Fire Drill Evaluation Form - Hospital Association of 2025

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  1. Click ‘Get Form’ to open the Fire Drill Evaluation Form in the editor.
  2. Begin by entering the Point of Origin and Date at the top of the form. Specify the Location, Shift, and Time of the drill.
  3. In Section 1, assess Immediate Staff Response. For each item listed (R, A, C, E), mark 'Y' for Yes or 'N' for No based on staff performance during the drill.
  4. Proceed to Section 2 to evaluate Staff Knowledge. Again, indicate 'Y' or 'N' for each question regarding staff awareness of fire exits and procedures.
  5. In Section 3, review Fire Alarm Equipment & Emergency Response Performance. Mark responses accordingly and note any points scored.
  6. Finally, calculate total scores from Sections 1, 2, and 3 to determine overall performance. Fill in details for Department Representative and Official Conducting Drill at the bottom.

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Hospital fire drills are meant to involve staff only, without startling patients. Since the drills are unannounced, staff have the opportunity to practice calm organization and patient reassurance in addition to their fire emergency response.
An exercise/drill is a performance evaluation of the effectiveness of training. In addition, exercises/drills have an element of training. An effective exercise/drill program requires three critical elements: (1) A credible, technically correct, and challenging scenario to test key elements.
The California Code of Regulations 70741 (d) requires disaster plans to be rehearsed at least twice per year. 70743 requires fire and internal disaster drills shall be held at least quarterly for each shift of hospital personnel and under varied conditions.
Evaluating Fire Drills Feedback from Participants. Collect detailed feedback from building occupants. Performance Metrics. Evacuation Time: Measure how long it takes for everyone to evacuate the building. Observation Reports. Incident Simulations.
How to Evaluate Drill Performance Response Time: Response time during a fire drill is crucial to measure how quickly occupants can evacuate the premises. Communication Effectiveness: Effective communication during a fire emergency is vital to ensure everyone receives clear instructions.