Nursing Home Emergency Evacuation Drill Report
Date of Drill
Time of Drill
Drill Conducted By
Location/Wing
Weather Conditions
Evacuation Details
Alarm Time Initiated
Alarm Acknowledged By
Time Evacuation Started
Time Evacuation Completed
Total Number of Participants (Residents/Staff/Visitors)
Drill Observations
Evacuation Route Used
Challenges or Obstacles Encountered
Resident/Staff Accountability Process
Communication During Drill
Drill Evaluation
What Went Well
Areas for Improvement
Actions/Recommendations
Name & Title of Person Completing Report
Date Completed