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close this bookA Checklist for People with Mobility Problems (American Red Cross - FEMA - Federal Emergency Management Agency, 1997, 4 p.)
close this folderEmergency Checklist
View the documentAsk Questions
View the documentCreate a Plan
View the documentPrepare a Disaster Supplies Kit
View the documentEscape Plan
View the documentHome Hazard Hunt
View the documentIf You Need to Evacuate
View the documentPrepare a Car Kit
View the documentFire Safety

Prepare a Disaster Supplies Kit

Assemble supplies you might need in an evacuation. Store them in an easy-to-carry container such as a backpack or duffle bag.

Include:

- A battery-powered radio, flashlight, and plenty of extra batteries for them.

- A first aid kit, prescription medicines, and an extra pair of glasses.

- A supply of water (one gallon per person per day). Store water in sealed, unbreakable containers. Identify the storage date and replace every six months.

- A supply of non-perishable food and a non-electric can opener, plus any special foods you require.

- If you have a baby, include extra diapers and other infant care items.

- Extra wheelchair batteries, oxygen, medication, catheters, food for guide or service dogs, or other special equipment you might need.

- A change of clothing, rain gear, and sturdy shoes.

- Blankets or sleeping bags.

- A list of family physicians and the relative or friend who should be notified if you are injured.

- A list of the style and serial numbers of medical devices such as pacemakers.

- An extra set of car keys.

Also...

- Store back-up equipment, such as a manual wheelchair, at your neighbor's home, school, or your workplace.


Emergency Plan

Out-of-State Contact

Name ——————————————————————————————————————

City ———————————————————————————————————————

Telephone (Day) ———————————————(Evening) ——————————————

Local Contact

Name ———————————————————————————————————————

Telephone (Day) ———————————— (Evening) —————————————————

Nearest Relative

Name ———————————————————————————————————————

City ————————————————————————————————————————

Telephone (Day) ——————————————— (Evening) ——————————————

Family Work Numbers

Father ——————————————————— Mother ————————————————

Other ———————————————————————————————————————

Emergency Telephone Numbers

In a life threatening emergency, dial 911 or the local emergency medical services system number.

Police Department —————————————————————————————————

Fire Department ——————————————————————————————————

Hospital ——————————————————————————————————————

Family Physicians

Name ——————————————————— Telephone —————————————

Name ——————————————————— Telephone—————————————

Name—————————————— Telephone ————————————————————

Reunion Locations

1. Right outside your home —————————————————————————————-

——————————————————————————————————————————

2. Away from the neighborhood, in case you cannot return home —————————————

——————————————————————————————————————————

Address ——————————————————————————————————————

Telephone —————————————————————————————————————

Route to try first ——————————————————————————————————