Fire Evacuation Drill

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PRIOR TO DRILL

• Has fire warden been assigned and trained?

  Yes

  No

  N/A

• Is fire warden wearing vest for identification?

  Yes

  No

  N/A

• Are there persons with disabilities? If yes Have been assigned help to assist in evacuation of safe area.

  Yes

  No

  N/A

• Has assembly point been designated and employees are aware?

  Yes

  No

  N/A

• Are emergency plan/procedures posted

  Yes

  No

  N/A

DURING THE DRILL

• Did staff evacuate the building immediately after evacuation was initiated

  Yes

  No

  N/A

• Was evacuation orderly and quick

  Yes

  No

  N/A

• Was office evacuated in less than 5 minutes

  Yes

  No

  N/A

• Were all rest rooms,conference rooms checked

  Yes

  No

  N/A

• Was Emergency exist door used

  Yes

  No

  N/A

• Was everybody kept informed during the situation

  Yes

  No

  N/A

ATFER THE DRILL

• Were all the staff accounted for

  Yes

  No

  N/A

• Was there any significant disruption of services

  Yes

  No

  N/A

• Did everyone remain outside the building and wait for instruction

  Yes

  No

  N/A

• Were staff familiar with their assigned duties

  Yes

  No

  N/A

Signature

• HSEQ Officer

  Sign