Templates
Emergency action plan template

Emergency action plan template

Prepare your organization for emergencies with our detailed action plan template. Identify risks, establish procedures, and ensure safety. Download your free PDF from Lumiform today!

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
Emergency action plan template

Prepare your organization for emergencies with our detailed action plan template. Identify risks, establish procedures, and ensure safety. Download your free PDF from Lumiform today!

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

An emergency action plan template provides the structure you need to create a comprehensive workplace safety protocol that meets OSHA requirements (29 CFR 1910.38). This template includes all mandatory elements: evacuation procedures, emergency reporting protocols, employee accounting methods, and critical operations procedures. When facing a workplace emergency, having a well-documented plan can reduce response time and potentially save lives.

We created this template with customizable sections for different emergency scenarios, allowing you to tailor it to your specific workplace hazards while maintaining full regulatory compliance. Use it to transform complex safety requirements into a clear, actionable plan your employees can follow during critical situations.

Related categories

Preview of the template
Page 1
General Information
Organization Name
Facility Address
Emergency Coordinator Name
Emergency Coordinator Phone
Emergency Contacts
Fire Department
Police Department
Ambulance Service
Hospital
Utility Companies
Evacuation Procedures
Primary Evacuation Location
Secondary Evacuation Location
Evacuation Routes Identified
Evacuation Drills Conducted
Persons Requiring Assistance Identified
Shelter-in-Place Procedures
Shelter-in-Place Location Identified
Supplies Stocked
Ventilation Procedures Established
Emergency Equipment
Fire Extinguishers Inspected
First Aid Kits Stocked
Emergency Lighting Tested
Training and Communication
Employees Trained on Plan
Plan Communicated to Employees
Plan Reviewed Annually

Frequently asked questions

What evacuation maps should I include with my emergency action plan?

Create clear, simple floor plans showing primary and secondary evacuation routes, emergency exits, fire extinguisher locations, first aid stations, and assembly points. Use different colors for routes, mark “You Are Here” points on posted maps, and ensure text is large enough to read during emergencies.

How do I document that employees have reviewed the emergency action plan?

Create a signature page where employees acknowledge receiving and understanding the plan. For digital documentation, use a tracking system recording when employees complete plan reviews and training. OSHA requires verification that all employees are familiar with relevant portions of the plan.

What special considerations should I add for employees with disabilities?

Include personalized evacuation procedures for employees with mobility, visual, hearing, or cognitive impairments. Assign dedicated assistants, provide appropriate communication devices, and ensure accessible evacuation routes. Review and practice these specialized procedures regularly with all involved parties.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.