Building Trial Evacuation Request Form
Campus: Click here to enter text.
Building No: Click here to enter text.
Building Name: Click here to enter text.
Your Name: Click here to enter text.
Email: Click here to enter text.
Preferred Trial Evacuation Date and Time:
Click here to enter text.
Date of last evacuation: Click here to enter text.
Details of any issues that need to be clarified before the trial evacuation:
Click here to enter text.
Any other comments? Click here to enter text.
Please provide a copy of the most current SEP document with this form.
Forward completed form to:
Facilities OH&S Manager
Division of Facilities Management
Building 440
Wagga Campus
ph (02) 693 34321
fax (02) 693 34321
email [email protected]
Version 2.0