emergency response plan template

7/26/2019 Emergency Response Plan Template

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Emergency Response Plan(For Company XX)

Emergency 24 hour number ( )

Floor/Area Fire Warden ( )

Emergency Response Team Leader ( )

Emergency Response Team Depuy !anager ( )

Faciliy "ecuriy !anager ( )


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Table of ContentsABBREVIATIONS 4

DEFINITIONS 5

ABOUT THIS PLAN TEMPLATE 6

INTRODUCTION

EMER!ENC" RESPONSE POLIC"

Purpose 8

Scope 9Executive Sponsor 9

Review and Compliance 9

Rules regulations 9

Staff responsible 9Violations 9

EMER!ENC" RESPONSE PLAN #

Purpose 9

Objectives !

"ssumptions !

Scope !

BUSINESS CONTINUIT" PLAN DOCUMENTS $ CRISIS RESPONSE PHASE %%

#usiness Continuit$ Plan %ocuments &

EMER!ENC" RESPONSE PLAN HI!H&LEVEL PROCESS FLO' %(

ERP Sub'p(ases )

Plan "ctivation P(ase )

*ncident +ogging , Reporting P(ase )

*ncident Evacuation P(ase -*ncident "ssessment and Escalation P(ase -

*ncident .itigation P(ase /*ncident Prevention P(ase /

*ncident .onitoring P(ase /

EMER!ENC" RESPONSE TEAM STRUCTURE) ROLES) AND RESPONSIBILITIES %

Emergenc$ Response 0eam +eader 1ER0+2 8Emergenc$ Response 0eam %eput$ .anager 1ER0%.2 8

3acilit$ Securit$ .anager 8

Securit$ 4uard 8

Evacuation +eaders 13loor 3ire 5ardens2 9.edical Staff 9

Rescue Staff 9

#usiness "rea .anagers 9

6a7ardous .aterial 6andlers Salvage and Repair 9

EMER!ENC" RESPONSE CONTACT INFORMATION *+

Emergenc$ Response 0eam &!Emergenc$ Response 0eam "lternates &

Emergenc$ Response 0eam Supporting Contacts &&

Emergenc$ Response External "ut(orities &&

EMER!ENC" RESPONSE TEAM TAS,S AND ACTIVITIES *(

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E!ER#E$%&RE"'$"ETEA!LEADER(ERTL) 2

E!ER#E$%&RE"'$"ETEA!DE'*T&!A$A#ER(ERTD!) 2+

!ED,%AL"TAFF 2-

FA%,L,T&"E%*R,T&!A$A#ER 2-RE"%*E"TAFF 2-

PROCEDURES *

ERP ' Emergenc$:*ncident Reporting Procedure &9Descripion 2.

Emergency/,nciden Reporing 'rocedure "eps

ERP & 4eneral Emergenc$ , 3ire Evacuation Procedure ;Descripion 0

#eneral Emergency 1 Fire Eacuaion 'rocedure "eps 0

ERP ; #omb 0(reat Procedure ;;Descripion

3omb Threa 'rocedure "eps

ERP < .edical , 3irst "id Procedure ; 0(e steps listed below ma$ not accuratel$ appl$ to $our organi7ation?

First Response During an Emergency

Ensure ha sa66: isiors: conracors: and publicare sa6e be6ore conducing oher seps9

f possible ta+e the follo&ing steps1(f life threatening situation evacuate premises)

09 3rie6ly assess siuaion using Intal In09ent Re2o.t9

$oe he 6ollo5ing@ %onac ,n6ormaion

Wha is he Emergency is

Type o6 inciden

Time o6 inciden

Locaion inciden

Who 5as noi6ied

Wha acion has been aen

29 Aciae alarm: i6 necessary (e9g9 in case o6 6ire)

9 Aler Floor/Area Warden: i6 re;uired

49 AlerEmergency Response Team ea!er (ERT) an!"or:

Aler heEmergency Response Team #eputy Manager (ERT#M)$

Aler he %acility Security Manager

Aler aSenior Management Staff Member

+9 AlerPublic &uthorities (Police' %ire' an!"or &mbulanceserice): i6 re;uired Dial B.00 and repor your name: company: locaion: ime: a brie6

descripion o6 inciden

9 Eacuae Area@ For eample: i6 6ire: use !ene.al E-e./en01 $ F.e E7a0aton

P.o0e9.e

For eample: i6 bomb hrea: use Bo-b T3.eat P.o0e9.e

-9 ,6 inGuries@ Ensure ha you are sa6e and 5ill no inGure yoursel6

Sentryx 2007 All rights reserved


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*se Me90al $ F.st A9 P.o0e9.e

