person with a disability is secured properly.
- A buddy should be cautious on stairs and rest at landings, if necessary.
- If the evacuee prefers to be evacuated while in their wheelchair, the evacuee shall advise on the best and safest way to evacuate.
11.4.2 During the emergency
During an emergency egress situation, a person with a disability and their buddy shall implement their PEEP by following instructions from emergency personnel, and:
- evacuating independently;
- evacuating with assistance; or
- remaining in the area of refuge.
11.4.3 Post-emergency: Evaluation and improvement
After an emergency situation has taken place, an in-depth review shall be conducted on the effectiveness of the procedures that were developed and implemented. All drills and emergencies shall be documented to facilitate improvement.
Potential improvements should be discussed frequently and openly.
This discussion shall:
- be completed within 2 weeks of the emergency egress in a written format and an alternative format that is accessible to the person with a disability;
- provide feedback on portions of the evacuation that proceeded successfully according to the plan outlined in the person’s PEEP;
- provide feedback on portions of the evacuation or drill that did not proceed according to the plan outlined in the person’s PEEP;
- ensure that communication with all occupants was effective and inclusive;
- identify potential areas of improvement;
- identify any built environment elements that need remediation; and
- be completed by every person involved in the emergency evacuation or drill.
If feedback was provided by any of the building occupants during the post-evacuation discussion that could improve the egress of people with disabilities, this information shall be used to update the building evacuation plan and/or the PEEPs. When changes are made, they shall be discussed with the person with the disability, their buddies, and any other occupants who may provide assistance during an emergency egress situation.
11.4.3.1 Changes to the emergency egress plans due to situational changes
In addition to reviewing the Fire Safety Plan and the individual personal emergency egress plans after every emergency egress, the plans shall be updated every time there is a situational change that could alter how a person with a disability can safely exit the building during an emergency. This could include situations such as:
- changes in the person’s disability;
- changes in the assignment of buddies;
- changes in responsibilities (for example if the owner designates the building manager to be responsible for specific tasks);
- construction within the building; or
- construction outside or around the building when the muster point or the accessible path of travel to the muster point is affected.
The updated plan shall be included in the fire safety plan for the building.