PART I DOCUMENTATIONS (50% Of Overall Score Achieved Will Be . - SCDF

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SCDF CERT AUDIT CHECKLISTANNEX CPART I – DOCUMENTATIONS (50% of overall score achieved will be used forAudit grading)CatScoreDocumentsScoreAwardedRemarks1. EMERGENCY RESPONSE PLAN ( 30 points)Is the Emergency Response Plan prepared with an updated hardcopy placed where it can be easily available at all times?The premises has formulated a complete EmergencyResponse Plan that contains the following information:.1. AIM2. SITUATION2.1 Introduction (brief description of nature ofbusiness, products and methods)12.2 Area of Operations2.2.1Location 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)12.3 Special Hazard and Risk Assessment13. EXECUTION3.1. Concept of Operations3.2. 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 EmergencyEvacuation13.2.3.(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-1Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsScoreAwardedANNEX CRemarks1. EMERGENCY RESPONSE PLAN ( 30 points)Is the Emergency Response Plan prepared with an updated hardcopy placed where it can be easily available at all times?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 & MAINTENANCE26.1. Communication of PlanNote:The ERP must be updated to theyear of audit.6.2. Table Top Exercise6.3. Conduct of Emergency Drill6.4. Review of Hazard Risk AssessmentC-2Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsScoreAwardedANNEX CRemarks1. EMERGENCY RESPONSE PLAN ( 30 points)Is the Emergency Response Plan prepared with an updated hardcopy placed where it can be easily available at all times?7. ANNEXES A to HA. Company Site Plan1B. Company Layout Plan1C. Inventory of Petroleum & Flammable Materials(P&FM) / Hazardous Substances [if applicable]1D. Premises Emergency Data1E. Other Premise-specific Emergency Plans andStandard Operating Proceedures1F. Roles and responsibilities of CERT and otherappointment holders1G. Detailed Grouping and Tasks1H. CERT Structure1I.C-3Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks2. TRAINING RECORDS AND CERTIFICATIONS (35 points)Did members of the CERT undergo regular refresher training?For all CERT premises:Note:Refresher training records mustbe availableDoes the premises conduct annual refresher training for theirCERT in the following areas?a. Fire fighting & Hazmat Mitigation* (if applicable)5b. First aid re-certification5c.3Scenario based field exercise2. TRAINING RECORDS AND CERTIFICATIONS (35 points)Are all roles of the CERT trained as recommended in the National CERT Standard? (1 SMC, 1 SIC & 4 ERT)For Tier 1 P&FM Premises only: Premises storing 5 or more metric tonnes of P&FMSMCWSQ Implement Incident Management Processes[or equivalent]2SICWSQ Implement Incident Management Processes; andNote:Trainingavailablerecordsmust2WSQ Respond to Fire and Hazmat Emergency (3-day)[or equivalent]2Response Team membersWSQ Respond to Fire and Hazmat Emergency (3-day)[or equivalent]8Trained First AidersCERT First Aid Course (1-Day)[or equivalent]8C-4Ver3.0Updated: 20/12/2020be

