EMERGENCY PLAN
EMERGENCY PLAN FOR
_________________________________________________________________ LOCATION
Ø This plan has been developed in collaboration with neighbouring businesses and building owners.
Ø We have located, copied and posted building and site maps;(Located)
Ø Emergency Exits are clearly marked;
Ø We will practice evacuation procedures ____ times per year;
Ø This plan is consistent with all other emergency evacuation plans.
EVACUATION PLAN
If we must leave the workplace quickly the decision will be made by ....... or alternate
___________________________________________________________________________
____________________
1
Warning System: How will we alert staff/neighbouring businesses/emergency services
___________________________________________________________________________
_____________________
We will test the warning system and record results _______________________ times per
year.
2
Site:
Assembly
_______________________________________________________________________
3
Assembly Site Manager and
Alternate:
______________________________________________
(a)
Responsibilities Include:_(Communication lines and assembly procedures)
_____________________________________________________________________
__________________
_____________________________________________________________________
__________________
_____________________________________________________________________
__________________
4
Shut Down Manager and Alternate:
_____________________________________________________
(a)
Responsibilities Include:(Communication lines and shut down
procedures)_______________________________________________________________________
_________________
_____________________________________________________________________
___________________
5
Employee responsible for issuing “all clear”: (after advice from emergency services)
___________________________________________________________________________
___________________
SHELTER-IN-PLACE PLAN FOR__________________________________________________
LOCATION
Ø We have talked to co-workers about which emergency supplies, if any, the company will
provide in the shelter location and which supplies individuals might consider keeping in
a portable kit personalised for individual needs;
Ø We will practice shelter procedures ________________________________________ times per
year;
If we must take shelter quickly: If the decision is made to stay, this will be made by
_________________________________________________________________________________
__________________
alternate
is._______________________________________________________________________________
______
1
Warning System:
How we will alert staff/neighbouring businesses/emergency services
___________________________________________________________________________
__________________
We will test the warning system and record results __________________ times per year.
2
Secure Shelter Location:
________________________________________________________________
3
“Seal the Room” Shelter
Location:______________________________________________________
4
Shelter Manager &
Alternate:___________________________________________________________
(a)
Responsibilities Include:
_____________________________________________________________________
________________
_____________________________________________________________________
________________
_____________________________________________________________________
________________
5
Shut Down Manager & Alternate:
(a)
Responsibilities Include:
_____________________________________________________________________
_______________
_____________________________________________________________________
_______________
_____________________________________________________________________
_______________
6
Employee responsible for issuing the “all clear” (after advice from emergency
services)
___________________________________________________________________________
_______________
PLAN TO STAY IN BUSINESS
Business Continuity Plan
If this location is not accessible we will operate from location below:
Business
Name:___________________________________________________________________________
___
Address:__________________________________________________________________________
____________
City:_____________________________________________________________________________
______________
_
Contact phone
numbers:_____________________________________________________________________
Business
Name:___________________________________________________________________________
____
Address:__________________________________________________________________________
_____________
City:_____________________________________________________________________________
______________
Contact phone
numbers:_____________________________________________________________________
The following person is our primary Emergency Manager and will serve as the
Company Spokesperson in an Emergency.
