6.D-017B Emergency Fire Drill Report Rev 0
6.D-017B Emergency Fire Drill Report Rev 0
6.D-017B Emergency Fire Drill Report Rev 0
017B
PT. VEKTOR MARITIM SQE MANAGEMENT SYSTEM FORM August 01, 2012
Rev: 00
EMERGENCY DRILL REPORT Page
1 of 2
Latitude : Longitude
01° 42.35 N 101° 29.43 E
:
Reason For
ON DUTY
Absence :
GENERAL INFORMATION
Type Of Drill : Fire Drill In Acomodation
Location of Fire : Galley
Give reference to the Emergency Checklist used : EMERGENCY PROSEDURE MANUAL
Drill Commenced at : 16.30 Lt Drill Completed at : 16.55 Lt
IN OUT
Person Entering
Time Pressure Time Pressure
Surahman 1637 210 1640 190
Muhammad Khaldun 1637 210 1640 190
Octavianus Todingan 1637 210 1640 190
Solihin Suwarna 1637 210 1640 190
Note : All Fire Man’s Outfit shouldbe checked for their operation and defects.
This review shall be performed every time a Emergency Drill has been carried out. The Master shall carry out a
complete review of the emergency procedures and drill along with all participants after completion of drill. The
following areas are to be covered (Put a tick mark in the relevant box against each item).
Any defects or shortfalls with any of the above items, must be rectified and the office is to be immediately notified
using the ’Near Miss Reporting ‘ form.