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks2. TRAINING RECORDS AND CERTIFICATIONS (35 points)Are all roles of the CERT trained as recommended in the National CERT Standard? (1 SMC, 1 SIC & 4 ERT)For 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 tonnesSMCWSQ Implement Incident Management Processes[or equivalent]2SICWSQ Implement Incident Management Processes; gavailablerecordsmustbe2WSQ Respond to Fire Emergency in Buildings (2-day)[or equivalent]2Response Team membersWSQ Respond to Fire Emergency in Buildings (2-day)[or equivalent]8Trained First AidersCERT First Aid Course (1-Day)[or equivalent]8For Tier 3 Premises only: Public and industrial premises with FSM, and does not store any P&FMSMCWSQ Implement Incident Management Processes[or equivalent]2SICWSQ 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]8Trained First AidersCERT First Aid Course (1-Day)[or equivalent]8C-5Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks3. EQUIPMENT READINESS AND MAINTENANCE RECORDS (35 points)Is the CERT appropriately and adequately equipped with the minimum equipping 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 suit [if applicable]1Note:Refer t the National CERTStandard for more information.b. Rubber gloves [if applicable]1c.Rubber boots [if applicable]Maintenance records must beavailable for all CERT equipping.1d. Fire fighting suit3e. Breathing apparatus3f.Fire fighting helmet3g. Goggles / Face shields3h. Fire fighting gloves3i.Fire fighting boots3Mitigation Equipmenta. Hazmat absorbents [if applicable]1b. Over-pack drums / Leak sealing devices [ifapplicable]1c.2Fire extinguishers (appropriate class)d. Hose reel1e. FF nozzles & hoses (1 nozzle, 2x20m hoses)2First Aid and rescue equipmenta. First aid kit1b. Foldable stretcher1c.1Blanketd. AED2Communication Equipmenta. Loud Hailer1b. Walkie Talkie1C-6Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks3. EQUIPMENT READINESS AND MAINTENANCE RECORDS (35 points)Is the CERT appropriately and adequately equipped with the minimum equipping 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 coveralls4a. Breathing apparatus4b. Safety helmets4c.4Goggles / Face shieldsd. Safety gloves4e. Safety boots4Note:Refer t the National CERTStandard for more information.Maintenance records must beavailable for all CERT equipping.Mitigation Equipmenta. Fire extinguishers (appropriate class)2b. Hose reel2First Aid and rescue equipmenta. First aid kit1b. Foldable stretcher1c.1Blanketd. AED2Communication Equipmenta. Loud Hailer1b. Walkie Talkie1C-7Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks3. EQUIPMENT READINESS AND MAINTENANCE RECORDS (35 points)Is the CERT appropriately and adequately equipped with the minimum equipping as recommended in the National CERTStandard? [Yes/No]Score for the current section is ZERO if requirement as stipulated in the National CERT Standard is not met.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 shields5c.5Safety glovesd. Safety bootsNote:Refer t the National CERTStandard for more information.Maintenance records must beavailable for all CERT equipping.5Mitigation Equipmenta. Fire extinguishers (appropriate class)2b. Hose reel1First Aid and rescue equipmenta. First aid kit1b. Foldable stretcher1c.1Blanketd. AED2Communication Equipmenta. Loud Hailer1b. Walkie Talkie1C-8Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTCatScoreDocumentsANNEX CScoreAwardedRemarks3. EQUIPMENT READINESS AND MAINTENANCE RECORDS (35 points)Is the CERT appropriately and adequately equipped with the minimum equipping 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 shields5f.5Safety glovesg. Safety bootsNote:Refer t the National CERTStandard for more information.Maintenance records must beavailable for all CERT equipping.5Mitigation Equipmenta. Fire extinguishers (appropriate class)2b. Hose reel1First Aid and rescue equipmenta. First aid kit1b. Foldable stretcher1c.1Blanketd. AED2Communication Equipmenta. Loud Hailer1b. Walkie Talkie1C-9Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTANNEX CPART II - PRACTICAL ASSESSMENT (50% 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 2020 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.ActivitiesScoreScoreAwardedRemarks1. 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.Assign someone to lead the first-arriving SCDF crew tothe incident site to link up with SIC1C-10Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTActivitiesScoreScoreAwardedANNEX CRemarks1. 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-11Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTActivitiesScoreANNEX CScoreAwardedRemarks3. CONDUCTING MITIGATION OPERATIONS (40 points)ResponseNote:Refer to Section 2 of thedocumentation auditDid 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 members2.SafetyDid the CERT carry out their duties safely?a. Perform mitigation operations safely3b. Perform rescue operations safely3c.4Rescue and manage the casualties safelyC-12Ver3.0Updated: 20/12/2020

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)3Note:Refer to Section 3.2.2 oftheERPformoreinformationC-13Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTActivitiesScoreScoreAwardedANNEX CRemarks6. SUPPORT ACTIVITES (13 points)Medical TreatmentIs the First Aider from the CERT proficient in administeringbasic first aid, CPR, AED, keeping tabs on the casualties andupdate the SIC?6Ongoing OperationsDid the CERT continue to support SCDF (e.g. first aid,casualty conveyance, joint operations) till the end of theoperation and conduct recovery?7C-14Ver3.0Updated: 20/12/2020

SCDF CERT AUDIT CHECKLISTANNEX CGrading Table (For SCDF’s Reference)SectionScoreCategory Assessed(%)CatScoreWeightedScoreAwardedScore (%)1. Emergency Response PlanDocumentation5030Score2. Training Records &x 0.53. Equipment Readiness &35Maintenance tal*100awarded35Certification1001. Activation & Response182. Incident Size Up63. Conduct Mitigation Ops404. Linking up with SCDF85. Evacuation156. Support Activities13Scoreawardedx 0.5100GRADE*NOTE:Must achieve at least 50% for each section in order to pass the overall audit. Score for the relevantsections is ZERO if minimum requirement as stipulated in the National CERT Standard is not met.Any serious safety breach (to list examples) during the CERT audit would result in immediate failure.Overall Assessment Grading:0-49.9Fail50-74.975-89.990-100Conditional PassPassPass with CommendationJustification:Premise Name:Rank & Name of Auditor:Signature / Date:Designation:Dept / Unit:C-15Ver3.0Updated: 20/12/2020

2.2.3 Layout of Premises (brief description of facilities, process areas, storage areas and types of HazMat) 2.3 Special Hazard and Risk Assessment 3. EXECUTION 3.1. Concept of Operations 3.2. Emergency Actions to be Taken 3.2.1. (Phase I) Procedure to notify SCDF, SPF. To notify other related agencies and surrounding companies 3.2.2.