ERP 4 1 ,eneral Emergency & +ire Evacuation Procedure

DescriptionThis procedure proides guidelines 6or eacuaion9 %onsider he 6ollo5ing during an eacuaion@

Assis ohers9 For eample: consider he needs o6 people 5ih disabiliies

uside Temperaures

Where o eacuae o9 For eample: eacuae o a sa6er place: no ino danger

'rioriy should be gien o sa6ey o6 sa66 and public9 ,n general: you should ensure@

> Ever$one is accounted for@

&> Evacuation (as been carried out@

;> .edical and 3irst "id staff attend to casualties if reAuired@ and

"mbulance service (as been called if reAuired>

2eneral Emergency # Fire Evacuation Proce!ure 'teps,6 eacuaion is re;uired: ae he 6ollo5ing seps as necessary@

If 1o a.e NOT a floo. 8a.9en:

9 Remain calm

.9 Do no reurn o your o66ice/5or area

09 Aciae Alarm

009 Aler Fire Warden

029 Aler he Emergency Response Team Leader and Faciliy "ecuriy !anager

09 Do no ae aluable obGecs ha hinder or bloc he eacuaion roues

049 Leae he premises immediaely by@ *sing he neares escape roueH and/or by

Follo5ing he Floor Wardens insrucions

Do no use eleaors



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If 1o ARE a floo. 8a.9en) follo8 Floo. 'a.9en E7a0aton P.o0e9.e:

>"o a.e .es2onsble fo. 1o. ass/ne9 a.ea?

09 ,6 possible per6orm hese ass@

a9 Aciae he alarmb9 Aler he Emergency Response Team Leader and Faciliy "ecuriy

!anager

c9 %ommence eacuaion o6 your area by proiding clear insrucionsd9 #uide sa66 o eacuaion area

e9 Do no use eleaors

69 Ensure sa66 do no ae large si7e obGecs

g9 Ensure escape roue is no congesedH use alernae ei i6 possibleh9 "earch he 6loor or area o ensure ha no one is le6 behind

i9 %hec 6or abnormal condiions or obGecs (bomb hrea ec)

G9 'er6orm e;uipmen is shudo5n ass (e9g9 plan machinery should be

shudo5n: i6 pracical)9 'er6orm building shudo5n ass (e9g9 ensure doors are closed: bu no

loced)

If t3s s a f.e:

09 ,6 sa6e o do so and condiion permi: conain 6ire by ensuring all doors are closed

29 ,6 sa6e o do so and condiions permi: einguish 6ire using 6ire einguishers

Re2eate9 f.o- A22en90es:

A% = F.e E7a0aton Asse-bl1 A.eas:

Ste E7a0aton A.ea % E7a0aton A.ea *

%ompany

CC

Iead;uarer3uilding

Wal5ay area in 6ron o6 main

doors

Rear enrance 6enced area



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ERP 5 1 Bomb (hreat Procedure

Description!os incidens inoling a bomb or eplosie subsances are no legiimae9 Io5eer: because

o6 he poenial 6or harm: hese hreas are reaed seriously9 $oe ha a bomb hrea may be

receied by eiher phone or hrough a 5rien noe or leer or by deecing a pacage on hepremises9

"omb Threat Proce!ure 'teps,n he een in6ormaion has been receied ha a bomb has been placed in building: ae he

6ollo5ing seps as necessary@

Do not to03 o. o2enhe pacage or suspicious obGec

pen doors and 5indo5s

,6 possible: isolae he obGec 5here i can do no harm9

Do no allo5 anyone near he obGec

$oi6y he police9 Follo5 heir adise

$oi6y he Emergency Response Team Leader

Eacuae premises9 Follo5 #eneral Emergency 1 Fire Eacuaion procedures9



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ERP 6 1 'edical & +irst #id Procedure

