This is the form we use that the NJ Div of fire safety has approved. 
**********

                                                         ROWAN UNIVERSITY
                                             DEPARTMENT OF PUBLIC SAFETY
                                               FIRE EVACUATION DRILL RECORD
                                    201 Mullica Hill Road, Glassboro, NJ 08028-1701
========================================================================
DAY OF WEEK:____________TIME:__________________DATE:_________________

BUILDING:________________________________________________
Contact Person:                                                                                       Phone #
========================================================================
WEATHER CONDITIONS:   At Time of Drill:  ( )Cold, ( )Hot ( )Day ( )Night: ( )Moon, Yes, No. 
( )Clear ( )Cloudy ( )Partly cloudy ( )Overcast  ( )Rain ( )Snow
Approximate Temperature in degrees Fahrenheit___________
Remarks:

========================================================================
ADVANCE NOTIFICATIONS: 
(  ) Public Safety                (  ) Gloucester County 9-1-1, Operator Number:______
(  ) Glassboro Fire Dept.           @   589-0911
      881-5008                     (  ) Other:
========================================================================
DRILL INITIATED BY:  (  )Fire Alarm   (  )Voice Command  (  ) Other:
========================================================================
EVACUATION:
Commenced at __________  and ended at ___________. 

Time required to complete the evacuation:____________ minutes.

Approximate number of occupants evacuated:_________

Approximate number of occupants for the facility:______

Occupants evacuated/exited to a safe area(s) located:____________________

========================================================================
OTHER INFORMATION, OBSERVATIONS OR COMMENTS:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

=======================================================================
CERTIFICATION:  I certify this drill was conducted in accordance with the NJ Uniform Fire Code, NJAC 5:70-3.2(a)2,F-703.2.1 

                                  Name: _________________________________

                                  Title: _________________________________

                                  Phone Number:________________________  

                                   Date: __________________

02/2000. Previous editions are obsolete



Richard S. Wadleigh, CHCM, EMT
Associate Director of Public Safety
& Chief, EMS
Rowan University
201 Mullica Hill Road
Glassboro, NJ 08028-1701
(856) 256 4570
FAX (856) 256-4925

>>> [log in to unmask] 11/15/00 02:28PM >>>
List,

Looking for a comprehensive fire drill report.  This would be used for
university residence and greek housing.  I believe someone sent one across
the list not to long ago, but I can't seem to find it.

Thanks in advance for your help,

__________________________
Michael L. Moberly
Fire Protection Coordinator
Environmental Health & Safety
Ohio University

740.597.1748 office
740.593.1666 department
740.593.0808 fax

[log in to unmask]
http://www-ehs.hudson.ohiou.edu