Location/ Zone of the drill.
Shift drill was preformed on.
Did the alarm company receive a signal?
Acct # A14664413
Can staff explain what RACE stands for?
Can staff explain what PASS stands for?
Can staff explain where the closest pull station is?
Can staff explain where the closest fire extinguisher is?
Did the fire doors operate properly?
Did the staff close the patient doors?
Persons responding to the drill.
Total number of persons responding to the drill.
Number of Extinguishers brought
Person doing drill.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or
or other applicable laws. You should also seek your own professional advice to determine if the use of such
permissible in your workplace or jurisdiction.