INSPECTION

COMMUNICATION

Method of Drill Activation

Please specify

Drill preannounced

Fire department present for drill

Alarm monitoring company notified

Security notified

EVACUATION ASSESSMENT

Evacuation routes posted

Evacuation signs are in good condition

Exits are clearly marked

Exit signs are properly illuminated

Exit doors operating properly

Egress routes free of obstructions

Egress routes properly lighted

FIRE ALARM SYSTEMS

Fire alarms are working properly and clearly heard in all areas

Alarm monitoring company received alert

Electra-magnetic locks operated appropriately

Public address system clearly heard in all areas

UTILITIES

Electrical appliances were turned off

Lights were turned off

HVAC units were shut down

Smoke detectors are in good condition

Sprinklers are in good condition

EVACUATION

All occupants participated and evacuated

Restrooms were checked for occupants

Evacuation was orderly

Visitors escorted and accounted for

Special needs persons accommodated

Elevators were used during evacuation

FIRE CONTAINMENT

Doors and windows closed

Rooms checked prior to closing doors

Doors left unlocked

Fire extinguisher taken to location of fire

Door hold-open devices operated appropiately

PLAN ASSESSMENT

Evacuation performed according to plan

Occupants met at designated meeting places according to the plan

Designated meeting place(s) located at safe distance from building

Fire drill/incident response team(s) responded according to plan

Fire drill/incident response team(s) carried out assigned duties

Fire department "mock" notified according to plan

Elevators recalled to correct floor

COMPLETION

Overall response of occupants

Noise level of evacuation

Total number of occupants evacuated

Recommendations

Name and signature of safety coordinator
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.