Unannounced Emergency Procedures - 2024 Question Title * 1. Date of Event Date Date Question Title * 2. Location Moses House Lincoln House Leah's Place Blake's Place Kirkland House Remi's Place Lemmy's Place Myles House Nixon House Question Title * 3. Time of Event 8:00 am - 4:00 pm (Weekday) 2:00 pm - 10:00 pm (Weekday) 10:00 pm - 8:00 pm (Weekday) 10:00 am - 10:00 pm (Weekend) 10:00 pm - 10:00 am (Weekend) Other (please specify) Question Title * 4. Event Fire Bomb Threat Medical Emergency Utility/System Failure Natural Disaster Violent or Threatening Situation Other (please specify) Question Title * 5. Type Unannounced Drill Actual Emergency Question Title * 6. Description of Emergency/Drill Question Title * 7. Compliance Yes No All persons are present and accounted for All persons are present and accounted for Yes All persons are present and accounted for No Were all persons present/compliant with the Emergency/Evacuation? Were all persons present/compliant with the Emergency/Evacuation? Yes Were all persons present/compliant with the Emergency/Evacuation? No All persons met at designated area(s) All persons met at designated area(s) Yes All persons met at designated area(s) No All areas checked All areas checked Yes All areas checked No Did the response to the emergency require and evacuation Did the response to the emergency require and evacuation Yes Did the response to the emergency require and evacuation No Evacuation completed in a timely and orderly manner Evacuation completed in a timely and orderly manner Yes Evacuation completed in a timely and orderly manner No Question Title * 8. Were there any injuries during the event? If "yes", then an Incident Report needs to be completed. Yes No Question Title * 9. Analysis and Comments Question Title * 10. Are there areas needing improvement? Yes No Question Title * 11. Explain Question Title * 12. Corrective Action Question Title * 13. Corrective Action Plan Question Title * 14. Does personnel require additional education or training to improve performance? Yes No Question Title * 15. If yes, identify the needs below Question Title * 16. Were the actions taken accomplish the intended result? Yes No Question Title * 17. Name of Person Completing this Report Question Title * 18. Date Reviewed Date Date Question Title * 19. NOTE: This Emergency/Evacuation Report is to be completed and sent to the Executive Director ordesignee following any emergency, evacuation, actual event or unannounced drill. I understand Done
