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6/20/22, 11:24 AM FIRE MOCK DRILL REPORT – SAMPLE | RLS HUMAN CARE

FIRE MOCK DRILL REPORT – SAMPLE


March 7, 2021

Company logo & name here

LOCATION: COOLING TOWER

DATE: 05/03/2021

TIME: 14:02

EMERGENCY SITUATION: FIRE EMERGENCY

Fire – Fire drill started at 14:02. Emergency information were given by Site
Supervisor by mobile phone to Emergency Contact Person. Emergency
response team member made the communication to directing the occupant
to leave work location/ evacuate the work area, and assemble at the safe
assembly point. When all employee Engineer/Supervisor and Workers
arrived at the assembly point. Various rescue techniques were used by the
ERT.A briefing was done on Fire and Emergency response during Fire
Emergency.

Points to be checked: Line of communication, Total time line for the rescue
operation. Check the response of the entire team which include workforce &
the awareness of the work force regarding the emergency and emergency
contact numbers.

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6/20/22, 11:24 AM FIRE MOCK DRILL REPORT – SAMPLE | RLS HUMAN CARE

Contents [hide]

1 Response time during emergencies


2 Following observations were noted during conduct of Fire Emergency mock
drill.
3 Observers
4 Positive Notes:
5 Deficiencies observed during the exercise:
6 Photo views
7 Cut off the Power during emergency time
8 First aid available
9 Fire Fighting
10 Head Count and Briefing was done, informing about the Emergency at
Assembly Point
11 GUIDELINES TO FOLLOW FOR EMERGENCY SITUATION  
11.1 Share with your friends

Response time during emergencies


Information Reporting
Agencies Remarks
Time Time
Fire start near DG Set 14:02 14:02  
Communication to Emergency
Response Team & Incident 14:03 14:03:30  
Controller
Emergencydeclared 14: 04:30 14:04:30  
Activation of Fire alarm 14:05 14:05  
Emergency response team ready
for action. 1.Evacuation team 2.
First aid team 3. Fire Fighting team 14:05 14:05  
4. Rescue team 5. Observation
team
Fire fighting started in Fire Point 14:05:30 14:08:30  
Evacuation started 14:09 14:11:30  
Fire Closed 14:09 14:09  
All staff and workers reached at
Assembly Point for Head Count. All 14:12 14:12  
activity were stopped
A Briefing was done informing 14:13 14:17:30  
about the Emergency Mock Drill
scenario and the objective of the
drill; we addressed the workers
about Fire Emergency. Safety 
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6/20/22, 11:24 AM FIRE MOCK DRILL REPORT – SAMPLE | RLS HUMAN CARE

Officer told the staff and workers


about Emergency Response
Procedure and Hazards associated
with theirwork
  Declared Mock drill successfully
14:18 14:18  
completed

Following observations were noted during conduct of


Fire Emergency mock drill.

Observers
1. PawanRawal (QA/QC)

2. Parmod Sharma (Office Coordinator)

3. Dilip Rai (PM)

4. Rohitas Singh (Engineer)

Positive Notes:
All the workmen and staff reported to the Assembly point without any
panic.

The evacuation was performed successfully well in time.

Communication was well enough to reach the Fire Point at the right time.

The fire-Fighting team used the right Extinguisher for the Extinguishing
purpose(DCP, Water)

ERT member has done well and evacuate the Work Location on time.

Emergency Vehicle is available at  Site.

The workforce remains calm, while the mock drill was in progress, and
showed keen interest to get knowledge about the emergency.

Workers were briefed about the emergency response procedure and fire
Emergency.

The evacuation team response was quick.

Deficiencies observed during the exercise:


Public address system used but miscommunication between team

Less awareness for ERT (Emergency Response Team) team members.


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Photo views

Cut off the Power during emergency time

First aid available

Fire Fighting

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6/20/22, 11:24 AM FIRE MOCK DRILL REPORT – SAMPLE | RLS HUMAN CARE

Head Count and Briefing was done, informing about the


Emergency at Assembly Point

GUIDELINES TO FOLLOW FOR EMERGENCY


SITUATION  
Particulars During mock drills the following points should be

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6/20/22, 11:24 AM FIRE MOCK DRILL REPORT – SAMPLE | RLS HUMAN CARE

listed and checked


Emergency Emergency Response Plan is available (its contain and
Response Plan action Plan for ready reference)
Communication or
public address Communication or public address system were used
system
First aid kit & aider First aid boxes and its contents are available at site.
Designated Assembly place Available at Cooling Tower
Assembly Place
Site.
Audio alarm system Audio alarm/Handheld megaphone available.
Minimum action identified and completed before
Evacuation Plan Evacuation(People to be evacuated from the
Emergency site)
Preparedness and alertness Involvement of people
Others
during emergencies.

INR 199.00 – DOWNLOAD IN WORD FORMAT

CLICK HERE FOR  👉 JSA

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Saurabh Ranjan
https://rlsdhamal.com

Saurabh Ranjan is Founder of rlshumancare.com. I have dedicated & committed to publishing some
innovative content and useful topics regarding Health, Safety & Environment, which will help and
awareness to people for daily life. Also trying to continually improve my content for better awareness
and suit to dedicated people.




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