MCN’s customizable template, Fire Drill Evaluation Form, is taken from our Life Safety and Interim Life Safety Management Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Fire Drill Evaluation Form:

	FIRE DRILL EVALUATION FORM Date: Alarm Set Off By: Area Involved: Scenario: FACILITY RESPONSE Number of personnel at scene: In lieu of observing all areas of the building, an organization observes locations outside the fire origin's smoke compartment to the extent necessary to ensure all aspects of the hospital's fire plan has been evaluated. Yes No Fire procedure observed by employees in involved area: q q Fire procedure executed calmly, smoothly and efficiently: q q Employees well aware of fire-safety rules and procedures: Use and functioning of fire alarms where available q q ...
Second excerpt:
	...to areas of refuge able to state where refuge area is and how patients/visitors/injured staff would be safely transferred q q Fire extinguishment able to demonstrate use of fire extinguisher or state proper use of P A S S q q Knowledgeable of specific fire-response duties related to work area q q Able to state role in building evacuation q q Fire doors closed: q q Equipment moved from hallways: q q Fire Response Team responded: q q Amount of time for team to respond to the...