"Fire Drill Response Form"

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Fire Drill Response Form
Section 1: General Information
Date/Time Fire Drill conducted:
Building and Floor:
Your Name:
Section 2: Alarm Information
Time alarm set off:
Time alarm silenced:
Did all alarm devices on your floor activate?
No
Yes
Section 3: Evacuation Information
Length of time to complete evacuation:
Did everyone in the building evacuate?
No
Yes
Was the evacuation orderly?
No
Yes
Were all occupant areas in the building checked?
Yes
No
Did everyone proceed to the predetermined assembly area?
Yes
No
Were the assembly areas a safe distance from the building?
Yes
No
Did the evacuees meet and remain in their designated area until
Yes
No
the "All Clear was given?
Additional Comments:
Any Comments or
Recommendations on
the Evacuation:
Print Form
Fire Drill Response Form
Section 1: General Information
Date/Time Fire Drill conducted:
Building and Floor:
Your Name:
Section 2: Alarm Information
Time alarm set off:
Time alarm silenced:
Did all alarm devices on your floor activate?
No
Yes
Section 3: Evacuation Information
Length of time to complete evacuation:
Did everyone in the building evacuate?
No
Yes
Was the evacuation orderly?
No
Yes
Were all occupant areas in the building checked?
Yes
No
Did everyone proceed to the predetermined assembly area?
Yes
No
Were the assembly areas a safe distance from the building?
Yes
No
Did the evacuees meet and remain in their designated area until
Yes
No
the "All Clear was given?
Additional Comments:
Any Comments or
Recommendations on
the Evacuation: