Islamabad’s Capital Development Authority recorded emergency exits and escape routes at PIMS as permanently locked from outside or obstructed, according to its 27 August fire-incident report. The Directorate of Emergency and Disaster Management also found fire and life-safety arrangements inadequate and said hospital security hindered the initial response of the fire crew. Those findings turn the evacuation dispute into an institutional record, although the underlying CDA report has not been published on the authority’s website and was reviewed by Arab News. [E1]
The response clock begins with PIMS’s own ignition time of 06:38. CDA recorded the first emergency call at 06:54, dispatch at 06:55 and the first crew reaching the hospital at 07:01. That puts sixteen minutes between the hospital’s stated start of the fire and the first call logged by the city’s emergency service, while the CDA paper gives no explanation for the gap. [E1] PIMS’s initial account also places the spark at 06:38 and a powerful explosion one minute later. [E2]
PIMS rejects the CDA finding on egress. The hospital says all emergency exits were fully open and functional during the incident and that staff deployed every available piece of fire-safety equipment. Its account records 35 extinguishers used during the firefighting effort, with doctors, nurses, security staff and responders participating in rescue and evacuation. [E2] The two accounts therefore disagree on a basic physical condition encountered during the fire: whether the escape routes were available when people needed them. [E1][E2]
The CDA paper also carries a casualty ledger that does not match the official toll. It lists seven babies dead and seven evacuated alive, while PIMS and the government have reported 14 newborn deaths. The report does not explain whether its figures cover only casualties handled by CDA rescuers or why seven deaths are absent from its ledger. [E1] The discrepancy remains unresolved, so the CDA count and the official toll have to remain separate. [E1]
Cause is also less settled on 27 August than the first hospital narrative suggested. CDA listed an electric short circuit or plug overload as the probable cause, while the National Assembly health committee said CCTV did not establish that the old air conditioner was the source of the fire. [E1][E3] Committee chairman Mahesh Kumar said neither staff accounts nor the footage established where the spark originated, and the panel was examining electrical wiring and the oxygen pipeline. [E3] PIMS continues to say a spark began the fire at 06:38 and that oxygen points helped the flames intensify rapidly, but its own account says the exact circumstances await investigation. [E2]
Prime Minister Shehbaz Sharif’s separate inquiry had moved into the hospital by Thursday, with the committee headed by former federal secretary Shahid Khan visiting PIMS. It was directed to produce preliminary recommendations within 48 hours and a full report within five days. [E1] No findings from that committee appear in the 27 August material cited here, so it does not yet settle the dispute over exits, ignition or response. PIMS likewise says the causes and responsibility will be determined through the final investigations. [E2]
What changed on 27 August is the weight of the egress evidence and the precision of the response clock. PIMS still maintains that its exits worked and its staff used 35 extinguishers, while CDA records compromised safety arrangements, obstructed escape routes and security interference with the arriving crew. [E1][E2] The sharpest fact in the new record is a door and a clock: CDA recorded exits locked from outside, and its first emergency call came at 06:54, sixteen minutes after PIMS says the fire began. [E1]