Office Emergency Response Procedure

• Conducted on

  Date

• Prepared by

• Location
  Address

Message Log 1

• Date/Time

  Date

• Type of Communication

  Select Incoming message Outgoing message Telephone E-mail SMS/MMS Other

  • Incoming message
  • Outgoing message
  • Telephone
  • E-mail
  • SMS/MMS
  • Other

• Communication between:

• Message contents:

Message Log 2

• Date/Time

  Date

• Type of Communication

  Select Incoming message Outgoing message Telephone E-mail SMS/MMS Other

  • Incoming message
  • Outgoing message
  • Telephone
  • E-mail
  • SMS/MMS
  • Other

• Communication between:

• Message contents:

Message Log 3

• Date/Time

  Date

• Type of Communication

  Select Incoming message Outgoing message Telephone E-mail SMS/MMS Other

  • Incoming message
  • Outgoing message
  • Telephone
  • E-mail
  • SMS/MMS
  • Other

• Communication between:

• Message contents:

Emergency Response Checklist

• Documented by:

• Time

  Date

• Communication

• Time

  Date

• All colleagues at the office notified and instructed

  Yes

  No

  N/A

• Time

  Date

• Other GDC officers notified

  Yes

  No

  N/A

• Time

  Date

• EMS notified

  Yes

  No

  N/A

• Time

  Date

• Notification of relatives

  Yes

  No

  N/A

• Time

  Date

• Authorities notified

  Yes

  No

  N/A

• Time

  Date

• Insurance Company notified

  Yes

  No

  N/A

• Time

  Date

• Initial vessel report received

  Yes

  No

  N/A

• Time

  Date