Evacuation exercise observations and EPC

• Document No.

• Evacuation exercise observations

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Scenario for exercise

  Select Fire emergency Medical emergency Internal emergency Bomb Threat Personal Threat External emergency Evacuation

  • Fire emergency
  • Medical emergency
  • Internal emergency
  • Bomb Threat
  • Personal Threat
  • External emergency
  • Evacuation

• Exercise initiated by

  the alarm tone being sounded

  a verbal announcement

Evacuation observation

• Start time

  Date

• Did the ECO respond to alarm in a reasonable amount of time?

  Yes

  No

  N/A

• Did the ECO commence a search of their allocated areas?

  Yes

  No

  N/A

• Did the ECO commence evacuation without delay?

  Yes

  No

  N/A

• Did the ECO report the location of any refusals/ injuries or PEEP plans in place?

  Yes

  No

  N/A

• Did the ECO ensure occupants and visitors arrived safely at the assembly area?

  Yes

  No

  N/A

• Did the ECO show effective use of communication tools on site.<br> (eg WIP, EWIS used effectively)

  Yes

  No

  N/A

• Did the ECO ensure that the evacuation was conducted in accordance to the emergency response procedures of the facility?

  Yes

  No

  N/A

• Did the warden wear the correct warden identification so they could be identified?

  Yes

  No

  N/A

• Finish time

  Date

• Has an EPC meeting been requested for the evacuation exercise?

  Yes, see report below

  No, and not conducted

Emergency Planning Committee meeting

• Select date

  Date

• Is the ECO adequately staffed to cope with an emergency? <br>Staffing levels should be consistent with the nature and risk of the site.

  Yes

  No

• Are personnel appointed to all positions on the ECO, particularly the Chief Warden Group?

  Yes

  No

• Has there been a change in the use or change to the layout of the building/ centre/ site, since the last Emergency Management Manual was produced? <br>Is the EMM current with the AS3745-2010

  Yes

  No

• Is the evacuation diagrams current and displayed in a public place and other appropriate areas?

  Yes

  No

• Are there any other matters or issues reported by the Emergency Planning Committee that may impact on life safety that requires attention?

  Yes

  No

• Are there sufficient supplies of warden identification on hand?

  Yes

  No