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Obviously we dont allow employees to smoke on the hospital grounds, however patients do smoke outside and recently they started a bin down the smouldering trail with smoke coming from the bin, no fire or flames noted. Nurses responded brilliantly and tossed two buckets of water onto the internal bit of the bins and it stopped smouldering, question is, is this a reportable fire or just a near miss for recording and reviewing purposes
SBH
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I'm interested in what responses you get here, SBH.
The Kings Cross 'smoulderings' issue springs to mind where management got a tad fed up with all the fire incident reports that were generated by smoulderings that snuffed themselves out. They renamed them 'smoulderings' and they fell off the radar only to become significant after the terrble fire.
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Not sure if there is a need to report a fire at all other than for calling 999 in an emergency. i wouldn't record it as a near miss i would investigate it as an accident / incident and look at putting control measure in place by either using correct equipment for extinguishing cigarettes or by posting warning signs not to dispose of dog ends in the general waste bin.
Also ensure you have a fire extinguisher located nearby as that should be used as first line of defence not having to go fill up buckets to put it out.
Phil
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Some good advice given, incidentally the Kings Cross fire was primarily due to poor housekeeping – not the ignoring of smouldering’s'.
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I thought it was down to poor maintenance as well
SBH
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Poor Maintenance, Poor Housekeeping, Poor Management, Poor Equipment. It was a long list of Failings, as I recall!
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Yes it was. It started from a build-up of dirt, dust, debris combed-in via an old wooden escalator. Although smoking had been banned previously on the underground, it is believed that a match had set this waste material alight which caused the deaths of 31 people (smoke inhalation).
Maintenance teams now clean escalators, platforms and tracks whilst the majority sleep and sometimes this is carried out at weekends.
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Interesting bit attached, when the Fennell report into the fire was introduced to the House of Commons. I had forgotten that prior to the fire there were no barriers.
Lot of it, the first bits are more relevant I think, but policiticians do go on. Worth a read though, if not all of it.
http://hansard.millbanks...ross-fire-fennell-report
Cheers
Martin
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Always took there to be a whole host of causes attached to Kings Cross, peeps. Weakness in Incident Reporting was just one of them.
Back to SBH, maybe there's a job to do in getting 'incidents' defined as including near-misses?
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As agreed with wizzpete, a whole lot of issues however, without the primary causes of waste build-up in the escalator motor room and live matches?
Noted that if you go to a motor room on the underground these days you can eat your dinner off the floor!
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I think the term 'smouldering' was coined because LU did not like referring to the FIRES they frequently had. Scares the travelling public apparently.
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SBH wrote:Obviously we dont allow employees to smoke on the hospital grounds, however patients do smoke outside and recently they started a bin down the smouldering trail with smoke coming from the bin, no fire or flames noted. Nurses responded brilliantly and tossed two buckets of water onto the internal bit of the bins and it stopped smouldering, question is, is this a reportable fire or just a near miss for recording and reviewing purposes
SBH
Why are patients allowed to smoke outside if employees are not allowed to in the hospital grounds?
Are patients visitors because as a visitor to any workplace I am not allowed to smoke. (Not that I do smoke but there is a connection).
If it is the patient smoking that started the fire - and a fire it was - just ban everyone the same.
If I was the H&S or fire officer I would want the fire to be recorded and a full investigation carried out. As it was a small fire that should not be too dificult and not be too time consuming.
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SHB
IMHO I would do the investigation the record it as a near miss as nothing grew from the smoulderings. As a matter of interest how close was the bin to the main building? If within 5 foot then a potential issue, if distance of across a road then very less so.
Badger
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This is for Chris
What sanctions would you propose for hospital patients that smoke on site? These are the people that gather outside the cancer unit with their drips and stands for a quick fag before going back in for their radiotherapy. At least most hospitals have persuaded the emphysema patients not to smoke when they are on oxygen.
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A Kurdziel wrote:This is for Chris
What sanctions would you propose for hospital patients that smoke on site? These are the people that gather outside the cancer unit with their drips and stands for a quick fag before going back in for their radiotherapy. At least most hospitals have persuaded the emphysema patients not to smoke when they are on oxygen.
I don't understand - you either agree or disagree with my point about banning everyone the same.
What irks me is when I attend hospital for whatever reason I have to walk through the cloud of cigarette smoke and the disgusting smell before entering the building. Some of these smokers are patients attached to their portable drip, some probably in there because of smoking related disease.
No need for sanctions just tell them not to smoke in the hospital grounds as there is a No Smoking ban, by law.
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Live and let live, or live and let die?
