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Emergency Plan

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An Emergency Plan ensures everyone in your household knows what to do in case of an emergency or disaster.




Your Emergency Plan

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___________________________ EMERGENCY PLAN
31 July 2021

This Emergency Plan is a written set of instructions to help you and your household handle evacuation or shelter-at-home emergencies. It is recommended that you review your Emergency Plan on a regular basis, preferably annually, to ensure that all information is recent and up-to-date.

Contact Information

Member Name and Primary Information

Secondary Information

Availability

Name:
Mobile:
E-mail:

N/A

N/A

Name:
Mobile:
E-mail:

N/A

N/A



Evacuation Plans

  1. Home Escape Route

    A Home Escape Route has been prepared by the household and is attached to this Emergency Plan.

  2. Home Evacuation Instructions

    In case there is a need to evacuate the house, all household members must go here:  

  3. City Evacuation Instructions

    In case there is a need to evacuate the city, all household members must go here:  

  4. Urgent Evacuation Items

    In case you need to immediately evacuate, you should grab the following items:
    Emergency kits, _______________________________________________________________ 

  5. Non-Urgent Evacuation Items

    If you have extra time before you need to evacuate, you may want to take the following items with you:
      

  6. Evacuation Emergency Contact

    In case you need to evacuate, contact this person to inform them that you need to leave your home or city, and that you plan to travel to their place or intend to stay somewhere else (e.g. community shelters, etc.).

    1. Name: ___________________________
      Address: _________________________________________
      Contact Number: ___________________________
      E-mail Address: ___________________________

Shelter-At-Home Plans

  1. Safe Indoor Location

    In case there is a need to stay home during an emergency, all household members must go to: ________________________________________________

Home Preparation

  1. Home Mechanical Systems

    Mechanical System

    Location

    Utility Company

    Water Valve

     

    Company Name:
    Phone Number:

    Electrical Panel

     

    Company Name:
    Phone Number:

    Heating System

     

    Company Name:
    Phone Number:

    Floor Drain



     

EMERGENCY KIT CHECKLIST

Use this checklist to create and prepare your emergency kit. It is strongly recommended that your kit contains enough supplies to keep everyone in the household safe and comfortable for at least 72 hours. The kit should be in something that’s easy to carry, such as a backpack, and kept in an accessible place. It is also advised that each household member have their own emergency kit.

After preparing your emergency kit, inform everyone in the household where it can be found. Update your kit regularly (preferably every 6 months) to ensure the food and medications in your kit are not expired and your documents are still up-to-date.

FOOD AND WATER

Item

Quantity

Expiration Date and Other Details

[   ] Bottled water (1gallon/person/day)

   

[   ] Canned and dried foods

   

[   ] Protein or energy bars

   

[   ]

   

[   ]

   

[   ]

   

[   ]

   

MEDICAL ITEMS

Item

Quantity

Other Details
(description, expiration dates, etc.)

[   ] First aid kit

   

[   ] Non-prescription medication

   

[   ] Medical equipment, if any

   

[   ]

   

[   ]

   

[   ]

   

SAFETY ITEMS AND BASIC EQUIPMENT

Item

Quantity

Other Details
(description, expiration dates, etc.)

[   ] Battery-operated radio

   

[   ] Flashlight

   

[   ] Batteries

   

[   ] Candles, and matches or lighter

   

[   ] Whistle

   

[   ] Utility knife or pocket knife

   

[   ] Manual can opener

   

[   ] Utensils

   

[   ] Sewing kit

   

[   ] Duct tape

   

[   ]

   

[   ]

   

[   ]

   

CLOTHING AND TOILETRIES

Item

Quantity

Other Details
(description, expiration dates, etc.)

[   ] Toilet paper or moist towelettes

   

[   ] Hand sanitizer

   

[   ] Garbage bags and plastic ties

   

[   ] Change of clothing per member

   

[   ] Sleeping bag or blankets

   

[   ] Diapers, if needed

   

[   ]

   

[   ]

   

[   ]

   

CASH AND DOCUMENTS

Item

Quantity

Other Details
(description, expiration dates, etc.)

