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EMERGENCY WARNING
SYSTEM WORKSHEET


ACCUTECH Industrial Systems Inc.

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Emergency Warning System Worksheet


General:


*Company Name:
*Company Address:
*Contact Name:
*Position:
*Phone Number:
*Fax Number:
*E-mail Address:
*Website:
(* denotes required field)
Background:


1. Plant: Expansion Exisiting
2. Year of Construction:
3. Does the plant have a Monitored Emergency Warning System (EWS)?
Yes No

Conceptual Layout:


1. Does the EWS consist of:

Single Tone
Multiple Tones
Speech Message
Combination
2. Is it possible to be confused by different alarm tones?
Yes No
3. What other devices are integrated with and activated by the EWS?
(check all that apply)

Telephone
Radio
Intercom
Public Address
4. Do areas in the plant exist where the EWS cannot be heard?
Yes No
5. What are the implications should an EWS component fail between tests,
and an emergency happens? (check all that apply)

Injury/fatality to personnel
Injury /fatality to neighbours
Damage to plant equipment
Lost production
Damage to environment
Damage to corporate reputation
6. How are contractors and visitors notified in the event of an emergency?

7. How are outside Emergency Service Personnel contacted?

8. How do your Emergency Personnel determine all workers, contractors and visitors
are accounted for?

9. Where would workers, contractors and visitors meet in the event of an emergency?

10. How are personnel notified to proceed to different Emergency Evacuation Points
should circumstances require?

11. How would communication priorities be determined and acted upon?


Technical:


1. EWS Activation and Input Devices (check all that apply):

Fire Detection System
Gas Detection System
Emergency Shutdown System
Distributed Control System
Programmable Logic Controller
Weather
Natural Disaster Alert
Manual activation
Other:
2. Are strobe lights, beacons or other visual devices activated by EWS?
Yes No
3. During EWS testing, which EWS components are tested (check all that apply)?

Control devices
Tone generators
Speech Generators
Wiring
Speakers
Intercom Stations
Manual Activation Devices
Visual Indicators
Power Supplies
4. What is involved technically in the event of a component failure (check all that apply)?

System Reboot Required
Hot Swap of Components
Complete System Failure
Zone Failure
Loss of Device Only
Manual System Backup via Telephone
Manual System Backup using Runners (people)
Other:
5. How is disciplined communication maintained during an emergency?


Radios:


1. Do all on-site personnel have access to radios at all times?
Yes No
2. Are radio transmissions secure from outside eavesdropping or mischief?
Yes No
3. Can a "keyed" radio microphone result in the overall failure of the radio
communication system?
Yes No
4. Can radio transmissions be heard in all areas of the plant?
Yes No

Legislative Considerations:


1. Does your EWS comply with provincial legislation, such as Alberta Occupation
Health & Safety Act 2006?
Yes No Not Sure
2. Does your EWS comply with Canada Occupational Health & Safety
Regulations – Part 10?
Yes No Not Sure
3. Does your EWS comply with OSHA standard 1910?
Yes No Not Sure
4. Does your EWS comply with NFPA 72 Annex E – Mass Notification Systems?
Yes No Not Sure
5. Does your EWS comply with HSE requirements for Verbal and Non-Verbal
Auditory Warnings?
Yes No Not Sure
6. How often is the EWS tested?

times per year
7. Are drills modified to produce different emergency scenarios?
Yes No

Miscellaneous:


1. Comments:
2. When would you like a site audit to determine how your plant compares to other
company’s, as well as relevant legislation?

Date
Alternate Date

Submit:

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Last Updated
July 03, 2007
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Accutech Industrial Systems Inc.

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