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ACTIVITY: EMERGENCY EXERCISE/MOCK DRILL

1. Date: ------------------------- Time: -------------


2. Location: -------------------
3. Text of Emergency Scenario chosen/agreed upon:
i. Fire:------------------------------------------------------------------------------------------------------
ii. Rescue:--------------------------------------------------------------------------------------------------
iii. Spillage:-------------------------------------------------------------------------------------------------
iv. Leakages/Releases: -----------------------------------------------------------------------------------

4. Mode of Exercise:

WET DRY

5. OBSERVERS’ CHECKLIST

SL. NO. CHECK POINT OBSERVERS REMARKS


1. Emergency Communication
2. Sequence of action by emergency response group
/personnel
3. Behavior of evacuees & Fire wardens
4. Response time of Emergency vehicles
5. Status of fixed fire fighting installations
6. Coordination among emergency response group /personnel
7. Use of personnel protective equipments(PPE’S)
Fire Tactics
8. Search & Rescue
9. Confinement of Fire
10. Exposure Protection
11. Extinguishment
12. Ventilation(wherever possible)
13. Property conservation
Overhaul
14. Post fire security measures
15. Any other observations or points which have not been
covered
16. Overall performance
Rating (Average/good/very good/excellent)

Signature of Observer

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