PLANING DETAILS FOR FIRE MOCK DRILL
WORKERS /PARTICPANT NAME and
SR.NO. ACTIVITY WORK PLAN DESIGNATION TIME IN ACTIVITY
1 FIRE STARTING
2 HOTTER ACTIVE PRESS BUTTON
3 FIRE EXTINGUSHING WITH 4.5KG CO2 & 6KG ABC EXTINGUSHER
4 HOSE PIPE WITH NOZZLE & HYDRENT OPERATION
5 IN CASE THE FIRE INCIDENT PERSONS
6 FIRE MAN LIFT
7 ELECTRIC SHOCK INCIDENT
8 ELECTRIC SHOCK PERSON RESCUE LIFTING WITH STRETCHER
9 FIRSTAIDRS C.P.R WITH FIRST AID BOX
DOC No : F/M&P/MOCK-DRILL REPORT
PAGE NO. : 1 of 1
MOCK DRILL REPORT
1 Site of Emergency main gate
2 Type of Emergency Fire
3 Mock Drill Started at & Completed at Main Gate and completed at main gate
4 Intimation Given to Proprietor/fire dept/ambulance /Sr
employee
5 ALARM/HOOTER RAISED 9.13 AM
6 Assembly of all in emergency assembly area First person-9.13 Last person -9.20
7 Call for fire tender given at & reached at 9.1 5 AM- Reached 9.40 AM
(Response time 15 to 20 minutes) 25 minutes
8 Call for Ambulance given at & reached at:
9.30 AM Reached 9.45
(Response time 15 to 20 minutes)
9 Shops involved in Mock-Drill Production weldeing and powder coating
operators
Fire evacuation, extinguisher handling needs
10 Observations made improvement more samd buckets should be
installed
11 Inadequacies observed Empty cyllinder near genset area
12 Mock-Drill Conducted & Organised by Signature :
Designation :
RILL REPORT
Date and Time Remarks
7 minutes
25 minutes
:
15 minutes
:
FORMAT NO - AT/EMS/FE/01
FIRE EXTINGUSHER & SEND BUCKET REPORT (MONTHLY)
SR.NO. Location Type of Fire QTY. Manufacturing Refill Date
Extinguisher Date
1 GATE ABC 6KG 1
WATER 9L 1
S.BUCKET 1
2 Production hall ABC 6KG 2
CO2 4.5KG 2
ABC 50KG 1
WATER 9KG 2
S.BUCKET 2
3 Store ROOM ABC 6KG 2
CO2 4.5KG 1
MODULER ABC 5KG 1
S.BUCKET 2
4 FILTTER ROOM ABC 5KG 1
CO2 4.5KG 1
S.BUCKET 1
5 O/E ABC 6KG 4
ABC 6KG 1
CO2 4.5KG 1
S.BUCKET 2
6 T.F.O. ABC 6KG 1
ABC 6KG 1
S.BUCKET 3
7 PACKING ABC 5KG 1
S.BUCKET 1
8 O/E+TFO PANEL MODUL ABC 5KG 1
ABC 5KG
9 PACKING EXIT GATE 1,2 WATER 9KG 2
CO2 4.5KG 1
10 GENERATOR ROOM CO2 4.5KG 1
11 DIESEL TANK M.FOAM 50KG 2
S.BUCKET 3
12 WORKSHOP CO2 4.5KG 1
13 GATE 2 CO2 4.5KG 2
14 MANE GATE 1 CO2 4.5KG 1
CHACKED BY F.S.O. G.MANEGER
FORMAT NO - AT/EMS/FE/01
ONTHLY)
Next Refill due on