Date: [Month Day, Year]

Evaluator: [Your Name]

Department: Operations and Safety

Location: [Your Address]

Time Started: 10:00 AM

Time Ended: 10:30 AM

EVACUATION PROCEDURES

Notification

YES

NO

Was the evacuation alarm/notification system clear and audible? 

Were employees informed about the nature of the emergency?

Were employees instructed on where to assemble outside the building?

Evacuation Process

YES

NO

Did employees evacuate the building promptly and calmly?

Were designated emergency exits used correctly? 

Were employees assisting those who needed help during the evacuation? 

Were there any bottlenecks or congestion points during the evacuation?

Accounting for Employees

YES

NO

Were designated personnel responsible for taking attendance?

Was the roll call process efficient and accurate?

COMMUNICATION

Was there clear communication from emergency personnel during the drill? 

Were employees able to hear and understand announcements?

Were alternative communication methods (e.g., visual signals) used effectively?

EMERGENCY EQUIPMENT AND RESOURCES

Were fire alarms, extinguishers, and other emergency equipment accessible and functional? 

Were employees aware of the location of emergency equipment? 

OVERALL EVALUATION

RATING

On a scale of 1 to 5, with 5 being excellent and 1 being poor, please rate the overall effectiveness of the evacuation drill:

3

COMMENTS/RECOMMENDATIONS

Overall, the evacuation was efficient, but some employees seemed unsure about secondary exit routes. Consider additional training and regular drills to enhance preparedness and awareness.

ACTION PLAN

1. Conduct quarterly evacuation drills with an emphasis on using alternative exit routes.

2. Provide additional training on emergency equipment use and evacuation procedures for all employees.