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Building
Date
Time
Person Conducting Drill
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Staff Member On Duty/Participation (RD, RA, Names(s))
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Weather Conditions When Occupants Were Evacuated
Sunny
Cloudy
Windy
Cold
Warm
Drizzle
Flurries
Additional Weather Conditions (if applicable)
Sunny
Cloudy
Windy
Cold
Warm
Drizzle
Flurries
Number of Occupants Evacuated
Special Conditions Simulated
Yes
No
Problems Encountered
Alarm type
Smoke detector
Heat detector
Pull Station
Simulated Incident Location
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Yes
No
All horns work?
Yes
No
All strobes work?
Yes
No
Police panel verified?
Yes
No
Police respond?
Yes
No
All occupants exited?
Yes
No
Time to evacuate
Additional Comments
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