Was manual pull station activated by employee

Did fire alarm chimes sound/strobes flash

Was phone call made to PBX by dialing 555

Was audible page made by PBX operator

Time monitoring service received alarm

We're patient, visitors, and staff removed from danger

We're doors closed, hallways cleared

Time the fire brigade arrived
Overall effectiveness:

Was all clear announced by PBX


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.