emergency response plan word format

OJ QJ \]^J aJ! Emergency responses are regularly discussed at Personnel meetings. Wear layers of loose-fitting, light-weight, warm clothing, if available. Designated Official, Emergency Coordinator or supervisors must (underline one): Disconnect utilities and equipment unless doing so jeopardizes his/her safety. Facility Name: _____ ... (Attach Emergency Response Agreement if available) * - N/A. Activate malicious call trace: Hang up phone and do not answer another line. The plan will include the procedures, instructions, and necessary information for preparing, mobilizing, and using the companyâs resources in the most effective way in case of emergency. SEVERE WEATHER AND NATURAL DISASTERS Tornado: When a warning is issued by sirens or other means, seek inside shelter. Perform an accurate head count of personnel reported to the designated area. All personnel will be made aware of who is responsible for emergency response, the location of emergency response equipment, and the policies and procedures surrounding incident response actions. - Do not eat snow. Clear the air passages using the Heimlich Maneuver in case of choking. Emergency Response Plan Once the vulnerability analysis has been carried out, the emergency plan should be drafted. Ó If you are on high ground, away from the coast and plan to stay, secure the building, moving all loose items indoors and boarding up windows and openings. Earthquake: Stay calm and await instructions from the Emergency Coordinator or the designated official. Open the windows a little for fresh air to avoid carbon monoxide poisoning. Emergency plan template Emergency plan template. The Fire Emergency Plan (FEP) is a plan that contains information on the types of fire safety measures that are provided in designated premises and includes floor layout plans and fire evacuation procedures. Introduction 1.1 An Emergency Response Plan (ERP) outlines in writing what should be done after an accident or aviation crisis and who is responsible for each action. What is the rationale to convert existing Fire Emergency Plan (FEP) to the Emergency Response Plan (ERP)? Make yourself visible to rescuers. 3. - Cover windows at night. Write out the message in its entirety and any other comments on a separate sheet of paper and attach to this checklist. 2. I. Assignments: Work Area Name Job Title Description of Assignment Personnel involved in critical operations may remain on the site upon the permission of the site designated official or Emergency Coordinator. 7 TRP develops the majority of SPCC plans integrated into a Web-based, database-driven system; however, these plans can be developed in a Microsoft Word format, if requested. If building is occupied, inform caller that detonation could cause injury or death. Blizzard: If indoors: Stay calm and await instructions from the Emergency Coordinator or the designated official. ): No. Deal with the spill in accordance with the instructions described in the MSDS. Melt it first. If XXXXX were spilled onto open, flat ground, it would spread out to form a shallow pool. Ð Can't find what you're looking for? Emergency Response Plan. If no Emergency Response Organization available within 30-minute response time additional personnel trained in rescue operations and equipped with rescue kit must accompany the climber(s). 23 Apr 2020. Contents. Avoid walking or driving through flood water. Secure the area and alert other site personnel. Attend to injured personnel and call the medical emergency number, if required. This template can be used by small wastewater systems to help them develop such plans. Cover all exposed parts of the body. 1. &. Form Description; RCAP Emergency Response Plan Template for Small Community Water Systems - Rural Community Assistance Partnership (RCAP) emergency response planning template for use by small community water systems and non-transient non-community water systems, including instructions. - Turn on the dome light at night when running the engine. It includes: DATE . A hurricane watch issued when a hurricane becomes a threat to a coastal area. Emergency Response Plan. Location of the emergency (address, building, room number), and c. Your name and phone number from which you are calling. It is the responsibility of to ensure the Emergency Response Plan is fully updated and distributed to relevant people in the chain. Nature of medical emergency, b. Escaping the area is possible by backing up to the nearest exit. Use arms to protect head and neck. EMERGENCY ACTION PLAN. Remain sheltered until the tornado threat is announced to be over. PAGE - 1 1 ON-SITE EMERGENCY PLAN Emergency planning is an integral part of the overall loss control programme and â¦ INDUSTRY NAME HERE. Collect drinking water in appropriate containers. This Emergency Response Plan must also be reviewed following each activation while reviewing all outcomes of an incident. 