Drill Review
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Conducted on
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Prepared by
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Location
DRILL OBJECTIVE:
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What is the measurable goal?
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Was the goal met?
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Is additional competency based training needed? If yes, what type?
Drill Observations
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DRILL SCENARIO - Shelter-in place or Evacuation for:
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Simulated or Real-World?
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Time to Shelter or Evacuate:
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OBSERVER NAMES:
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Briefly Describe Scenario
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Did Participants simulate calling 911? If so, who called?
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Was a decision made to evacuate or shelter-in-place? Who made the decision?
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Were participants familiar with location/use of AED and First Aid kits?
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Did participants take AED and First Aid kits out of the building during evacuation?
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Did participants take AED to shelter?
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Were all persons served accounted for?
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Areas needing improvement/Additional educational/training necessary?
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Actions to address the improvements needed/ Implementation of the Actions:
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If improvement actions were taken during previous drills, did the actions accomplish the intended results? Explain
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Drill Conducted by:
SAFETY COMMITTEE REVIEW
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