Fire Evacuation Drill Evaluation Checklist
Name of building: UNIPLUS EVA RESOURCES SDN BHD
Date :
Time Initiated: Time Occupants vacated: Elapsed Time:
Safety Coordinator: Titele/Position:
PRE DRILL ASSESSSMENT FIRE ALARM SYSTEM
Evacuation routes posted Yes No Fire alarm are working properly and
Evacuation signs are in good condition Yes No clearly heard in all areas Yes No
Exits are clearly marked Yes No Alarm monitoring company received
Exit signs are properly illuminated Yes No alert Yes No
Exit doors operating properly Yes No Electromagnetic looks operateed
Egress routes free of obstructions Yes No appropriately Yes No
Egress routes properly lighted Yes No Public address system clearly heard
in all areas Yes No
COMMUNICATION
Method of drill activation: EVACUATION
Alarm activation PA System In-House Word All occupants participated are evacuated Yes No
Others: ____________________________________ Restroom were checked for occupants Yes No
Drill preannounced Yes No Evacuation was orderly Yes No
Fire dept present for drill Yes No Special needs persons accommodated Yes No
Alarm monitoring company notified Yes No
Security notified Yes No FIRE CONTAINMENT
Door and windows closed Yes No
UTILITIES Rooms checked prior to closing doors Yes No
Electrical appliances were turned off Yes No Door left unlocked Yes No
Lights were turned off Yes No Fire extinguisher taken to location of fire Yes No
HVAC units were shut down Yes No Door hold-open devices operated
Smoke detectors are in good condition Yes No appropriately Yes No
Sprinklers are in good condition Yes No
PLAN ASSESSMENT
Evacuation performed according to plan Yes No
Occupants met at designated meeting
Notes: places according to the plan Yes No
Meeting place at safe distance from
building Yes No
Drill/Response team acted according plan Yes No
Drill/Response team carried out assigned
duties Yes No
Fire Dept “mock” notified according to plan Yes No
Recommendations: COMPLETION
Overall responses of occupants Satisfactory Unsatisfactory
Noise level of evacuation Satisfactory Unsatisfactory
Total number of occupants evacuated:
Office: ___________ Production: _____________