3. In case of rendering assistance to personnel exposed to hazardous materials, consult the Material Safety Data Sheet (MSDS) and wear the appropriate personal protective equipment. When there is a hazard within a building such as a fire or chemical spill, occupants within the building should be evacuated or relocated to safety. In case emergency situation will not permit any of the personnel to remain at the facility, the designated official or other assigned personnel shall notify the appropriate _______________ offices to initiate backups. Date___/___/___ FIRE EMERGENCY When fire is discovered: Activate the nearest fire alarm (if installed) Notify the local Fire Department by calling . CHEMICAL SPILL The following are the locations of: Spill Containment and Security Equipment: ___________________________ Personal Protective Equipment (PPE): MSDS:_____________________________________________________ When a Large Chemical Spill has occurred: Immediately notify the designated official and Emergency Coordinator. Review the general spill cleanup procedures. Our role in a Civil Defence emergency. Call the following personnel trained in CPR and First Aid to provide the required assistance prior to the arrival of the professional medical help: Name: Phone:_______________________ Name: Phone: ________________________ If personnel trained in First Aid are not available, as a minimum, attempt to provide the following assistance: Stop the bleeding with firm pressure on the wounds (note: avoid contact with blood or other bodily fluids). Certain Hour ____ ADVANCE \x179 Time Remaining Where is it located? Small spills must be handled in a safe manner, while wearing the proper PPE. Download or preview 6 pages of PDF version of Emergency action plan template (DOC: 159.2 KB | PDF: 83.3 KB ) for free. Run the motor about ten minutes each hour. Exercise to keep blood circulating and to keep warm. An emergency operation plan is a structure and a process in which an organization use in response to an emergency situation and how to recover from that emergency. Emergency contact plan â parents and caregivers. ��ࡱ� > �� u w �� t �� [� �� (( bjbj�� pr ΐ ΐ � � e �� B B � � = = = $ �� a a a P � , � � a S. Contain the spill with available equipment (e.g., pads, booms, absorbent powder, etc.). 1. EMERGENCY RESPONSE PLAN . During a hurricane: Remain indoors and consider the following: - Small interior rooms on the lowest floor and without windows, - Hallways on the lowest floor away from doors and windows, and - Rooms constructed with reinforced concrete, brick, or block with no windows. - Build a fire for heat and to attract attention. The following information is marked on evacuation maps: Emergency exits Primary and secondary evacuation routes Locations of fire extinguishers Fire alarm pull stations location SEQ a,_b,_c, \* alphabetic \na. Structure Type Location (address, if applicable) Emergency Response Organization* (if available within 30-minute response time) Emergency Response Organization(s): Name Phone Number______________________ Name Phone Number______________________ (Attach Emergency Response Agreement if available) * - N/A. This plan outlines how [insert name of school/ECE] will respond in the event of an emergency. Site Emergency: An alert that cannot be localised and which presents danger to other areas within the site boundary or outside the site boundary. Move early out of low-lying areas or from the coast, at the request of officials. 3 EMERGENCY RESPONSE PLAN There are three levels of emergency as follows: Local Emergency: An alert confined to a specific locality. This form is also available in MS Word format. 8. Coordinate an orderly evacuation of personnel. 5CJ! Assemble in the designated area (specify location): Remain outside until the competent authority (Designated Official or designee) announces that it is safe to reenter. IV. The toolkit is written to be comprehensive and user-friendly while allowing communities â rural or urban, small to large, to adapt their planning process to suit unique emergency management needs and capacities. ___________________ What kind of package?______________ How do you know so much about the bomb?___ What is your name and address? If there is no heat: - Close off unneeded rooms or areas. TELEPHONE BOMB THREAT CHECKLIST INSTRUCTIONS: BE CALM, BE COURTEOUS. Emergency Response Plan (Guidance Document) Purpose: The Internal emergency response plan is designed to facilitate the safe evacuation of all occupants from the _____(location) in the event of fire or other internal emergency. Facilities with freezing temperatures should turn off and drain the following lines in the event of a long term power loss. Prepared by Texas C-BAR. Upon Restoration of heat and power: Electronic equipment should be brought up to ambient temperatures before energizing to prevent condensate from forming on circuitry. During some emergency situations, it will be necessary for some specifically assigned and properly trained employees to remain in work areas that are being evacuated long enough to perform critical operations. A copy of this document is available in easily modified/edited MS Word format. Moor any boats securely, or move to a safe place if time allows. This Emergency Recovery Plan was designed to assist you in the development of your Emergency Recovery Plan.. TRP's Emergency Response Plans incorporate site-specific actions and consistent best-practice procedures that significantly improve quality, accessibility, and accuracy of response planning programs. Currently, all public buildings are required to formulate a FEP for their building. Fire and potable water piping should be checked for leaks from freeze damage after the heat has been restored to the facility and water turned back on. If a tornado warning is broadcast, everyone should be moved to the strongest part of the building and away from exterior glass. 5. If a transportation accident on a nearby highway results in the release of a chemical cloud, the fire department may warn to shelter-in-plaâ¦ Emergency Response Plan Template for Small Business-Encouraged to our weblog, within this moment Iâll provide you with regarding emergency response plan template for small business.And today, this can be the initial graphic: emergency action plan template 9 free sample example from emergency response plan template for small business Contents. Ù Emergency Action Plan (Template) tc \l2 "Emergency Action Plan (Template) EMERGENCY ACTION PLAN for Facility Name: ____________________ Facility Address: ___________________ DATE PREPARED: ___/_____/______ EMERGENCY PERSONNEL NAMES AND PHONE NUMBERS DESIGNATED RESPONSIBLE OFFICIAL (Highest Ranking Manager at _____________site, such as __________, ___________, or ____________): Name: Phone: (________________) EMERGENCY COORDINATOR: Name: Phone: (______________) AREA/FLOOR MONITORS (If applicable): Area/Floor: Name: Phone: (_______________) Area/Floor: Name: Phone: (_______________) ASSISTANTS TO PHYSICALLY CHALLENGED (If applicable): Name: Phone: (_______________) Name: Phone: (________________) Date ____/____/____ EVACUATION ROUTES Evacuation route maps have been posted in each work area. Responsibilities change . Basic emergency response process. Provide the Fire Department personnel with the necessary information about the facility. Below are the elements that comprise an emergency action plan. Other incidents such as a bomb threat or receipt of a suspicious package may also require evacuation. 5CJ$ OJ QJ \^J aJ$ &j 5CJ$ OJ QJ U\^J aJ$ 6CJ! Emergency Response Plan. DO NOT INTERRUPT THE CALLER. Resources consulted in the preparation of this planning template:-Neighborworks America: "Disaster Preparedness and Recovery for Community Development Organizations"-FEMA: "Emergency Management Guide for Business and Industry" The fire is small and is not spreading to other areas. If stranded in a car or truck: Stay in the vehicle! Date___/___/___ STRUCTURE CLIMBING/DESCENDING EMERGENCIES List structures maintained by site personnel (tower, river gauge, etc. How to use the template TABLE OF CONTENTS . ADDRESS . Stay indoors! The Department Name emergency plan is the responsibility of Individualâs Name or Position. You are free to share [â¦] Notify your supervisor immediately. Collins for allowing us to share this valuable contribution to â¦ Keep away from overhead fixtures, windows, filing cabinets, and electrical power. Emergency â¦ o 38.15 KB. 1.2 â¦ Guidance materials. The plan was developed . Or request the file be e-mailed to by contacting Mail to Hugh . Overview. Once a hurricane warning has been issued: Be ready to evacuate as directed by the Emergency Coordinator and/or the designated official. Emergency procedures are posted in an easily viewed location for all Personnel. Downloads. Evacuate as instructed by the Emergency Coordinator and/or the designated official. TRP's SMARTPLANâ¢ Software System can be utilized to deliver streamlined, yet site-specific Emergency Response Plans for every location, company-wide. Continue to monitor local TV and radio stations for instructions. Attempt first aid ONLY if trained and qualified. This is the document to serve as a Template for CERS Consolidated Emergency Response and/Contingency Plan Keywords: Emergency Contingency Plan, Emergency Response Plan, Response Plan, Contingency Plan, Consolidated Response/Contingency Plan, Hazardous Materials Business Plan, Training Plan, Hazmat Response Plan Last modified by: Tim Fillmore Call Security at __________ and relay information about call. Name of check in person: After normal work hours. Date___/___/___ EXTENDED POWER LOSS In the event of extended power loss to a facility certain precautionary measures should be taken depending on the geographical location and environment of the facility: Unnecessary electrical equipment and appliances should be turned off in the event that power restoration would surge causing damage to electronics and effecting sensitive equipment. This emergency plan in meant to be in compliance with OSHA 29 CFR 1910.120(q). ² INTRODUCTION Brief description of company. Fluids prevent dehydration. Listen for the confirmation announcement and hang up. EMERGENCY PHONE NUMBERS FIRE DEPARTMENT: ________________ PARAMEDICS: _______________ AMBULANCE: _______________ POLICE: ________________ FEDERAL PROTECTIVE