Emergency Drill Format No

Reporting Form Rev No 00

Drill No 02 Date 05.02.2019

Drill Starting Time /Alarm Sounded Time: 14:18PM Time Drill Concluded: 14:45PM

Type of Drill: Notification / Alert Method: Weather Conditions:

 Fire  Bell or Buzzer  Clear

 Height work  Voice Notification  Cloudy
 Earthquake  Other: ______________  Raining
 Medical Emergency  Rain and wind
 Electrical Accident  Windy
 Other:
__________________

Participants: (check all that apply) Situation at Start of Drill: Emergency no displayed at
various places in site

 Senior Management  Before Business Hours

 Safety Personnel  During Business Hours
 Employees/Staff  Peak Business Hours
 First aid team  Lunch Time  Yes
 Evacuation team  After Business Hours  No
 Emergency Medical  Other:
Services
 County Emergency Mgmt. _____________________
 Other:

___________________

Management previously trained Employees previously trained on First aider available at site
on emergency procedures this emergency procedures this year?
year?

 Yes  Yes  Yes

 No  No  No

Details of Victim Informer Details

  Name: Pankaj Kumar  Name: Tanmoy Ghosh
 Age: 25  Age: 26
 Nature of the work: Rigger  Nature of the work: HSE Steward
 Gate pass no: 221188  Gate pass no: 214789
 Date & Time of the incident: 05.02.2019,  Date & Time of the incident: 05.02.2019,
14:18PM 14:18PM

Emergency vehicle type Details of Emergency vehicle driver

 Name: Bhuta Gorain
 Ambulance
 Age: 38
 Emergency vehicle
 Nature of the work: Driver
 Personal vehicle
 Gate pass no: 209394
 Date & Time of the incident: 05.02.2019,
14:18PM

Problems Encountered: (Check all that apply)

 Congestion in hallways  Radio communication problems

 Alarm not heard  Network / computer problems
 Employees unsure of what to do / proper  Noise impedes communications
 Staff unsure of responsibilities / response  Personnel not out of sight (lockdown
 Traffic Problem drill)
 Unable to lock doors  Long time to evacuate
 Windows not covered  Personnel not serious about drill
 Windows left open  Improper or unavailable supplies
 Doors left open  Confusion
 Long time to extinguish  Doors or Exits blocked
 Personnel not accounted for / attendance  Transportation
 Difficulties with evacuation of disabled personnel,  Interagency miscommunications
customers or visitors  Incident command problems
 Personnel unaccounted  Other:
____________________________
______________________________
____

Incident Command System Incident Controller Name : Incident Controller Signature

Used?
S. Goswami
 Yes
 No

Brief about the drill, Extenuating Circumstances / Identified Factors / Special Conditions Simulated:
Exactly 14:18PM the drill has started.The main objective of the drill is Falling From Height Rescue.

One of our Rigger Pankaj Kumar got slipped and fell down during descending from ladder (1.7mtr height)
at TF1 area, immediately the co worker Lalu A. B shouted and passes the information to the site supervisor
& site Safety Steward 14:19pm.The Safety Steward informed by phone on 14:19PM to our first Aider &
informed by phone on 14:20PM to our work incident controller team.

The following sequence of events noted during the Mock Drill:

14:22 The First Aider arrived at site with first aid box & gave First Aid to the victim.
14:23 Work incident controller (Misc. Tuaman) reached at Incident spot with Emergency vehicle.
14:23 EIL HSE team reached at site.
14:24 The victim shifted to the Emergency vehicle & left to the hospital.
14:25 All the activity was stopped & informed all to assembly at the designated assembly point.
14:27 Head count done.
14:29 Briefly described all regarding the incident & about Emergency Preparedness by HSEO.
14:37 Briefly described about Emergency Preparedness by TEL Management & EIL HSE Team.
14:44 Informed to all that fall from height mock drill conducted.
14:45 Declared all clear & workers returned to work.
Details of drawbacks:
1. Lack of traffic control has identified at the time.
2. The victim was not using grab arrester during descending from ladder.

Corrective Action :

1. Awareness training given to all workers regarding the importance of using of grab arrester during
ladder climbing & descending.
2. Periodical mock drill training required to eliminate the above drawbacks.

Binaya Kumar Rout- Lead Safety Sumit Goswami-RCM

Signature Signature