Whsmp · OPW16/0021

                                                                           Hutchinson Builders – ABN:52 009 778 330

                                                   Work Health & Safety Management Plan
                                                                         Appendix 8 – Emergency Response Plan
                                                                                                          Version: 9


APPENDIX C – FIRE / EMERGENCY EVACUATION CHECKLIST

Project Location: 71 Seaview Tce Sunshine Beach Q 4567 Date:

Type of Evacuation: Fire /Emergency Drill ☐             Actual Fire/ Emergency 

Time Fire/ Emergency Start:                      Time Out of Building:

Time All Clear Given:

Number of Fire Emergency Members in Attendance:

                                                                                          AREA CHECKED
 AREA                AREA TO CHECK                   FIRE EMERGENCY OFFICER
                                                                                            Yes / No
   1




   2




   3




   4




   5




 All Clear Given to re-enter Building               Lead Fire Emergency Member
                                   Print Name:


All workers accounted for – check with trades: Yes ☐     No ☐    Numbers:

 Comments / Recommendations:




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