ROWAN UNIVERSITY
DEPARTMENT OF PUBLIC SAFETY
FIRE EVACUATION DRILL RECORD
201 Mullica Hill Road, Glassboro, NJ 08028-1701
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DAY OF WEEK:____________TIME:__________________DATE:_________________
BUILDING:________________________________________________
Contact Person: Phone #
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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:
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ADVANCE NOTIFICATIONS:
( ) Public Safety ( ) Gloucester County 9-1-1, Operator Number:______
( ) Glassboro Fire Dept. @ 589-0911
881-5008 ( ) Other:
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DRILL INITIATED BY: ( )Fire Alarm ( )Voice Command ( ) Other:
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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:____________________
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OTHER INFORMATION, OBSERVATIONS OR COMMENTS:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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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] 11/20/00 02:28PM >>>
-----Original Message-----
From: dgordner [mailto:[log in to unmask]]
Sent: Wednesday, November 15, 2000 5:04 PM
To: [log in to unmask]
Subject: Re: Fire Drill Report Form
We use our barcode system for this. Works rather well & limits paperwork.
>===== Original Message From International Association of Campus Fire Safety
Officials <[log in to unmask]> =====
>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
Doug Gordner, Life Safety Inspector
Ithaca College Campus Safety
Life Safety Division
101 Safety Building
Ithaca, New York 14850
(607)-274-1846
(607)-274-1868 (fax)
[log in to unmask]
CFSI-1
Member:
National Fire Sprinkler Association (NFSA)
International Society of Fire Service Instructors (ISFSI)
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