Your input is crucial in identifying areas of strength and improvement in our emergency preparedness protocols. Please fill out the following details accordingly.
Date of Drill: | [Month Day, Year] |
Type of Drill: | [Fire/Earthquake/Tornado/etc.] |
Location: | [Building/Room/Area] |
Evaluator: | [Name], [Position] |
The purpose of this drill was to assess the preparedness and response of individuals in the event of [Specify Emergency Type].
a. Were participants aware of the emergency drill beforehand?
Yes
No
b. Were proper protocols communicated and understood?
Yes
No
a. How quickly did individuals react after the alarm or notification?
b. Was there an orderly evacuation/movement to designated safe areas?
Yes
No
a. How effective was communication among participants during the drill?
Poor
Fair
Satisfactory
Good
Excellent
b. Were emergency communication systems (alarms, PA systems, etc.) functional and audible?
Yes
No
a. Were designated leaders or emergency response personnel effective in guiding others?
Yes
No
b. How well did teams or individuals coordinate during the drill?
Poor
Fair
Satisfactory
Good
Excellent
a. Did participants follow safety protocols (e.g., using designated exits, following evacuation routes)?
Yes
No
b. Were safety measures (e.g., first aid, use of fire extinguishers) implemented appropriately?
Yes
No
a. Rate the overall performance of the drill on a scale of 1-5 (1 being poor, 5 being excellent).
1
2
3
4
5
Templates
Templates