• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Evacuation data

  • Briefing time

  • P.A Announcement

  • Alert time

  • Evacuation time

  • All clear


  • Chief fire warden

  • Front area warden

  • Back area warden

  • Ground floor fire warden

Area cleared

  • Work area

  • Civic Plaza Ground floor area clear

  • Civic Plaza First floor back area clear

  • Civic Plaza First floor front area clear

  • Library area cleared

General observations

  • PA loud and clear

  • Occupants evacuated building in an orderly manner.

Fire service representative

  • Representative


  • Recommendations:

  • Signature

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