Emergency Response Drill Checklist
Date of Drill:
*
-
Month
-
Day
Year
Date
Drill Lead By:
*
Email
example@example.com
Type of Drill:
*
Please Select
Evacuation
Medical Emergency
Rescue from Height
Explosion
Flood
Threat of Violence
Trench Collapse
Utility
Job Site
*
RW-541 Sunridge Mall Snow Removal
RW-705 Bridgeland Improvements Project
RW-752 Carstairs Hwy 2A Improvements
RW-760 15th Avenue Mobility Improvements
RW-764 Sunnyside Flood Barrier 2025/26
RW-768 Saddlebrook Pavement Rehab
RW-771 CFD Apparatus Slab Replacement
RW-773 14th Street NW Pathway
RW-774 18th St SE Pathway
RW-778 Bow View Manor Emergency Work
UG-728 Mandalay Phase 5B
UG-730 NWIC Phase 2 (Kensington)
UG-743 Lawrey Gardens Outfall B76
UG-747 Cochrane Emergency Repairs
UG 754 - Water maintenance RFSO
UG-759 - Fish Creek Sludge Forcemain Upgrades
UG-761 Bow River Siphon Line Stop & Isolation Valve
UG-765 52 St and Memorial Dr. NE Feedermain
UG-766 2025 Watermain Replacement
UG-777B BPSFM Emergency Inspection Support
UG-777C Pipe Diver Installation
UG-779 Phase 4 Bearspaw Feedermain Repairs
UG-784 Shepard Energy Centre-Repair SOR
UG-785 Discovery Ridge Lift Station
UG-786 Bowness Park Cross Tie
CP-676 CP Rail Work
36 Avenue Yard
Balzac Shop
Spring Garden Lay Down
Type Site Name
Muster Point:
*
Evaluation
*
Rows
Yes/ No
Improvements Needed
Was the emergency response system tested?
Yes
No
Did everyone follow the evacuation routes?
Yes
No
Was the evacuation carried out in an orderly fashion?
Yes
No
Did everyone go to the designated meeting area(s) (muster point)?
Yes
No
Was there an accurate head count?
Yes
No
Were all communications equipment tested?
Yes
No
Did all communications equipment function properly?
Yes
No
Were any special hazards discovered?
Yes
No
Evacuation start time:
*
Hour Minutes
AM
PM
AM/PM Option
Evacuation end time:
*
Hour Minutes
AM
PM
AM/PM Option
Total evacuation time:
*
Total number evacuated:
*
Summary of completed drill:
(i.e. what worked well, what needs improvement)
Follow Up Action Required:
Corrective Action
Assigned to:
Target Date:
-
Month
-
Day
Year
Date
Date Completed:
-
Month
-
Day
Year
Date
Corrective Action
Assigned to:
Target Date:
-
Month
-
Day
Year
Date
Date Completed:
-
Month
-
Day
Year
Date
Improvements/Corrections Made:
Attendance Sheet
*
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