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Unified REI <br />Ci'GG2YS. <br />V D <br />Distribution Center - Stockton <br />EVACUATION CRITIQUE SHEET <br />TH <br />Date: Shift: Start Time: End Time: Total Tim . <br />Evacuation <br />Fire 0 <br />Earthquake 0 <br />Spill 0 <br />Bomb Threat 0 <br />Type: <br />Was the <br />Yes 0 <br />Time: <br />Fire Dept. <br />No 0 <br />By whom? <br />notified? <br />Did the guard prevent traffic from entering <br />Yes 0 <br />or leaving? <br />No 0 Why: <br />Was location of the emergency <br />Yes 0 <br />identified? <br />No 0 Why: <br />Were all personnel accounted for during <br />Yes 0 <br />roll call? Include all employees, <br />contractors, truck drivers and visitors. <br />No 0 Why: <br />Did office employees contact guard in <br />Yes 0 <br />case of emergency? <br />No 0 Who: <br />Was there effective communication <br />Yes 0 <br />between emergency coordinator, <br />supervisor or alternate? <br />No 0 Explain: <br />Did ER members <br />For each no response, identify who is missing which <br />have available the <br />equipment? <br />following equipment <br />Roll Call List (Emergency Coordinator) Yes 0 No 0 <br />with them when <br />Flash light Yes 0 No 0 <br />reporting to the <br />Full Face Respirator Yes 0 No 0 <br />emergency center? <br />First Aid Kit Yes 0 No 0 <br />Vest Yes 0 No 0 <br />Other(Identify): <br />Improvement Actions <br />Responsible Person <br />Completion Date <br />01-14-13 26 <br />