Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Drill Assessment
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1. Did participants of the fire drill demonstrate knowledge of the use and function of the fire alarm system?
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2. Did staff members know the location of the nearest pull station?
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3. Did staff know that extension 1300 is the number to call in order to report a fire within the facility?
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4. Was 1300 dialed during this dill?
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5. If 1300 was dialed, did the staff member identify their self and area?
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6.Did the staff member give the exact location of the fire?
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7. Did the staff member describe the nature and extent of the fire?
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8. Did the participants demonstrate the knowledge of confining the fire?
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9. Were the doors in the fire drill area closed?
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10. Did the staff know the location of the nearest fire extinguisher within the drill site area?
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11. Did the participants demonstrate knowledge of the PASS procedure for using a fire extinguisher?
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12. Did the participants demonstrate knowledge of the RACE procedure?
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13. Did the participants understand what each of their specific responsibilities are during a fire?
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14. Could the participants point out the location of the O2 shut-off valve?
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15. Could the staff explain the procedures they would implement if ordered to evacuate the area? Indicating the difference between vertical and horizontal evacuation?
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16. Did staff members of adjacent areas, including areas above and below the drill site; demonstrate knowledge of the fire drill announcement? If so, list the personnel surveyed including their respective areas.
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17. Were the visual and audible alarms noticeable in the fire drill area as well as in adjacent areas?
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18. Were additional fire extinguishers brought to the drill site? If so, how many and by whom?
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19. Was the "All Clear" announcement given in a clear and easily understood manner by the switchboard operator.
Scoring:
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Enter any additional comments that you feel are relevant to this particular drill.
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Please enter your name then sign when assessment is completed.