Fire Drill Log Form PDF Details

Fire drills are an important part of any organization's safety protocol. By completing a fire drill log, you can ensure that all necessary information is documented and that everyone involved knows what to do in the event of a fire emergency. This form can be used to document when and where the fire drill took place, as well as the results of the drill. It's critical that all personnel are familiar with this form so that they can be better prepared in case of an actual emergency.

QuestionAnswer
Form NameFire Drill Log Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfire drill log sheet, fire drill check off word, fire drill log sheet pdf, door sheets form online

Form Preview Example

WRIGHT STATE PHYSICIANS

Fire Drill Evaluation Form Date of Fire Drill ________________________________ Location of Drill ______________________

Section 1 – Immediate Staff Response

 

Competently Performed

 

 

 

 

 

 

 

 

Did staff close all fire doors in the area, including patient exam room doors?

 

Y

N

Were the fire exit corridors cleared of unnecessary equipment?

 

Y

N

Did Staff inform Patients/Visitors of Alarm Condition?

 

Y

N

Did unit send a responder to the fires Point of origin?

 

Y

N

 

 

 

 

 

Section 2 – Staff Knowledge

 

 

Competently Performed

 

 

 

 

 

 

 

Did Staff identify and apply R.A.C.E. (Rescue, Alarm, Contain, Evaculate)

 

 

Y

N

Did Staff identify and apply P.A.S.S. (Pull, Aim, Squeeze, Sweep)

 

 

Y

N

Did staff know the location of Fire Alarm Pull Stations in their work area?

 

 

Y

N

Does staff know the location of fire extinguishers in their work area?

 

 

Y

N

Did staff know where the fire exits were in the drill area?

 

 

Y

N

Did the staff know where the smoke compartments were in the observation area?

 

 

Y

N

Did staff know the evacuation procedure?

 

 

Y

N

 

 

 

 

 

 

 

Section 3 – Fire Alarm Equipment Performance

 

 

Equipment

 

 

 

 

Functioned properly

 

 

 

 

 

 

 

 

 

 

 

 

 

Was the “CODE RED” alert audible in the area being evaluated?

 

 

Y

N

Did all Automatic fire doors close & latch?

 

 

Y

N

Were fire alarm devices functioning properly in area observed?

 

 

Y

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fire Drill In-service & Attendance Sign In Sheet

Name

Name

Name

Wright State Physicians R2007

Completed by and date:_______________________________________________

Implementation Date: May 1, 2007

 

Revision Date:

 

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