You are reading this message because your browser either does not support JavaScript or has it disabled. Please enable JavaScript and Cookies in order to use this site.
If your browser is not JavaScript capable, you can obtain either Firefox or Microsoft Internet Explorer. Under Linux, any browser using the latest Mozilla engine should work.
___________________________ EMERGENCY PLANJanuary 20, 2025
This Emergency Plan is a written set of instructions to help you and your household handle evacuation or shelter-at-home emergencies. It is recommended that you review your Emergency Plan on a regular basis, preferably annually, to ensure that all information is recent and up-to-date.
Contact Information
Member Name and Primary Information
Secondary Information
Availability
Name: Mobile: E-mail:
N/A
Evacuation Plans
A Home Escape Route has been prepared by the household and is attached to this Emergency Plan.
In case there is a need to evacuate the house, all household members must go here:
In case there is a need to evacuate the city, all household members must go here:
In case you need to immediately evacuate, you should grab the following items:Emergency kits, _______________________________________________________________
If you have extra time before you need to evacuate, you may want to take the following items with you:
In case you need to evacuate, contact this person to inform them that you need to leave your home or city, and that you plan to travel to their place or intend to stay somewhere else (e.g. community shelters, etc.).
Shelter-At-Home Plans
In case there is a need to stay home during an emergency, all household members must go to: ________________________________________________
Home Preparation
Mechanical System
Location
Utility Company
Water Valve
Company Name: Phone Number:
Electrical Panel
Heating System
Floor Drain
EMERGENCY KIT CHECKLIST
Use this checklist to create and prepare your emergency kit. It is strongly recommended that your kit contains enough supplies to keep everyone in the household safe and comfortable for at least 72 hours. The kit should be in something that’s easy to carry, such as a backpack, and kept in an accessible place. It is also advised that each household member have their own emergency kit.After preparing your emergency kit, inform everyone in the household where it can be found. Update your kit regularly (preferably every 6 months) to ensure the food and medications in your kit are not expired and your documents are still up-to-date.
FOOD AND WATER
Item
Quantity
Expiration Date and Other Details
[ ] Bottled water (1gallon/person/day)
[ ] Canned and dried foods
[ ] Protein or energy bars
[ ]
MEDICAL ITEMS
Other Details(description, expiration dates, etc.)
[ ] First aid kit
[ ] Non-prescription medication
[ ] Medical equipment, if any
SAFETY ITEMS AND BASIC EQUIPMENT
[ ] Battery-operated radio
[ ] Flashlight
[ ] Batteries
[ ] Candles, and matches or lighter
[ ] Whistle
[ ] Utility knife or pocket knife
[ ] Manual can opener
[ ] Utensils
[ ] Sewing kit
[ ] Duct tape
CLOTHING AND TOILETRIES
[ ] Toilet paper or moist towelettes
[ ] Hand sanitizer
[ ] Garbage bags and plastic ties
[ ] Change of clothing per member
[ ] Sleeping bag or blankets
[ ] Diapers, if needed
CASH AND DOCUMENTS
[ ] Folder of important documents
[ ] Cash (coins and small bills)
[ ] Traveller's cheques
[ ] Emergency Plan
[ ] Local maps
IMPORTANT DOCUMENTS CHECKLIST
Use this checklist to create and prepare your important documents folder. Ensure you are prepared for any kind of emergency by creating copies of your important documents and compiling them in a folder or binder.After compiling, it is highly recommended that you store your folder in your emergency kit.
PERSONAL DOCUMENTS
MEDICAL DOCUMENTS
[ ] Driver's licences or identification cards
[ ] Health insurance cards
[ ] Social insurance cards/documents
[ ] Health, life, disability insurance policies
[ ] Passports
[ ] List of medications (OTC and prescription)
[ ] Birth or adoption certificates
[ ] Immunization or vaccination records
[ ] Last Will and Testament
[ ] ______________________________
[ ] Living Will
PROPERTY DOCUMENTS
FINANCIAL DOCUMENTS
[ ] Mortgage documents
[ ] List of bank account numbers
[ ] Deeds, titles, leases for your home
[ ] List of investment account numbers
[ ] Deeds or titles for your vehicle
[ ] List of retirement/pension account numbers
[ ] Insurance policies
FIRST AID CHECKLIST
Use this checklist to create and prepare your first aid kit. It is strongly recommended that your kit contains basic supplies needed to treat a variety of injuries. The kit should be kept together with your emergency kit. After preparing your first aid kit, inform everyone in the household where it can be found. Update your kit regularly (preferably every 6 months) to ensure you have enough supplies and any medication you included is not expired.
BURNS
MEDICATION
[ ] Burn gel
[ ] Antihistamine
[ ] Burn dressing (4"x4")
[ ] Antacid tablets
[ ] Aspirin, Ibuprofen or Tylenol
[ ] Oral pain gel
[ ] Cold relief medicine
[ ] Rehydration pills or electrolytes replenisher
CUTS OR WOUNDS
[ ] Muscle relaxer
[ ] Regular bandages (different types & sizes)
[ ] Sleep aid
[ ] Gauze dressing pads (2"x2" or 4"x4")
[ ] Motion sickness relief
[ ] Trauma pads
[ ] Band aids
[ ] Nylon sutures
[ ] Surgical scissors
[ ] Adhesive tape
OTHER
[ ] Tweezers
[ ] Thermometer
[ ] Towel
[ ] Antiseptic wipes or soap
[ ] Eyepads
[ ] Gloves
SPRAINS
[ ] Safety pins
[ ] Finger splint
[ ] Ziplock bags
[ ] Flexible splint
[ ] Blanket
[ ] Elastic bandages
[ ] First aid manual
Last Updated December 26, 2024
An Emergency Plan outlines your household’s actions in response to a local emergency or natural disaster. With a clear plan, each member of your family speeds up their reaction to an immediate threat such as a natural disaster (like a flood, fire, or extreme weather) or human-caused hazard (such as a chemical spill or transportation accident).
Emergency situations may call for you to evacuate your area or take shelter at home. An Emergency Plan is a valuable tool for assessing the potential risks in your environment and planning your response to them ahead of time.
The essential components of LawDepot’s Emergency Plan template include:
An Emergency Plan is also known as an:
Creating an Emergency Plan ensures that you and your loved ones have the knowledge and the necessities to get through tough situations.
Depending on where you live, you may be more susceptible to certain risk factors than others. Some regions may be at a higher risk for extreme cold and extended power outages, while others may be prone to wildfires or flooding. So, it’s important to assess potential threats and make a personalized Emergency Plan to protect yourself and your loved ones from harm.
Local authorities may or may not have resources available to aid the public during certain emergency responses (like having enough firefighters to deal with a rapidly spreading wildfire). Knowing the foreseeable threats your community faces and how it can respond to them will help you determine your personal responsibilities during a crisis.
You should also consider any health conditions or disabilities that will affect how individual family members can respond to an emergency. For example, if you need to evacuate and a member of your family is living with a physical disability, you’ll need to plan a route that everyone can safely navigate.
LawDepot’s Emergency Plan template prompts you to prepare a home escape route and attach it to your plan.
Customize an escape route for various evacuation scenarios, such as blocked exits, heavy smoke, or fire in the house. Sketch the layout of your home and plan for at least one or two exit options for every room in your house. If needed, prepare for exiting through windows with ladders or ropes.
Practice your evacuation plan with your family at least once every six months to a year. You may not have time to refer to your maps during an emergency, so it’s critical to learn and rehearse your escape routes ahead of time.
Our questionnaire will also prompt you to list two locations for meeting up with family members after an evacuation:
In addition to your Emergency Plan, it’s important to prepare essential items and documents such as a first aid kit, an emergency kit, and photocopies of IDs and insurance policies. Our template’s checklists are thorough and will guide you through these emergency preparation tasks.
When assembling emergency kits, use backpacks or containers that are easy to grab and go. Each kit should include essential items to help you get through at least 72 hours without access to services. You can create a large family kit, but individual kits are easier to transport and helpful if family members get separated.
Our emergency kit checklist reminds you to pack essentials such as:
Severe weather, industrial accidents, or public health emergencies may call for people to shelter in place (i.e., stay indoors) until the danger recedes.
Again, it’s important to assess all potential risks to your community in particular and plan accordingly. LawDepot’s Emergency Plan template prompts you to consider a safe indoor location, but where you go inside your house to wait out the danger will vary depending on the circumstances.
For instance, if there is a tornado or earthquake, go to your basement or seek shelter under a table. Add instructions for closing doors and windows to cut off ventilation if there is a nuclear or chemical accident. Learn how to insulate and heat your home safely in case of a winter power outage.
Our questionnaire will also guide you through an evaluation of your home’s mechanical systems. Knowing where valves and panels are, how to access them, and when to turn them on or off is important during emergencies. Generally, hazard proofing and keeping your house systems in good repair helps avoid further problems later.
There are several steps you can take to prepare your family for different emergencies:
Sample
Emergency Plan
Personalize your Emergency Plan. Print or download in minutes.
Create Your Emergency Plan
Note: Your initial answers are saved automatically when you preview your document.This screen can be used to save additional copies of your answers.