Title Page

  • Location:
  • Conducted on:

  • Prepared by:

  • Prepared by Title

  • On site representative

  • On site representative Title

  • All staff participating in drill (Name and Title)

Pre Drill Assesment

  • Evacuation Routes Posted

  • Exit clearly marked and Illuminated

  • Exit doors unlocked from the inside

  • Fire Department Present for Drill


  • Alarm monitoring company notified Prior to Drill

  • Method of Alarm Activation

  • Fire alarm clearly heard in all areas

  • Strobe Alarm Visible

  • Alarm Monitoring Company Received Signal

Fire Containment (RACE | PASS)

  • Did staff appropriately respond to alarm (Close all doors | Retrieve All fire extinguishers)

  • Employees understands RACE

  • Employee understands PASS

  • Fire extinguisher taken to location of fire


  • Electrical appliances we turned off

  • Lights were turned off

  • HVAC units were shut down


  • Evacuation performed according to plan

  • Meeting place at safe distance from building A and B (Red Marked Lines)

  • Occupants met at designated place per plan A (South Parking)

  • Occupants met at designated place per plan B (West Parking)

  • Drill/Response Team acted according to plan


  • Restrooms checked for occupants

  • Evacuation was orderly

  • Visitors escorted and accounted for

  • Special needs persons accommodated

  • Overall response of occupants

Post Fire Drill Evaluation

  • Was staff effective in evacuating the building

  • Is the evacuation plan written adequately

  • Evaluate the occupants ability to provide assistance to visitors or individuals who are experiencing difficulty

  • Does all staff know the safe meeting place

Record Keeping

  • Special conditions simulated (Patient Requiring Oxygen)

  • Problems encountered

  • Date of Last Fire Drill

  • Date of Last Yearly Fire Evaluation

  • Type of Fire Extinguisher

  • Size of Fire Extinguishers

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.