Title Page

  • Site conducted

  • Conducted on

  • Consultant

  • Branch

  • Location
  • Client

  • Contact Person

PRIOR TO DRILL

  • Have Fire wardens been assigned and trained?

  • Do Fire wardens have identification?

  • Have assembly areas been designated and employees trained?

  • Are “emergency plans/procedures” posted?

DURING THE DRILL:

  • Did the employees evacuate the building immediately after the evacuation was initiated?

  • Was evacuation orderly and quick?

  • Were instructions given to move to the designated assembly points?

  • Were all exits used?

  • Were all restrooms, and offices checked?

  • Did fire doors operate correctly?

  • Was everybody continuously kept informed regarding the situation?

  • Was a communication system applied during the evacuation?

Drill Information

  • Number of persons who were present during the drill

  • Number of special needed employees who carried out horizontal evacuation drill

  • Number of “Critical operation” employees who will carry out Ad hoc evacuation drill

AFTER THE DRILL:

  • Were all employees and visitors accounted for?

  • Did all alarms work properly?

  • Was there any significant disruption of services?

  • Did everyone remain outside the building and wait for further instructions?

  • Are staff members familiar with their assigned duties?

Signoff Sheet

  • Evacuation Duration

  • Observations

  • Compliance Level

  • Complilink OHS Consultant

  • Contact Person

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