FIRE/EMERGENCY EVACUATION DRILL RECORD
Monthly emergency evacuation drills are required under ORS 479.041(1)
School Name *
Date of Drill *
MM
/
DD
/
YYYY
Time
:
Duration of Drill *
In Minutes
Hrs
:
Min
:
Sec
Notification Method *
Alarm/other
Weather Conditions *
Your answer
Special Conditions / Problems Encountered *
Primary exit door blocked, students missing, problems encountered, special assistance required by occupants, etc.
Your answer
Staff Training *
Required
Type of staff training provided?
Your answer
Student Instruction *
Required
Type of student instruction provided?
Your answer
Type of Drill *
Total Number of Students *
Your answer
Total Number of Staff *
Your answer
Evacuation Location *
Your answer
Submit
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