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Home Emergency Instruction Sheet


FIRE

Place to meet outside
Fire extinguishers
Escape ladders
_______________

Location(s)

_______________
_______________
_______________
_______________

Special Instructions

_______________
_______________
_______________
_______________

IN CASE OF INJURY

First Aid Kit
Extra water
Extra blankets
_______________

_______________
_______________
_______________
_______________



_______________
_______________
_______________
_______________

POWER OUTAGE

Electrical box
Reset Breaker
Flashlights and batteries
Candles/matches
Extra blankets
_______________



_______________
_______________
_______________
_______________
_______________
_______________



_______________
_______________
_______________
_______________
_______________
_______________

GAS LEAK

Shut-off valves
Tools
_______________



_______________
_______________
_______________


_______________
_______________
_______________

WATER LEAK/FLOODING/SPILLS

Clean Up
Vacuum cleaner
Mop/brooms
Rags/towels
Club soda
_______________




_______________
_______________
_______________
_______________
_______________
_______________




_______________
_______________
_______________
_______________
_______________
_______________

CHILD LOCKED IN ROOM

Tool or key to unlock
_______________
_______________



_______________
_______________
_______________



_______________
_______________
_______________



UTILITIES


PHONE NUMBER

Electric company
Gas company
Telephone company
Public works
_______________
_______________

_______________
_______________
_______________
_______________
_______________
_______________




ADDITIONAL SPECIAL NOTES

_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

 

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