Site Safety & Administration
Emergency Evacuation Drill Record
Record of an emergency evacuation drill for a workplace or construction site, capturing the scenario, alarm, evacuation time, headcount, warden performance and issues to fix. Supports testing of the emergency plan required by the WHS Regulations.
32 checklist items
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Checklist Items
| Item | Pass / Yes | Fail / No |
|---|---|---|
| DRILL DETAILS | ||
| Date of Drill | ___________________________ | |
| Site / Building | ___________________________ | |
| Time Alarm Raised | ___________________________ | |
| Drill Type (announced / unannounced) | ___________________________ | |
| Scenario (e.g. fire, gas leak, structural collapse) | ___________________________ | |
| Drill Coordinator / Chief Warden | ___________________________ | |
| ALARM & COMMUNICATION | ||
| Alarm / siren heard in all areas (including noisy and remote areas) | Pass ☐ | Fail ☐ |
| Workers recognised the alarm and began evacuating promptly | Pass ☐ | Fail ☐ |
| Two-way radios / PA used effectively by wardens | Pass ☐ | Fail ☐ |
| EVACUATION | ||
| Workers used the nearest safe exit route | Pass ☐ | Fail ☐ |
| Exits and routes clear of obstructions | Pass ☐ | Fail ☐ |
| Plant shut down and left safe | Pass ☐ | Fail ☐ |
| Workers did not stop to collect belongings | Pass ☐ | Fail ☐ |
| Visitors and contractors escorted to assembly area | Pass ☐ | Fail ☐ |
| Persons needing assistance evacuated per their plan | Pass ☐ | Fail ☐ |
| ASSEMBLY & HEADCOUNT | ||
| Assembly area signed and in a safe location | Pass ☐ | Fail ☐ |
| Sign-in register / roll used for headcount | Pass ☐ | Fail ☐ |
| Number of people on site | ___________________________ | |
| Number accounted for at assembly area | ___________________________ | |
| Time all persons accounted for | ___________________________ | |
| Total evacuation time (minutes) | ___________________________ | |
| WARDENS | ||
| Area wardens checked their areas and reported to chief warden | Pass ☐ | Fail ☐ |
| Wardens identifiable (helmets / vests) | Pass ☐ | Fail ☐ |
| Emergency services liaison point identified | Yes ☐ | No ☐ |
| OBSERVATIONS | ||
| What worked well | ___________________________ | |
| Issues identified | ___________________________ | |
| ACTIONS | ||
| Corrective actions (including updates to the emergency plan) | ___________________________ | |
| Person responsible | ___________________________ | |
| Action Due Date | ___________________________ | |
| Next Drill Due | ___________________________ | |
| SIGN-OFF | ||
| Chief Warden / Coordinator Signature | ___________________________ | |
| Site Manager Signature | ___________________________ | |