Page 4 - Emergency Protocol Booklet_2020_Singles
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Site Name
____________________________________________________________
Complete Specific Site Information
Site Address
_______________________________________________________________________
_______________________________________________________________________
Site Phone Number: ____________________________________
Circuit Box Location: ____________________________________
Water Valve Shut-off Location: _____________________________
Emergency Shelter Location(s):
_______________________________________________________________________
_______________________________________________________________________
“Sister Site” Location(s):
_______________________________________________________________________
_______________________________________________________________________
Be Prepared!! Know who will be affected during power outages.
Names of Individuals 1. (i.e. Nebulizer)
Name
Medical Equipment Used
2.
3.
4.