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Barrie(Badger)Etter wrote:SHB
IMHO I would do the investigation the record it as a near miss as nothing grew from the smoulderings. As a matter of interest how close was the bin to the main building? If within 5 foot then a potential issue, if distance of across a road then very less so.
Badger
How big does a fire have to be to be a fire?
The fact is it was a fire, and should be investigated and controls put in place to ensure a similar event does not occur. All major fires start off as small fires that just grow out of control. (except explosions and similar events of course).
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A fire is a fire! It should be investigated and actions taken if necessary.
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Surely the NHS's Firecode policies are clear and all fires should be reported through the usual NHS route.
Perhaps more relevant than the reference to Kings X are the scores of major building fires which originated from skips and then spread. (Tescos and other retailers have suffered greatly)
Another issue, especially in the School holidays, is to monitor all vandalism, malicious false alarms and secondary fires in order to identify any possible trends. It is not unusual for arsonist to start small and get more adventurous when they gain confidence.
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As usual spot on Messy
Chris, what of those NHS sites with psychiatric units where the patients want to smoke? Saying no can often lead to serious assaults from psychiatric patients whose desire for a cigarette overwhelms their understanding that they are not allowed to have what they want. Not that easy to say no, knowing what it could result in.
Not saying it is right, ie to allow patients to smoke on site, but the other staff require our protection too.
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ChrisBurns wrote:
No need for sanctions just tell them not to smoke in the hospital grounds as there is a No Smoking ban, by law.
Only smoking inside enclosed spaces is banned there are no legal grounds for banning on the premises as a whole. Yes many places do ban for the entire premises but to be honest that can just create additional problems.
Don't get me wrong I'm an ex-smoker and would like to see smoking banned full stop and I feel very cross when I see patients smoking outside the hospital doors with their drips, and pain pumps etc (I think my taxes could be spent on more grateful people.....moan moan...) but I'm just clarifying the 'law'.
I would investigate the incident though not report. Perhaps a different type of bin. Many smokers are lazy with their butts and matches so the ones with the whole of the top as an ashtray may work.
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Often patients might be in hospital for day (even weeks) so asking a potential smoker to stop for that time would only add to their stress and anxiety at would would already be a stressful time. probably most smokers or ex smokers would understand this better but i know my dad struggles to sit on a plane for 5 hours with out a cigarette no because he would necessarily smoke a lot in 5 hours but the tress of flying and going on holiday would make his need greater and the link to smoking and relieving stress are closely linked in the smokers mind.
I guess seeing doctors and nurses standing outside a hospital smoking isn't the message the NHS wants to give across.
Phil
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Are we divided on the issue of ...................is it / was it a ................"Fire" ?
Isnt and explosion a "Fire" also??
Wizard
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The NHS blanket ban on smoking can cause unexpected secondary issues. In the hospital where I used to work - where Hospital Boy still is and is going from strength to strength - has a psychiatric unit. Only those patients are allowed to have a cigarette, supervised, RA completed etc, yada yada. Trouble is, those hundreds of members of the public who use the site as a short cut know this, and cross the road to avoid the psych patients. The site is Victorian, cobbled, single lane, designed for horse drawn coach. When people cross the single lane road, due to the curve in the road next to the psych unit, they have at times been nearly knocked down by vehicles.
I am not a psychiatric practitioner and will not a medic how to do their job. That is what I was alluding to above. There are just some issues which may not have been foreseen.
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This issue has just being raised involving Cork University Hospital where there is large signage and no enforcement on 96FM in Cork.
I'll keep ye apprised.
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Don't even get me going on the issue of mental health care and smoking. :(
I worked for many years advising three mental health trusts on fire safety matters (including the Victorian Buildings that Martin mentions above) and have found that the smoking ban has been mismanaged from day one by the NHS.
The percentage of the community with mental health issues who smoke is much greater than the general community and it's reasonable to expect that whilst under stress, the urge to smoke is even greater.
The Govt smoking ban, plus the numerous PCTs and NHS Trust site smoking bans, have in many cases simply driven smoking 'underground' to locations where the risk cannot be adequately controlled. In some sites, nursing staff spend a great deal of their valuable time escorting patients to smoking areas or chasing patients who disregard the rules. As a result patient care is suffering. Meanwhile the NHS produce a report which claims(spins) the whole smoking ban has been a success (yeah right!).
Meanwhile in prisons it's a smoke-as-much-as-you-like environment. Indeed, the BRE recently conducted research on water mist systems for prisons to help control this risk. (No such research for NHS sites though)
So we have a society which bans ill people from smoking but allows criminals to do so. Is it just me that thinks this policy is just plain wrong????
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