MOCK DRILL REPORT

AVU & SR-LPG TREATMENT UNIT

MOCK DRILL SCENARIO: Date & Shift:
Unit Operating Condition: Throughput…………….. MT/hr
Any Other Special Conditions:

Sl
Description of Action point Action By Time Remark
No.
1

10

11

12

13

14

15

16

17

18

19

Mock Drill/2020-21/....... 1 of 4
 Sl
Description of Action point Action By Time Remark
No.
20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

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 Individual Performance Report
Overall
Sl Promptness Accuracy Communication
No.
Name Designation Performance
High Medium Low High Medium Low High Medium Low Rating
1
2
3
4
5
6
7
8
9
10

Overall marks are given based on the following points:

Marks
Actions and communication during emergency was not proper 3
Meeting the requirements of emergency 4
Very accurate & perfectly executing the emergency 5

Post Mock Drill Skill Development Report:

GAPS IDENTIFIED
Sl
Description of Gap Action By
No.

Mock Drill/2020-21/....... 3 of 4
 RECOMMENDATIONS
Sl
Recommendations
No.

Sl
No.
Name & Designation Signatures NAME & DESIGNATION Signatures

1 MOCK DRILL COORDINATOR

2

4 INTERNAL OBERSERVER
5

7 EXTERNAL OBERSERVER
8

10

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