Title Page
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Conducted on
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Prepared by
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Location
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Type of Drill Conducted
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Method of activation
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Time alarm activated
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Time occupants vacated drill floor
Personnel Responsibilities
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Emergency contact numbers secured with staff
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Attendance sheet secured for headcount
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Head count conducted at designated relocation site
Floor Response Personnel
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Building Supervisor present
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Assistant Building Supervisor present
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Search monitors
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Assistants to the physically disabled and non-ambulatory
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Interior doors closed but not locked after search
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Evacuation assistants checked rest rooms
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Over all response of floor response team
Occupant Response
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Was 911 emergency call simulated
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Occupant initial response on sound of alarm
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Did evacuation proceed in smooth and orderly manner
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Did visitors to building participate in drill
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Overall response of occupants
