Emergency Preparedness Page 2
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4EmergencyPreparednessChecklist_pg2.pdf
EmergencyPreparednessChecklist_pg2.pdf
10/12/2006
10/12/2006
4:56:52 PM
4:56:52 PM
Escape Plan
Emergency Plan
n a fire or other emergency, you
Out-of-State Contact
I
may need to evacuate your house,
apartment or mobile home on a
Name
moment’s notice. You should be
City
ready to get out fast.
Develop an escape plan by drawing a floor
Telephone (Day)
(Evening)
plan of your residence. Using a black or blue
pen, show the location of doors, windows,
Local Contact
stairways, and large furniture. Indicate the
location of emergency supplies (Disaster
Name
Supplies Kit), fire extinguishers, smoke
detectors, collapsible ladders, first aid kits
Telephone (Day)
(Evening)
and utility shut off points. Next, use a
colored pen to draw a broken line charting
Nearest Relative
at least two escape routes from each room.
Finally, mark a place outside of the home
Name
where household members should meet in
case of fire.
City
Be sure to include important points outside
Telephone (Day)
(Evening)
such as garages, patios, stairways,
elevators, driveways and porches. If your
Family Work Numbers
home has more than two floors, use an
additional sheet of paper. Practice
Father
Mother
emergency evacuation drills with all
household members at least two times
C
Other
each year.
M
Y
EmergencyTelephoneNumbers
CM
Inalifethreateningemergency,dial911orthelocalemergencymedicalservicessystemnumber
MY
Police Department
CY
Example:
Fire Department
CMY
Floor one
K
Hospital
Family Physicians
Name
Telephone
Name
Telephone
Name
Telephone
Reunion Locations
1. Right outside your home
2. Away from the neighborhood, in case you cannot return home
Address
Telephone
Route to try first
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