Appendix 9

Emergency Exercise Critique Form

Name of person performing critique ...............................................

GENERAL

1. Date and time of emergency .....

2. Location of emergency .

(Day/Month/Year)

(Local time ‑ 24‑hour clock)

3. Type of emergency

RESCUE FIRE FIGHTING OPERATIONS

4. Time of emergency notification

(Local time ‑ 24‑hour clock)

5.

(a) First agency or individual to arrive at emergency

(b) Time of arrival ..

(Local time ‑ 24‑hour clock)

6. a) Arrival time of airport rescue fire fighting service

at emergency . .

(Local time ‑ 24‑hour clock)

(b) Approximate number of fire personnel at site

(c) Time and type of first fire protection action'

(foam, dry chemical, etc.) .....................

(Local time:‑‑ 24‑hour clock)

7.

(a) Time first casualty evacuated from aircraft

(Local time ‑ 24‑hour clock)

(b) How evacuated ..............................

(c) Number of casualties evacuated from inside

aircraft ..............

d) Time last casualty evacuated from aircraft

(Local time ‑ 24‑hour clock)

Comments: ...................................

8. a) Number of injured.

b) Number of non‑injured ...............

c) Number of dead .....................

9. a) Time first casualty transported to triage area

(Local time ‑ 24‑hour clock)

b) Time last casualty transported to triage area

(Local time ‑ 24‑hour clock)

10. a) Name of other services participating in first aid

b) Who was in charge of these services?

a) How many persons involved? ..

c) Which agencies were participating?

f) Number of personnel participating .

AMBULANCES

24. a) Time of notification to ambulances

.....................

(Local time ‑ 24‑hour clock)

b) How notified? ...............................

c) By whom? ..........

d) Name of ambulance company

c). Time of arrival at accident site of first ambulance

.....................

(Local time ‑ 24‑hour clock)

25. a) How many casualties did ambulance handle?

b) Time of departure .....

c) Hospital ...................... d) Arrival time at hospital ...

If yes, explain: ...............................

b) Were there any special problems driving from accident site to hospital?

If yes, explain: ..............................

(Local time ‑ 24‑hour clock)

(Local ti

26. a) Was ingress or egress to accident

site a problem?

YES NO

If yes , explain :…………………………………………..

……………………………………………………………

………………………………………………….

…………………………………………………………….

b) were there any special problems driving from accident site to hospital

YES NO

If yes , explain :…………………………………………..

HOSPITALS

27. Number of physicians responding .................

28. Number of nursing personnel responding ..........

29. Number of other hospital personnel responding

30. Number’s casualties received ....................

31. Kind of casualties received .......................

32. a) Time first alert was received . .

b) Time disaster message authenticated

(Local time ‑ 24‑hour clock)

c) Time first casualties arrived

(Local time ‑ 24‑hour clock)

(Local time ‑ 24‑hour clock

d) Time first casualties were seen by a physician

(Local time ‑ 24‑hour clock) c) Time last casualties arrived. .

LEADERSHIP

33. Did leadership by on‑scene commander cause people to take effective action?

YES NO

34. Were there any problems in the co‑ordination of medical, fire, police or other services?

YES NO

If yes, explain: .................................

.................................................................. .

35. Was the general spirit of the participants

YES NO

conducive to the success of the exercise?

36. Who demonstrated leadership? ...................

PUBLIC INFORMATION

37. a) Time of notification to airport public information officer

b) How notified?. c) Arrival time ...

(Local time ‑ 24‑hour clock)

(Local time ‑ 24‑hour clock)

38. a) Who was the Public Relations Officer?

b) From what organization? .....................

39. What special problems were indicated? ............

COMMUNICATIONS AND CONTROL

40. Did the Command Post perform

effectively?

41. Did the emergency operations centre

perform effectively? E] E1

42. Was the personnel call system effective?

43. Was the physician call system effective?

44. Was the emergency message accurately

received?

45. Were communications with the hospitals

effective? YES NO

46. Were there any problems with internal

communications? YES NO

If yes, explain: ………………………………..

……………………………………………………

47. What kinds of communications systems were used?

a) two‑way radio

b) telephone

c) walkie‑talkie

d) messenger

e) other (Specify: .......................)

NARRATIVE

Make any comments that may be helpful in evaluating this exercise

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….