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___________________________ EMERGENCY PLAN6 February 2025
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
Evacuation Plans
A Home Escape Route has been prepared by the household and is attached to this Emergency Plan.
In case there is a need to evacuate the house, all household members must go here:
In case there is a need to evacuate the city, all household members must go here:
In case you need to immediately evacuate, you should grab the following items:Emergency kits, _______________________________________________________________
If you have extra time before you need to evacuate, you may want to take the following items with you:
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.).
Shelter-At-Home Plans
In case there is a need to stay home during an emergency, all household members must go to: ________________________________________________
Home Preparation
Mechanical System
Location
Utility Company
Water Valve
Company Name: Phone Number:
Electrical Panel
Heating System
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
Other Details(description, expiration dates, etc.)
[ ] First aid kit
[ ] Non-prescription medication
[ ] Medical equipment, if any
SAFETY ITEMS AND BASIC EQUIPMENT
[ ] 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
[ ] 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
[ ] 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
Last Updated December 26, 2024
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.
An Emergency Plan is also known as a/an:
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:
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.
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.
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:
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:
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.
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:
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.
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