This document is a fire drill evaluation form used by the Bureau of Fire Protection in the Philippines. It contains sections to evaluate the drill execution in terms of alarm audibility and continuity, evacuation phase including routes followed and speed, and response phase such as establishment of an incident command post and performance of search, rescue, and medical response tasks. Recommendations and an overall rating of the drill are also included.
This document is a fire drill evaluation form used by the Bureau of Fire Protection in the Philippines. It contains sections to evaluate the drill execution in terms of alarm audibility and continuity, evacuation phase including routes followed and speed, and response phase such as establishment of an incident command post and performance of search, rescue, and medical response tasks. Recommendations and an overall rating of the drill are also included.
This document is a fire drill evaluation form used by the Bureau of Fire Protection in the Philippines. It contains sections to evaluate the drill execution in terms of alarm audibility and continuity, evacuation phase including routes followed and speed, and response phase such as establishment of an incident command post and performance of search, rescue, and medical response tasks. Recommendations and an overall rating of the drill are also included.
This document is a fire drill evaluation form used by the Bureau of Fire Protection in the Philippines. It contains sections to evaluate the drill execution in terms of alarm audibility and continuity, evacuation phase including routes followed and speed, and response phase such as establishment of an incident command post and performance of search, rescue, and medical response tasks. Recommendations and an overall rating of the drill are also included.
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Republic of the Philippines
Department of the Interior and Local Government
Bureau of Fire Protection, Region 7 FIRE DRILL EVALUATION FORM Date/Time of Drill : __________________________________________RATING: ________ Name of Establishment : __________________________________________________________ Type of Occupancy : __________________________________________________________ Evaluator’s Name/Agency : __________________________________________________________ Actual Location during the Drill : __________________________________________________________
I. DRILL EXECUTION (Alarm Phase):
1. Was the alarm audible/loud enough to be heard by the occupants? (YES/NO) If not audible, please elaborate: ____________________________________________________________ 2. Was there a continuity ringing of the alarm/bell until all occupants evacuated the building? (YES/NO) If not, please elaborate: _______________________________________________
II. DRILL EVACUATION PHASE:
1. When did the participants evacuate? (a) During the alarm phase: (b) Waited for the alarm to stop: (c) others, please specify: _________________________________________________ 2. Did the occupants follow their designated evacuation routes with assistance of the building floor marshals? (YES/NO) If not, please elaborate: __________________________________ 3. Did the occupants (a) run; (b) walk casually; (c) walked in the double time manner? If not, please elaborate: ____________________________________________________________ 4. Was a first-aid kit available and being brought by respective medical teams? (YES/NO) If not, please elaborate: ____________________________________________________________ 5. Are the designated evacuation areas safe and large enough to accommodate the number of evacuees? (YES/NO) If not, please elaborate: ______________________________________ 6. Was a head count conducted by the marshals at the evacuation areas? (YES/NO) If not, please elaborate: ____________________________________________________________ 7. How long did it take for the occupants to evacuate the building(s)? ____________________ 8. Did the occupants remain in the evacuation area(s) until instructions were given either to go back to the building(s) or go home? (YES/NO) ______________________________________ 9. Estimated number of occupants: ________________________________________________
III. RESPONSE PHASE:
1. Does the establishment have an organized Emergency Management and Response Team? (YES/NO) ___________________________________________________________________ 2. Did the member of the EMT and ERT perform their assigned task and established the Incident Command System (ICS)? ________________________________________________ 3. What incident facilities were established under ICS concept (ICP, Treatment Area, Staging Area, etc…)? ________________________________________________________________ 4. Was the Incident Command Post established in a safe area but visible to the incident? (YES/NO)? If not, please elaborate: ______________________________________________ 5. Was command presence of the Incident Commander felt at the ICP (YES/NO)? If not, please elaborate: __________________________________________________________________ 6. Was fire fighting and suppression conducted and utilized the available fire protection equipment? (YES/NO) If not, please specify: _______________________________________ 7. Were search, rescue, triage, treatment and transport performed to manage Mass Casualties? (YES/NO) If not, please elaborate: ______________________________________ 8. Was there an occupant or designated person to call for assistance, especially to the nearest Fire Station and other Government response agency such as (PNP, DSWD, DRRMO, Fire Volunteer Brigade, etc…)? (YES/NO) If not, please elaborate: __________________________ ___________________________________________________________________________ 9. Time of Call: _________________Time Arrival of the First responding unit: ______________ Response time: ___________________ (Including road traffic). 10. Any untoward incident observed during the drill? __________________________________ IV. Recommendations: __________________________________________________________________ __________________________________________________________________ V. RATING: 10 – Excellent, 8 – Very Satisfactory, 6 – Satisfactory, 4 - Failed