Fire Drill or Actual Event Report
Location of Fire :
Time Of Incident:
S.
No.
1
2
3
a
b
c
Date:
Close Time:
Sequence of Events
Comments
Emergency Response Team
Overall In-charge
Type Of Fire:
Minor/Major
With Evacuation/Partial Evacuation/Without
Evacuation
Extinguished at what level?
(Initial Response Team/ ERT/ Fire Tenders)
5
6
a
b
c
d
e
f
g
h
7
8
9
10
11
12
Approval for External Help & Announcement for
Evacuation by
Functioning of
ERT Team,
Elevators
Who arrived?
Where?
How?
Fire extinguishing equipment used and/or
carried.
Action by:
Initial Response Team
ERT
Security
Engineering
HR
Front Office
Optometrists
Others
Time of the announcement of code red
Time of arrival of Initial Response Team:
Time of arrival of ERT:
Announcement for evacuation (Time):
Customer Handling:
Patient Handling:
13
General Observations
14
General Recommendations:
d
4
a
b
e
d
e
"FIRE DRILL REPORT"
Location of Fire :
Time Of Incident:
S.
No.
Sequence of Events
PREPARED & ISSUED BY :
Date:
Close Time:
Comments
APPROVED BY :