OFFICE OF STUDENT SERVICES
FLOOR FIRE DRILL REPORT
1. Dormitory: Date: Time: AM/PM
2. Floor: Wing:
3. Building(s) cleared by (time)
4. During the evacuation did: (Indicate YES or NO)
____ A. Alarms function properly?
____ B. Students evacuate by the proper exits in a calm and orderly fashion?
____ C. Students dress adequately?
____ D. Students follow posted instructions of emergency evacuation plans?
____ E. Fire squad execute duties properly?
____ F. All self-closing doors close?
5. Evaluation of fire drill:
6. Problems encountered, (i.e., failure of students to participate or observe proper procedure or instructions):