FIRE EMERGENCY & PREVENTION DRILL
(AFFILIATED WITH ACHIEVING BETTER COPING SKILLS, LLC)
FACILITY ADDRESS (Select from Drop Down Menu)
366 W. 6th St, Mesa, AZ 85201 (Asher House)
2243 S. Evergreen Rd, Tempe, AZ 85282 (Shoulder
2427 E Menlo St., Mesa, AZ 85213 (Blake
DATE OF FIRE DRILL
TIME OF DRILL (Include AM or PM)
TOTAL EVACUATION TIME (Included Minutes and Seconds)
SMOKE ALARMS CLEANED, TESTED AND BATTERIES REPLACED??
CARBON MONOXIDE TESTED AND BATTERIES REPLACED?
EXITS USED DURING FIRE DRILL
List the measures taken to ensure that children understand the purpose of a drill and their responsibilities during a drill.
DID EVERYONE PARTICIPATE?
LIST ALL PARTICIPANTS (Separate with Commas)
COMPLETED BY (STAFF NAME)
Should be Empty: