Emergency Action Assessment Worksheet & Quiz

Emergency Action Assessment Worksheet & Quiz

General

1. Who do you report accidents to? 1^st __________________, 2^nd __________________, 3^rd _______________________.

2. Where are emergency phone numbers listed? ___________________________________

3. Where are first aid providers names and phone numbers listed?_____________________ _______________________________________________________________________

4. Where are instructions located that you can give to an emergency response person you want to reach your workplace?______________________________________________

Fires

5. Who do you call in case of a large fire? 1^st __________________,

2^nd _____________________, 3^rd _______________________.

6. Where can fire extinguishers be found? _______________________________________

7. How do you contact a person trained to correctly use a fire extinguisher? _______________________________________________________________________

8. Are you aware of the type of fire extinguisher to use? A ________________, B______________, C_____________, D_______________.

9. What does PASS stand for? P_______, A_______, S________, S__________.

10. What is the signal used in your plant for a fire? _______________________

12. Where is your designated evacuation meeting area in case of fire, explosion or other disaster? ____________________________________________________________

Weather

13. When working outside, during an electrical storm, when and where do you seek shelter?________________________________________________________________

14. When working outside in high winds, when and where do you seek shelter? _________

______________________________________________________________________

15. What criteria do you use in deciding to take action during severe downpours and what action do you take? ­­­­­­­­­­­­­­­­­­­­­­­­______________________________________________________

Medical

16. Are you capable of providing first aid to a fellow worker in need? _________________ ______________________________________________________________________

17. What do the following terms mean? Check ___________________________________, Call ___________________________________, Care __________________________

18. How do you determine when to call a paramedic? ______________________________ ______________________________________________________________________

19. What emergency phone number should you call for emergencies you are unable to handle? _____________