GOVERNMENT HOSPITAL THIRUMANGALAM - 00206 Disaster management- Post event analysis of

On site management Date and Time of receiving :

Type of Disaster:

Total no. of casualties received:

1. Activation time

1) Code announcement time

2) Informed CMO

2.Response time

1) No. of people responded –

a) Doctors b) Staff Nurse c) HWS d) Paramedicals e) sanitary

workers
2)Time of arrival of respondents
3.Triaging

1)Dead bodies removal time

2)Walking people (green tagged) –segregation time

3)Emergency – (Red)-no. attended

4)Delayed (yellow)- no. attended

4.No. of cases managed medically-

5.No. of cases managed surgically-

6.No. of referrals-

7.Outcome
1)Total no. of casualties received- 4)No. of referrals and referral outcome-
2)No.of brought dead- 5) No. of persons died –
3)No.of persons salvaged -

Remarks:-
1)Any structure related barriers

2)Any deficiencies in Process

Signature of Safety Officer/Disaster Management I/C MO