Emergency action plan checklist
Version 1 · https://conformata.io/checklists/workplace/emergency-action-plan-checklist · Made with Conformata. Guidance, not legal advice; sources at https://conformata.io/checklists/workplace/emergency-action-plan-checklist/sources
Emergency action plan checklist
Free emergency action plan checklist based on OSHA 29 CFR 1910.38: required plan elements, alarm, wardens, employee review and an exit route walk-through.
How often: Review the plan with each employee when it is developed or they are first assigned, when their responsibilities change and whenever the plan changes. How often to re-check the whole plan is set by your organization.
- Sections
- 7
- Checks
- 36
- Critical
- 0
- Sources
- 30
0/35 answered
0%
Answers, comments and photos stay on this device. Nothing is sent to Conformata.
Workplace or building covered by the plan *
Date of this review *
Name of the person reviewing the plan *
Number of employees at this workplace
Plan version or date of last change
The plan is written, kept at the workplace and available for employees to review *
YesNoN/A
For an oral plan, every employee can describe how to report an emergency and where to go
YesNoN/A
The plan says how to report a fire or other emergency (for example, pull station, phone number, radio channel) *
YesNo
The plan states the type of evacuation to be used (for example, full or partial evacuation) *
YesNo
Exit route assignments are given for each area or group of employees *
YesNo
The plan names who stays to shut down critical operations and the steps they follow before they evacuate *
YesNoN/A
The plan describes how every employee is accounted for after evacuation *
YesNo
The plan sets out what employees with rescue or medical duties do *
YesNoN/A
The plan gives the name or job title of the person to contact for more information about it *
YesNo
If only certain employees may use fire extinguishers, the plan names them and tells everyone else to evacuate
YesNoN/A
The employee alarm has a distinctive signal for each purpose (for example, evacuate versus another action in the plan) *
YesNo
The alarm can be heard or seen above normal noise and light in every occupied area *
YesNo
Employees have been told the preferred way to report an emergency *
YesNo
Emergency telephone numbers are posted near telephones or on notice boards
YesNoN/A
The alarm system was tested within its required interval (every two months if non-supervised, at least annually if supervised) *
YesNoN/A
Date of the last alarm test
A back-up way to raise the alarm (runners, phones) is arranged for when the system is out of service
YesNoN/A
Employees are designated to help with a safe and orderly evacuation of others *
YesNo
Those designated employees have been trained for the role *
YesNo
The plan is reviewed with each employee when first assigned to a job *
YesNo
The plan is reviewed with employees whose responsibilities under it change *
YesNo
Every covered employee was taken through the plan after its last change *
YesNoN/A
Employees designated to use firefighting equipment under the plan have been trained on that equipment
YesNoN/A
At least two exit routes, as far apart as practical, are available from the areas walked *
YesNo
Exit routes named in the plan are free of stored materials and equipment *
YesNo
Each exit is clearly visible and marked with an Exit sign *
YesNo
Manual alarm pull stations are unobstructed, easy to see and easy to reach
YesNoN/A
The assembly point named in the plan exists, is signed and is clear of the building and traffic *
YesNo
Date of the last evacuation drill, if one was held
Gaps found, who will fix each one and by when
Reviewer's signature
Sign the printed copy, or sign electronically in Conformata.
I reviewed this emergency action plan and walked the routes as recorded above.
Signature
Name and date
Run it with your team in Conformata
- Schedule it per site and assign it to the right people.
- Turn every failed check into a corrective action that someone else verifies.
- Keep signatures, photos and the full audit history across sites.
Answers on this page stay on this device; they are not transferred.
Frequently asked questions
Does every business need a written emergency action plan?
What must an emergency action plan include?
How often does the emergency alarm need to be tested?
Do small businesses need an alarm system?
An alarm is still needed, but in a workplace with 10 or fewer employees, direct voice communication is acceptable for sounding the alarm provided all employees can hear it [7].
Built from 30 official sources
Every check traces to the text it is based on. Read the purpose, how to use it, the rules behind it, what it does not cover and every source.
Related checklists
- Fire prevention plan checklist28 checks · high-risk task
- Workplace safety audit checklist, including offices46 checks · high-risk task
- Construction safety drill checklist for site emergency plans38 checks · high-risk task
- Fire sprinkler inspection checklist33 checks · high-risk task
- Chemical risk assessment checklist43 checks · high-risk task
- Hot work permit checklist42 checks · high-risk task
Guidance, not legal advice. It does not replace the law, the manufacturer's instructions or your organization's competent people, and completing it does not certify that work is safe.