Site Fire Drill Checklist

• Site

• Date and Time of Drill

  Date

• Weather

  Cold

  Warm

  Hot

• Site Supervisor

• Address/Location
  Address

• Crew Members Participating (List Names)

COMMUNICATION

• Method of Drill Activation

  Alarm Activation

  PA System

  In-House Word of Mouth

  Other

• Please specify

• Drill preannounced

  Yes

  No

  N/A

EVACUATION ASSESSMENT

• Evacuation routes posted

  Yes

  No

  N/A

• Evacuation signs are in good condition

  Yes

  No

  N/A

• Exits are clearly marked

  Yes

  No

  N/A

• Exit signs are properly illuminated

  Yes

  No

  N/A

• Exit doors operating properly

  Yes

  No

  N/A

• Egress routes free of obstructions

  Yes

  No

  N/A

• Egress routes properly lighted

  Yes

  No

  N/A

FIRE ALARM SYSTEMS

• Fire alarms are working properly and clearly heard in all areas

  Yes

  No

  N/A

• Alarm monitoring company received alert

  Yes

  No

  N/A

EVACUATION

• All occupants participated and evacuated

  Yes

  No

  N/A

• Restrooms were checked for occupants

  Yes

  No

  N/A

• Evacuation was orderly

  Yes

  No

  N/A

PLAN ASSESSMENT

• Evacuation performed according to plan

  Yes

  No

  N/A

• Crew met at designated meeting places according to the plan

  Yes

  No

  N/A

• Designated meeting place(s) located at safe distance from building

  Yes

  No

  N/A

• Fire department "mock" notified according to plan

  Yes

  No

  N/A

COMPLETION

• Overall response of occupants

  Satisfactory

  Unsatisfactory

• Noise level of evacuation

  Satisfactory

  Unsatisfactory

• Total number of occupants evacuated

• Recommendations

• Name and signature of Site Supervisor

  Sign