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DEsSWANAO Classification: nternalI

EMERGENCY EVACUATION DRILL CHECKLIST

Type of Evacuation: ft Planned Exercise n*False Alarm flReal Ernergency

Description Ye: No N./a

Emergency exits clearly marked

Exits door operating properly 7/

Assembly polnt unobstructed
t/
Fire & Emergency present for the drill
t/
Fire extinguishe rs ta$gn to location of fire
l/
fvacuation per"formed according to plan l/
Emergency response team responded accordingly
jv
Fire alarm clearly heard in all areas
il
All employees pafticipated and evacuated
l-
[vacuation was orderly
d
Roll call conducted
t/
Missing persons identified by roll call
./
Visitors escorted and accounted for

De-brief conducted by emergency response ieam 1-'

All employees gathered at Emergency assembly point Y-
Close doors and windows behind you if it is safe to do so

senior person to ensure thal the entire building has been *ur.uut*d
All vehicles near the fire area are to be removed if it ls safe to do so

All machinery to be shut down if it is safe to do so

lr
Stay al the assembly point until authorized to leave
t/
Note: Use tick to indicate applicable condition

Document no:-Chk-$D-SH-16 lssue no:02 Effective Dale:

Relaled documents: PR.$D-SH-37 Page 1 of L
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This docum€nt is maintained in the EDt",1s. check the vatid j1y on the EDMS be{ore us ng 11u r.,*ffi
 Classification: lnternal
DEBSWANAO
EMERGEIICY EVACUATION DRILL REG ISTER

Employees Present:

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Effectiv. dats: Page 1of2

Documeni no: REG-S*$H-1S lssue no:02 Related Document PR-S$.SH-37
ouosl2ozL
This document is maintained in the [DMS, check the validity on the EDMS before using the hard copy
 Classification: lnternal
DEBSWANAO
ABSENT

_/\
-/.
-//

OTVIATIONS IDTNTlFIED

Timetaken to evacuate ," Q nri '*"teo

GEN[RAL:

DATE FOR NEXI }RILI:

0z/ 2a23

Documeal no: REG-$D-ISH-IS fffective date:

lssue no:O2 Relaled Document: pR-SFSH-37 Page 2 of 2
ayas/2a21
This document is maintained in tlre EDMS, check the validity on the EDMS before using the hard copy