Title Page
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Date and Time of Drill
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Weather
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Safety Coordinator
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School
COMMUNICATION
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Method of Drill Activation
- Fire Bell - No Announcement ... Assembly point MANTZ PARK RUNNING TRACK
- Code 1 - Siren with Announcement ... SPORTS HALL
- Code 2 - Siren with Announcement ... SAFE HAVEN (nearest)
- Code 3 - Siren with Announcement ... AL HAMRA ASSEMBLY POINT
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Drill preannounced
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Date and Time alarm is sounded
EVACUATION ASSESSMENT
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Evacuation routes posted
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Evacuation signs are in good condition
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Egress routes free of obstructions
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Exits are clearly marked
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Illumination for assembly point & Exit paths
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Exit doors operating properly
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Assembly point unobstructed
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Extra details
FIRE ALARM SYSTEMS
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Fire alarms are working properly and clearly heard in all areas
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Electra-magnetic locks operated appropriately
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Public address system clearly heard in all areas
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Fire pump work conditions
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Extra details
UTILITIES
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Smoke detectors are in good condition
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Sprinklers are in good condition
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Electrical power was turned off
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Emergency power was available
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Fire hose reel used (mock test)
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Evacuation performed according to plan
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Emergency response teams met at emergency commanding centre
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Emergency response team responded according to plan
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Fire alarm clearly heard in all areas
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Fire zone correctly identified by security and fire team
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Alarm monitoring station/security guard room received alarm
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Public address system clearly heard in all areas
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Extra details
EVACUATION
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All occupants participated and evacuated
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Restrooms were checked for occupants
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Evacuation was orderly
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Visitors escorted and accounted for
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Special needs persons accommodated
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Missing persons identified by role call
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Details of missing persons communicated to support services
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Extra details
FIRE CONTAINMENT
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Doors and windows closed
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Rooms checked prior to closing doors
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Doors left unlocked
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Fire extinguisher taken to location of fire
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Door hold-open devices operated appropiately
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Extra details
PLAN ASSESSMENT
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Evacuation performed according to plan
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Occupants met at designated meeting places according to the plan
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Designated meeting place(s) located at safe distance from building
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Fire drill/incident response team(s) responded according to plan
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Fire drill/incident response team(s) carried out assigned duties
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Fire department "mock" notified according to plan
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Extra details
COMPLETION
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Time of Completion
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Overall response of employees
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Noise level of evacuation
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Total number of occupants evacuated
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Recommendations
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Name and signature of safety coordinator