Health And Safety Training Exercise Evaluation Form
Evaluate the effectiveness, preparedness, and safety compliance of the training exercise. Please provide detailed and honest feedback.
Participant Name
*
First Name
Last Name
Trainer/Facilitator Name
*
First Name
Last Name
Date of Training Exercise
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Exercise
*
Please Select
Fire Drill
Evacuation Drill
First Aid Simulation
Hazardous Material Response
Other
Preparedness Assessment
*
Not Prepared
1
2
3
4
Fully Prepared
5
1 is Not Prepared, 5 is Fully Prepared
Response Quality Assessment
*
1
2
3
4
5
Compliance with Equipment and Procedures
*
Rows
Fully Compliant
Partially Compliant
Not Compliant
Not Applicable
Personal Protective Equipment
1
2
3
4
Emergency Procedures
5
6
7
8
Use of Communication Devices
9
10
11
12
Decontamination Steps
13
14
15
16
Observed Safety Issues
Overall Effectiveness of the Exercise
*
Excellent
Good
Satisfactory
Needs Improvement
Poor
Suggestions for Improvement
Would you recommend any changes to future training exercises?
*
Yes
No
Submit Evaluation
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