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Household Emer enc
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Plan
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HOUSEHOLD EMERGENCY PLAN
Family last name and home address:
Family member contact information:
Full name: Phone: Email:
Pet information:
Name: Type/Breed:
Plan of action:
Colour: Registration/ID:
1. The disasters most likely to afFect our household are:
2. The escape exits from our home are:
3. If separated during an emergency (i.e. if at work or school), the
meeting place near our home is:
4. The route to get to our neighbourhood meeting place is:
TIP:
Keep this plan in an easy-
to-find, easy-to-remember
place (for example, with
your emergency kit). You
may also want to make
duplicate copies to keep in
your car and/or at work.
TIP:
Your family may not be
together when a disaster
occurs, so it's important
to practice what you've
planned so you know
how to connect with each
other in the case of an
emergency. Be sure to
discuss what you would
do in different situations.
Review and update your
plan yearly.
TIP:
Your pets should wear
current identification
tags and have their
vaccinations up-to-date at
all times. Along with your
information on their tag,
also include the phone
number of your out-of-
area contact.
HOUSEHOLD EMERGENCY PLAN
5. If we cannot return home or are asked to evacuate, the meeting
place outside of our neighbourhood is:
6. The route to get to our meeting place outside of our
neighbourhood is:
7. The room we would go to in our home if we are asked to
"shelter-in-place" (that is, stay inside and seal off doors, windows
and vents) is:
School-aged children:
People designated to pick up children from school:
Name: Phone: Email:
SCHOOL NAME(S) AND ADDRESS(ES)
School name: School name:
Child attending: Child attending:
School address: School address:
Phone:
School name:
Child attending:
School address:
Phone:
School name:
Child attending:
School address:
Phone:
Phone:
School name:
Child attending:
School address:
Phone:
School name:
Child attending:
School address:
Phone:
TIP:
Inform your child(ren)'s
school who you've
designated to pick them
up if you are unable.
TIP:
Pack an envelope in your
child(ren)'s backpack that
contains your contact
information, a recent
photo of your family,
their health information
or special requirements,
and your out-of-area
contact's information.
TIP:
Check with your child(ren)'s
school or daycare about
their emergency plans. Ask
how they will communicate
with families during an
emergency and what
type of authorization they
require to release your
child(ren) to a designated
person if you are unable to
pick them up yourself.
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mark the location of utilities:
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HOUSEHOLD EMERGENCY PLAN
Ourneighbours:
Street address:
Name(s):
Phone:
Email:
S ki I Is/reso u rces:
Emergency role:
Other notes:
Street address:
Name(s):
Phone:
Email:
S ki I Is/reso u rces:
Emergency role:
Other notes:
Street address:
Name(s):
Phone:
Email:
S ki I Is/reso u rces:
Emergency role:
Other notes:
Street address:
Name(s):
Phone:
Email:
Skills/resources:
Emergency role:
Other notes:
Street address:
Name(s):
Phone:
Email:
Skills/resources:
Emergency role:
Other notes:
Street address:
Name(s):
Phone:
Email:
Skills/resources:
Emergency role:
Other notes:
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Street address:
Name(s):
Phone:
Email:
Skills/resources:
Emergency role:
Other notes:
Street address:
Name(s):
Phone:
Email:
Skills/resources:
Emergency role:
Other notes:
Street address:
Name(s):
Phone:
Email:
Skills/resources:
Emergency role:
Other notes:
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HOUSEHOLD EMERGENCY PLAN
Our out-of area contact(s):
After a major disaster, local phone service may be limited, so phone your out-of-area contact to keep in touch with your family
Listen to the radio or TV for phone-use instructions, then call your contact person to say how you are, where you are and what your plans are
Keep the call short and, if possible, arrange to call back at a specified time for another check-in
OUT-OF-AREA CONTACT:
Name:
City/Province:
Phone:
PLACES TO MEET FAMILY:
Working days location:
daytime:
evening:
Non-working days location:
daytime:
evening:
Family member health information
Full Name: Care card number:
Medications, medical equipment or other health information:
Full Name: Additional health information:
TIP:
Keep copies of birth and
marriage certificates,
passports, licences, wills,
land deeds, insurance
and other important
documents in a safe place
both inside and outside
your home, such as a
safety deposit box or give
them to trusted friends
or family who live out
of town.
