OFFICE
OF STUDENT SERVICES
RESIDENCE
HALL
FLOOR
FIRE DRILL REPORT
1.
Dormitory:
Date:
Time:
AM/PM
2.
Floor: Wing:
3.
Building(s) cleared by (time)
4.
During the evacuation did:
(Indicate YES or NO)
____ A. Alarms function
properly?
____ B. Students evacuate by
the proper exits in a calm and orderly fashion?
____ C. Students dress
adequately?
____ D. Students follow
posted instructions of emergency evacuation plans?
____ E. Fire squad execute
duties properly?
____ F. All self-closing
doors close?
5.
Evaluation of fire drill:
6.
Problems encountered, (i.e., failure of students to participate or
observe proper procedure or instructions):
7.
Recommendations:
Fire
Chief:
Head
Resident: