Fire Drill Report

Date: Drill No.

Drill Type: Recorded by:
School: No. of Classes:
Total Students: Total Absences:
Drill Date: Drill Time:
Fire Department: Contact:
Distance Away: Phone:
Address:
Drill: q Unplanned q Planned q Unannounced q Announced q Unsuccessful q Successful
Response Planned: Response Time:
Recorder Comments:

Classroom Use
Teacher: Class:
No. of Students: No. of Absences: No. Unaccounted For:
Fire Escape Route:

Fire Drill Plan:

Attendance (P = Present, A = Absent, U = Unaccounted For)

Student P A U Student P A U

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