Fire Drill Evaluation Report
Circle Yes or No only for those evaluation areas you observed
Point of
Drill Date
Origin
Department
Shift
Evaluator
Time Start
Name
Initiation
Time
Method
Completed
Areas of Evaluation
All inside doors were closed after alarm
Gas Valves & other flammable service valves shut
Employees familiar with Alarm box locations and use
Employees know emergency phone numbers
Paging system was operated correctly
Announcing system was operated correctly
Fire alarm audible and visual indicators functioned
properly
Evacuation was orderly and controlled by supervisors
Equipment was shutdown during evacuation
Employees used correct evacuation routes
Employees gathered at correct relocation areas (Elapsed
Time _______)
No obstacles in evacuation paths
Emergency exit routes clearly marked
Emergency Exit doors not blocked - worked properly
Supervisors followed emergency response plan
Management followed emergency response plan
Critical document control and removal plan executed
Fire Department called (by pre-arrangement) Response
time ______
Police response time ____________
Utilities shut off in affected areas (Elapsed time
__________
Fire Brigade on-scene time (Elapsed time _________)
Fire properly brought under control (Elapsed time
_______)
Fire was extinguished (Elapsed time _____________)
Comments & Notes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
NA
NA
NA
NA
NA
NA
Yes No
NA
Yes No
Yes No
Yes No
NA
NA
NA
Yes No
NA
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
NA
NA
NA
NA
NA
NA
Yes No
NA
Yes No
NA
Yes No
NA
Yes No
NA
Yes No
NA
Yes
Yes
Yes
Yes
Yes
Yes
NA
NA
NA
NA
NA
NA
No
No
No
No
No
No