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Personal Emergency Evacuation Plan (PEEP) - …

Personal Emergency Evacuation plan (PEEP) Personal Emergency Evacuation Page 1 of 2 TRIMEVAC Occupant s Name: Building Address: Floor: Room Number: Workstation Location: Is animal assistance involved? Yes No Are you trained in the Emergency response procedures? Yes No Preferred method of receiving updates to the Emergency response procedures: Text / Email / Braille (Please circle one option) Type of assistance required: Equipment required for Evacuation : Personal Emergency Evacuation plan (PEEP) Personal Emergency Evacuation Page 2 of 2 TRIMEVAC Egress Procedure: (give step by step details) Designated assistants and contact details: Are your designated assistants trained in the Emergency response procedures? Yes No Are your designated assistants trained in the Evacuation equipment? Yes No Issue date: Review date: Occupant approved: Date: Chief Warden: Date: Employer: Date.

Personal Emergency Evacuation Plan (PEEP) AC Personal Emergency Evacuation Plan.docx Page 2 of 2 Egress Procedure: (give step by step details) Designated assistants and contact details:

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Transcription of Personal Emergency Evacuation Plan (PEEP) - …

1 Personal Emergency Evacuation plan (PEEP) Personal Emergency Evacuation Page 1 of 2 TRIMEVAC Occupant s Name: Building Address: Floor: Room Number: Workstation Location: Is animal assistance involved? Yes No Are you trained in the Emergency response procedures? Yes No Preferred method of receiving updates to the Emergency response procedures: Text / Email / Braille (Please circle one option) Type of assistance required: Equipment required for Evacuation : Personal Emergency Evacuation plan (PEEP) Personal Emergency Evacuation Page 2 of 2 TRIMEVAC Egress Procedure: (give step by step details) Designated assistants and contact details: Are your designated assistants trained in the Emergency response procedures? Yes No Are your designated assistants trained in the Evacuation equipment? Yes No Issue date: Review date: Occupant approved: Date: Chief Warden: Date: Employer: Date.