Organization Name
Address
Phone Number
EMERGENCY RESPONSE PLAN
Approved [Date]
Policy and Organizational Statements
Identify the goals and objectives for the emergency response plan.
Define what your emergency response team is expected to do during an emergency
(e.g., evacuate employees and visitors, provide first aid, etc.)
Identify any regulations covered by your plan (e.g., OSHA, fire code, etc.)
Medical Emergency Plan
If a medical emergency is reported, dial 911 and request an ambulance. Provide the
following information:
 Number and location of victim(s)
 Nature of injury or illness
 Hazards involved
 Nearest entrance
Alert appropriate employee(s) to respond to the victim’s location and bring a first
aid kit or other necessary medical equipment.
Phone Locations:
Personnel Trained to Administer First Aid and CPR or use Automated
External Defibrillator (AED):
Name
Location/Telephone
Locations of first aid kits and other medical equipment:
Procedures:
 Only trained responders should provide first aid
 Do not move the victim unless the victim’s location is unsafe
 Control access to the scene
 Take precautions to prevent contact with bodily fluids and exposure to
bloodborne pathogens
 Send someone to meet the ambulance at the nearest entrance and direct them
to victim(s)
Fire Emergency Plan
If a fire is reported, pull the fire alarm, (if available and not already activated) to
warn occupants to evacuate. Then dial 911 to alert the Fire Department. Provide
the following information:
 Organization name and street address
 Fire location (building and floor)
 Nature of fire
 Type and location of fire alarm
 Name of person reporting fire
 Telephone number for return call
Procedures
 Evacuate building occupants to assembly area outside. Do not use elevators;
direct occupants to routes away from the fire.
 Account for all staff, volunteers, and visitors at assembly area.
 Meet Fire Department Incident Commander (IC). Inform the IC if everyone
has been accounted for and if there are any injuries. Provide an update on the
nature of the emergency and actions taken. Provide building floor plans,
keys, and other assistance as requested.
Evacuation Plan
Building occupants will be warned to evacuate using the following system:
The primary assembly area outside is:
If that location is unsafe, the secondary assembly area is:
Staff members responsible for accounting for all evacuees:
Location of Fire Protection Systems
Document the fire protection systems at your site including the types of
systems, location, and instructions for use.
Severe Weather/Tornado Plan
In severe weather conditions, staff should monitor news sources in case a tornado
or other warning is issued. If a tornado warning is issued, staff should notify all
building occupants and escort them to the designated shelter area.
Procedures
 Direct all building occupants to shelter in the designated area.
 Account for all staff, volunteers, and visitors.
 Monitor news sources to determine when it is safe to leave the shelter.
Designated Shelter Area(s):
Staff Member(s) Responsible for Implementing the Plan:
Lockdown Plan
Evacuation of a facility is the safest response to a threat. In an emergency situation
when exits may be inaccessible, such as a first person shooter incident, the facility
should implement a lockdown procedure. All staff and volunteers should
understand the lockdown procedure, as circumstances may not allow for an overall
alert to be issued. Staff and volunteers should direct visitors into the nearest room
and close and lock the door. If the noise will not jeopardize their safety, a staff
member or volunteer should dial 911 and provide the following information:
 Location of the active shooter
 Number of shooters, if more than one
 Physical description of shooter/s
 Number and type of weapons held by the shooter/s
 Number of potential victims at the location
Procedures:
 Usher everyone into the room and close and lock the door. Barricade it if
time allows
 Turn off the lights
 Direct everyone to avoid doors and windows and to shelter in corners or
behind or under furniture if available
 Ask everyone to silence their electronics and to stay quiet
 Dial 911; if it is not safe to speak, leave the line open and allow the
dispatcher to listen
 Follow the directions of law enforcement officers when they arrive
.
Shelter-In-Place Plan
If a shelter-in-place order is given, notify all occupants of the building that the
organization is preparing to shelter in place and that all doors will be locked after
three minutes. All staff, volunteers, and visitors must decide whether to shelter in
place or to leave the premises within the allotted three minutes. After that time, no
one will be permitted to access the building until the all clear is announced.
Procedures
After a shelter-in-place order is received:
 Announce to building occupants that the sheltering plan is being
implemented
 Shut and lock all windows and doors and turn off all air handling equipment
 Escort all occupants to the designated sheltering area and ensure that all staff
and visitors are accounted for
 Seal windows and vents with plastic sheets and duct tape, and tape around
doors
 When the all clear is given, open windows and doors, turn on air handling
equipment, and vacate the building until its air has been exchanged with
outdoor air
Designated Sheltering Area:
Location of Sheltering Supplies:
Staff Member(s) Responsible for Implementing Plan:
Plan Distribution & Revision
Who will your plan be distributed to? Where will it be posted? Multiple copies
should be stored within your facility so that it is accessible during emergencies –
where will they be? Electronic copies should also be stored on more than one
computer – who is responsible for keeping it on a flash drive or in the cloud?
How often will your plan be revised? Who will revise it and who does it need to be
authorized by?