Document Code:

Administration GLUCORP (PVT) LTD ADMN-4-011

Issue No: 01
Title: Page 1 of 2
Evacuation Drill Monitoring Report Issue date:
April 10, 2020

Date of Evacuation Timing Department Areas Covered

All Dept All Factory Operations

Location
Activity of Evacuation Drill Assembly Point Comments
(time in 24hrs format)
1. Alarm raised at
2. First person reached at
assembly point

3. Evacuation completed at
4. Attendance sheet
available at
5. Roll count started at

6. Roll count completion at

7. Total Head Count

8. All Clear given at

9. Resumption of work at

Observations (List down all relevant observations for improvement e.g., behavior, system, procedure, supervision,
management)

1.
2.
3.

4.
(Use additional sheet, if required, attached pictures of the drill activity if taken)

Overall Comments:

Prepared By Reviewed By Approved By

(Manager Admin) (Manager QA) (Emergency Response Team
Leader or Head of Operations)
 Document Code:
Administration GLUCORP (PVT) LTD ADMN-4-011
Issue No: 01
Title: Page 2 of 2
Evacuation Drill Monitoring Report Issue date:
April 10, 2020

Pictorial Evidence of the Evacuation Drill Activity.