Title Page
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Date
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Centre location
Information
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Type of Emergency Procedure Drill
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Other incident
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Was this drill planned or spontaneous?
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Was this a practise drill?
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Details of the incident
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Were emergency services called?
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Do you have the report/incident number?
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Report number
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Start time of emergency drill
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End time of emergency drill
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How many minutes did your drill take?
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Number of children present
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Names of staff present
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Improvements to be made
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Things that went well
Acknowledgement
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By signing this document you understand and agree the above information is correct.
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Name of person completing this form
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Signature
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Date
