Fire Drill Monitoring Assessment Form

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FIRE DRILL MONITORING FORM
House/Building address: __________________________________________
Date of fire drill: _________________________________________________
Time of fire drill: _________________________________________________
Staff conducting fire drill: _________________________________________
Tenants present at fire drill (list names below or attach separate checklist):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Did all tenants evacuate the house/building during the fire drill? ⃝Yes ⃝No
If No, which tenants remained in the house/building?
________________________________________________________________
________________________________________________________________
________________________________________________________________
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________________________________________________________________
Evacuation time for all tenants/staff to exit house/building: ______minutes
Was the fire alarm manually activated for the fire drill? ⃝Yes ⃝No
Are there tenants living in the house/building that require assistance (due
to mobility issues, visual impairment, etc.) ⃝Yes ⃝No
If yes, please describe what assistance is required by which tenants:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Other remarks or notes:
________________________________________________________________
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Please fax a copy of this form to your assigned Residential Services Inspector- 416-537-2894 (Fax)

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