PART I DOCUMENTATIONS (40% Of Overall Score Achieved Will .

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SCDF CERT AUDIT CHECKLISTANNEX CPART I – DOCUMENTATIONS (40% of overall score achieved will be used forAudit grading)CatScoreDocuments1. EMERGENCY RESPONSE PLAN (35 points)The premises has formulated a complete EmergencyResponse Plan that contains the following information:1. AIM12. SITUATION2.1Introduction (brief description of nature ofbusiness, products and methods)2.2Area of Operations2.312.2.1Location of Premises and its MainAccess Road12.2.2General Description of the Surroundingsand Neighboring Premises12.2.3Layout of Premises (brief description offacilities, process areas, storage areasand types of HazMat)1Special Hazard and Risk Assessment13. EXECUTION3.1. Concept of Operations13.2. Emergency Actions to be Taken3.2.1.(Phase I) Procedure to notify SCDF,SPF. To notify other related agenciesand surrounding companies13.2.2.(Phase II a) Procedure for EmergencyEvacuation23.2.3.(Phase II b) Emergency Actions tomitigate or contain the Emergency3.2.3.1. Emergency ShutdownProcedure13.2.3.2. Fire Fighting, HazmatMonitoring, Containment andRescue13.2.3.3. Procedure to Implement In-PlaceProtection (IPP)1C-1ScoreAwardedRemarks

SCDF CERT AUDIT CHECKLISTCatScoreDocuments1. EMERGENCY RESPONSE PLAN (35 points)3.2.4. (Phase III) To Clean Up / Decontaminate AndResume Normal Operations3.2.4.1. Clean Up Operations13.2.4.2. Other Emergency Plans13.3. Grouping and Tasks13.4. Key Personnel Emergency Contact Numbers14. SERVICE SUPPORT4.1. Fixed Installations4.1.1. Fire / HAZMAT Protection Facilities4.1.1.1. Detection System14.1.1.2. Extinguishment System14.1.2. Safety and First Aid Equipment14.1.3. Other Protection and General Equipment15. COMMAND AND SIGNAL5.1. Command structure5.1.1. Incident Organisation Chart15.1.2. Location and Component of CommandCentre16. PLAN REVIEW & MAINTENANCE6.1. Communication of Plan16.2. Table Top Exercise16.3. Conduct of Emergency Drill16.4. Review of Hazard Risk Assessment1C-2ScoreAwardedANNEX CRemarks

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsScoreAwardedANNEX CRemarks1. EMERGENCY RESPONSE PLAN (35 points)7. ANNEXES A to HA. Company Site Plan1B. Company Layout Plan1C. Inventory of Petroleum & Flammable Materials(P&FM) / Hazardous Substances1D. Premises Emergency Data1E. Other Premise-specific Emergency Plans andStandard Operating Proceedures1F. Roles and responsibilities of CERT and otherappointment holders1G. Detailed Grouping and Tasks1H. CERT Structure12. EMERGENCY STAFF AIDS (5 points)The following information in ERP is updated and available.a. Site/ Plant layout diagrams* (*To include shipslayout for shipyards with fire fighting facilities)1b. Map illustrating emergency control points (e.g.CERT assembly point, evacuee assembly area, firstaid point)1c.Inventory list of hazardous substances, Safety DataSheets (SDS) and location specific hazards1d. Emergency contact list (e.g. CERT members, FSM,neighbouring premises, government agencies,recovery contractor)1e. List of available fire fighting, rescue and medicalprovisions13. TRAINING RECORDS AND CERTIFICATIONS (30 points)Did members of the CERT undergo regular refresher training?For all CERT premises:Does the premises conduct annual refresher training for theirCERT in the following areas?Note:Refresher training records mustbe availablea. Fire fighting & Hazmat Mitigation (if applicable)3b. First aid3c.5Scenario based field exerciseC-3

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks3. TRAINING RECORDS AND CERTIFICATIONS (30 points)Did members of the CERT undergo the required training as recommended in the National CERT Standard?For Tier 1 P&FM Premises only: Premises storing 5 or more metric tonnes of P&FMSMCWSQ Implement Incident Management Processes[or equivalent]3Note:Refer to the National CERTStandard for more informationTrainingavailableSICWSQ Implement Incident Management Processes; andrecordsmustbe2WSQ Respond to Fire and Hazmat Emergency (3-day)[or equivalent]2Response Team membersWSQ Respond to Fire and Hazmat Emergency (3-day)[or equivalent]12For Tier 1 HRI & Tier 2 Premises only: Public and industrial premises with FSM, and classified as High Risk Installation by SCDF Public and industrial premises with FSM, and stores licensable P&FM less than 5 metric tonnesNote:SMCRefer to the National CERTWSQ Implement Incident Management Processes3Standard for more information[or equivalent]Training records must beSICavailableWSQ Implement Incident Management Processes; and2WSQ Respond to Fire Emergency in Buildings (2-day)[or equivalent]2Response Team membersWSQ Respond to Fire Emergency in Buildings (2-day)[or equivalent]12For Tier 3 Premises only: Public and industrial premises with FSM, and does not store any P&FMSMCWSQ Implement Incident Management Processes[or equivalent]3Note:Refer to the National CERTStandard for more informationTrainingavailableSICWSQ Implement Incident Management Processes; and2WSQ Respond to Fire Incident in Workplace (1-day)[or equivalent]2Response Team membersWSQ Respond to Fire Incident in Workplace (1-day)[or equivalent]12C-4recordsmustbe