[   ] Folder of important documents

   

[   ] Cash (coins and small bills)

   

[   ] Traveller's cheques

   

[   ] Emergency Plan

   

[   ] Local maps

   

[   ]

   

[   ]

   

[   ]

   

IMPORTANT DOCUMENTS CHECKLIST

Use this checklist to create and prepare your important documents folder. Ensure you are prepared for any kind of emergency by creating copies of your important documents and compiling them in a folder or binder.

After compiling, it is highly recommended that you store your folder in your emergency kit.

PERSONAL DOCUMENTS

MEDICAL DOCUMENTS

[   ] Driver's licences or identification cards

[   ] Health insurance cards

[   ] National insurance cards/documents

[   ] Health, life, disability insurance policies

[   ] Passports

[   ] List of medications (OTC and prescription)

[   ] Birth or adoption certificates

[   ] Immunization or vaccination records

[   ] Last Will and Testament

[   ] ___________________________________

[   ] Living Will

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

   
   
   

PROPERTY DOCUMENTS

FINANCIAL DOCUMENTS

[   ] Mortgage documents

[   ] List of bank account numbers

[   ] Deeds, titles, leases for your home

[   ] List of investment account numbers

[   ] Deeds or titles for your vehicle

[   ] List of retirement/pension account numbers

[   ] Insurance policies

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________


FIRST AID CHECKLIST

Use this checklist to create and prepare your first aid kit. It is strongly recommended that your kit contains basic supplies needed to treat a variety of injuries. The kit should be kept together with your emergency kit.

After preparing your first aid kit, inform everyone in the household where it can be found. Update your kit regularly (preferably every 6 months) to ensure you have enough supplies and any medication you included is not expired.

BURNS

MEDICATION

[   ] Burn gel

[   ] Antihistamine

[   ] Burn dressing (4"x4")

[   ] Antacid tablets

[   ] ___________________________________

[   ] Aspirin, Ibuprofen or Tylenol

[   ] ___________________________________

[   ] Oral pain gel

[   ] ___________________________________

[   ] Cold relief medicine

 

[   ] Rehydration pills or electrolytes replenisher

CUTS OR WOUNDS

[   ] Muscle relaxer

[   ] Regular bandages (different types & sizes)

[   ] Sleep aid

[   ] Gauze dressing pads (2"x2" or 4"x4")

[   ] Motion sickness relief

[   ] Trauma pads

[   ] ___________________________________

[   ] Band aids

[   ] ___________________________________

[   ] Nylon sutures

[   ] ___________________________________

[   ] Surgical scissors

 

[   ] Adhesive tape

OTHER

[   ] Tweezers

[   ] Thermometer

[   ] ___________________________________

[   ] Towel

[   ] ___________________________________

[   ] Antiseptic wipes or soap

[   ] ___________________________________

[   ] Eyepads

 

[   ] Gloves

SPRAINS

[   ] Safety pins

[   ] Finger splint

[   ] Ziplock bags

[   ] Flexible splint

[   ] Blanket

[   ] Elastic bandages

[   ] First aid manual

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

[   ] ___________________________________

Emergency Plan Information

An Emergency Plan is also known as a/an:

  • Personal evacuation plan
  • Family emergency response plan
  • Emergency preparedness plan for home

What is an Emergency Plan?

An Emergency Plan is a tool that families use to assess the potential risks in their community and plan their actions in response to those risks. By preparing for evacuation or shelter-in-place orders, each family member can improve their reaction time during an emergency.

Different regions may face different levels of risks from natural disasters or human-caused hazards. So, it’s important to create an Emergency Plan that prepares your family for potential disasters.

For instance, some locations may be more susceptible to major flooding, while others may be at risk of severe gales or storms. Likewise, people who live near industrial sites, factories, or major transportation routes could be impacted by accidents, explosions, or chemical spills.

How do I make a family Emergency Plan?

