Title Page
-
Division
-
Date of drill
-
Time of drill
-
Time drill ended
-
Weather
COMMUNICATION
-
Method of Drill Activation
-
Please specify
-
Drill preannounced
-
Fire department present for drill
-
Alarm monitoring company 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
-
Public address system clearly heard in all areas
EVACUATION
-
All occupants participated and evacuated
-
Restrooms were checked for occupants
-
Evacuation was orderly
-
Visitors escorted and accounted for
FIRE CONTAINMENT
-
Doors and windows closed
-
Rooms checked prior to closing doors
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
COMPLETION
-
Overall response of occupants
-
Noise level of evacuation
-
Total number of occupants evacuated
-
Recommendations
-
Name and signature