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks4. EQUIPMENT READINESS AND MAINTENANCE RECORDS (30 points)Is the CERT appropriately and adequately equipped with the following equipment as recommended in the National CERTStandard?For Tier 1 P&FM Premises only: Premises storing 5 or more metric tonnes of P&FMPersonal Protective Equipment (PPE)a. Disposable chemical suit3b. Rubber glovesNote:Refer to the National CERTStandard for more information1c.Rubber boots1d. Fire fighting suit4e. Breathing apparatus4f.Fire fighting helmet2g. Goggles / Face shields1h. Fire fighting gloves1i.Fire fighting boots1Mitigation Equipmenta. Hazmat absorbents1b. Over-pack drums / Leak sealing devices1c.1Fire extinguishers (appropriate class)d. Hose reel1e. FF nozzles & hoses (1 nozzle, 2x20m hoses)1First Aid and rescue equipmenta. First aid kit1b. Foldable stretcher1c.1Blanketd. AED1Communication Equipmenta. Loud Hailer1b. Walkie Talkie2C-5Maintenance records must beavailable

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks4. EQUIPMENT READINESS AND MAINTENANCE RECORDS (30 points)Is the CERT appropriately and adequately equipped with the following equipment as recommended in the National CERTStandard?For Tier 1 HRI Premises only: Public and industrial premises with FSM, and classified as High Risk Installation by SCDFPersonal Protective Equipment (PPE)a. Fire retardant coveralls5a. Breathing apparatus5b. Safety helmets3c.3Goggles / Face shieldsd. Safety gloves2e. Safety boots2Mitigation Equipmenta. Fire extinguishers (appropriate class)2b. Hose reel1First Aid and rescue equipmenta. First aid kit1b. Foldable stretcher1c.1Blanketd. AED1Communication Equipmenta. Loud Hailer1b. Walkie Talkie2C-6Note:Refer to the National CERTStandard for more informationMaintenance records must beavailable

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks4. EQUIPMENT READINESS AND MAINTENANCE RECORDS (30 points)Is the CERT appropriately and adequately equipped with the following equipment as recommended in the National CERTStandard?For Tier 2 Premises only: Public and industrial premises with FSM, and stores licensable P&FM less than 5 metric tonnesPersonal Protective Equipment (PPE)b. Fire retardant coveralls5a. Safety helmets5b. Goggles / Face shields3c.3Safety glovesd. Safety boots3Mitigation Equipmenta. Fire extinguishers (appropriate class)2b. Hose reel2First Aid and rescue equipmenta. First aid kit1b. Foldable stretcher1c.1Blanketd. AED1Communication Equipmenta. Loud Hailer1b. Walkie Talkie2C-7Note:Refer to the National CERTStandard for more informationMaintenance records must beavailable

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks4. EQUIPMENT READINESS AND MAINTENANCE RECORDS (30 points)Is the CERT appropriately and adequately equipped with the following equipment as recommended in the National CERTStandard?For Tier 3 Premises only: Public and industrial premises with FSM, and does not store any P&FMPersonal Protective Equipment (PPE)c.Fire retardant coveralls5d. Safety helmets5e. Goggles / Face shields3f.3Safety glovesg. Safety boots3Mitigation Equipmenta. Fire extinguishers (appropriate class)2b. Hose reel2First Aid and rescue equipmenta. First aid kit1b. Foldable stretcher1c.1Blanketd. AED1Communication Equipmenta. Loud Hailer1b. Walkie Talkie2C-8Note:Refer to the National CERTStandard for more informationMaintenance records must beavailable

SCDF CERT AUDIT CHECKLISTANNEX CPART II - PRACTICAL ASSESSMENT (60% of overall score achieved will be usedfor Audit grading)Desired Outcomes for CERT: Quick dispatch and arrivalInitiation of emergency response system, assessment of incident scene, update of situation andrequest for appropriate resourcesNotify relevant government authorities and neighbouring premisesContainment and management of threats in accordance with emergency response plans andsafety proceduresDescription of scenario – Fire or HazMat :On the 21st of Aug 2017 at 04:15 pm, an alarm was sounded on the 7th floor. Upon verification, a room on the7th floor, the contents in room 730 had caught fire and this caused the activation of the smoke detector.ActivitiesScore1. ACTIVATION AND RESPONSE OF CERT (18 points)Notification PhaseDid the first person who discovered the fire or HazMat incidentperform the following roles?a. Activate the nearest fire alarm call point / Notify FireCommand Centre of the incident1Activation PhaseDid the Fire Command Centre perform the following actionsafter being notified of the incident?a. Call 995 and alarm monitoring agency1b. Announce the nature and location of the emergencyover the Public Announcement (PA) system, activatevisual alarms (if applicable) and commence evacuation1c.1Activate CERT to respond to incident sited. Notify the neighboring premises of the emergency1e. Secure the premises and incident site to prevent anyunauthorized personnel from entering1f.1Assign someone to lead the first-arriving SCDF crew tothe incident site to link up with SICC-9ScoreAwardedRemarks

