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Evacuation notification form

Please complete this form during the evacuation (or as soon as possible after an evacuation) to support the continued improvement of our emergency response procedures.

If you've completed a manual 'Evacuation notification' please upload a copy to this form.

Required fields are marked with an asterisk (*).

Building Details
Evacuation Details
Time alarm activated. Any other comments.
Date and time of evacuation *
Security called
Emergency services called
Who attended? Fire, Police, Ambulance.
Please include area details, any comments, time taken to clear, communication with other staff and manning entrances around building
Yes/No, time, and comments
Yes/No, time, and comments
Evacuation Review
Reason for evacuation *
Emergency diagrams up to date; assembly area location suitable, warden equipment suitable, number of wardens appropriate, first aid kit portable etc.
Your details