TIP:
Keep a month's supply of
prescription medication in
your grab-and-go bag. Be
sure to check it regularly
and replace before it
expires. Also, store an
extra set of contact lenses
and prescription glasses,
if possible.
HOUSEHOLD EMERGENCY PLAN
FAMILY DOCTOR(S):
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Household utilities:
1. Location of fire extinguisher(s):
2. Water valve location:
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a. Utility company phone number:
3. Electrical panel location:
a. Utility company phone number:
4. Gas valve location:
a. Utility company phone number:
5. Floor drain location:
Other information:
TIP:
If you suspect a gas leak,
turn off the gas valve and
leave immediately. Do not
try to turn it back on. On ly
a registered gas contractor
can do that safely.
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TIP:
Make large, easy-to-
see signs indicating the
location of the water
and gas shut-offs, as well
as for the front of the
electrical panel.
Insurance agent/company contact information and policy number:
Home:
Auto: TIP:
Life:
Emergency kit location:
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Check with your insurance
agent/company about
what sort of assistance
they can provide if you are
evacuated for your home
or cannot return.
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HOUSEHOLD EMERGENCY PLAN
Basic Emergency Supply Kit
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First Aid kit and
medications
Battery-powered
or hand crank
radio tuned to
Environment
Canada weather
Battery-powered
or hand crank
flashlight with
extra batteries
At least a three-
day suppiy of
non-perishable
food. Manual can
opener for cans
Garbage bags,
moist towelettes
and plastic ties for
personal sanitation
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Whistle to signal
for help
Cell phone with
chargers, inverter
or solar charger
Local maps (identify
a family meeting
place) and some
cash in small bills
� Water, four litres per
person per day for
� at least three days,
for drinking and
sanitation
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Dust mask
to help filter
contaminated air
Seasonal clothing
and footwear
Emergency Contact Information Cards
You and each family member should carry this card at all times
................................................................................................................................... ..
� BRITISH Emergenry ; BRITISH Emergenry :
: ` COLUMBIA ManagementBC COLUMBIA ManagementBC :
: EMERGENCY CONTACT INFORMATION CARD ; EMERGENCY CONTACT INFORMATION CARD :
; After a major disaster, local phone service may be limited, so After a major disaster, local phone service may be limited, so :
: phone your out-of-area contact to keep in touch with your family phone your out-of-area contact to keep in touch with your family :
; Listen to the radio or TV for phone-use instructions, then cal I your Listen to the radio or TV for phone-use instructions, then call your :
: contact person to say how you are, where you are and what your contact person to say how you are, where you are and what your :
: plans are plans are :
: Keep the call short and, if possible, arrange to call back at a Keep the call short and, if possible, arrange to call back at a :
: specified time for another check-in specified time for another check-in :
:......................................................... .......................................................................�................................................................................................................................_:
� BRITISH Emergenry ; BRITISH Emergenry :
� � COLUMBIA ManagementBC ; COLUMBIA ManagementBC �
: EMERGENCY CONTACT INFORMATION CARD ; EMERGENCY CONTACT INFORMATION CARD :
; After a major disaster, local phone service may be limited, so After a major disaster, local phone service may be limited, so :
: phone your out-of-area contact to keep in touch with your family phone your out-of-area contact to keep in touch with your family :
; Listen to the radio or TV for phone-use instructions, then cal I your Listen to the radio or TV for phone-use instructions, then call your :
: contact person to say how you are, where you are and what your contact person to say how you are, where you are and what your :
: plans are plans are :
: Keep the call short and, if possible, arrange to call back at a Keep the call short and, if possible, arrange to call back at a :
: specified time for another check-in specified time for another check-in :
:......................................................... .......................................................................�................................................................................................................................_..
