7:54 90 LYE 14 .1 30%% TEMPLATE_ Eva...Drill Report 2 (1) - Unsaved O A . . . A B C D E F G H J K N Evacuation Drill Report O Lase note - Evacuation di O be conducted as per schedule - Drill to be conducted by different staff at different times of the day and on different days of the week Time in minutes should be counted from first activation of smoke alarm to the assembly of all occupants 10 Location: 11 Scheduled Date Scheduled 12 Time Date Time taken to Conducted Time Emergency Evacuation Conducted complete Plan followed 13 14 Double click to set date) (Double click to set date) 15 16 Scenario - write the scenario under which the evacuation drill will be completed 17 18 19 20 21 22 23 24 Staff notes - include any issues er issues encountered 25 26 27 28 29 30 31 32 At the completion of the evacuation fire drill forward the evacuation form to the Team Leader/Manager if any issues were 33 Staff name Staff signature 34 Date 35 ( Double click to set date) Team Leader/Business Enterprise Manager response to any issues raised by staff 36 37 38 39 40 41 Date received Issues raised/discussed with staff Yes No (Double click to set date) 42 Date of discussion 43 44 Team Leader Canaricar Alama Team Leader Supervisor 45 Signature Date 46 47 48 49 50 51 52 53 54 fox Please note O