Evacuation evaluation - V1.1

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Evacuation data

• Briefing time

  Date

• P.A Announcement

  Date

• Alert time

  Date

• Evacuation time

  Date

• All clear

  Date

Building Evacuation Info

• Reported Level or Area

Level or Area

• Did the floor warden report as per procedure, if yes what level are they from?

  Yes

  No

  N/A

• MIP's Yes or No, how many?

  Yes

  No

  N/A

Trainers Comments

• Would the trainer like to add his/her comments

  Yes

  No

  N/A

Wardens Comments

• Would the wardens like to comment

  Yes

  No

  N/A