Title Page

  • Dutch Drone Company

  • Rotterdam
  • Roel Ruseler

  • Prepared on

  • Potential emergency situations (based on the conducted hazard and risk assessment)

List and Location of Emergency Equipment and Facilities

    Emergency Equipment
  • Equipment

  • Location

  • Operating Procedures

First Aid

  • First aid kit and location

  • First aid supplies and location

  • Name/s of first aider/s in the morning, afternoon, and night shifts

  • Transportation plan

  • Emergency Facilities
  • Facility Name

  • Contact Person and Number

  • Address

  • Alarm and emergency communication requirements

  • Rescue and evacuation procedures

  • Emergency response procedures

  • Emergency Response Training and Requirements
  • List the names and job titles of employees trained to use each emergency equipment and perform emergency response procedures including rescue and evacuation.

  • Employee Name and Title

  • Shift (Morning, Afternoon, or Night)

  • Training Received

  • Training Frequency

Planning Team List

    Representatives and Teams Responsible for Creating the ERP
  • Employee Name and Job Title

  • Department/Team

  • Property management company contact name and number

Emergency Response Plan Checklist

  • Is there a written emergency response plan for each work site that aligns with the hazards at the site?

  • Does this plan include a list of potential emergencies?

  • Does this plan include emergency response procedures?

  • Does this plan include a list of workers trained to provide emergency response procedures?

  • Does this plan include rescue and evacuation procedures?

  • Does this plan include a list of workers trained to provide rescue and evacuation procedures?

  • Does this plan include emergency response training requirements?

  • Does this plan include alarm and emergency communication requirements?

  • Does this plan include a list and the locations of emergency equipment and facilities?

  • Does this plan include emergency contact information?

  • Do your first aid suppliers comply with legal requirements?

  • Is the number of your first aid responders enough?

  • Are workers informed of their responsibilities stated in the plan?

  • Are emergency response drills conducted on a regular basis?

  • Is the plan current and/or updated?

Completion

  • Comments and recommendations

  • Signature

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.