Fire Drill Safety Assessment Form
Use this form to assess fire drill readiness, evacuation performance, safety issues, and follow-up actions for a building, area, or site.
Assessment Details
Building/Site Name or Area Assessed
*
Drill Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Drill Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Assessment Type / Drill Scenario
*
Announced Drill
Unannounced Drill
Partial Evacuation
Full Evacuation
Assessor Name / Role
*
Evacuation Performance
How audible was the alarm throughout the site?
*
Not audible
1
2
3
4
Very audible
5
1 is Not audible, 5 is Very audible
How quickly did occupants begin evacuating after the alarm?
*
Very slowly
1
2
3
4
Very quickly
5
1 is Very slowly, 5 is Very quickly
Were evacuation routes followed as instructed?
*
Yes, fully
Mostly
Partially
No
Not observed
How clear were exits and exit paths during the drill?
*
Blocked
1
2
3
4
Completely clear
5
1 is Blocked, 5 is Completely clear
Were assembly point procedures followed correctly?
*
Yes, fully
Mostly
Partially
No
Not observed
Was headcount and accountability completed at the assembly point?
*
Yes
Partially
No
Not observed
How effective was communication during evacuation?
*
Very ineffective
1
2
3
4
Very effective
5
1 is Very ineffective, 5 is Very effective
How well were individuals needing assistance supported during evacuation?
*
Very well
Adequately
Somewhat well
Poorly
Not observed
Safety Observations and Issues
Hazards/Issues Observed
*
Blocked exits
Delayed response
Alarm failure
Crowding
Confusion
Missing signage
Other
Detailed Observations
Corrective Action Needed?
*
Yes
No
Did Equipment or Access Issues Affect the Drill?
*
Yes
No
Overall Outcome and Follow-Up
Overall drill effectiveness rating
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Overall outcome
*
Successful
Partially successful
Needs improvement
Recommendations or corrective actions
Follow-up actions
Submit Assessment
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