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Emergency Action Plan Template - Centers for Disease ...

Emergency Action plan ( Template ) Emergency Action plan for Facility Name: _____ Facility Address: _____ DATE PREPARED: ___/_____/_____ Emergency PERSONNEL NAMES AND PHONE NUMBERS DESIGNATED RESPONSIBLE OFFICIAL (Highest Ranking Manager at _____site, such as _____, _____, or _____): Name: Phone: (_____) Emergency COORDINATOR: Name: Phone: (_____) AREA/FLOOR MONITORS (If applicable): Area/Floor: Name: Phone: (_____) Area/Floor: Name: Phone: (_____) ASSISTANTS TO PHYSICALLY CHALLENGED (If applicable): Name: Phone: (_____) Name.

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 ...

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  Plan, Work, Action, Emergency, Permit, Emergency action plan

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