Emergency Broadcast Log Form
Document all details of emergency broadcast events for compliance and review.
Date and Time of Broadcast
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Broadcast
*
Name of Person Initiating Broadcast
*
First Name
Last Name
Name of Person Approving Broadcast
*
First Name
Last Name
Type of Emergency Broadcast
*
Weather Alert
Security Alert
Fire Alarm
Evacuation Order
System Test
Other
Broadcast Message Content
*
Broadcast Method
*
PA System
SMS/Text Message
Email
Radio
Loudspeaker
Other
Target Audience
*
All Staff
Students
Visitors
Security Personnel
Specific Department
Were there any technical issues during the broadcast?
*
No issues
Yes, minor issues
Yes, major issues
Describe any issues encountered (if any)
Follow-up Actions Taken
Additional Notes
Submit Broadcast Log
Should be Empty: