Infrastructure Maintenance

R4G-80- HSE-GEN-PR-016
HSE&F Manual
Annexure 35

Emergency mock drill Report: Format No- RJIL/HSEF/0128

State: -

Location: -

Emergency Mock Drill No:Date:

1. Emergency Classification:- Level 1/Level 2/Level 3

2. Brief description of scenario:
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------3. Date & time of drill:
4. Simulation of drill by:
5. End of Emergency (hrs.):
6. Total duration of drill:
7. Observers:
1. -------------------------------------------------------------------------------2. --------------------------------------------------------------------------------8.

Participants:

1. ------------------------------------------------------------------------------2. -------------------------------------------------------------------------------3. -------------------------------------------------------------------------------4. -------------------------------------------------------------------------------5. --------------------------------------------------------------------------------

Reliance Jio Infocomm Limited

Rev. 0B

Issue date : 29-Aug-13

Page 220 of 255

Infrastructure Maintenance

R4G-80- HSE-GEN-PR-016
HSE&F Manual

9. Declaration of emergency & response:

Time to respond

Particulars

Expected Actual

Task performed

Actuation of alarm
Time of alarm in NOC
Arrival of City Infra lead MP
Lead/Infra Engineer
Arrival of Security
Arrival of MSP
Information to CMM and CSM
Information to Core Group,
HSE&F
Arrival of External agencies (Like
Fire Brigade, Ambulance,
Transport Vehicle etc.)
10. Observations & Recommendations:

Sr.No

Observations & Recommendations

1.

(Response time, observing wind direction, use of PPE)

2.

(Functioning/ Actions of ERCP team members)

3.

(Communication)

4.

(External agencies response time, tel no. availability)

5.

( Knowledge of team members, M&P available,

Training need etc)

6.

Any Other

7.

-------

Action By

Target Date

11. Any other comments:

12. Signatures
-------------------Observer-1

Reliance Jio Infocomm Limited

----------------Observer-2

Rev. 0B

-----------------City Infra-Lead

Issue date : 29-Aug-13

---------------Infra Engineer

Page 221 of 255