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What is an example of an emergency management checklist?

The following checklist can be used to help organize your emergency management and response plan. Be sure to customize this list with items specific to your needs.

Element Documented Functional
Ability Proven
Comments
  Yes No Yes No  
Statement of policy on emergency response          
Plan given appropriate authority by highest management level           
Plan is distributed to all that need to know           
Plan establishes the emergency organization           
The authority to declare a full evacuation is designated           
The authority to declare the emergency is "over" is designated           
All response personnel are medically fit to perform their duties           
The following functions have been clearly defined and assigned to individuals: 
- Plan administration          
- Operational control          
- Coordination of support          
- Plan maintenance          
- Regular risk assessment          
- Training          
- Drills and exercises          
- Maintenance of equipment          
- Specific response functions          
- Coordination of off site plans          
Alternates for all key positions exist          
Plan is based on risk assessment          
Plan provides for annual drills and exercises          
Plan establishes various levels of emergencies with levels of response          
Plan includes basic elements:
- Evacuation procedures          
- Shutdown procedures          
- Employee roll call procedures          
- Rescue and medical duties          
- Reporting procedures          
- Fire prevention plan          
All types of risks are considered:
- Natural          
- Man-made          
- Civil disorders          
All hazardous materials are listed          
Assessment includes adverse impact off-site          
Comprehensive accident investigation procedures exist          
Good housekeeping procedures exist          
Procedures exist for inspection or testing of critical equipment          
Procedures call for the review of all new processes and equipment for compliance with:
- Occupational Health and Safety Act          
- National Fire Code          
- National Electrical Code          
- Environmental Protection Act          
- Other applicable legal requirements          
Fire protection equipment is inspected per fire code          
Contractors are briefed about Emergency Response Plans          
The plan establishes a command post and ensures:          
- Command post locations provide protection from hazards          
- The command post is adequately equipped          
- Provisions have been made for emergency power, light, utilities, etc.          
Plan provides for emergency response training and covers the following:
- Emergency response training is based on specific hazards and response duties          
- Testing of knowledge and skills is required          
- Plan specifies type and frequency of training for each response function          
- Adequate training records are kept          
- Minimum training levels are defined          
- Training of first aid responders complies with standards          
A current inventory list of all equipment and supplies exists:          
- Maintenance and decontamination procedures are included          
- Equipment is tested as specified by the manufacturer          
- Equipment and supply needs are reviewed when changes occur          
- Contact lists for suppliers of emergency equipment and supplies maintained, updated and readily available          
- Respiratory equipment selection, use and maintenance comply with current standard          
Mutual aid agreements are in place:          
- Call lists and letters of agreement are up-to-date          
- Drills involving mutual aid have been held          
- Capabilities of community organizations have been reviewed and considered          
Communication procedures include:
- Telephone          
- Two-way radios          
- Intercom          
- Runners          
- Emergency numbers are posted at telephones          
Effective detection systems are installed, such as:
- Smoke detectors          
- Heat detectors          
- Remote substance monitors          
- Leak detectors          
- Process control alarms          
Detection devices undergo regular testing, inspection, maintenance and calibration          
Regular tests of the alarm systems are conducted          
Evacuation details involve:          
- At least two evacuation routes exist from each area          
- All emergency exits are properly marked          
- All employees are instructed in evacuation procedures          
- Maps and procedures are posted          
- Assembly areas consider safe distances          
- All employees and visitors can be accounted for          
- Procedures address special needs of person(s) with disabilities          
- Temporary shelter or transportation is considered          
- The security function is defined          
- Facility access is controlled during an emergency          
- Traffic control has been considered          
- Pilferage and theft have been considered          
- High security risk areas have been identified          
- There are physical security devices          
The plan includes media relations before, during and after the emergency:          
- Public information documents exist          
- Those dealing with the media/public are trained          
- Contacts with the media are established and maintained          
- Media information is reviewed annually and updated          
- Procedures control the release of information to the public during an emergency          
- Names and information regarding the injured are restricted          
- Regular media releases are made during an emergency          
Other:
- Emergency shutdown procedures exist          
- Responsibility for shutdown is assigned          
- Procedures and checklists have been developed          
- Diagrams and maps indicating critical components are available          
- All critical components are clearly identified          
- Persons with special technological knowledge are available to emergency personnel          
- An alternative location for continuing operations management is identified          
- Resource list has been developed for sources of equipment, supplies, services or contractors          
- Agreements have been made with other facilities to continue production of products          
- Procedures are adequate to document all compensable losses          
- Procedures provide for preserving the accident scene for investigations          
- A safety plan is required prior to re-entry into affected areas          
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Document confirmed current on June 6, 2014

Document last updated on July 22, 2008

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