Emergency Evacuation Roll Call
Complete this form during an evacuation drill or emergency to account for attendance and record observations
Date & Time
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
First Responder Name:
*
Job Title:
*
Please Select
Accounting Associate
Accounting Manager
Accounts Payable Associate
Accounts Receivable Associate
Administrative Support Associate
Bonded Warehouse Associate
Business Development Manager
Chief Executive Officer
Chief Financial Officer
Chief Operations Officer
Corporate Senior Safety & Terminal Manager
Corporate Senior Warehouse Manager
Customer Service CFS Associate
Customer Service FCL Associate
Customer Service Manager
Customer Service Supervisor
Customs Consultant
Customs Services Coordinator
Distribution Account Associate
External Operations Lead
Field Operations Manager
Fleet, Safety, and Compliance Coordinator
General Branch Manager
General Branch Supervisor
Head of Integrated Operations
Health Safety and Environment Coordinator
HR and Quality Compliance Coordinator
Human Resource Senior Manager
Information Technology Manager
Information Technology Technician
Logistics Associate
Operations Planning Manager
Pricing & Sales Lead
Sanitation Associate
Terminal Associate
Terminal Operator
Terminal Supervisor
Transportation Dispatch Associate
Transportation Driver
Transportation Supervisor
Treasury and Financial Control Manager
Warehouse CFS Associate
Warehouse Distribution Associate
Warehouse Forklift Operator
Warehouse Lead
Warehouse Shipping & Receiving Associate
Warehouse Supervisor
Area:
*
Please Select
Warehouse
Terminal
Office
Transportation
Branch
*
Please Select
Laredo
El Paso
Pharr
Santa Teresa
San Antonio
Brownsville
Total Employees Expected
*
Employees Accounted For:
*
Observations or Un-safe conditions:
*
Leave comments here about signage, for example if a sign is missing, confusing, employees did not follow orders, or any other related observation.
All employees at assembly point
*
Employee Status
Employees
*
Please upload a photo of your team (the people you supervise). You can upload as many photos as needed. Please don't take selfies-only back facing camera
*
Time taken to exit:
*
Enter the total time it took for the entire company to exit (not just your team). This time will be provided by an assigned person or HSE Coordinator.
Your Signature:
*
Continue
Continue
Should be Empty: