Building
Building name
Building use
Administration
Assembly
Classroom
Day Care
Dorm
Fraternity
Gymnasium
Hospital
Laboratory
Library
Maintenance Facility
Sorority
Other
Building num.
If other, explain
Date of fire drill
Time alarm sounded
AM
PM
Time alarm reset
AM
PM
Building evacuated?
yes
no
If no, explain
Time for complete evacuation
Minutes
Seconds
Condition of alarm system
General attitude or conduct of evacuees
Condition of exits and doors (including fire escapes)
Comments and recommendations
Person filing report
Name
Title
Phone
Fire Marshal
EHS