SCDF CERT AUDIT CHECKLISTActivitiesScore1. ACTIVATION AND RESPONSE OF CERT (18 points)Did the responding CERT comprise a sufficient number oftrained personnel to effectively handle the worst crediblescenario?(Minimum CERT structure includes 1 SMC, 1 SIC, 4Response Team members)6a. Site Main Controller (SMC)b. Site Incident Controllers (SIC)c.Response Team (at least 4 members)Did the CERT gather at the CERT Assembly Area with thenecessary equipment within 1 minute upon activation by FCC?2Did the CERT respond to the incident site within 5 minutes(inclusive of the 1 minute activation) upon activation by FCC?32. INCIDENT SIZE UP (6 points)Did the SIC perform the following actions upon reaching theincident site?a. Verify the incident1b. Conduct site assessment and determine the extent ofemergency (risk, hazard, no. of casualties)1Did the SIC provide a verbal situation report to the FCC afterconducting site assessment?1Did the SIC brief the Respond Team members on the followingbefore deployment?a. Nature and type of incident1b. Number of casualties involved1c.1Specific grouping and taskC-10ScoreAwardedANNEX CRemarks

SCDF CERT AUDIT CHECKLISTActivitiesScoreScoreAwardedANNEX CRemarks3. CONDUCTING MITIGATION OPERATIONS (40 points)ResponseDid the Response Team members perform the following actionsupon deployment?a. Don appropriate PPE (e.g. SCBA, HazMat suits)competently5b. Conduct immediate mitigation operations:c.(1) Competently and swiftly deploy and operatemitigation equipment5(2) Ensure protection of surrounding facilities and/ormonitor and disperse HazMat vapor clouds (ifapplicable)5(3) Effectively contain and mitigate the fire or HazMatincident by observing proper mitigation techniques5Search and rescue missing or trapped personnel5Incident CommandDid the SIC perform the following actions to control andcommand the incident?a. Command and lead the Response Team members inthe mitigation operations3b. Maintain constant communication with the SMC andResponse Team members2SafetyDid the CERT carry out their duties safely?a. Perform mitigation operations safely3b. Perform rescue operations safely3c.4Rescue and manage the casualties safelyC-11* Refer to section 4 of thedocumentation audit

SCDF CERT AUDIT CHECKLISTActivitiesScoreScoreAwardedANNEX CRemarks4. LINKING UP WITH SCDF UPON ARRIVAL (8 points)Site Main Controller / Site Incident ControllerDid the SMC/SIC immediately link up with the SCDF GroundCommander upon his arrival?1Was the SMC/SIC easily identifiable amongst the CERT by theSCDF Ground Commander upon his arrival?1Was the SMC/SIC able to provide the following information tothe SCDF Ground Commander upon his arrival?a. General description of the incident,1b. Risks and hazards involved. (E.g. Safety Data Sheet,hazardous materials stored, location specific hazards)1c.1CERT resources deployedd. Casualty number and personnel unaccounted for1e. Resources available to assist SCDF operations1f.1Recommended methods of mitigation5. EVACUATION (15 points)Were the following actions performed during evacuation?a. Guide the evacuees to the Evacuees Assembly Area;3b. Perform a head count at the Evacuees Assembly Areato account for all personnel; and3c.Perform a thorough search of the premises to ensurethat no personnel is left behind3d. Implement measures to facilitate the evacuation ofPWDs as stipulated in the ERP3Is the designated Evacuees Assembly Area suitable?(Preferably sheltered, safe from hazard, not causing obstructionto operations, etc)3C-12Note:Refer to Section 3.2.2 oftheERPformoreinformation

SCDF CERT AUDIT CHECKLISTActivitiesScoreANNEX CScoreAwardedRemarks6. SUPPORT ACTIVITES (13 points)Medical Treatment.Is the First Aider from the CERT proficient in administeringbasic first aid, CPR, AED, keeping tabs on the casualties andupdate the SIC?6Ongoing OperationsDid

SCDF CERT AUDIT CHECKLIST ANNEX C C-1 . PLAN REVIEW & MAINTENANCE 6.1. Communication of Plan 6.2. Table Top Exercise 6.3. Conduct of Emergency Drill 6.4. Review of Hazard Risk Assessment 1 1 1 1 1 1 1 1 1 1 1 1 1 1 . SCDF CERT AUDIT CHECKLIST ANNEX C C-3 Documents Cat Score Score Awarded Remarks 1. EMERGENCY RESPONSE PLAN (35 points) 7. ANNEXES A