Template: Emergency Response Plan
Company name
Address
Telephone
Contact name
Title
Initial revision date
Last revision date
I.
Policy and Organizational Statements
The emergency response plan is part of our company’s overall BCP. The goal of our
emergency response plan is:



Protection of personnel
Containment of incident
Salvage and restoration
This plan includes the following assumptions:
1. An emergency response team is expected to develop, implement and exercise
emergency response and triage procedures, including determination of priorities
for actions in an emergency.
2. Potential types of emergencies and the responses needed have been identified
and are listed in this plan.
3. The overall decision-making responsibilities and escalation procedures rests with
our crisis management team.
4. Our company’s emergency response procedures are integrated with the
requirements of public authorities.
5. Our emergency procedures take into account regulations. (List regulations and
include in your completed plan.)
6. Emergency procedures are made available to all employees.
II.
Role
Roles and Responsibilities
Details of Responsibilities

Attend regular firstaid training courses.

Administer first-aid
support in an
emergency situation.

Contact ambulance
services when
necessary.

Attend relevant
training courses.

Communicate
procedures to all
staff.

Supervise and action
emergency
evacuation
procedures (including
contacting emergency
services, accounting
for staff).

Conduct regular
drills.

Update procedures
regularly.
 Attend relevant
training courses.
 Assist in evacuating
staff according to
evacuation procedures
(including collecting
emergency kit and
resilience and recovery
documentation).
 Assist with regular
drills.
Person
responsible
Email
Phone number
III.
Emergency Contacts
List your local emergency services numbers and any additional contacts you will need in an
emergency.
Organization Name
County Office of
Emergency
Management
Police
Fire
Ambulance
Emergency medical
services
Local hospital(s)
Public Health
Department
State environmental
authority
National Weather
Service
Physical security
Electrician
Plumber
Fire protection
contractor
Elevator service
Hazardous materials
cleanup
Cleanup / disaster
restoration
Contact
Title
Phone number
IV.
Evacuation Plan
Evacuation may be required if there is a fire or other hazard in the building. The
following personnel are in charge of evacuating the building and accounting for all
employees outside at a safe location.
Name



