EHS MANAGEMENT SYSTEM

RSMIPL
MOCK DRILL REPORT

DATE :

TIME :

Total Duration of Mock Drill

Total Duration for gathered Employee at Safe Assy Point

First person to reach the Safe Assembly point - Time

Last person to reach the Safe Assembly point - Time

SI.No Scenario Time Taken

1
2
3
4
Mock Drill Situation : 5
6
7
8
9
10
11

Total Head Count :

Mock Drill Observations

SI.No Findings Corrective Action Status Preventive Action Status

Any action required to be taken in the Emergency Preparedness Plan : Yes / No

Remarks :

Prepared by: Verified by:

MAPEH-001-01B