Primary Emergency
Contact:______________________________________________________________
Telephone Contact
Number:_______________________________________________________________
Alternative
Number:________________________________________________________________________
E-mail
Address:__________________________________________________________________________
____
If the person is unable to manage the Emergency, the person below will succeed in
management:
Secondary Emergency
Contact:________________________________________________________
Telephone Contact
Number:____________________________________________________________
Alternative
Number:_____________________________________________________________________
E-mail
Address:__________________________________________________________________________
_
EMERGENCY CONTACT INFORMATION
DIAL 111 IN AN EMERGENCY
Non-Emergency
Police:__________________________________________________________________
Non-Emergency
Fire:____________________________________________________________________
Insurance
Provider:______________________________________________________________________
PLANNING TEAM & CO-ORDINATION WITH OTHERS
BE INFORMED
The following natural and man-made disasters could impact our business:
Ø _______________________________________________________________________________
_________
Ø _______________________________________________________________________________
_________
Ø _______________________________________________________________________________
_________
EMERGENCY PLANNING TEAM
The following people will participate in emergency planning and management:
Ø _______________________________________________________________________________
________
Ø _______________________________________________________________________________
________
Ø _______________________________________________________________________________
________
Ø _______________________________________________________________________________
________
WE PLAN TO COORDINATE WITH OTHERS
The following people from neighbouring businesses and our building management
will participate on our emergency planning team:
Ø _______________________________________________________________________________
_________
Ø _______________________________________________________________________________
_________
Ø _______________________________________________________________________________
_________
Ø _______________________________________________________________________________
_________
OUR CRITICAL OPERATIONS
The following is a prioritised list of our critical operations, staff and procedures
we need to recover from a disaster: (See following worksheets to assist with
decision making)
Ø _______________________________________________________________________________
_________
Ø _______________________________________________________________________________
_________
Ø _______________________________________________________________________________
_________
Ø _______________________________________________________________________________
_________
SUPPLIERS & CONTRACTORS
Company
Name:_______________________________________________________________________
Street
Address:_________________________________________________________________________
City:______________________________________________________
_______________
Phone:_________________________________
_____
Postcode:
Fascimile: _____________________________
E-Mail
Address:_________________________________________________________________________
Contact Person:______ _______________________________________
No:_______________
A/C
Material(s) / Service Provided:_________________________________________________________
If this Company experiences a disaster, we will obtain supplies/materials from
the following:
Company
Name:
__________________________________________________________________
Street
Address: _______________________________________________________________________
City:
_____________________________________________________
Phone:_______________________________
____
Postcode:_______________
Facsimile:________________________________
E-Mail
Address:________________________________________________________________________
Contact Person:___________________________________________
No:_______________
A/C
Material(s) / Service Provided:________________________________________________________
If this Company experiences a disaster, we will obtain supplies/materials from the
following:
Company Name:
_______________________________________________________________________
Street
Address:_________________________________________________________________________
City:
_____________________________________________________
Phone:_______________________________
____
Postcode:_______________
Facsimile:________________________________
E-Mail
Address:________________________________________________________________________
Contact Person:___________________________________________
No:_______________
A/C
Material(s) / Service Provided:________________________________________________________
COMMUNICATIONS, COMPUTER SECURITY AND BACK-UP
COMMUNICATIONS
We will communicate our emergency plans with co-workers in the following way:
_________________________________________________________________________________
__________
_________________________________________________________________________________
__________
In the event of a disaster we will communicate with employees in the following way:
_________________________________________________________________________________
__________
_________________________________________________________________________________
________
CYBER SECURITY
To protect our computer hardware, we will:
_________________________________________________________________________________
_________
To protect our computer software, we will:
_________________________________________________________________________________
__________
If our computers are destroyed, we will use back-up computers at the following
location:
_________________________________________________________________________________
__________
RECORDS BACK-UP
The Employee responsible for backing up our critical records including payroll
and accounting systems is:
_________________________________________________________________________________
____________
Back-up records including a copy of this plan, site maps, insurance policies, bank
account records and computer back ups are stored onsite at:
_________________________________________________________________________________
____________
Another set of back-up records is stored at the following off-site location:
________________________________________________________________________________
____________
If our accounting and payroll records are destroyed, we will provide for continuity
in the following ways:
_________________________________________________________________________________
____________
EMPLOYEE EMERGENCY CONTACT INFORMATION
The following is a list of our co-workers and their individual emergency contact information:
NAME:___________________________________________________________________________
___________
CONTACT
PHONE:________________________________________________________________________
CONTACT
ADDRESS/EMAIL:____________________________________________________________
ANNUAL REVIEW
We will review and update this business continuity and disaster plan annually.