Emergency Action Plan Report

Worksite Address: _______________________________________

Drafted/Created By: ______________________________________

Date: _________________________________________________

Section 1: Before, During, and After Emergency Event

This plan provides high level information on what to do before, during, and after emergency events.

Section 2: Before Emergency Event

 Be sure that assembly zones for evacuation and take shelter events are identified

 Ensure each assembly zone has a bin equipped with emergency supplies if needed. These bins should be audited and replenished as needed.

 Make sure the emergency action plan is updated

 Identify the person who will direct emergency activities, and be sure all managers are trained in their roles during an emergency

 Make sure all managers and employees are trained on how to respond during an emergency. This training can occur during safety meetings or stand-up meetings.

 Ensure leaders know how to maintain active rosters for their departments at all times

 Ensure that visitors and contractors are trained and can be accounted for during an event. It is the responsibility of the Company Managers/Owners to track employees on site.

Section 3: During Emergency Event

 Follow the instructions of the manager and proceed to the evacuation/take shelter location

 Contact 911 or emergency response personnel

 Contact Danish Nadeem at [email protected] or (913) 229-4002

 Account for all personnel that are onsite

 Establish communication with other leaders and facility personnel at the assembly zones

Section 4: After Emergency Event

 Evaluate the building to ensure it is safe to return

 Allow employees to return to the building once “All Clear” is given

 Debrief with necessary personnel to gather all information pertinent to the event

 Complete all necessary forms and upload them to the proper storage location.

Important Information: Emergency Action Plan Distribution

If directed by governmental regulations, the most recent and controlled copies of this Emergency Action Plan must be distributed via certified mail to the local fire department, local emergency response committee, and any other local emergency response agency or contractors that are expected to respond. Copies of the certified mail certificate must be maintained

Remember: The Company must ensure that all persons visiting (e.g. contractors and visitors) are informed of alarm and evacuation requirements of the plan.

Role Name Phone Alias

Company Owner / Manager

Operations Manager

Safety Plan Administrator Danish Nadeem (913) 229-4002

Site Leader

Human Resources

Other Company-Authorized Contacts:

Paragon Logistics LLC

EMERGENCY CONTACTS - 911

City / State / Local Service Phone Number

Fire Department

Police Department

Ambulance / EMS

Community Emergency Response Team

Hospital(s)

Public Health Department

Animal Control

Occupational Safety Agency

Power Company / Gas

Hazardous Material Response

Public Health Department

Emergency Management

Poison Control