Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Untitled Page

  • Time:

  • Building #/Name:

  • Maximum Evacuation Time Awake: (minutes/seconds)

  • Maximum Evacuation Time Sleeping: (minutes/seconds)

  • Actual Evacuation Time: (minutes/seconds)

  • Awake Sleeping (Circle one)

  • Number of Staff participating in the drill:

  • Number of students participating in the drill:

  • Person(s) conducting the drill: (print)

  • Person(s) conducting the drill: (print)

  • Person(s) conducting the drill: (print)

  • Emergency Evacuation Equipment

  • Pull Station Operational

  • Strobe Lights Operational

  • Horns Operational

  • Panel(s) Operational

  • Alternate device for sounding the alarm available: (Circle one)

  • Comments:

  • Safety Officer

  • Building Fire Warden

  • The Maximum drill time is 3 minutes. If the drill is not completed within 3 minutes, a second drill will be held during the same month.

  • ALL FIRE EVACUATION DRILLS ARE UNANNOUNCED

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