Instructions: In accordance with OSHA
mandated emergency action plan and fire prevention training requirements, please print and
complete the following Emergency Response Evaluation form. Indicate the appropriate
answers to the following questions, sign, fold and return the form to the
BYU-Idaho Safety Office, 355 Rigby -TFO (Zip 4: 4530). Please use an ink pen as the form will
constitute part of a permanent training record.
1. What is the emergency phone number for
summoning police, fire or ambulance services?
2. Where is the closest fire extinguisher to your
classroom or work area?
3. Where is the closest fire alarm pull station
to your classroom or work area?
4. What are the four basic steps of fire
extinguisher operation?
A.
B.
C.
D.
5. Where is the college Intranet site which lists
emergency procedures?
6. List the title of any of the safety
procedure sections listed on this Intranet site?
7. Who is the emergency building coordinator for
your work area?
8. Where is your evacuation meeting location?
9. Where is the closest external wall mounted
emergency telephone to your work area? See Inside back cover page of
BYU-Idaho Telephone Directory
10. List the three steps for operating an
external wall mounted emergency telephone?
11. To what college entity do you report potential
fire or safety hazards? How?
12. To what college entity should you report work
related injuries or illnesses? How?
13. To what college entity should you
report work campus incidents/accidents (non work-related)? How?
14. To what college radio station should you tune
for major emergency or disaster information?