Emergency Action Plan



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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 ): Phone: () Name: 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.. YOUR NAME: TIME: DATE: CALLER S IDENTITY SEX: Male Female Adult Juvenile APPROXIMATE AGE: ORIGIN OF CALL: Local Long Distance Telephone Booth VOICE CHARACTERISTICS Loud High Pitch Raspy Intoxicated Soft Deep Pleasant Other SPEECH ACCENT Local Foreign Race Not Local Region Slow Distorted Nasal Other Fast Distinct Stutter Slurred MANNER Calm Rational Coherent Deliberate Righteous Angry Irrational Incoherent Emotional Laughing LANGUAGE Excellent Fair Foul Good Poor Other BACKGROUND NOISES 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 Certain Hour Time Remaining Where is it located Building Area What kind of bomb What kind of package




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