Title Page
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Document No.
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Audit Title
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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
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Evacuation start time
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Evacuations end time:
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Total time for evacuation process including accountability:
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Was the building completely evacuated:
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Was the fire alarm heard throughout all areas of the building and portables:
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Are fire lanes clear and accessible to the fire department:
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Are all fire hydrants clear and accessible:
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Is the fire department connection, (FDC), clear, accessible and sign visible:
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Did everyone meet at their designated meeting point:
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Have handicapped provision been followed:
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Did all equipment (fire doors, alarms, pull stations, exit signs) function properly:
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Additional comments/requirements:
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Fire alarm time to be dispatched:
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Number of people evacuating:
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Building representative:
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CMSFD representative:
