EMERGENCY PREPAREDNESS AND RESPONSE - duplicate

• Site conducted

  Select

• Conducted by:

• Date:

  Date

• Status of Report (Systems Manager use only):

  COMPLETED

  PENDING

PROVIDE A BRIEF DESCRIPTION OF THE MOCK EMERGENCY

• e.g. Bomb Threat, Chemical Spill, Person Overboard, Office Fire

• Provide a brief description of the actions taken by people involved? e.g. they contained the spill, they evacuated, they secured the area etc

BRIEF SUMMARY: Learning outcomes, actions required, procedures to be reviewed (if applicable)

• HOW EFFECTIVE AND EFFICIENT WAS THE PROCESS TO CONTACT EMERGENCY SERVICES?

  Very Good

  Good

  Average

  Poor

  N/A

• HOW WELL WAS THE SITUATION MANAGED? i.e. Emergency Responsibilites were known, Fire Warden, First Aid Officer,

  Very Good

  Good

  Average

  Poor

  N/A

• HOW EFFECTIVE AND EFFICIENT WAS THE EMERGENCY ASSEMBLY? i.e. the muster point location was known and personnel assembled accordingly

  Very Good

  Good

  Average

  Poor

  N/A

• HOW WELL WAS THE NOTIFICATION PROCESS MANAGED? i.e. all personnel not in the direct vicinity were notified effectively and efficiently

  Very Good

  Good

  Average

  Poor

  N/A

• OTHER OBSERVATIONS:

CONCLUSION

• Recommendations:

• Additional Comments:

EMPLOYEES PRESENT FOR EMERGENCY DRILL

• Signature:

  Sign

• Will the recommendations stated in the emergency drill be actioned and implemented?

  Yes

  Part

  No

• Provide further details on why only some of the recommendations will be implemented

• Provide further details on the implementation of the recommendations

• Provide further details on why the recommendations will not be implemented