Laporan Simulasi Tanggap Darurat PDF [PDF]

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No. Form : FM-TR-IH-06 Revisi : 0 Tgl. Eff : 1 April 2015



LAPORAN SIMULASI TANGGAP DARURAT



; Lokasi Simulasi Darurat (Area ERP Simulation)



Nama Korban (Name of Injured) 1.



ID



2.



ID



3.



ID



4.



ID



Tanggal dan Waktu (Date and Time)



Kerusakan Bangunan (Property Damage) -



Koordinator OKD (ERP Coordinator)



Potensi Kerusakan Lain (Other or potensial Loss) Tipe/ Type



:



Kerugian/ cost



:



Waktu Pengendalian Bencana (Response Time To Handle Incident) Fire Brigade Mengambil Alih Pemadaman (Fire



Team Pemadam Kebakaran (Fire :



Hour



Minute



Bregade Come To Hndle)



:



Hour



Minute



:



Hour



Minute



:



Hour



Minute



Fighting Extinguish The Fire)



Paramedis/ Ambulance (Paramedis/ :



Hour



Minute



:



Hour



Minute



Team P3K (First Aid Team)



Ambulance) Pengungsian Seluruh Karyawan (Evacuation of All Employee)



Total Waktu Pengendalian (Total Time To Control Incident)



LAPORAN SIMULASI TANGGAP DARURAT



No. Form : FM-TR-IH-06 Revisi : 0 Tgl. Eff : 1 April 2015



Kronologi Kejadian Bencana dan Tindakan Pengendalian (Describe How The Incident & Emergency Action)



;



Tindakan Perbaikan untuk mencegah terulangnya/ Recommendation for preventive of accident again