Fire Drill Checklist

• Site conducted

  Select

• Site

• Date and Time of Drill

  Date

• Weather

  Cold

  Warm

  Hot

• Safety Coordinator

• Address/Location
  Address

COMMUNICATION

• Method of Drill Activation

  Alarm Activation

  PA System

  In-House Word of Mouth

  Other

• Please specify

• Drill preannounced

  Yes

  No

  N/A

• Fire department present for drill

  Yes

  No

  N/A

• Alarm monitoring company notified

  Yes

  No

  N/A

• Security notified

  Yes

  No

  N/A

EVACUATION ASSESSMENT

• Evacuation routes posted

  Yes

  No

  N/A

• Evacuation signs are in good condition

  Yes

  No

  N/A

• Exits are clearly marked

  Yes

  No

  N/A

• Exit signs are properly illuminated

  Yes

  No

  N/A

• Exit doors operating properly

  Yes

  No

  N/A

• Egress routes free of obstructions

  Yes

  No

  N/A

• Egress routes properly lighted

  Yes

  No

  N/A

FIRE ALARM SYSTEMS

• Fire alarms are working properly and clearly heard in all areas

  Yes

  No

  N/A

• Alarm monitoring company received alert

  Yes

  No

  N/A

• Electra-magnetic locks operated appropriately

  Yes

  No

  N/A

• Public address system clearly heard in all areas

  Yes

  No

  N/A

UTILITIES

• Electrical appliances were turned off

  Yes

  No

  N/A

• Lights were turned off

  Yes

  No

  N/A

• HVAC units were shut down

  Yes

  No

  N/A

• Smoke detectors are in good condition

  Yes

  No

  N/A

• Sprinklers are in good condition

  Yes

  No

  N/A

EVACUATION

• All occupants participated and evacuated

  Yes

  No

  N/A

• Restrooms were checked for occupants

  Yes

  No

  N/A

• Evacuation was orderly

  Yes

  No

  N/A

• Visitors escorted and accounted for

  Yes

  No

  N/A

• Special needs persons accommodated

  Yes

  No

  N/A

• Elevators were used during evacuation

  No

  Yes

  N/A

FIRE CONTAINMENT

• Doors and windows closed

  Yes

  No

  N/A

• Rooms checked prior to closing doors

  Yes

  No

  N/A

• Doors left unlocked

  Yes

  No

  N/A

• Fire extinguisher taken to location of fire

  Yes

  No

  N/A

• Door hold-open devices operated appropiately

  Yes

  No

  N/A

PLAN ASSESSMENT

• Evacuation performed according to plan

  Yes

  No

  N/A

• Occupants met at designated meeting places according to the plan

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Fire department "mock" notified according to plan

  Yes

  No

  N/A

• Elevators recalled to correct floor

  Yes

  No

  N/A

COMPLETION

• Overall response of occupants

  Satisfactory

  Unsatisfactory

• Noise level of evacuation

  Satisfactory

  Unsatisfactory

• Total number of occupants evacuated

• Recommendations

• Name and signature of safety coordinator

  Sign