Schools Fire/Emergency Evacuation

• Document No.

• Building Evacuated

• Evacuation date and time

  Date

• Time the Evacuation Started?

  Date

During the Evacuation

• Did occupants evacuate the building immediately after the alarm activated?

  Yes

  No

• Was the evacuation orderly and quick?

  Yes

  No

• Did everyone evacuate the building?

  Yes

  No

• How long did it take to evacuate the building?

  1 - 2 minutes

  2 - 3 minutes

  3 - 4 minutes

  4 - 5 minutes

  More than 5 minutes

• Did any person enter or re-enter the building during the drill?

  Nobody

  somebody entered

  somebody re-entered

• Did the evacuees report to the assembly point?

  Yes

  No

• Did all magnetic locked doors release (where applicable)?

  Yes

  No

  N/A

After the Drill

• Was everyone accounted for at the assembly point?

  Yes

  No

• Did the emergency exit lights work properly?

  Yes

  No

• Was outdoor lighting functional and adequate?

  Yes

  No

• Did everyone remain at the assembly point and wait for further instructions?

  Yes

  No

• Notes and comments:

COMMENTS / NOTES

• List any problems observed during the Emergency Evacuation?

• Other notes or comments

Emergency Evacuation Drill Attendees

• I was present during the evacuation drill

• Attendee:

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• Attendee:

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• Attendee:

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• Attendee:

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• Attendee:

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COMPLETED BY

• Signature

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Please FORWARD (or email) this Completed Document to school supervisor