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Mr. Jeffrey Wong <br /> ■ <br /> San Joaquin County Environmental Health Department <br /> 25 March 2011 <br /> Utu f�e-d <br /> Distribution Center-Stockton <br /> EVACUATION CRITIQUE SHEET <br /> [late: j Shift: Stagy l Time: End Time: �Total Time. - <br /> Evacuation Fire o Earthquake o Spill o Bomb Threat 0 <br /> Type: <br /> Was the Yes 0 Time: <br /> Fire Dept No 0 By wham? <br /> notified? <br /> Did the guard prevent trafficfr ente•n,, ;(es 0 <br /> or leaving? No a Why: _ <br /> Was location of the emergency identified? Yes 0 <br /> Were all personnel accounted for durir:g Yes 1) <br /> roll call?include all employees. <br /> contractors. truck drivers and visitors. No D Why: <br /> Did office employees during off-shift Yes D <br /> contact guard in case of emergence <br /> No D Who: <br /> Was there effective communication Yes 0 <br /> between emergency coordinator. <br /> supervisor or alternate? No 0 lain: <br /> rDid ER members , For each no response. identify who is missing which <br /> have available the equipment? <br /> following equipment Alarm Map(Emergency Coordinator) Yes o No om <br /> with them when Flash light Yes 0 No tl <br /> reporting to the Full Face Respirator Yes 0 No 0 <br /> emergency center? Coveralls Yes 0 No 0 <br /> Two types of gloves Yes 0 No U <br /> 'first Aid Kit Yes 0 No u <br /> Vest Yes 0 No 0 <br /> - Other Iden <br /> Improvement Actions Responsible Person Completion Date <br /> JE Compliance Services, Inc. <br />