Emergency Action (Evacuation) Plan Checklist

Agency/Location: _________________________________ Evaluation Date: _________

__1. Is the Emergency Action Plan written? (1910.38(a)(1)

__ 2. Is the written plan accessible to employees? (a)(5)(iii)

__ 3. Are emergency escape procedures and emergency escape routes assigned? (a)(2)(i)

__4. Are procedures established to account for all employees after the emergency evacuation has been completed? (Designated gathering sites)(a)(2)(iii)

__5. Has an employee alarm system been established? Specific to a particular OSHA standard (29 CFR 1910.165)

__6. If an employee alarm system is used for other purposes, have distinctive signals for each purpose been developed? .165(b)(3)

__7. Has the employer designated and trained a sufficient number of persons to assist in the safe and orderly evacuation of employees (generally one warden per 20 employees)? (See Appendix to Subpart E - Means of egress, 3.)

___8. Has the employer reviewed the emergency action plan with each employee covered by the plan initially, and when the plan or the employee’s responsibilities under the plan change? .38(a)(5)(ii)

___9. Is the written plan kept at the workplace and available for employee review? .38(a)(4)(ii)

___10. Does the employer actually intend to have employees respond to emergencies?

___11. Does the employer intend to have employees handle incidental releases?

___If so, are the training, tools, equipment and PPE appropriate for handling small releases of the hazardous substance available in the work area?

__ 12. Are the evacuation routes and procedures developed, and do they work well with the methods developed for emergency alerting and the designation of places of refuge? .38(a)(2)(ii)

___ Are the meeting places specified in the Emergency Action Plan? .38(a)(2)(iii)

___13. Are the necessary shutdown procedures documented and detailed? .38(a)(2)(ii)

___14. The emergency evacuation routes are required to be posted, are the locations identified in the Emergency Evacuation Plan?

___15. Is the Agency Control Director identified?

___ Is there a procedure for contact between these individuals and Emergency Services?

___16. Are provisions in place to assist disabled individuals who may need assistance getting out?

___17. Is the 911 emergency telephone number identified in the plan?

___18. Has all building or departmental safety equipment (extinguishers, fire hoses, exit signs, emergency lab equipment, etc) been inspected, repaired or replaced as needed?

COMMENTS:

Reviewed by __________________ Date: _____

CODE: Y = Yes       N = No         N/A = Not applicable

NYS PEF Occupational Health and Safety Department                             12/4/01