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Mock Drill

1 Date and Time of Mock Drill 20/09/2023 11:25


2 Location PROP:P.RAMAMURTHISF NO.90/A2,KITTAMPALAYAMANNUR
ROADSH165,COIMBATORE
3 Details of Emergency Scenario null(FIRE EXSTINGUISHER TRAINNING)
4 Details of initiation / activation of FIRE EXSTINGUISHER TRAINNING
emergency
5 Description of the mock drill (the FIRE EXSTINGUISHER TRAINNING CA AND OTHER STAFF
narrative of the situation, all actions)
inclduing response of emergency team
and mitigation actions
6 Communication and Response of Emergency teams
Events Expected Response Actual Response Time Remarks if any
Time
6(a) Siren activation after initiation 05 05
6(b) Reporting of CIC 06 06
6(c) Reporting of SIC 07 07
6(d) Fire Team 05 05
6(e) Medical Team 07 07
6(f) Security Team 07 07
6(g) Mutual Aid 07 07
6(h) E&M 07 07
6(i) Others 07 07
7 Head Count
7(a) Total persons present in the installation 8
before the drill
7(b) Total persons available at Asembly 8
point(s)
7(c) Difference of Head Count after Drill 0
7(d) Action taken to search the shortfall of
headcounts, if any
8 Time of "All Clear" 20/09/2023 12:02
9 Duration of Mock Drill (in minutes) 30
10 Observations (including highlight the poistives of the drill)
ALL CA HAS BEEN TRAINED
11 Recommendations
NA
12 Emergency Exercise Observers
Name of the Observer Area of Observation

223474 - SSM AGENCY

SIGNATURE

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