EMERGENCY MOCK DRILL REPORT

HSE Doc. No.: First Issue: Reviewed on: Next Review: Version:
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Drill No: Date:

Location of Premises: Type of drill:

Personnel involved dept: Event Observer:

Site / Location:
(If applicable)
Time Started:
Head Count:
Emergency Response Strength/Total
Time for Fire or Medical: Occupants:
Time to Assemble: Left Behind:
Time to Head Count: Time delayed:

DETAILED DESCRIPTION OF THE DRILL

HOW WAS THE ALARM TRIGGERED/ All CLEAR SIREN GENERATED AND PERSONNEL DISPERSED

RESPONSE OF OCCUPANTS

HSE TALK

HIGH POINTS OF THE DRILL

LOW POINTS OF THE DRILL

 EMERGENCY MOCK DRILL REPORT
HSE Doc. No.: First Issue: Reviewed on: Next Review: Version:
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RECOMMENDATION FOR IMPROVEMENTS

SIGN OFF

Project Manager HSE Officer

 EMERGENCY MOCK DRILL REPORT
HSE Doc. No.: First Issue: Reviewed on: Next Review: Version:
Department Page 1 of 3
GBC-AP-F-04 04-Fev-2023  - - 00
Form

Attachment: Annexure-I Snaps

ANNEXURE-I

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