Drake Evacuation Audit

• Drake Circus

• Conducted on

  Date

• Prepared by

Evacuation Audit Infomation

• Manual zone or full evacuation initiated ?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Date And of Audit/ Drill

  Date

• Name of Duty Manager

• Names of all staff members present

• Location of activation ?

• In what zone did the drill activation take place ?

  Select zone A zone B zone C zone E CP 1 Cp 2

  • zone A
  • zone B
  • zone C
  • zone E
  • CP 1
  • Cp 2

Actual Drill Start

• Start time of drill

  Date

• Did the Mr Joshua sound over the centre PA ?

  Yes

  No

  N/A

• Were all the evacuation cards issued ?

  Yes

  No

  N/A

• All personnel in place ?<br>

  Yes

  No

  N/A

• How long did it take for the staff member to get to the activation location ?

  Select less than 30 sec more than 30 sec more than 60 sec more than 90 sec more than 120

  • less than 30 sec
  • more than 30 sec
  • more than 60 sec
  • more than 90 sec
  • more than 120

• Did all staff respond back to you ?

  Yes

  No

  N/A

• Was radio silence maintained ?

  Yes

  No

  N/A

Was the manual procedure followed ?

• Total time of exercise ? ...

• End time of drill

  Date