DescriptionAn ade;uaely rained sa66 and a ;uic response are he mos imporan elemens 5hen medical

aid is o be proided9

e!ical First Ai! 'teps,n he een o6 an emergency inoling inGury use he 6ollo5ing seps@

,6 possible: preen 6urher inGury: especially i6 he head or nec are inoled

%onsul eernal medical aid 5heneer possible

*se 6irs aid supplies and insrucions 5heneer possible

,6 an employees eyes or body hae been eposed o ha7ardous or corrosie maerials:use 5aer or similar soluions as soon as possible



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Appen!ices

#2 1 +ire Evacuation #ssembly #reas

Ste E7a0aton A.ea % E7a0aton A.ea *

%ompany

CC

Iead;uarer3uilding

Wal5ay area in 6ron o6 main

doors

Rear enrance 6enced area

#4 1 Primary and Secondary Escape Routes & #ssembly #rea

Lis primary escape roue

Lis secondary escape roueLis assembly area

#5 1 +loor Plans

Lis 6loor plans including@

Locaion o6 alarms Locaion o6 6ire einguishers

#as and 5aer lines

Elecric panels

#6 1 Emergency Supplies

Lis emergency supplies@

Firs aid supplies

Ia7ardous maerial sa6ey and clean up e;uipmen

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Forms+2 1 %nitial %ncident Report

Conta0t Info.-aton

Dae@

Time@

%onac $ame@

%onac 'hone $umber@

E-e./en01 Detals

'roblem Descripion@

'ersonnel ,nGuries@

'ropery Damage@

Time o6 emergency (5hen did i occur)

Dae@

Time@

Locaion o6 emergency (5here did i occur)

Who 5as noi6ied

$ame@

'hone $umber@

Wha acion(s) hae been aen (eample@ 6ire: medical: or eacuaion)



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+4 1 %ncident #ssessment +orm

*se his 6orm o deermine he een o6 he emergency siuaion9

The acual assessmen assigns an inciden seeriy leel o he curren siuaion such as lo5:medium: and high9 3ased on his assessmen: oher acions such as escalaion may ae place9

The seeriy leels may be based on eend o6 inGury: possibiliy o6 conainmen: or oherscenarios speci6ic o your organi7aion9 Eample seeriy leels are described belo5@

Lo8J incidens considered as lo5 prioriy do no inole inGuryH can be conained easily:

and no liely o progress9

Me9-J incidens considered medium prioriy inole minor inGuriesH may no be

easily conained: and hae a chance o6 progressing9

H/3J incidens considered as high prioriy inole inGuries minor or maGorH are no

easily conained: and hae a high probabiliy progressing9

In09ent Assess-ent Fo.-

Assessmen conduced by ($ame: 'hone $umber)@

,nciden "eeriy Leel Assigned@

Deails o6 ,nGury (ype: number o6 sa66 a66eced)@

Lielihood o6 emergency progressing@

Recommendaions/$oes@@

Sentryx 2007 All rights reserved -


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+5 1 Personnel #ccounting +orm ).eadcount +orm*

Ste E-2lo1ees N-be. of

Pe.sonnelE@2e0te9

>e/ f.o-

staff7sto.

lo/?

N-be. of

Pe.sonnelE7a0aton

>A.ea %?

N-be. of

Pe.sonnelE7a0aton

>A.ea *?

%ompany

CC

Iead;uarer

3uilding

"a66

%onracors

=isiors

Toal



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+6 1 ersion Change Control

=ersion conrol is re;uired in order o mainain inegriy and cohesion o6 his documen9 The

Documen !anager should be he only person o approe and auhori7e changes and disribuereised ersions9

To reduce he ris ha an old ersion is used: he Documen !anager should collec all copies o6old ersions be6ore disribuing ne5 ones9 This documen shall no be phoocopied9 Addiional

copies should be obained 6rom he Documen !anager9

Ve.son

N-be.

Isse Date Reason fo. C3an/e At3o.e9 b1

emergency response plan template

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