Fire Drill Log - New Hampshire Department of Health and ...
[Pages:1]FIRE DRILL LOG
NAME OF PROGRAM:_____________________________________________________________________
PROGRAMS SHALL CONDUCT AT LEAST ONE FIRE DRILL IN EACH FULL MONTH THE PROGRAM IS IN OPERATION. ACTIVATION OF THE ACTUAL FIRE ALARM SYSTEM SHALL BE DONE FOR AT LEAST 2 OF THE REQUIRED MONTHLY DRILLS, AND FIRE ALARM OR SMOKE DETECTOR SHALL BE USED TO SIGNAL ALL OTHER DRILLS.
FIRE DRILL LOGS MUST BE MAINTAINED AT THE PROGRAM, FOR AT LEAST ONE YEAR, AVAILABLE FOR REVIEW BY THE FIRE INSPECTOR AND THE LICENSING COORDINATOR.
REVIEW THE NEW HAMPSHIRE CHILD CARE PROGRAM LICENSING RULES, He-C 4002.19 (al) THROUGH (at) FOR COMPLETE RULES REGARDING FIRE DRILLS.
DATE OF DRILL
TIME OF DRILL
CONDUCTED BY
HOW LONG TO EVACUATE
NUMBER OF CHILDREN EVACUATED
NUMBER OF PEOPLE IN BUILDING
EXITS USED
ACTUAL FIRE ALARM USED?
(YES/NO)
r:\program support\licensing\ccl\group\rules\4002 child care rules\2016 cc rules\forms\fire drill log.doc
Effective 11/2017
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