Form

Fire evacuation drill record - JCI FMS.3.1, healthcare (international)

Record details of a fire evacuation drill, including scenario, evacuation time, patient safety, staff roles, and identified corrective actions.

Fill it in online - free, no account needed. 23 questions.

What it is for

This template provides a structured record for fire evacuation drills in healthcare facilities.

The full question list

1. Drill Overview

  1. Date and time the fire evacuation drill started *
  2. Type of drill conducted *
  3. Scenario for the fire evacuation drill *
  4. Areas of the facility involved in the drill *
  5. Total time taken to complete the evacuation (minutes) *

2. Patient and Staff Safety

  1. Patients requiring assistance were safely moved to designated safe areas *
  2. All staff members demonstrated knowledge of their assigned roles and responsibilities during the drill *
  3. The fire alarm system activated correctly and was audible in all relevant areas *
  4. Emergency exits were clear and unobstructed during the evacuation *
  5. Assembly points were clearly identified and used by evacuees *

3. Communication and Coordination

  1. Internal communication systems (e.g., intercom, two-way radios) functioned effectively during the drill *
  2. External emergency services (if simulated) were contacted promptly and effectively
  3. Designated incident command structure was established and functioned as planned *

4. Observations and Issues

  1. Specific problems or deficiencies observed during the drill
  2. Positive observations or areas of strong performance
  3. Number of staff members who participated in the drill *
  4. Number of patients (or simulated patients) involved in the drill

5. Corrective Actions and Follow-up

  1. Corrective actions identified and planned based on drill observations *
  2. Target completion date for all identified corrective actions *
  3. Person responsible for overseeing the completion of corrective actions *

6. Drill Sign-off

  1. Name of person completing this record *
  2. Date and time this record was completed *
  3. Signature of person completing this record *

References

How the score works

The score is the share of scored questions that pass. N/A is left out of the score; text, dates and signatures are recorded but not scored. A completed template is a record of what you checked; it is not an inspection by a regulator or an accreditation body.

Questions

Why is it important to record fire evacuation drills?

Recording drills helps facilities track performance over time, identify weaknesses in their emergency plans, and ensure staff are prepared for real fire emergencies. It is also a key requirement for accreditation.

How often should fire evacuation drills be conducted?

Accreditation standards and local regulations typically specify the frequency of fire drills. JCI standards often require drills to be conducted periodically to ensure ongoing readiness.