Emergency Response Plan

1. Does your company have an established Emergency Response Plan? 

• Yes

• No

2. If yes, please provide a brief overview of the plan:

Evacuation Procedures:

3. Describe the evacuation procedures in place at your facility.

4. Are there designated assembly areas? 

• Yes

• No

5. If yes, please specify the locations:

Communication Plan

6. How does your company communicate emergency information to employees?

7. Do you have a system in place for notifying employees during emergencies? 

• Yes

• No

Emergency Equipment and Supplies

8. Are the emergency equipment and supplies regularly inspected and maintained?

• Yes

• No

9. Describe the training provided to employees regarding emergency procedures.

10. How often are emergency drills conducted?

First Aid and Medical Assistance

11. Is there a designated first aid station at your facility?

• Yes

• No

12. Are there employees trained in first aid and CPR? 

• Yes

• No

Hazardous Materials

13. Does your company handle hazardous materials?

• Yes

• No

14. If yes, please provide details on how these materials are stored, handled, and secured.

Special Needs and Accommodations

15. Are there employees with special needs who may require assistance during an emergency?

• Yes

• No

16. If yes, please describe the accommodations in place.