Customize this template per your local requirements.
1
Write down the initial credentials.
Form Fields
2
Check the environment conditions.
Form Fields
3
Are evacuation routes posted?
Form Fields
4
Are fire exit signs visible?
Form Fields
5
Are all fire exit signs lit?
Form Fields
6
Are non-fire exits marked?
Form Fields
7
Are all exit routes lit?
Form Fields
8
Do fire exit doors open easily with one hand?
Form Fields
9
Are designated meeting points signed?
Form Fields
10
Are all areas leading up to fire exits clear of obstacles?
Form Fields
11
Are outdoor paths to designated areas clear of obstacles?
Form Fields
12
Are designated meeting points a safe distance from the building?
Form Fields
13
Are outdoor areas lit for nighttime meeting points?
Form Fields
14
Is emergency lighting in place in case of a power failure?
Form Fields
15
How will the fire drill be announced?
Form Fields
16
Are personnel aware of a current fire drill?
Form Fields
17
Have the personnel been prepared for fire drill procedures?
Form Fields
18
Was the local fire department contacted about the fire drill?
Form Fields
19
Will the alarm require a manual reset after the fire drill?
Form Fields
20
Is the personnel of the local fire department present during the fire drill?
Form Fields
21
Has the alarm company been notified about the fire drill?
Form Fields
22
Is the security service aware of the fire drill?
Form Fields
23
Is the alarm/public address announcement loud and audible in all facility areas?
Form Fields
24
Are warning lights all visible and working correctly?
Form Fields
25
Has the monitoring company received a signal of alarm?
Form Fields
26
Are all electromagnetic locks functioning correctly?
Form Fields
27
Are elevators functioning as required during fire alarms?
Form Fields
28
Has the lighting been shut off before vacating the facility?
Form Fields
29
Has all fixed electrical equipment been powered off?
Form Fields
30
Are electrical appliances shut off?
Form Fields
31
Were HVAC units powered down before leaving the facility?
Form Fields
32
Were interior fire suppression doors all closed before evacuation?
Form Fields
33
Were exterior doors all closed upon vacating the facility?
Form Fields
34
Were windows all closed before evacuation?
Form Fields
35
Do door closing devices work properly, including drop fire shutters or rolling steel doors?
Form Fields
36
Have all the participants of the fire drill complied with orderly evacuation?
Form Fields
37
Did evacuation occur according to the pre-planned procedure?
Form Fields
38
Were restrooms and elevators checked for occupants?
Form Fields
39
Was evacuation quiet and orderly without incident?
Form Fields
40
Were all visitors and guests accounted for and guided to designated meeting points as required?
Form Fields
41
Count the number of "Yes" answers throughout the entire procedure.
Form Fields
42
Count the number of "No" answers throughout the entire procedure.
Form Fields
43
Was the overall response to the fire drill evacuation plan acceptable?
If the answers "No" are present in the procedure, then write down the performance notes for this fire drill and schedule the next fire drill as required per company policy.
