Evacuation reports

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

  Sign
• Location
  Address

• Site name

Site / Building Type

• - High rise building (over 10 floors)

• - Low rise building (under 10 floors)

• - Multi-Tenant/Building Managed

Facilities

• - Fire rated stairs

  Yes

  No

• - Stair pressurisation

  Yes

  No

• - EWIS intercom systems

  Yes

  No

Building Operations:

• Commercial - Office / Administration

• Commercial - Production / Factory / Warehouse

• Retail - Shopping Centre / Shopfronts

• Combination - Office / Warehouse

• Combination - Office / Retail

• Residential - Care homes / Hostels / Hotels

• Public - Cinema / Community Club / Bar

Occupancy Type:

• Multi-Tenant / Building Managed

• Single Tenant / Owner - Occupier

• Partial Building Area

Procedures:

• - Evacuation Plans & Schematics Current

  Yes

  No

• - Emergency Procedure Manual Available

  Yes

  No

Type of Exercise:

• Fire

• Bomb Threat

• Other

Type of Evacuation:

• Partial Building

• Full Building

• ECO Only

Alarm State:

• Two Stage (EWIS/EWS)

  Yes

  No

• One Stage (Bell/Siren)

  Yes

  No

• One Stage (No Alarm/Verbal)

  Yes

  No

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• Floor/Area Evac Time Clear Time

• Floor/Area Evac Time Clear Time

• Floor/Area Evac Time Clear Time

• Floor/Area Evac Time Clear Time

• No further individual floor/area time results required (building under 10 floors/areas)

  Yes

  No

• Individual floor/area time results in the attached report (building over 10 floors/areas)

  Yes

  No

General Observations:

• - Wardens were wearing correct identification

  Yes

  No

• - Wardens met to assign search areas

  Yes

  No

• - First Aid personnel were present (not as Wardens)

  Yes

  No

• - The emergency location was identified

  Yes

  No

• - Entry to the building was restricted

  Yes

  No

• - Lifts disabled (if applicable)

  Yes

  No

• - Reports to the CW were clear

  Yes

  No

• - Persons with disabilities accounted for

  Yes

  No

• - No further observation notes required

  Yes

  No

• - Further observation notes in the attached report

  Yes

  No

Debrief Notes {Note any feedback from ECO personnel:}

• - Tones/Alarms can be heard clearly in all areas

  Yes

  No

• - Communication methods works effectively

  Yes

  No

• - Exit routes are clear of obstructions

  Yes

  No

• - Exit doors / fire doors in working order

  Yes

  No

• - There were sufficient Wardens in all areas

  Yes

  No

• - All evacuated people went to the assembly area

  Yes

  No

• - No further debriefing notes required

  Yes

  No

• - Further debriefing notes in the attached report

  Yes

  No

Recommendations and Variations to Procedures:

• - Service required to equipment/facilities

  Yes

  No

• - Warden identification to be reviewed

  Yes

  No

• - General review of procedures required

  Yes

  No

• - Site plans require review

  Yes

  No

• - Training for Chief Wardens requires review

  Yes

  No

• - Training for Floor/Area Wardens requires review

  Yes

  No

• - No further recommendations or variations required

  Yes

  No

• - Further recommendations in the attached report

  Yes

  No

• - Training for Occupants requires review

  Yes

  No