Title Page

  • Location
  • Conducted on

  • Prepared by

Disaster Preparedness Kit/Person/24hrs

  • 2 water bottles (at least 500ml each)

  • Non-perishable snacks (e.g., nuts, cereals, salted pretzels, jerky, dried fruit, applesauce, and crackers)

  • Non-perishable snacks:<br>a) still look appealing/edible; and<br>b) free from ants and other signs of insect infestation.

  • Please replace the non-perishable snacks.

  • Small battery-powered radio

  • Is the small battery-powered radio:<br>a) new/recently bought; or<br>b) just had its batteries changed.

  • Please specify: (small battery-powered radio) a) date of purchase; or b) the date today.

  • Please change the radio batteries.

  • Date of radio batteries change:

  • Extra batteries for small battery-powered radio

  • Flashlight

  • Is the flashlight:<br>a) new/recently bought; or<br>b) just had its batteries changed.

  • Please specify: (flashlight) a) date of purchase; or b) the date today.

  • Please change the flashlight batteries.

  • Date of flashlight batteries change:

  • Extra batteries for flashlight

  • Whistle

  • Is the whistle stored in a sealed plastic bag or container?

  • Please sanitize and clean the whistle.

First Aid Kit

  • Alcohol

  • Adhesive bandages

  • Wraps

  • Splints

  • Gauze pads

  • Antibiotic cream

  • Antiseptics

  • Burn cream

  • Scissors

  • Tweezers

  • Adhesive tapes

  • Latex gloves

  • Resuscitation equipment (such as resuscitation bag, airway, or pocket mask)

  • Space blanket (also known as emergency blanket, Mylar blanket, safety blanket, first aid blanket, thermal blanket, weather blanket, heat sheet, and shock blanket)

  • First aid kit complete/no missing supplies?

  • Please add the missing first aid kit supplies.

  • Laminated and updated map of the area (including places where one can seek shelter)

  • Verify that the map is correct, updated, and easily readable.

  • Antibacterial moist towelettes or disinfecting wipes

  • Please replace the antibacterial moist towelettes or disinfecting wipes, if they have dried up.

  • Common medications (such as pain relievers, anti-diarrhea, and antacids)

  • Check expiry dates of common medications and replace if the expiry date is near. (Select N/A if no expiry dates can be found.)

  • Identification card (name, workplace, blood type, current medications, known illnesses, emergency contact and their number, home address, etc.)

  • Identification card has no missing information or information that needs to be changed?

  • Please request a new/updated/complete identification card.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.