Fire & Evacuation Practice Record - Practical Evacuation

• Site Conducted

  Select
• Address
  Address

• Unit / Department

• Site Contact

• Document No.

• Conducted on

  Date

• Prepared by FSA

  Oliver Steele

  David Mincher

  Mitchell Toulson

Date & Time

• Date conducted

  Date

• Time started

  Date

• Time finished

  Date

• Timeline of events for evacuation

• Conduct Handover with "QFES"

• Have all staff sign attendance record at assembly area.

Criteria

• Were the fire alarms activated in the facility?

  Yes

  No

  N/A

• Were the alarm tones able to be heard throughout the area?

  Yes

  No

  N/A

• Did the Emergency Coordinator (EC) respond to the Fire Indication Panel (FIP)?

  Yes

  No

  N/A

• Did the EC don the appropriate vest?

  Yes

  No

  N/A

• Did the Emergency Officer (EO) respond to the Emergency Response Station (ERS)?

  Yes

  No

  N/A

• Did the EO don the appropriate vest?

  Yes

  No

  N/A

• Did the EC/EO direct staff to conduct a search?

  Yes

  No

  N/A

• Were the doors and windows closed as each area was searched?

  Yes

  No

  N/A

• Were there any PA announcements to the area?

  Yes

  No

  N/A

• Did the EO and EC use the Warden Intercommunication Points (WIP) or other means of communications during the exercise?

  Yes

  No

  N/A

• Was the fire extinguished?

  Yes

  No

• Were incident details reported to the EC?

  Yes

  No

  N/A

• Did the EC coordinate the evacuation process in an orderly manner?

  Yes

  No

  N/A

• Did staff evacuate the area in an orderly and timely manner?

  Yes

  No

  N/A

• Were there any obstructions along the evacuation routes?

  Yes

  No

• Did the staff evacuate to their designated assembly areas?

  Yes

  No

  N/A

• Was a head count/roll call conducted?

  Yes

  No

  N/A

• Were any missing persons reported ?

  Yes

  No

  N/A

• Did the EC conduct/perform a handover with QFES on arrival?

  Yes

  No

  N/A

Findings and Recommendations

• What are the positives of the practice

• What are the negatives of the practice

• Comments/Recommendations

• Photo of Attendance Record

  Media

• Add photo's

  Media