Trial Evacuation Report

• Building

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

1. Time

• Time taken to conduct trial evacuation

  Good

  Fair

  Poor

2. Evacuation Rehearsal

• Was a "111" call made to the Fire Service?

  Yes

  No

  N/A

• Was the correct assembly point used?

  Yes

  No

  N/A

• Was any person injured during the evacuation?

  YES

  NO

• Any persons with disabilities in the building during the evacuation?

  YES

  NO

• Did any persons use the lifts during the evacuation?

  Yes

  No

  N/A

• Was anyone carrying any food or drink?

  YES

  NO

• Were all visitors accounted for?

  Yes

  No

  N/A

• Were people positioned at exits to prevent entry into the building during the evacuation?

  Yes

  No

  N/A

3. Fire Warning System

• Were the fire alarms working correctly?

  Yes

  No

  N/A

• Manual Call Points intact?

  Yes

  No

  N/A

• PFA Number

  Yes

  No

  N/A

4. Doors and Means of Escape Paths

• Smoke Control Doors ( Able to be opened in an as new condition)

  Yes

  No

  N/A

• Smoke Control Doors ( Closed during the evacuation)

  Yes

  No

  N/A

• Exit Doors ( Able to be opened in an as new condition)

  Yes

  No

  N/A

• Exit Doors ( Found Unobstructed)

  Yes

  No

  N/A

• Means of Escape Paths ( Found Unobstructed)

  Yes

  No

  N/A

5. Wardens

• Was the correct wardens ID used?

  Yes

  No

  N/A

• Did all wardens report area clearance to the Chief Warden?

  Yes

  No

  N/A

• Were wardens debriefed after the trial evacuation?

  Yes

  No

  N/A

6. Signs and Notices

• Fire Instruction Notices in place and visible

  Yes

  No

  N/A

• Exit Signs in place and visible

  Yes

  No

  N/A

7. Emergency Lightning

• Test switch on fittings tested correctly

  Yes

  No

  N/A

• Exit lights were found

  All On

  Some On

  All Off

8. Fire Fighting Equipment

• Fire Extinguishers displays current servicing tag

  Yes

  No

  N/A

• Fire Extinguishers found unobstructed

  Yes

  No

  N/A

• Fire Blankets displays current servicing tag

  Yes

  No

  N/A

• Fire Blanket found unobstructed

  Yes

  No

  N/A

• Hose Reels displays current servicing tag

  Yes

  No

  N/A

• Hose Reels installed correctly and found without kinks or leaking

  Yes

  No

  N/A

9. General Comments

• Comments

  Yes

  No

10. Signature of Auditor

• Auditor to Sign Here:

  Safety Advisor