VCU Evacuation Drill

• Audit Title:

• Facility:

• Conducted on:

  Date

• Prepared by:

• Weather:

• Location of Fire Alarm Control Panel:

• Accessories to reset alarm:

• Personnel/floor:

• Evacuation Coordinator(s)

Participant Knowledge

• Name/position of person interviewed:

• We're corridors cleared for egress?

  Yes

  No

  N/A

• Can staff/faculty locate a pull station (or air horn?)

  Yes

  No

  N/A

• Is emergency equipment accessible (fire extinguishers, pull stations)?

  Yes

  No

  N/A

• Did staff close the doors when exiting?

  Yes

  No

  N/A

• Did staff act promptly when exiting the building?

  Yes

  No

  N/A

• Could staff/faculty identify the university emergency number (828-1234)?

  Yes

  No

  N/A

System Information

• Type and location of device activation:

• Time of activation:

  Date

• Time of drill completion:

  Date

• Was the alarm audible in all parts of the building?

  Yes

  No

  N/A

• Was fire alarm system fully functional?

  Yes

  No

  N/A

• Work orders generated:

Drill Rating

• Evacuation Time

• Score

  Select Very Good Good Fair Poor

  • Very Good
  • Good
  • Fair
  • Poor

• Score rating:
  Very Good - 100
  Good - 85 - 99
  Fair - 70 - 84
  Poor - below 70 ( requires re-drill within 30 days)