FIRE DRILL AND FIRE DETECTION LOG

Period covering:

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to

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FIRE DRILL AND FIRE DETECTION LOG

55 PA CODE CHAPTERS 3270.94; 3280.94; 3290.94 and 3270.95; 3280.95;

3290.95

DATE

OF

DRILL

TIME

OF

DAY

HYPOTHETICAL

LOCATION

EVACUATION

TIME

NUMBER OF

CHILDREN

PARTICIPATING FACILITY

PERSONS

(Including Volunteers)

FIRE DETECTION DEVICES OR SYSTEMS: 55 PA CODE CHAPTERS 3270.95; 3280.95; 3290.95

MANUAL FIRE DETECTION

TESTING DATE

(Every 30 Days)

OR

FIRE SAFETY PROFESSIONAL

TESTING DATE (Annually) ¨C

(Documentation must be

attached)

FIRE DETECTION DEVICE/SYSTEM PURCHASE DATE

Updated 4/8/2021

CY0864

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