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FO-SHE-14

EMERGENCY DRILL CRITIQUE FORM

WAREHOUSE/LOCATION:

TYPE OF DRILL: DATE OF DRILL:


FIRE EARTHQUAKE
TYPHOON/FLOOD Other, Specify TIME STARTED: TIME DRILL ENDED:

I. PRE-DRILL REQUIREMENTS
Review program procedure for the following Yes No Comments/Remarks
1. Emergency scenario for the drill
2. Instructions & evacuation map updated
3. Evacuation area identified
4. Emergency exits and routes unobstructed
5. Interested parties were informed
6. All required materials were prepared

II. DRILL EVALUATION


Criteria Yes No Comments/Remarks
1. Are all employees oriented about the
scenario of the drill?
2. Is the scenario followed?
3. Is the alarm system functional and the
sound audible?
4. Are emergency exits and routes used
properly?
5. Did all personnel assembled in the
evacuation area?
6. Is the fire controlled orderly?
7. Did the ERT members executed their
responsibilities accordingly?
8. Are all people in the evacuation area
accounted?
9. Are safety procedures followed during the
drill?
10. Is search and retrieve operation conducted
for missing personnel?
11. Is the drill taken seriously while being
carried out?
12. Did all employees participated in the drill?
13. Were the clients & visitors considered
when planning and during the drill?

Revision No.: 01 Effectivity Date: September 15, 2019


Date of Revision: May 31, 2023
FO-SHE-14
III. EMERGENCY
SUMMARY OF THE DRILL, LESSONS LEARNT, & IMPROVEMENT DRILL CRITIQUE
OPPORTUNITIES FORM

REQUIRED ACTIONS RESPONSIBLE DEADLINE

All required actions & findings shall be discussed at next Safety Committee meeting.

Signature &
Warehouse Manager
Date
Warehouse
Signature &
Supervisor / Safety
Date
Officer

Revision No.: 01 Effectivity Date: September 15, 2019


Date of Revision: May 31, 2023

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