Emergency Drill Report

Date: / /
Emergency Drill:
Site :
Participants :

1) Preparations:

S. Description Status
N

2) Emergency team:
 First aiders:
 Fire fighting team:

3) Performance:
 Response time:
 Head counting:
o No. of employees working at site:
o No. of employees gathered in muster area:

4)Recommendations & Root Cause Analysis :

5) Notes:

Safety officer : __________________________ Date: / /

Signature: ___________________

Project Manager Signature: _________________ Date: / /

FP16-01 Rev. a