Title Page

  • Location
  • Updated on

  • Prepared by

  • Evacuation for

  • Evacuation Officer 1

  • Evacuation Officer 2

  • Evacuation Officer 3

  • Evacuation Wardens:

  • Assistants:

  • Local Emergency Services
  • Department name

  • Contact number

Evacuation Plan

  • Emergency alert system for employees

  • Measures in case of emergency alert system failure

  • Primary method of communication

  • Alternative method of communication

  • Evacuation Plan for Area
  • Area description

  • Specific Evacuation Procedure

  • Exit Routes (text description)

  • Exit Routes (floor plan)

  • Designated safe area or assembly point

  • Photo of landmark

  • What to Do After Arriving at the Designated Safe Area:

Final page

  • Evacuation plan requires translation for employees not fluent in English

  • Procedures have been established for assisting employees not fluent in English during evacuation

  • Evacuation plan requires translation into Braille for employees with vision impairment

  • Procedures have been established for assisting employees with disabilities during evacuation

  • Evacuation plan has been reviewed with employees

  • Employees have been trained in the evacuation plan

  • Signature of Employer or Head Manager

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.