Attachment 1 – Sample Drill/Exercise Record

MOU:	Date:

Brief description of drill/exercise scenario:		(e.g. fire in pantry, muster, etc.)

Emergency response elements exercised:

1 Emergency control centre • Command • Communications • Information availability • Establishing alternate location	7 Helideck (if installed) • Leadership • Fire monitor and rescue equipment • Casualty handling
2 Mustering • Accounting for personnel • Moving and controlling personnel • Communications	8 Collision/Flooding • Manual operation of valves • Preserving watertight integrity • Emergency dewatering
3 Evacuation/escape • Survival craft boarding • Survival craft launching • Escape systems • Protective equipment • Communications	9 Man overboard • Rescue boat launching • Standby vessel communication
	10 Severe storm • Securing equipment on deck • Preserving watertight integrity
4 Fire teams • Leadership • Communications • Fire containment and extinction • Dewatering • Breathing apparatus procedures • Search and rescue • Casualty handling	11 Hydrogen sulphide
	12 Diving operations (if applicable) • Onboard emergency while divers submerged • Emergencies involving divers
5 First aid • Casualty management • Casualty handling • Casualty evacuation	13 Assistance to others 14 Enclosed Space Entry and Rescue (See resolution A.1050(27)) 15 Rescue at heights
6 Well control (if applicable) • Trip drills • Kick drills • Well control • Well kill • Shallow gas	16 Security awareness 17 Environmental awareness

Comments on performance:

Recommendations for improvements:

Signed:___________________		Position:___________________
	Date:_________________