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Time of drill (24 hr)

Yes. No. N/A

Was alarm initiated immediately?

Did area staff respond immediately to their procedure?

Did staff throughout the facility respond to procedure?

Did security respond to the area?

Were area protective systems in place?

We're all exits manned?

Did hospital operator announce proper overhead page?

Were all staff, patients, visitors required to stay in area?

Were all staff, patients and visitors stopped from entering area?

Was child, infant abduction/ missing adult successfully detained?

Did elevators lock out operation?

Was drill performed in conjunction with fire alarm activation?

Additional comments?

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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.