Fire and Life Safety

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fire Drill Information

• Client

• Fire Drill Supervisor (Name and Email)

• Location
  Address

• Date of Drill

  Date

• Alarm Time

  Date

Fire Drill

• Time Building was Completely Evacuated

  Date

• Elapsed Time

• Did the Alarm/Announcing System Function Properly?

  Yes

  No

  N/A

• Was the Alarm/Announcing System Heard Through Out the Building? If Not, List The Areas Where Was Not Heard.

  Yes

  No

  N/A

• Did the Evacuation Proceed in an Orderly Manner?

  Yes

  No

  N/A

• Did All Employees Assemble At A Designated Muster Point?

  Yes

  No

  N/A

• Were All Doors Closed, But Not Locked?

  Yes

  No

  N/A

• Were All Corridors and Exits Free of Obstructions?

  Yes

  No

  N/A

• Was All Equipment Properly Shutdown Properly?

  Yes

  No

  N/A

• Were The Lights Left On?

  Yes

  No

  N/A

• Notes and Comments

• Company Representative

  Sign

• LSRFS Representative

  Sign