EMERGENCY DRILL REPORT

• Date of test

  Date

• Scenario

• Location / Site
  Address

Details

• Date of test

  Date
• Location/ Site
  Address

• Scenario

Evacuation Process

• Time alarm sounded

• Time at which all personnel were accounted for at designated Emergency Assembly Points

Observations

• Did all personnel cease work immediately when alarm sounded

  Yes

  No

• Did they follow designated exit paths

  Yes

  No

• Did they proceed to the nearest assembly point

  Yes

  No

• Did all designated emergency/ fire wardens carry out their roles

  Yes

  No

• Were all emergency/ fire wardens as designated/ advertised

  Yes

  No

• Other/ Comments

Procedure Specific Issues

• Have all fire wardens had fire extinguisher training

  Yes

  No

• Have all wardens had fire wardens training (if applicable)

  Yes

  No

• Were all extinguishers within test period

  Yes

  No

• Was evacuation alarm audible to all persons on site

  Yes

  No

• Other

Additional

• NOTE: At the completion of drill conduct a toolbox meeting with workers to discuss all aspects of the frill, and seek feedback on the effectiveness of the current procedures

• Is the emergency procedure effective

  Yes

  No

• If No, detail below

  Yes

  No

  N/A

• Could it be improved

  Yes

  No

• If Yes, detail below

  Yes

  No

  N/A

Emergency Drill Report

• Detail any concerns with emergency procedure

• Detail any suggestions you consider could improve the procedure

Items Requiring Corrective Action On Site

• E.g. extinguishers out of date, contact details not up to date

• Item

• Corrective Actions Required

• Completed

• Date

  Date

• Signature

  Sign