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Safety Checklist Program for Schools

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October 2003
DHHS (NIOSH) Publication Number 2004-101

Emergency Action Plan (Template)

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Critical Operations

Critical Operations
During some emergency situations, it will be necessary for some specially assigned personnel to remain at the work areas to perform critical operations.
Assignments:
Work Area Name Job Title Description of Assignment
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Personnel involved in critical operations may remain on the site upon the permission of the site designated official or Emergency Coordinator.

In case emergency situation will not permit any of the personnel to remain at the facility, the designated official or other assigned personnel shall notify the appropriate _____________________ offices to initiate backups. This information can be obtained from the Emergency Evacuation Procedures included in the___________________ Manual.
The following offices should be contacted:

Name/Location:________________________________
Telephone Number:_____________________________

Name/Location:________________________________
Telephone Number:_____________________________

Name/Location:________________________________
Telephone Number:_____________________________