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Mock Drill FORMAT
Mock Drill FORMAT
Project: Date:
Location:
PART A: - (This has to be prepared and circulated to VP,Sr.GM & all section
incharge at least 48hrs. prior to conduct the mock drill).
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PART B (To be prepared after mock drill) :-
Sequence actual:
(Actual sequence with time chronology are to be mentioned in line to the sequence
planned)
At around 12.31 PM, Safety representative received a call from site Sup. That a worker
got electrical shock on 1st floor tower-1 in Hospital building.
At 12.32 PM, First aider communicates to reach tower-1 hospital building with ambulance &
first aid box, Stretcher.
At 12.34 PM, Victim was immediately shifting to safer place and removed his Ppe’s. And
communicated to all site staff, project in charge and client.
At 12.35PM, All workers got Instructions from their supervisors to Move from work
place to Assembly point.
At 12.35 PM, Ambulance reached at the location with the Noise of Siren.
At 12.37 PM, Victim shifted in ambulance & send to the Vijaypur hospital.
At 12.39 PM, Victim was checked by the first aider. And first aid (CPR) given in the ambulance
when victim was going to hospital by ambulance.
By 12.45 PM, Briefed the gathered mob it was a Mock drill and updated the preliminary
results of mock drill to gathered mob.
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Worker got electrocution. Safety sup. reached the location & remove
the wire by wooden stick.
Victim shifted to safer place and ppe’s removed Victim shifting outside the tower - 1
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Mode of communication: Mobile Call Duration of response: 20 Minutes.
&Whistle
Deviations: -
1. Awareness level amongst the workers should be increased.
2. Emergency Control Room is not evident at site.
3. The workers showed some low response from the end of steel yard.
Name & Signature of HSE personal:- Name & Signature of Section Head:-
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