Evacuation Drill Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Audit team

• Audit team leader

  Sign

Time

• Drill start time

  Date

• Drill end time

  Date

Evacuation signal

• Was signal heard at all places?

  Yes

  No

  N/A

• Was the signal understood?

  Yes

  No

  N/A

• Did the employees respond to the signal?

  Yes

  No

  N/A

Evacuation

• Did all employees evacuate?

  Yes

  No

  N/A

• Did all employees go to the assembly point?

  Yes

  No

  N/A

• Did employees take their essential belongings only?

  Yes

  No

  N/A

Assembly point

• Do all persons congregate at the assembly point?

  Yes

  No

  N/A

• Does the safety team congregate at the assembly point?

  Yes

  No

  N/A

• Does the medical team congregate at the assembly point?

  Yes

  No

  N/A

• Does the safety team do accountability report?

  Yes

  No

  N/A

• Is accountability report communicated to incident commander and other response teams?

  Yes

  No

  N/A

• Is appropriate action taken on accountability report?

  Yes

  No

  N/A

Medical

• Does medical team setup triage zone?

  Yes

  No

  N/A

• Does medical team have appropriate equipment?

  Yes

  No

  N/A

Fire / evacuation

• Does fire team evacuate the workplace?

  Yes

  No

  N/A

• Are all areas checked to ensure that they are clear?

  Yes

  No

  N/A

• Are persons assisted to evacuate?

  Yes

  No

  N/A

Persons with disabilities

• Are persons with disabilities identifed?

  Yes

  No

  N/A

• Is an appropriate guide or assistant provided for evacuation?

  Yes

  No

  N/A

• Can disabled persons access the assembly points?

  Yes

  No

  N/A

Signal media

• Pictures of signalling equipment

  Media

• Diagram of signalling equipment location

  Drawing

Assembly points

• Pictures of assembly point

  Media

• Diagrams of assembly points

  Drawing

Evacuatees

• Pictures of persons during evacuation

  Media