Title Page
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Site conducted
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Date of Emergency Preparedness Drill
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Work Groups Involved
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Location
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Simulate a Emergency Evacuation with Employees
Observations & Results
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Type of Emergency Preparedness Drill
- Site Evacuation - General
- General First Aid (Cut, Burn, Bump)
- Chemical Spill
- Fall from Height
- Hit by Plant or Tools
- Electric Shock
- Dust Exposure (Major - Silicosis)
- Eye Injury
- Other
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Time Drill Started
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Total elapsed time (mins)
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Steps to Simulate the Emergency
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Steps taken to resolve the Emergency
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Did the workers follow the evacuation instructions?
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Did the workers follow the most direct route to the meeting point ?
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Was the evacuation orderly, with no congestion at exits?
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Was everyone participating accounted for?
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Was their any worker feedback or comments?
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Overall Results of the Emergency Drill
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Time Drill Ended
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Workers involved in the Emergency Drill
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Actions resulting from the Emergency Drill
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Record the Meeting Drill
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Name of Emergency Preparedness Co-Ordinator
