TCFPA Forms

Fire Drill Record (Form)

Record every fire drill, who was there, the time, what happened, evacuation time, etc. We do this every 6 months, although it is only required yearly. This gives us a buffer to pick a time when everyone is home without the stress of meeting a deadline.

Date:___________ Day of Week:___________ Time:___________

Mark X in the appropriate space:
Sleep Drill:______ Awake Drill:_______

Hypothetical Location of Fire: (use different location each drill)

_________________________________________

Response of Persons Involved:_________________________

__________________________________________

__________________________________________

Exit Route Used:
(varies according to location of fire)________________________

Location of Detector Activated:_________________________

Evacuation Time:____________________________________

Did all participants assemble at the designated meeting place?________________

(Use designated meeting place from fire training plan)

Discussion after Drill: (Problems Encountered)

____________________________________________

____________________________________________

Staff Present:Residents Present:

____________________________________________

____________________________________________

____________________________________________

Signature of Person Conducting Drill:___________________

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