Evacuation
Role/Responsibility
Location
Phone
Post maps of facility layout, marking evacuation routes.
Include maps in the emergency response plan.
Employees will evacuate the building following the procedures below.
The following designated safe areas will be used in the event of an evacuation:
Business Location
Site A
Site B
Site C
Designated Safe Area (exterior)
Procedures
X
Emergency Evacuation Procedures
Responsible
Party
Note: If the fire alarm sounds without acknowledgement of a
practice drill or system test, do not question whether it’s real or
false alarm. Leave the building immediately.
Upon call for evacuation, employees remain calm and proceed
to evacuate using designated exits in their area of the building.
Employees stay to the right in using the hallway and use walls
to guide them if vision is limited.
Evacuation coordinator:
a Takes the visitor log with them.
b Verifies that any handicapped individuals are assisted.
c Directs the evacuation of visitors from the building.
d Checks for people in restrooms, storage rooms, and other
areas.
e Checks assigned areas to ensure everyone has evacuated and
provides assistance, as needed.
f Report medical issues and safety concerns to arriving
emergency officials.
Notify the following parties as appropriate:
 Fire department
 Police department
Provide emergency officials the following information:
 Your name
 Building address
 Location
 Type of emergency
Once outside, everyone proceeds to the designated evacuation
safe area. Do not leave safe area until head count takes place.
Wait for further instructions from evacuation coordinator.
Secure all doors.
Secure all department records and equipment. Department
managers make sure sensitive files have not been carried out.
Receive reports of status of building and any missing persons.
Report the condition of the building and personnel head count
to evacuation coordinator.
V.
Shelter In Place
If warned to “shelter in place” from an outside airborne hazard, a warning should be
broadcast and all employees should move to shelter.
Shelter-In-Place Team
Assignments
Direct personnel outside to enter the
building; then close exterior doors.
Shut down ventilation system and
close air intakes.
Move employees to interior spaces
above the first floor (if possible).
Monitor news sources for updated
emergency instructions.
Assembly area monitors (to account
for evacuees at the assembly area).
Name / Location
Shelter-In-Place Shut Down of Ventilation System:
Location of controls to shut down ventilation system:
Location of air handling units, fan rooms, or air intakes:
VI.
Lockdown Plan
The following employees are trained to use the warning system to warn staff to “lock
down:”
Name
Location
Instructions for Broadcasting Warnings
Where to access the warning system (e.g. telephone, public address system, etc.):
Instructions for using the system:
VII.
Medical Emergency Plan
If a medical emergency is reported, dial 9-1-1 and request an ambulance. Provide the
following information:
• Number and location of victim(s)
• Nature of injury or illness
• Hazards involved
• Nearest entrance (emergency access point)
Alert trained employees to respond to the victim’s location and bring a first-aid kit or
defibrillator.
Personnel Trained to Administer First Aid, CPR, or use Automated External Defibrillator
(AED)
Name
Location/Telephone
Location(s) of first-aid kit(s):
Location(s) of "universal precautions" kit(s):
Location(s) of automated external defibrillator(s):
Procedures
If an employee is injured on company premises, employees (even those currently
certified) should not assume responsibility beyond first aid or CPR.
The following emergencies require immediate attention:
 Severe bleeding
 Cessation of breathing
 Electric shock
 Choking
 Fainting
 Convulsions
 Heart attack
 Broken bones
Instructions to follow in medical emergencies:
 Call 9-1-1 for life-threatening incidents immediately. Be sure to tell the operator
the location of your building and which floor you are on (if applicable).
 Call an employee certified in CPR if the situation warrants.
 Only trained responders should provide first-aid assistance.
 Do not move the victim unless the victim’s location is unsafe.
 Control access to the scene.
 Take “universal precautions”
(http://en.wikipedia.org/wiki/Universal_precautions) to prevent contact with
body fluids and exposure to blood-borne pathogens.
 Meet the ambulance at the nearest entrance or emergency access point; direct
EMTs to victim(s).
 For non-life-threatening incidents, contact your supervisor or manager; then
your human resources manager (if applicable) for appropriate action.
VIII. Fire Plan
If a fire is reported, pull the fire alarm (if available and not already activated) to warn
occupants to evacuate, then call 9-1-1. Provide the following information:







Business name and street address
Nature of fire
Fire location (building and floor or section of the building)
Type of fire alarm (detector, pull station, sprinkler waterflow)
Location of fire alarm (building and floor or section of the building)
Name of the person reporting the fire
Telephone number for return call
Follow your employee evacuation plan (see step IV of this document).
IX.
Fire Protection Systems
Document the fire protection systems, including the types of systems, location, and
instructions.
Sprinkler system:
Fire extinguisher(s):
Fire pump:
X.
Warning, Notification and Communication Systems
The following systems are used to warn employees to take protective action (e.g.,
evacuate, move to tornado shelter, shelter in place, or lock down) and provide them
with information.
Warning system(s):
Notification system(s):
Communications capabilities:
XI.
Salvage and Restoration
Identify preparations before a forecast event such as severe weather. Identify how you
will assess damage, salvage undamaged goods, and clean up your building following
an incident. Identify the contractors, equipment, and materials that would be needed.
Procedures for salvage and restoration need to address the following strategic
objectives:
1.
2.
Have an action plan for site safety, security and stabilization.
Aid physical asset recovery.
3.
4.
Establish procedures with public authorities for facility access.
Establish procedures with third-party service providers, including
contractual agreements (e.g., remediation services).
Mitigate against additional loss and oversee salvage.
5.
Procedures in your plan should include:




Initiate a salvage team.
Determine which equipment and furniture can be salvaged using the inventory
lists, starting with equipment supporting your most critical business functions.
Record status of essential equipment.
Photograph all damaged areas as soon as possible for insurance claims. (Prior to
performing any salvage operation, contact your insurance team.)
XII.
Plan Distribution & Access
Distribute your plan to all employees for their review. A master copy of the document
should be maintained by the emergency response team leader.
Provide printed copies of this plan within the room designated as the emergency
operations center.
An electronic copy of this plan should be stored on a secure website that would allow
team member access if company servers are down.
This planning template was adapted from FEMA’s Ready Business, www.ready.gov/business.