� BRITISH Emergenry ; BRITISH Emergenry :
� � COLUMBIA ManagementBC ; COLUMBIA ManagementBC �
: EMERGENCY CONTACT INFORMATION CARD ; EMERGENCY CONTACT INFORMATION CARD :
; After a major disaster, local phone service may be limited, so After a major disaster, local phone service may be limited, so :
: phone your out-of-area contact to keep in touch with your family phone your out-of-area contact to keep in touch with your family :
: Listen to the radio or TV for phone-use instructions, then cal I your Listen to the radio or TV for phone-use instructions, then call your ;
: contact person to say how you are, where you are and what your contact person to say how you are, where you are and what your :
: plans are plans are ;
: Keep the call short and, if possible, arrange to call back at a Keep the call short and, if possible, arrange to call back at a :
: specified time for another check-in specified time for another check-in :
:.. .. ........................................... ...........................................................................�................................................................................................................................_ :
� BRITISH Emergency BRITISH Emergency :
: COLUMBIA ManagementBC COLUMBIA ManagementBC :
: EMERGENCY CONTACT INFORMATION CARD ; EMERGENCY CONTACT INFORMATION CARD :
: After a major disaster, local phone service may be limited, so After a major disaster, local phone service may be limited, so :
: phone your out-of-area contact to keep in touch with your family phone your out-of-area contact to keep in touch with your family :
: Listen to the radio or TV for phone-use instructions, then cal I your Listen to the radio or TV for phone-use instructions, then call your :
: contact person to say how you are, where you are and what your contact person to say how you are, where you are and what your :
: plans are plans are :
: Keep the call short and, if possible, arrange to call back at a Keep the call short and, if possible, arrange to call back at a :
specified time for another check-in ; specified time for another check-in �
................................................�................................................................�
TIP:
Plan for each family member to call or e-mail your out-of-area contact in the event of an emergency.
Let them know if you are okay, where you are located and when you will be calling them back. Teach
young children how to make this call as well.
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Emergency Contact Information Cards
You and each family member should carry this card at all times
.....................................................................................................................................
: Out-of-area contact Out-of-area contact
: Name: City/Province: Phone: Name: City/Province: Phone: :
: Places to meet family Places to meet family
: Working days location: Working days location: :
: daytime: evening: daytime: evening: :
: Non-working days location: Non-working days location: :
: daytime.� evening.� daytime: evening.� :
� ; :
:......................................................................................................................................................................................................................................................................
: Out-of-area contact Out-of-area contact
: Name: City/Province: Phone: Name: City/Province: Phone: :
Places to meet family
Working days location:
daytime.� evening.�
Non-working days location:
daytime: evening:
Out-of-area contact
Name: City/Province:
Places to meet family
Working days location:
daytime.� evening.�
Non-working days location:
daytime: evening:
Phone:
:.....................................................................................................................
: Out-of-area contact
: Name: City/Province: Phone:
Places to meet family
Places to meet family
Working days location:
daytime: evening:
Non-working days location:
daytime: evening:
..................................................................................................................................
Out-of-area contact
Name: City/Province: Phone:
Places to meet family
Working days location:
daytime: evening.�
Non-working days location: :
daytime: evening: :
.................................................................................................................................:
Out-of-area contact
Name: City/Province: Phone: :
Places to meet family
: Working days location: Working days location: :
: daytime.� evening.� daytime: evening: :
: Non-working days location: Non-working days location: :
: daytime: evening.� daytime: evening: :
:.................................................................�................................................................ -�
TIP:
If you have or a family member has physical, medical, sensory or cognitive disabilities, or require(s)
extra assistance, be sure to establish a support network of friends, relatives, health-care providers, co-
workers and neighbours who understand these special needs.
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