_______________________________________
Business Name
_______________________________________
Address
_______________________________________
City, State
_______________________________________
Telephone Number
If this location is not accessible, we will operate from the location below:
_______________________________________
Business Name
_______________________________________
Address
_______________________________________
City, State
_______________________________________
Telephone Number
The following person is our primary crisis manager and will serve as the company spokesperson in an emergency.
_______________________________________
Primary Emergency Contact
_______________________________________
Telephone Number
_______________________________________
Alternative Number
_______________________________________
E-mail
If the person is unable to manage the crisis, the person below will succeed in management:
_______________________________________
Secondary Emergency Contact
_______________________________________
Telephone Number
_______________________________________
Alternative Number
_______________________________________
E-mail
Dial 9-1-1 in an Emergency
_______________________________________
Non-Emergency Police/Fire Phone Number
_______________________________________
Insurance Provider Phone Number
The following natural and man-made disasters could impact our business:
o _______________________________________
o _______________________________________
o _______________________________________
o _______________________________________
o _______________________________________
The following people will participate in emergency planning and crisis management.
o _______________________________________
o _______________________________________
o _______________________________________
o _______________________________________
o _______________________________________
The following people from neighboring businesses and our building management will participate on our emergency planning team.
o _______________________________________
o _______________________________________
o _______________________________________
o _______________________________________
o _______________________________________
The following is a prioritized list of our critical operations, staff and procedures we need to recover from a disaster.
| Operation | Staff in Charge | Action Plan |
|---|---|---|
| _________________ | _________________ | _________________ |
| _________________ | _________________ | _________________ |
| _________________ | _________________ | _________________ |
| _________________ | _________________ | _________________ |
| _________________ | _________________ | _________________ |
Company Name: ____________________________________________________ Street Address: __________________________________________________ City: ______________________ State: _____ Zip: ___________________ Phone: _____________ Fax: _____________ Email: ___________________ Contact Name: _______________________________ Acct No. ___________ Materials/Service Provided: ______________________________________
If this company experiences a disaster, we will obtain supplies/materials from the following:
Company Name: ____________________________________________________ Street Address: __________________________________________________ City: ______________________ State: _____ Zip: ___________________ Phone: _____________ Fax: _____________ Email: ___________________ Contact Name: _______________________________ Acct No. ___________ Materials/Service Provided: ______________________________________
If this company experiences a disaster, we will obtain supplies/materials from the following:
Company Name: ____________________________________________________ Street Address: __________________________________________________ City: ______________________ State: _____ Zip: ___________________ Phone: _____________ Fax: _____________ Email: ___________________ Contact Name: _______________________________ Acct No. ___________ Materials/Service Provided: ______________________________________
If we must leave the workplace quickly: [write plan here]
Warning System: _____________________________________________ We will test the warning system and record results
___ times a year.
Assembly Site: ______________________________________________
Assembly Site Manager & Alternate: __________________________
Shut Down Manager & Alternate: ______________________________
________________________ is responsible for issuing all clear.
We have talked to co-workers about which emergency supplies, if any, the company will provide in the shelter location and which supplies individuals might consider keeping in a portable kit personalized for individual needs.
We will practice shelter procedures _____ times a year.
If we must take shelter quickly: [write plan here]
Warning System: ____________________________________________ We will test the warning system and record results
____ times a year.
Storm Shelter Location: ____________________________________
"Seal the Room" Shelter Location: __________________________
Shelter Manager & Alternate: _______________________________
Shut Down Manager & Alternate: _____________________________
_________________________ is responsible for issuing all clear.
We will communicate our emergency plans with co-workers in the following way:
In the event of disaster we will communicate with employees in the following way:
To protect our computer hardware, we will:
To protect our computer software, we will:
If our computers are destroyed, we will use back-up computers at the following location:
__________________________ is responsible for backing up our critical records including payroll and accounting systems.
Back-up records including a copy of this plan, site maps, insurance policies, bank account records and computer back-ups are stored onsite ____________________________.
Another set of back-up records is stored at the following off-site location:
If our accounting and payroll records are destroyed, we will provide for continuity in the following ways:
The following is a list of our co-workers and their individual emergency contact information:
| Name | Phone | Cell Phone | |
|---|---|---|---|
| _________________ | _________________ | _________________ | _________________ |
| _________________ | _________________ | _________________ | _________________ |
| _________________ | _________________ | _________________ | _________________ |
| _________________ | _________________ | _________________ | _________________ |
| _________________ | _________________ | _________________ | _________________ |
We will review and update this business continuity and disaster plan in ____________.
Source: READY.GOV