Emergency Fire/evacuation Drill - Fort Wayne Fire Department
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1Emergency Fire/Evacuation Drill
Business Name_____________________________________________________________________
Business Address___________________________________________________________________
Drill Leader Name__________________________________________________________________
Date/Time of Drill___________________________________________________________________
Drill Notification Method
Smoke Detection
Pull Station
Other__________
Fire Department Notification Method
Phone
Alarm Company
Both__________
Number of Staff on Duty_____________________________________________________________
Number of Occupants Evacuated______________________________________________________
Special Conditions Simulated_________________________________________________________
Problems Encountered_______________________________________________________________
Weather Conditions_________________________________________________________________
Evacuation Time____________________________________________________________________
Incident Number____________________________________________________________________
Fire Department Officer_____________________________________________________________
Drill Leader Signature_______________________________________________________________
Staff training sign in:
(if required)
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