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EMERGENCY DRILL REPORT

Company Name Ganesh Packaging

Title: Mock Fire Drill Date: 03.04.19

Attach to this form a list of all staff who participated in the drill, and any visitors participating.

Time Alarm Sounded: 9.45 am Time Drill Concluded: 10.00 am Time to Evacuate:
(fire evacuation drills only)

Type of Drill: Notification / Alert Method: Weather Conditions:

 Fire / Evacuation  Bell or Buzzer  Clear

 Lockdown  Enhanced Alert System  Cloudy
 Modified Lockdown  Intercom  Raining
 Shelter-in-Place  Phone  Rain and wind
 Earthquake  Voice Notification  Windy
 Tsunami  Siren  Snow / Sleet
 Medical Emergency  Other: ______________  Hail
 Weather Emergency
 Other: __________________

Participants: (check all that apply) Situation at Start of Drill:

 Senior Management  Before Business Hours

 Safety Personnel
 Employees/Staff
 Security Officers
 Law Enforcement
 Fire Department
 Emergency Medical Services
 Other ___________________
 During Business Hours
 Peak Business Hours
 Lunch Time
 After Business Hours
 Other: _______________
_____________________

Management previously trained on Employees previously trained on

emergency procedures this year? emergency procedures this
year?

 Yes  Yes
 No  No

Prepared By Approved By
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 FSTL Managing Director

EMERGENCY DRILL REPORT FORM

Situation:

325KVA DG set failure due to non-function of main panel at 2.00pm & the same be informed to General Manage by Incharge
Maintenance. Effected total plant production and milk despatches are delayed.

Root Cause:

Immediately run the 125 KVA DG set and connection given to emergency production blocks to complete the milk batches
and packing.

Also delay in reaching AMC person to the plant, which is supposed to start from Bangalore.

Corrective Action:

Immediately contact with APSEB AE and requested to continue 3 phase power line to the plant. AE informed to near sub-
station In-charge & they reinstated the power to the plant next day at 10.00am and it continues upto rectification of
problem. All the issues are closed by replacing the Main panel part by supplier on 29th Oct’14 at 12.00noon.

Verification of Effectiveness:

GM instructed Maintenance Incharge for regular checkup of 325 KVA DG set & maintenance of good relations with supplier.

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 Prepared By Approved By

FSTL Managing Director

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