Weekly Fire Drill

Emergency Drill Feedback Form

HSEQ WEEKLY EMERGENCY DRILL FEEDBACK

PARTICIPANTS NAMES
SR# PARTICIPANT NAME UNIT DESCRIPTION ACTUAL SHIFT GROUP
01
02
03
04
05
06
07
08
09
EVALUATION / GRADING OF FIRE FIGHTING ACTIVITIES
SR# ACTIVITIES TOTAL MARKS OBTAINED MARKS
01Fire Truck Reached at hrs.10
02Assembling of Fire Squad at hrs.10
03Warden / deputy warden and team communication10
04All emergency response team members joined10
05Behavior & response of fire squad members after emergency declaration10
06Hose Handling Technique10
07Squad Use of PPE's was appropriate (SCBA, Gas / Fire / Chemical / Aluminized Suit)10
08Under Wind, Plant / Building Prevented...10
09Rescue Done in Safe Manner...10
10Briefing & Debriefing Done by Warden10
Total Score 100 0
OBSERVERS FEEDBACK
OBSERVATION RECOMMENDATION TARGET DATE RESPONSIBILITY
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