A Personal Emergency Plan

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A Personal Emergency Plan While The University of Alabama prepares for and responds to emergencies, it is important for everyone to plan for their individual safety. Each person knows best what he or she may need in the event of an emergency. Individuals are encouraged to develop a personal plan. This document is designed to aid people with mobility impairments in developing emergency plans. Planning Assess your situation. Think about your routine locations and communication methods. How would you evacuate from these locations in an emergency? Identify areas of refuge assistance in the buildings you regularly occupy. Identify individuals who can be part of a support team in the event of an emergency evacuation. Preparation Complete contact information (see below) Identify specific areas of need you may have, such as mobility or communication assistance Prepare a small emergency kit that contains the following supplies: o Flashlight and spare batteries o Whistle (to signal for help) o Necessary health equipment o Antiseptic wipes or gel o Dust mask to filter contaminated air o Bottled water o List of model and serial numbers of any medical devices o Spare eye glasses, hearing aids, batteries (if needed) o List of prescriptions, including dosage and frequency o Any medical alert tags or bracelets, or a written description of your needs in case you are unable to communicate during an emergency o Supplies for service animal, if applicable, including leash, tags, vest, food, water and medications or supplements you administer to the animal o Other items that may be needed that are not mentioned If not already completed, enroll in UA Alerts.

Response Call UAPD (205-348-5454) or 911 to alert responders to your emergency. Communicate with your support group and emergency responders about your situation. Gather your prepared kit containing emergency items. Be patient as first responders will be serving a large number of people. Other sources for information http://ready.ua.edu http://www.ready.gov/individuals-access-functional-needs http://www.redcross.org/prepare/location/home-family/disabilities

Checklist Conduct personal assessment Identify areas of refuge Identify support team members Complete personal information sheet and include in emergency kit Assemble emergency kit Review/update each semester or after any status change

Personal Information* Name of Person: CWID: Office or Room Phone #: Restrictions or Limitations: If limitation is temporary, expected date when assistance is no longer needed: Residence/Work Location: Room #: Area of Refuge: Support Team Members (participation in a buddy system is voluntary) 1. Name: 2. Name: 3. Name: Service Animal: Yes If yes, type and breed: No Special Equipment Needed: Special Communication Needed: Special Medical Alert Information: (allergies, medications, etc.) *Place a copy of this information in your emergency kit and/or keep at a readily accessible location for use during an evacuation.

Self Assessment YES NO Do you know the locations of ALL the exits in places you frequent? YES NO Have you evaluated your ability to use them? How long will it take you? YES NO If elevators are unavailable, are you able to use the stairs? YES NO Will you need assistance to walk down stairs quickly? YES NO If you absolutely had to, could you bump down the stairs on your buttocks, crawl, etc.? Have you practiced? YES NO Do you know the locations of Areas of Refuge/Rescue Assistance in buildings you use frequently? YES NO Do you know how to activate a fire alarm? YES NO Have you thought how you would evacuate campus if you could not use your vehicle? YES NO Have you identified a support team who may be able to assist you in an emergency? YES NO Do you know how to reach emergency personnel in case of an emergency? YES NO Are there any supplies/devices you will need to bring with you? YES NO Do you have an emergency kit readily accessible? YES NO Flashlight with spare batteries YES NO Spare batteries for any medical devices YES NO Medication for at least one day YES NO List of medications, including dosage and frequency YES NO List of any medical equipment (including make, model, serial numbers) YES NO Whistle to signal to others YES NO Dust mask YES NO Antiseptic wipes or gel