146 AW EAP- FIRE DRILL CHECKLIST

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Fire Drill Information

• 146th AW Fire Drill

• Location
  Address

• Date of Drill

  Date

• Alarm Time

  Date

Fire Drill

• Time Building was Completely Evacuated

  Date

• Elapsed Time

• Did the Alarm/Announcing System Function Properly?

  Yes

  No

  N/A

• Add media

  Media

• Was the Alarm/Announcing System Heard Through Out the Building? If Not, List The Areas Where Was Not Heard.

  Yes

  No

  N/A

• Did the Evacuation Proceed in an Orderly Manner?

  Yes

  No

  N/A

• Did All Employees Assemble At A Designated Muster Point?

  Yes

  No

  N/A

• Were All Corridors and Exits Free of Obstructions?

  Yes

  No

  N/A

• Add media

  Media

• Was All Equipment Properly Shutdown as applicable?

  Yes

  No

  N/A

• Notes and Comments

SIGNATURES (e-SSS)

• 146 AW/SEG Occupational Safety Specialist

  Sign

• 146 AW/SE Chief of Safety

  Sign

• 146 AW/SE Occupational Safety Manager

  Sign

• Unit Commander

  Sign

• Group Commander

  Sign

• Wing Commander

  Sign