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Emergency Evacuation Plan Example

Example document for Emergency Evacuation Plan. Use this as a reference when creating your own.

Professional Review Required

This document involves significant legal, financial, or compliance considerations. You must have a qualified professional review and approve this document before use. Do not rely on this template as legal advice.

Document: Emergency Evacuation Plan

Example Document

Last updated 7/27/2026

Emergency Evacuation Plan

Business Details

Business Name: Smith's Electrical Services Pty Ltd Trading Name: Smith's Electrical ABN: 12 345 678 901 Address: 42 Volt Street, Brisbane, QLD 4000 Phone Number: 07 1234 5678

Emergency Contact Information

ServiceContact NumberNotes
Fire / Police / Ambulance000Primary emergency number
Company ContactJohn Smith - 0412 345 678Director
Building ManagerCity Real Estate - 07 9876 5432For urgent building faults
Local HospitalRoyal Brisbane Hospital - 07 1111 2222Nearest medical facility
Poison Information Centre13 11 26For chemical spills

Emergency Wardens

Chief Warden: John Smith Location during emergency: Assembly Area (Front Carpark)

Deputy Warden: Sarah Jones Location during emergency: Main Entrance directing traffic

First Aid Officer: Mike Brown Location of First Aid Kit:* Breakroom Cabinet

Emergency Procedures

1. Fire

  1. Raise the alarm: Operate the nearest manual call point located near the front door or rear exit.
  2. Call 000: Dial 000 and ask for Fire Brigade. Address is 42 Volt Street, Brisbane.
  3. Attack the fire: Only use the CO2 extinguisher near the server room if it is safe.
  4. Evacuate: Leave via the nearest safe exit.
  5. Close doors: Close the workshop roller door and office doors.

2. Medical Emergency

  1. Assess danger: Look for loose wires or slippery floors.
  2. Call 000: Dial 000 and ask for Ambulance.
  3. Administer First Aid: Mike Brown will assist.
  4. Notify Warden: Inform John Smith immediately.
  5. Clear area: Keep other staff away.

Evacuation Instructions for Staff

  1. Stop work immediately. Turn off soldering irons and power tools if safe.
  2. Take personal belongings like phones and keys. Do not grab tools.
  3. Walk to the rear roller door or front office door.
  4. Do not use the lift (not applicable for single storey, noted for reference).
  5. Proceed to the front carpark.
  6. Remain at the front carpark until John Smith does the roll call.

Assembly Area

Location: Front Carpark (Corner of Watt and Volt Street) Notes: Stand near the big gum tree. Keep the driveway clear for trucks.

Site Map

[MAP DESCRIPTION: A simple rectangle representing the workshop. The front door opens to Volt Street. The rear roller door opens to the rear lane. Fire extinguishers are marked in red at the front door and inside the workshop door. The Assembly Area is marked in yellow in the carpark at the front.]

Special Considerations

Workers with Disabilities or Medical Conditions

  • Name: N/A - Currently no staff require specific assistance.

Visitors and Contractors

All visitors must sign the Visitor Log on the front desk. Sarah Jones will check the log at the assembly point.

Maintenance and Review

Next Review Date: 15 November 2024

Drill Log:

DateType of DrillIssues IdentifiedActions TakenSignature
15/05/2024EvacuationRear roller door stuck slightlyLubed tracks and serviced doorJ. Smith

Notes

This example is for a small electrical trade business operating from a warehouse in Queensland. It includes specific details like the location of soldering irons to turn off. It clarifies that there is no lift on the single storey site but notes it for compliance clarity. The Assembly Area instructions are very specific to the site geography (near the big gum tree). The wardens are the business owner and a senior staff member.

About this Example

Part of the Emergency Evacuation Plan document collection

Document Type

Emergency Evacuation Plan

A written plan that explains how to safely exit a workplace during an emergency.

Complexity

moderate

Risk Level

high