Fire Drill Evaluation Report Template
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1Fire Drill Evaluation Form
Date of Drill: ____________________________ Location: _________________________________
What was the drill scenario? ___________________________________________________________
Yes
No
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Was the UGA Police Department notified in
advance of drill?
Did the employee who was approached with
fire
scenario
act
promptly
and
appropriately?
Did the alarm sound clearly and without
malfunctioning during the drill?
Could the alarm be heard in all areas?
Did
the
annunciator
panel
function
properly?
Did all fire doors close properly?
Did all magnetically locked exit doors
release?
Were all hallways and exits clear of
obstructions?
Did all faculty, staff, students, and visitors
evacuate?
Are staff members assigned to sweep the
building for accountability purposes?
Was a staff member assigned to prevent
reentry into the building?
Did everyone avoid using the elevator?
Were any special needs persons identified
during the drill?
Were all office doors closed but not locked?
Did a staff person notify the UGA Police
Department to ensure they received the
alarm?
If your building has multi levels, is there an
evacuation chair present?
Are several staff members trained on the
use of the evacuation chair should it be
needed?
Was the UGA Police Department notified at
the end of the drill?
Drill start time: ____________________ Time of complete evacuation: _____________________
Time of all-clear signal: _______________ Total elapsed time:_______________________________
Summation:
Reported By: ________________________
Title: ______________________________
Email/Phone: _________________________
Please forward copy of this completed form to the Fire Safety, University of Georgia, Will Hunter Road-HMTF, Athens,
Georgia 30602-5681.
Phone (706) 542-5845 |
prepare@uga.edu
2013
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