Orange County NC Website
Appendix E: Emergency Evacuation Drill Reporting Form <br />Name of person completing form: <br />Dept: <br />Date /Time of Drill: <br />Notification method used: <br />❑ Alarm System <br />❑ "Silent Alarm" — Color Code <br />❑ Other? <br />Comments: <br />Type of Evacuation Drill <br />❑ Routine <br />❑ Simulation <br />If simulation: what type? <br />❑ Fire <br />❑ Emergency code (which <br />color) <br />❑ Weather <br />❑ Hazardous substance release <br />❑ Medical <br />Number of Occupants Evacuated <br />(approx.) <br />Estimated time required to accomplish <br />complete evacuation <br />Comments: <br />Staff members on duty and participating as <br />leads <br />r I <br />Comments: <br />Conditions during evacuation: (please cite <br />weather, volume of patrons present at time of <br />drill, other info relevant to conducting the <br />drill) <br />What needs to improve? (problems <br />encountered) <br />What went well? <br />Did any special training needs arise? <br />37 <br />41 <br />