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HERITAGE <br /> FAMILY OF COMPANIES <br /> Emergency Evacuation Drill Report <br /> Locations �� (/ ;...��(/��l}� Drill Date: ' l <br /> Type oPril1: <br /> E� Fire Evacuation ❑ Shelter-in-Place ❑ Injury <br /> ❑ Other--Please Specify <br /> Drill Start Time: Drill End Time: Total Number of Employees: <br /> 1 11 1OPNM � /( O P M - <br /> How did you notify,employees? <br /> Describe what happened when alarmed? <br /> Did all personnel fallow proper protocol? —Describe situation <br /> Did yo.0 ensue a al customers/employees evacuated? Lv1 Yes ❑ No ❑ N/A <br /> Did all employeesUo.W where the designated meeting point? LTJ' Yes ❑ No <br /> Did you take accountability? ltd'Yes ❑ No <br /> Did all employees participate in drill—with exception of drivers on road? ❑ Yes 2 No <br /> Manager Name: <br /> Manager Signat <br /> • r 1 <br /> , iI', <br />