LawDepot’s Emergency Plan template will guide you through the planning process. Simply answer the questionnaire to generate your custom family plan. To complete the template, you’ll need to provide the following information:

  • Family members’ health and contact information
  • Emergency contacts (local services and personal contacts)
  • Mapped escape routes (optional)
  • Designated meeting places during an evacuation
  • Instructions for safe indoor locations
  • Insurance policies (optional)

LawDepot’s Emergency Plan also includes checklists to help you prepare the essential documents and items that are useful during emergencies. Disasters often require a quick response time, so gathering these things in advance helps ensure you have what you need when you need it.

How should I outline evacuation procedures at home?

An effective evacuation requires planned emergency exits and designated safe spaces.

Our Emergency Plan template prompts you to include a home escape route, which is a floor plan of your home that shows possible ways to escape from every room. You can draw this floor plan by hand or on the computer.

If needed, prepare to escape from windows with ladders or ropes and add instructions for doing so. Consider how evacuation routines may differ depending on the emergency. For instance, think about how plans can change if there is a fire, flood, blocked exit, or separation of family members. You’ll also have to account for the physical needs of each family member and plan escape routes that everyone can navigate safely.

After you evacuate your home, meet your family members in a safe location. Our questionnaire asks you for meeting areas both outside your home and outside your community. Some municipalities may designate storm shelters when needed, but you can also choose your own meeting points.

How do I prepare my children for emergency evacuations?

It’s important to explain and rehearse your Emergency Plan with your entire household, especially any young children you may have. The commotion of evacuation may be confusing and frightening for kids, but you can reduce their anxiety by teaching them the rules and procedures in advance.

If you use childcare, consider coordinating your home evacuation drills with those of your child care provider. Nurseries, daycares, and schools regularly have evacuation plans and carry out drills to familiarise children with the process. Reinforce the importance of preparing for emergencies by explaining how evacuations and shelter-in-place orders can happen at home too.

In general, you can prepare your family for emergencies by:

  • Discussing your Emergency Plan in-depth
  • Conducting rehearsals for different scenarios
  • Assigning specific duties (such as grabbing emergency kits or giving first aid)
  • Reviewing and updating your plan regularly

How do I plan for sheltering in place?

Severe weather, industrial accidents, or public health emergencies may call for people to shelter in place (i.e., lockdown and stay indoors) until the danger recedes.

LawDepot’s Emergency Plan template prompts you to choose a safe indoor location, but where you go and how you wait out the danger will vary depending on your circumstances.

For instance, if severe storms bring heavy rain, snow, or gale-force winds, you might seek shelter in a room with few windows or doors. If trapped inside, having a well-stocked emergency kit ensures you have enough food, water, and equipment to get through a few days without access to services.

After you’ve chosen a safe place inside, you can add extra instructions such as:

  • Closing doors or windows
  • Insulating or heating your home without power
  • Turning off mechanical systems, if needed

Our questionnaire guides you through an evaluation of your home’s mechanical systems. It’s important to know where water valves and electrical panels are, how to access them, and when to turn them on or off. Plus, hazard proofing and keeping your house systems in good repair helps avoid further problems later.

What is an emergency kit and what does it include?

An emergency kit is a package of basic tools and supplies that may be essential for survival during an emergency or disaster. Each kit should contain enough supplies to help you get through at least 72 hours without access to services.

When assembling emergency kits, use backpacks or containers that are easy to grab and go. You can create a large family kit, but individual kits are easier to transport and helpful if family members get separated. Our emergency kit checklist reminds you to pack essentials such as:

  • Food and water
  • Medical items
  • Safety items and basic equipment
  • Clothing and toiletries
  • Cash and important documents

In addition to an emergency kit, it’s important to prepare a first aid kit and gather photocopies of important documents (such as IDs and insurance policies). Our template’s checklists are thorough and will guide you through these emergency preparation tasks.

Related Documents:

  • Last Will and Testament: Disasters may cause a sudden, unexpected loss of life. Use a Last Will to control the distribution of your estate once you pass away.
  • Advance Directive: Give consent to certain medical treatments in advance for when something leaves you incapacitated or unable to express your wishes.
  • Power of Attorney: Give someone the authority to act on your behalf for financial or property affairs.
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