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Evacuation Exercise Checklist
Step 1 of 2
50%
General House Keeping
Are passageways leading to exits clear of obstructions?
Yes
No
Action
Do all exit doors open/close easily?
Yes
No
Action
Are exit signs illuminated and operating?
Yes
No
Untitled
Are emergency lighting systems maintain and working correctly?
Yes
No
Action
Are waste bins, skips and other rubbish stored away from the building?
Yes
No
Action
Are all paths of travel to and from emergency exits and assembly areas free from obstruction?
Yes
No
Action
Kitchen Areas
Are all electrical appliances turned off at the power point when not in use?
Yes
No
Action
Is the cooking area clean of cooking oils and fats?
Yes
No
Action
Are there any combustible materials (e.g. tea towels) near hot surfaces?
Yes
No
Action
Are fire extinguishers/blankets installed?
Yes
No
Action
Is there sufficient space around electrical appliances to prevent overheating?
Yes
No
Action
Are the filters in range hoods or exhaust flues clean and free of fats/oils?
Yes
No
Third Choice
Action
Electrical Equipment
Are there any electrical cords or cables with frayed/damaged sections or exposed wires?
Yes
No
Action
Are there any power points with more than one double adaptor or power board attached?
Yes
No
Action
Are all electrical appliances/equipment tested and tagged within the last 12 months?
Yes
No
Action
Evacuation Exercise
Observers Checklist
Building
Number of Staff
Number of Clients
Did the person discovering the emergency alert the other occupants?
Yes
No
Was the alarm activated?
Yes
No
Was the emergency service notified promptly?
Yes
No
Did wardens direct persons from the building as per evacuation procedures?
Yes
No
Were isolated areas searched?
Yes
No
Was the evacuation logical and methodical?
Yes
No
Did someone take charge?
Yes
No
Did occupants act as per instructions?
Yes
No
Was a roll call conducted?
Yes
No
Was someone appointed to liaise with emergency services?
Yes
No
Were the emergency services given the correct information?
Yes
No
Was the alarm activated?
Yes
No
Was the alarm activated?
Yes
No
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