Fire Drill Completion Form

Fire Drill Completion Form

This form is to verify that scheduled fire drills are completed in accordance with the Virginia SFPC.

School/Business Name
Today's date Today's date / MM / DD YYYY
Time that alarm was initiated Time that alarm was initiated : HH MM AM/PM
Time that drill was complete Time that drill was complete : HH MM AM/PM
Number of Students
Number of Staff
Number of Visitors (If applicable)
Did the alarm operate properly?

Did the alarm operate properly? Yes No
Did everyone Evacuate?

Did everyone Evacuate? Yes No
If no, please give reasons why
Drill conducted by Drill conducted by First Last
Person submitting form Person submitting form First Last
Person submitting form email
Person submitting form signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Remarks