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Emergency Plan
Out-of-State Contact
Name________________________________
City_________________________________
Telephone
(Day)__________ (Evening)____________
Local Contact
Name______________________________
Telephone
(Day)__________ (Evening)____________
Nearest Relative
Name______________________________
City_______________________________
Telephone
(Day)__________ (Evening)___________
Family Work Numbers
Father__________
Mother_____________
Other__________
Emergency Telephone Numbers
In a life threatening emergency, dial 911 or the local
emergency medical services system number
Police
Department______________
Fire
Department________________
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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Escape Plan
n
a fire or other emergency, you may
need to evacuate your house, apartment
or mobile home on a moment’s notice. You should be ready to get
out fast.
Develop
an escape plan by drawing a floor plan of your residence. Using
a black or blue pen, show the location of doors, windows, stairways,
and large furniture. Indicate the location of emergency supplies
(Disaster Supplies Kit), fire extinguishers, smoke detectors, collapsible
ladders, first aid kits and utility shut off points. Next, use a
colored pen to draw a broken line charting at least two escape routes
from each room.
Finally,
mark a place outside of the home where
household members should meet in case of fire.
Be
sure to include important points outside such as garages, patios,
stairways, elevators, driveways and porches. If your home has more
than two floors, use an additional sheet of paper. Practice emergency
evacuation drills with all household members at least two times
each year.
Example:
Floor one
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