Step Ahead Enterprises
Fire Emergency & Prevention Drill
Facility Address
*
Taylor House: 10726 E. Bramble, Mesa, AZ 85208
Kate's Place: 2611 W Knowles Ave, Mesa, AZ 85202
Hudson Home: 2561 E Fairfield St, Mesa, AZ 85213
Pearle's Place: 2213 E Evergreen St, Mesa, AZ 85213
Nevada Home: 6458 East Elmwood Street, Mesa 85205
Event Type
Actual Event
Drill
Event Date
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-
Month
-
Day
Year
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Time of Event
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1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Total Evacuation Time (Seconds)
*
Smoke Alarms Cleaned & Tested
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Yes
No
Location of Practice Fire
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Meeting Location
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Exits used for Egress
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Front Door
Garage Door
Back Door: Kitchen
Back Door: Bedroom
Window
Problem Notes
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Measures taken to ensure that children understand the purpose of a drill and their responsibilities during a drill?
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Yes
No
Other
Did ALL Youth Participate?
*
Yes
No
If NO, explain
List all participants
*
Staff Name
*
First Name
Last Name
Staff Signature
*
Date
*
-
Month
-
Day
Year
Date Picker Icon
Submit
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