Fire Drill Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Fire Drill Checklist

• *Prior to Fire Drill, Manager is to coordinate plan with Maintenance.

• This report to be completed immediately after each Fire Drill

• Time Drill Began:

  Date

• Time Ended:

  Date

Evacuation Team Personnel

• Was the Fire alarm heard in all areas?

  Yes

  No

• Team members reported to designated meeting area?

  Yes

  No

• Appropriate person took the lead in co-ordinating staff for drill?

  Yes

  No

• 3 Team members carried out assigned Duties? (Search and investigate location of alarm activated)

  Yes

  No

• Team members correctly identified zone and location of alarm activated

  Yes

  No

• Team members knew the location of the nearest fire extinguisher?

  Yes

  No

• Did participants of the fire drill demonstrate knowledge of the use and function of alarm system?

  Yes

  No

• Did team members ensure any residents in the lounge were supervised?

  Yes

  No

Evacuation

• Were corridors and exits found clear? (no obstructions)

  Yes

  No

• Were all doors closed but not locked during the drill?

  Yes

  No

• Team members knew the correct evacuation procedure?

  Yes

  No

• Team members knew where to locate resident PEEPs (personal emergency evacuation plans)

  Yes

  No

Remarks and Recommendations

• Explain all “NO” answers and make additional comments or problems encountered