Location/ Zone of the drill.

Shift drill was preformed on.

Did the alarm company receive a signal?

Acct # A14664413
General questions

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.
Jason Sartain
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.