EMERGENCY DRILL REPORT

DLPS-HSE-029/00

Date of Drill: Emergency Drill No. …..…………..

GENERAL INFORMATION

Drill Type (Fire, Fall, Heat Stress, Retrieval, etc.):

Project
Location
Name/Contract
HSE EXECUTION
Area In charge Observers

Scenario of the Drill:

Communication system used Satisfactory  Unsatisfactory 

Time Record/Analysis
Situations Time (in Hrs.) Remark

1st Call
First-Aid treatment started
Fire brigade
Evacuation started
Ambulance arrival at location
Ambulance left from location
Ambulance reached at the hospital
Total time consumed

Total Head count:

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 EMERGENCY DRILL REPORT

DLPS-HSE-029/00

Drill Critique
Observations/Conclusion:

Points to improve:

Good points

Recommendations (if any)

Report By: Reviewed By:

Name: Name:

Signature Signature

Date: Date:
Comments (if any) Comments (if any)

NOTE: ATTAHCED THE DRILL SEQUENCE PHOTOS IN THIS REPORT

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