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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____________________________
________________________________________
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.
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