SERVICE: ________________ SECURITY (If applicable): _________________ BUILDING MANAGER (If applicable): ________________ UTILITY COMPANY EMERGENCY CONTACTS (Specify name of the company, phone number and point of contact) ELECTRIC: _____________________ WATER: _______________________ GAS (if applicable): __________________________ TELEPHONE COMPANY: _______________________ Date: ___/____/_____ EMERGENCY REPORTING AND EVACUATION PROCEDURES Types of emergencies to be reported by site personnel are: MEDICAL FIRE SEVERE WEATHER BOMB THREAT CHEMICAL SPILL STRUCTURE CLIMBING/DESCENDING EXTENDED POWER LOSS OTHER (specify)___________________________________ (e.g., terrorist attack/hostage taking) MEDICAL EMERGENCY Call medical emergency phone number (check applicable): Paramedics Ambulance Fire Department Other Provide the following information: a. 11 Incident Response Plan Templates â Free Sample Example 585641 Free incident response plan template for disaster recovery planners 600288 Our main objective is that these emergency response plan template images gallery can be a direction for you, give you more examples and of course bring you what you need. Do not attempt to clean the spill unless trained to do so. The Emergency Response Plan is given to all W5 Personnel, Volunteers and Board when they begin working with the organization. Eat and drink. YOUR NAME: __________________________ TIME: _____________ DATE: ________________ CALLER'S IDENTITY SEX: Male _____ Female ____ Adult ____ Juvenile ____ APPROXIMATE AGE: _____ ORIGIN OF CALL: Local __________ Long Distance ___________ Telephone Booth __________ VOICE CHARACTERISTICS SPEECH LANGUAGE ___ Loud ___ High Pitch ___ Raspy ___ Intoxicated ___ Soft ___ Deep ___ Pleasant ____________ Other ___ Fast ___ Distinct ___ Stutter ___ Slurred ___ Slow ___ Distorted ___ Nasal ____________ Other ___ Excellent ___ Fair ___ Foul ___ Good ___ Poor __________ Other ACCENT MANNER BACKGROUND NOISES ___ Local ___ Foreign ___ Race ___ Not Local ___ Region ___ Calm ___ Rational ___ Coherent ___ Deliberate ___ Righteous ___ Angry ___ Irrational ___ Incoherent ___ Emotional ___ Laughing ___ Factory ___ Machines ___ Music ___ Office ___ Machines ___ Street ___ Traffic ___ Trains ___ Animals ___ Quiet ___ Voices ___ Airplanes ___ Party ___ Atmosphere BOMB FACTS PRETEND DIFFICULTY HEARING KEEP CALLER TALKING IF CALLER SEEMS AGREEABLE TO FURTHER CONVERSATION, ASK QUESTIONS LIKE: When will it go off? ² Individualâs Name or Position will review and update this plan at least once annually. 6. ý ý ý ý ý ý ý ý ý ý ý ý ý ý ý ø ø ý ê ý ß ß ß ß Ò - Stuff towels or rags in cracks under doors. Consider the following: - Small interior rooms on the lowest floor and without windows, - Hallways on the lowest floor away from doors and windows, and - Rooms constructed with reinforced concrete, brick, or block with no windows. Perform assessment and coordinate weather forecast office emergency closing procedures Area/Floor Monitors must: Ensure that all employees have evacuated the area/floor. OJ QJ ^J aJ! New employees are hired or transferred . Introduction. Evacuation. Report any problems to the Emergency Coordinator at the assembly area. : Wyoming Emergency Response Plan â¦ Any suggestions, comments, or questions should be directed to Individualâs Name or Position. OJ QJ ]^J aJ! We will review and update this business continuity and disaster plan in _____. âAn emergency response plan shall be developed and implemented to handle anticipated emergencies prior to the commencement of emergency response operations. The Guidance document is in WORD format so that one can âcut and pasteâ in order to âfill in the blanks.â Any Questions, please contact Occupational Safety and Health. A hurricane warning is issued when hurricane winds of 74 mph or higher, or a combination of dangerously high water and rough seas, are expected in the area within 24 hours. Leave areas that might be affected by storm tide or stream flooding. Revisions will be made as needed throughout the year. TRP's web-based plans can share notifications and additional common information with other plan types, thereby drastically reducing plan maintenance requirements The fire extinguisher is in working condition and personnel are trained to use it. If no Emergency Response Organization available within 30-minute response time additional personnel trained in rescue operations and equipped â¦ Buildings that require the appointment of FSM however, not only need the FEP but also the In-Place-Protection (IPP) plâ¦ EMERGENCY RESPONSE PLANNING CHECKLIST FOS FORM CL-200-ERP Operatorâs Name : INFORMATION PROVIDED 1. for. To download the MS Word file Left Click here: Emergency Response Plan. Choose same line and dial *57 (if your phone system has this capability). EMERGENCY SHUTDOWN PROCEDURES . CJ$ OJ QJ ^J aJ$ CJ! Publication date. Emergency Response Planning Template for Public Wastewater Systems Page 2 Planning Template Introduction Preparing an emergency response plan is an essential part of managing a wastewater system. 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