Title Page

  • Document No.

  • Conducted on

  • Location
  • Evacuation Start Time:

  • Evacuation End Time:

  • Total time for evacuation process:

  • Was the building completely evacuated?

  • Was the evacuation alarm heard in every area of the building?

  • Did all occupants meet at their designated meeting point?

  • Have procedures for the handicapped been addressed?

  • Did equipment (doors, alarms, pull stations, exit signs, etc.) function properly?

  • Problem or Issue Noted:

  • Additional Comments/Requirements:

  • Time it took for the fire alarm to come into dispatch?

  • Number of people evacuated?

  • Building Representative:

  • NAFD Evaluator:

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