EMERGENCY EVACUATION PRACTICE	PF264
CAMPUS:	     	Date:	     
Building Name:	     	Building No:	     
Evacuation Practice Start Time:           	Evacuation Practice Finish Time:      
Evacuation Report 	Rating 
(cross)	Comments	
	Good	Unsatis - factory		
1.  	Duration of Evacuation                  Mins        			     	
2.	Training of Wardens – Competency			     	
3.  	Chief Warden’s Use of Evacuation System			     	

	Yes	No	N/A	Comments	
1.	Chief Warden simulated phoning QFRS to confirm  Fire/Incident				     	
2.	All Wardens Wearing Hats				     	
3.	Inspections by Floor Wardens				     	
4.	Floor Wardens report on WIP Phones				     	
5.	Floor Wardens Physically Reported				     	

Evacuation Co-ordination Instructions Given	Rating 
(cross)	Comments	
	Good	Unsatis - factory		
1.	Procedures to Escort Disabled Persons and Visitors			     	
2.	Evacuation Procedures and Alarm Signals Identified			     	
3.	Means of Escape and Clear Paths of Travel			     	
4.	Location of Fire Equipment and their Use			     	
5.	Procedures for the Conducting of Staff, Students & Visitors to the Exits and on to the Assembly Areas			     	

Identified Procedural Short Comings	
             	

	
Recommendations	
     

	
Follow Up Required: Yes    No                                            Action Completed: Yes    No 	

_______________________		______________________			_______
Signature of Chief Warden			Name					Date
	
_______________________		______________________			_______
Signature of UQ Fire Safety Officer		Name					Date