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