Emergency Evacuation Drill Record
About the Emergency Evacuation Drill Record
A digital emergency evacuation drill record for educators to document the conduct and outcomes of emergency and evacuation rehearsals. Under Regulation 97, services must rehearse emergency and evacuation procedures every three months. This form captures drill type, attendance numbers, assembly point, completion time, whether all persons were accounted for, issues identified, and required improvements.
Also called
- Evacuation drill record
- Fire drill record
- Emergency drill report form
What's on this form
Every question included in the emergency evacuation drill record. Add, remove or reword any of them in the form builder.
Step 1 — Completed first
Filled in by the educator or responsible person
Date of Drill
Date
Time of Drill
Time
Type of Emergency Drill
- Fire Evacuation
- Lockdown
- Lockout
- Shelter-in-Place
- Other
Choose one
Session
- Before School Care
- After School Care
- Vacation Care
- Long Day Care
Choose one
Attendance
Number of Children Present
Short answer
Number of Staff Present
Short answer
Number of Visitors/Volunteers Present
Short answer
Drill Outcome
Evacuation/Assembly Point
Short answer
Time to Complete Drill (minutes)
Short answer
Were all persons accounted for?
Yes / No
Were children with additional needs adequately supported?
Yes / No
Review
Issues or Concerns Identified
Long answer
Improvements or Actions Required
Long answer
Additional Commentsoptional
Long answer
Conducted By
Educator signature
Step 2 — Responsible Person
Completed by a staff member at the service
Responsible Person Details
Educator signature
How this form gets signed
This template runs as a multi-step signing workflow. Each person is notified in turn, and every signature is timestamped and stored against the record.
- 1
Responsible Person
Signs inside the service, using a staff PIN
Australian regulations this form supports
The emergency evacuation drill record is built around the Education and Care Services National Regulations. These are the regulations it helps you meet.
Emergency and evacuation procedures
The approved provider must ensure emergency and evacuation procedures are rehearsed every three months and that documentation of each rehearsal is maintained.
Read the full text of Reg 97
(1) The emergency and evacuation procedures required under regulation 168 must set out— (a) instructions for what must be done in the event of an emergency; and (b) an emergency and evacuation floor plan; and (c) if the education and care service premises is located within a multi-storey building shared with other occupants and on a storey with no direct egress to an assembly area— (i) all possible evacuation routes from each storey on which the premises is located; and (ii) the evacuation routes that are proposed to be used in an evacuation; and (iii) how all children will be safely evacuated from the premises, including non-ambulatory children; and (iv) the stages in which an evacuation will be carried out; and (v) the identity of the person in charge of an evacuation; and (vi) the roles and responsibilities of staff members during an evacuation; and (vii) the arrangements made with the other occupants of the multi-storey building in relation to the evacuation of the multi-storey building. (2) For the purposes of preparing the emergency and evacuation procedures, the approved provider of an education and care service must ensure that a risk assessment is conducted to identify potential emergencies that are relevant to the service. (2A) The approved provider of a centre-based service must review the risk assessment conducted under subregulation (2)— (a) at least once every 12 months; and (b) as soon as practicable after becoming aware of any circumstance that may affect the safe evacuation of children from the service. (2B) As soon as practicable after reviewing the risk assessment under subregulation (2A), the approved provider of a centre-based service must make any necessary updates to the emergency and evacuation policies and procedures. (3) The approved provider of an education and care service must ensure that— (a) in the case of a centre-based service, the emergency and evacuation procedures are rehearsed every 3 months by the staff members, volunteers and children present at the service on the day of the rehearsal and the responsible person in relation to the service who is present at the time of the rehearsal; and (ab) in the case of a family day care service, the emergency and evacuation procedures are rehearsed every 3 months by each family day care educator and the children being educated and cared for by the family day care educator on that day; and (b) the rehearsals of the emergency and evacuation procedures are documented. (4) The approved provider of an education and care service must ensure that a copy of the emergency and evacuation floor plan and instructions are displayed in a prominent position near each exit at the education and care service premises, including a family day care residence and approved family day care venue.
Provided for information only and may not reflect the latest amendments. Refer to the Education and Care Services National Regulations (NSW) for the official legal text.
Where this form fits
The emergency evacuation drill record is part of these jobs — each guide walks through the whole sequence and the other forms that go with it.
Daily records: what educators fill in as things happen
The records your staff complete during the day — incidents, illness, medication given, and observations of children’s learning.
Forms your educators fill in
The records staff complete — incidents and illness, medication given, observations, safety checks and transport.
Questions about the emergency evacuation drill record
What is the emergency evacuation drill record used for?
A digital emergency evacuation drill record for educators to document the conduct and outcomes of emergency and evacuation rehearsals. Under Regulation 97, services must rehearse emergency and evacuation procedures every three months. This form captures drill type, attendance numbers, assembly point, completion time, whether all persons were accounted for, issues identified, and required improvements.
Who fills in the emergency evacuation drill record?
The emergency evacuation drill record is completed by educators or the responsible person at the service. Staff open it on any device and sign with a service PIN, so there's no separate login to manage. It then moves through 1 signing step — Responsible Person — with each signature timestamped against the record.
Which Australian regulations does the emergency evacuation drill record meet?
It is built around Reg 97 of the Education and Care Services National Regulations. Reg 97 covers emergency and evacuation procedures. Every question the regulations require is already on the form.
Is the emergency evacuation drill record the same as an evacuation drill record?
Yes. Different services use different names for this form — it is also called evacuation drill record, fire drill record and emergency drill report form. They all describe the same record, and this template covers it. You can rename it to whatever your service already calls it.
Can I change the questions on the emergency evacuation drill record?
Yes. The template comes with 19 fields ready to go, but you can add, remove, reword or reorder anything in the drag-and-drop form builder, and add your own conditional logic and signing steps. Your changes only affect your service's copy.
Is the emergency evacuation drill record free?
Yes — the emergency evacuation drill record is free to use on the Childcare Forms free plan. No credit card is required to create an account and start sending it.
Ready to use it?
Create a free account, change anything you want, and send it to your first family. No credit card needed.
