Fire Drill Attendance Log
Please complete this form to confirm your participation and attendance during the fire drill.
Full Name
*
First Name
Last Name
Department or Group
*
Role
*
Employee
Visitor
Contractor
Other
Date of Fire Drill
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Attendance
*
Hour Minutes
AM
PM
AM/PM Option
Location of Drill (Building/Area)
*
Supervisor in Charge
*
Were you present for the entire drill?
*
Yes
No
If not present for the entire drill, please explain:
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Comments or Notes
Signature (Confirming Attendance and Participation)
*
Submit Attendance
Submit Attendance
Should be Empty: