FIRE / DRILL REPORT
Type:  Actual Fire
Date:
 Drill
____/____/____
 Other Fire Alarm
Total Staff Participating: ________
Time: _________ am pm
Position:
Name : ______
Describe Fire / Drill Scenario:
People Involved: Staff Students Maintenance External Contractors Housekeeping Food
service Visitors Others
Critique Actions Taken:
Y
N
N/A
Attend Panel To Locate Point of Activation
Attend Said Location to Determine if there is a Fire, Extinguish if safe to do so
Walk the School, if safe to do so, to ensure every room is empty, checking toilets and store rooms too
Encourage people to leave if they have not done so already, but DO NOT put yourself in danger
Inform Lead Fire Warden the Building is Clear/of anyone still inside and last location
Only when it is Safe to re-enter the building, should you do so, collect the keys for Fire panel and
sprinkler system, and reset the panel
Yes No N/A
(Write a brief description in box below for any “No” answers)
Evacuation times
Time
Time of alarm:
_____
Time till Building Empty
_____
Time All evacuated to safety point:
_____
Total time to evacuate:
Patients returned to secure living quarters
Time Elapsed
____ min
+ ____ min
= ____ min
Date: ___/___/___ Time: _____ am pm
Smoke vented from building
Maintenance resets alarms
Fire extinguishers replaced
Damaged material removed and/or replaced
Other
Please print:
Building Fire Warden: