SAMPLE EMERGENCY ACTION PROGRAM

1. Purpose

   This Emergency Action Program has been developed in accordance with Occupational Safety and Health Administration (OSHA) regulations 29 CFR 1910.38. The purpose of this plan is to ensure the protection of all employees in an emergency situation. (Tornado, hurricane, earthquake, severe storm, etc.) The personal safety of each employee is and always will be of primary importance to.

2. General Program Management
   1. Responsibility

      It is the responsibility of the management to protect their employees. The company Safety Officer,_____________________________is responsible for this program and has authority to make necessary decisions to ensure the success for this plan. Copies of the written program may be obtained from the office.

   2. Program Review and Update

      The Emergency Action Program will be reviewed and/or updated under these circumstances:

      • Annually, on or before ________________________of each year,
      • whenever new equipment, facility construction, or personnel changes might affect the plan's procedures.
3. Methods of Compliance
   1. Emergency Escape Procedures

      Emergency escape routes will be kept clear at all times. The escape routes and emergency procedures are documented in Appendix A. A copy of the escape route and emergency procedures will be posted on the employee bulletin board. This company also has designated safe areas for employees to report to in the case of an emergency. Refer to Appendix B for designated safe areas.

   2. Procedures for Critical Operations

      Some operations in this company, in which control in an emergency situation is critical to the safety of employees, require special procedures for proper control (e.g., monitoring plant power, water supplies, or other essential operations). In these cases the following employees are responsible for these critical operations until their evacuation is necessary (**):

      CRITICAL OPERATIONS

      Name/Position________________________Critical Operation________________________

      Name/Position________________________Critical Operation________________________

      Name/Position________________________Critical Operation________________________

      Name/Position________________________Critical Operation________________________

      Name/Position________________________Critical Operation________________________

      ** If at any time during an emergency situation the employees' safety is at risk, the critical operation procedures are to be abandoned and the employees are to proceed to a safe area.

   3. Procedures to Account for Employees

      Supervisors will be responsible for accounting for employees after an emergency evacuation. The responsible persons will be provided with a list of names of all the employees they are responsible for in their area. This list will be updated with each new employee hired and non-employees will be deleted.

      The following employees will be responsible for conducting procedures to account for employees after the emergency evacuation. These procedures are designed to account for all employees, determine if an employee needs assistance in evacuating, and to determine their possible location.

      Account for Employees

      Name/Position_________________Alternate_________________Department_________________

      Name/Position_________________Alternate_________________Department_________________

      Name/Position_________________Alternate_________________Department_________________

      Name/Position_________________Alternate_________________Department_________________

      Name/Position_________________Alternate_________________Department_________________

      Name/Position_________________Alternate_________________Department_________________

   4. Procedure for Reporting Emergencies

      The quicker and more efficient emergencies are reported, the greater the chance for saving lives and property. The following is the procedure for reporting an emergency in this company. This procedure will be posted on the employee bulletin board.

      Reporting Emergencies

      Emergency Situation	Reporting Procedures
      Fire
      Tornado
      Fuel or Chemical Release
      Earthquake
      Train derailment
      Other

      Emergency phone numbers will be posted near telephones, or employee notice boards and other conspicuous locations where telephones will be used as the means of reporting emergencies. [29 CFR 1910.165 (a) (4)]

   5. Rescue and Medical Duties

      The Safety Officer is responsible for the enlistment and training of the authorized Fire Brigade personnel (See the Fire Prevention Program). The Fire Brigade personnel shall be trained in the use of fire extinguishers and first responder first aid (CPR, Abdominal Thrust, ect.).

      The following list is the authorized members of the Fire Brigade:

      Fire Brigade Personnel

      Name/Position________________________Designated Area________________________

      Name/Position________________________Designated Area________________________

      Name/Position________________________Designated Area________________________

      Name/Position________________________Designated Area________________________

      Name/Position________________________Designated Area________________________

      Name/Position________________________Designated Area________________________

      Name/Position________________________Designated Area________________________

      Name/Position________________________Designated Area________________________

   6. Alarm Systems

      The emergency alarm system will provide warning for necessary emergency action as called for in this program. This alarm system will be capable of being perceived above ambient noise or light levels by all employees in the workplace. Tactile devices may be used to alert those employees who would not otherwise be able to recognize the audible or visual alarm.

   7. Training and Recordkeeping

      _____________________________is responsible for training all employees covered under this program. As Part of the Emergency Action Program our employees will be trained under the following circumstances:

      • At the time of initial assignment and annually thereafter,
      • when a employees responsibilities change under this program.

      Employees responsible for leading the evacuation will be trained in evacuation inspections of closed rooms, alternate escape routes, employees that may need additional assistance, buddy system, and hazardous areas to avoid during evacuation procedures.

      For additional information or explanation of the duties under the Emergency Action Program contact the company Safety Officer.

      To ensure that proper training is given to our employees, we keep accurate records of out employees' training. This information is kept in the office. (See Appendix D)

Appendix A

Emergency Escape Route

(Use floor plans or workplace maps to show emergency escape route assignments, locations of exits, locations of fire extinguishers, and designated safe areas.)

Appendix B

Designated Safe Areas

Appendix C

Alarm Procedures

Appendix D

Emergency Responce Training Form

Date of Session: ______________ Session Summary (Attached) Yes____NO____