• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel


Building details

  • Building number

  • Building Name

Evacuation Practice Start time

  • Select date

Evacuate Practice Finish

  • Select date

Evacuation Report

  • Duration of the drill

  • Training of wardens - competent?

  • Chief Warden simulated phoning QFRS to confirm a fire / incident

  • Chief Warden's Use of Evacuation System

  • All Wardens Wearing Hats

  • Inspections by Floor Wardens

  • Floor Wardens report on WIP's

  • Floor Wardens Physically Reported

Evacuation Co-ordination instructions given

  • Procedures to escort disabled persons and visitors

  • Evacuation Procedures and alarm signals identified

  • Means of escape and clear paths of travel

  • Location of Fire Equipment and their use

  • Procedures for the conducting of staff, students & visitors to the exits and on to the Assembly Areas

Identified Procedural Short Comings


  • Follow up required

  • Completed

Sign of Chief Fire Warden

  • Add signature

Sign of Fire Safety Officer

  • Add signature

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