EPT

• Client / Site

• Address
  Address

• Conducted on

  Date

• Report Prepared By

• Facilitator/s

Primary Report

• Additional Participant Details Utilised

  Yes

  No

  N/A

Emergency Preparedness Training Session Details

• Delivery

  Theory Only

  Theory & Practical

• ECO Warden Training

  Yes

  No

  N/A

• First Response Fire Equipment Live Fire Training

  Yes

  No

  N/A

• ECO Warden Team Only Evacuation Training

  Yes

  No

  N/A

• Chief Warden Training

  Yes

  No

  N/A

• General Evacuation Training

  Yes

  No

  N/A

• First Response Fire Equipment Training

  Yes

  No

  N/A

• Emergency Planning Committee Training

  Yes

  No

  N/A

• Emergency Management Plan Training

  Yes

  No

  N/A

• Escalation Training

  Yes

  No

  N/A

• Full Occupant Evacuation Practice

  Yes

  No

  N/A

• Safe Assembly Area Training

  Yes

  No

  N/A

• Medical Incident Simulated During Evacuation (list type of incident)

  Yes

  No

  N/A

• Defibrillator Incident Simulated During Evacuation

  Yes

  No

  N/A

• Re-Entry Training

  Yes

  No

  N/A

• Training - Other (List details of any other training provided not listed above)

Participant Details (1)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (2)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (3)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (4)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (5)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (6)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (7)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (8)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (9)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (10)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (11)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (12)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (13)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (14)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (15)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (16)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (17)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (18)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (19)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (20)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (21)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (22)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (23)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (24)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Participant Details (25)

• Full Name

• Position/Title (if applicable)

• Email Address (if applicable)

• Telephone Contact Numbers (if applicable)

Please Select Appropriate Sections Below (Training Status)

• Participated in Previous Warden Training at this Premise

• Chief Warden Qualified (White Cap)

• Deputy Chief Warden Qualified (White Cap)

• Floor/Area Warden Qualified (Yellow Cap)

• Warden/Runner Qualified (Red Cap)

• New Warden

• New Staff Member

Practice Evacuation Exercise

• Evacuation Scenario

  Select Full Evacuation Warden Only Evacuation Partial Evacuation Medical Evacuation Defibrillator Evacuation

  • Full Evacuation
  • Warden Only Evacuation
  • Partial Evacuation
  • Medical Evacuation
  • Defibrillator Evacuation

• Scenario Reason for Evacuation and Areas Involved

• If Medical or Defibrillator scenarios involved - Record Details

  Yes

  No

  N/A

• Pre Evacuation Warden Briefing Performed

  Yes

  No

  N/A

• Safety Considerations Discussed

• Re-Entry Considerations and Requirements Discussed

• "No Duff" Real Incident Code Explained

Exercise Observations

• Start Time

  Date

• Observations

• Completion Time

  Date

Exercise Debrief

• Trainer Observations Detailed and Explained

• Further Observations Raised by Participants

  Yes

  No

  N/A

• Follow up required for any issues not rectified at time of debrief

  Yes

  No

  N/A

Evacuation Exercise Competency Standard Achieved

• Site deemed to have undertaken satisfactory evacuation exercise

  Yes

  No

  N/A

• Site deemed to have undertaken satisfactory debrief

  Yes

  No

  N/A

Recommendations

• Training Recommendations

  Yes

  No

  N/A

• Practice Evacuation Exercise Recommendations

  Yes

  No

  N/A

• Site/Premise Recommendations

  Yes

  No

  N/A

• Follow up Action Required (Nominate Responsible Persons/Parties)

  Yes

  No

  N/A

Training/Evacuation Sign Off

• Facilitator Signature

  Sign