PUT ODISHA BRIDGE & CONSTRUCTION CORPORATION LTD

YOUR
COMPANY DEVELOPMENT OF VARIOUS PROJECTS IN ODISHA
DOC. No.
LOGO EMERGENCY MOCK DRILL REPORT OBCC/HSE/012

Company Name & Site: Date:

Location:

Type of Mock Drill:

Duration of Mock Drill:

Conducted by:

Purpose:

PART A: - (This has to be prepared and circulated to PM, DPM & all section
incharge at least 48hrs. prior to conduct the mock drill).

Sequence Planned (Following headings to be addressed):-

 Identifying & reporting of emergency.

 Respective communication and other information to all concerned regarding
emergencies with respect to the situation for fire, personal injury, natural calamity.
 Specify the action to be taken by the emergency response team.
 Assembly
 Situation normalization. All clear message from spot.
 Head count confirmation.
 Briefing all concerned about the mock drill result.
 All clear siren/ declaration.
 Disbursement of gathering.
 Resume the normal activity.
 Reporting to all concerned.

Page 1 of 3
 PUT ODISHA BRIDGE & CONSTRUCTION CORPORATION LTD
YOUR
COMPANY DEVELOPMENT OF VARIOUS PROJECTS IN ODISHA
DOC. No.
LOGO EMERGENCY MOCK DRILL REPORT OBCC/HSE/012

PART B (To be prepared after mock drill) :-

Sequence actual:
(Actual sequence with time chronology are to be mentioned in line to the sequence
planned)

Page 2 of 3
 PUT ODISHA BRIDGE & CONSTRUCTION CORPORATION LTD
YOUR
COMPANY DEVELOPMENT OF VARIOUS PROJECTS IN ODISHA
DOC. No.
LOGO EMERGENCY MOCK DRILL REPORT OBCC/HSE/012

Number of Participants Overall Performance

Mode of communication: Duration of response:

Deviations/ Suggestions for improvements: -

Signature of HSE personal: - Signature of Section Head: -

Name & Sign Name & Sign

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