Title Page
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Site Address
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Site Code
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Conurbation
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Location
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Conducted on
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Overseen by
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Name of ECO/ICO
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Name of Site Representatives
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Name of Trade Union Representative
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Name of F/B Representatives
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Site Image
Evacuation Drill Findings
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Time evacuation commenced
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Activated by
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Reason for Evacuation (Practice or real Bomb or Fire)
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How many Fire Wardens were available on site to coordinate the evacuation?
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Was the number of available Fire Wardens sufficient for the number of employees and MOP occupying the premise at the time of the evacuation?
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Were Fire Wardens identifiable by wearing a High Viz Fire Warden jacket?
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Number of DWP employees with PEEP’s who were required to evacuate the building
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Were the ECO/ICO Controllers aware of the action take for individuals subject to a PEEP?
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Were person subject to a PEEP successfully evacuated from the building?
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Were fire sounders audible from all areas of the premises?
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Were any fire exit routes blocked, locked or obstructed?
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If means of escape was blocked during the drill, were the alternatives used successfully?
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Did all doors on access control fail safe automatically?
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Did all DWP staff use the nearest fire exit available to them to evacuate the building?
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Was the Assembly Point clearly sign posted? (Either on fire safety notices or at a point external to the premise)
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Did all DWP employees (non-fire wardens) report to the assembly point)?
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Did all Fire Wardens report to the assembly point?
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Was the signing in book/visitors books taken to the assembly point?
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Was the first aid kit taken to the assembly point?
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Time taken to evacuate (no. of minutes)
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Did the site security team secure the building from MOP/DWP employees from gaining access to the premises until the evacuation had been declared over?
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Did the site security team restrict access to the MOP access to the building until DWP employees have first returned to site?
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Did the site security team check DWP employee ID on re-admittance to the premises?
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Overall effectiveness of of fire wardens in coordinating evacuation
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Overall response of DWP employees to evacuation
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Overall effectiveness of Assembly point coordination
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Overall response of MOP and visitors to evacuation
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Overall effectiveness of Drill/Evacuation
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Any other observations?
Completion
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I confirm that the evacuation drill of the premises named on page 1 has been undertaken.
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Site Representative
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Trade Union Representative
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ECO / ICO
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Undertaken By (Instant H&S)
