Household name: ________________________________
Address: ________________________________
Date written: ____________ Last practiced: ____________ Last updated: ____________
Official orders always beat this page. This plan is for the first hour, and for the people who need to act if we are apart.
1. People
| Name | Phone | Work / school | Notes (meds, language, access, custody days) |
|---|---|---|---|
Out-of-area contact (everyone texts this person):
Name: ________________________ Phone: ________________________ City/State: ________________________
They have agreed (date): ________
Local emergency numbers
911 (police / fire / medical)
Poison control: 1-800-222-1222
Non-emergency police/fire: ________________________
County emergency management: ________________________
Gas utility: ________________________ Electric: ________________________ Water: ________________________
School office / after-hours: ________________________
Workplace security / supervisor: ________________________
Doctor / clinic: ________________________ Pharmacy: ________________________
Veterinarian: ________________________
Building manager / landlord: ________________________
LEPC or fire non-emergency (hazmat questions): ________________________
Insurance / medical IDs we might need: ________________________
2. Threat picture (from Weeks 1–2)
Top natural hazards for us:
- ________________________ Typical warning time: ________ Default: stay / go
- ________________________ Typical warning time: ________ Default: stay / go
- ________________________ Typical warning time: ________ Default: stay / go
Human-made / infrastructure hazards near us:
Flood at this address: high risk / moderate / not mapped high / unknown
We still never drive: ________________________ (underpass, river road, etc.)
We shelter in place for: ________________________
We leave for: ________________________
3. Stay / go defaults
Official evacuation order: Leave. Take meds, pets, IDs, this plan. Do not wait for a perfect bag.
Tornado / damaging wind: Go to ________________________ (room). Helmets / shoes if there is time. Stay until the warning ends.
Chemical smell, siren, “shelter in place” alert: Inside. HVAC off. Follow section 4. Do not drive toward ________________________.
Wildfire: Leave early toward Ring 2 / 3. Do not go back for belongings. Ways that avoid ________________________.
Flood / dam: Never walk or drive through water. If we leave, we go toward ________________________ (higher ground), not toward ________________________.
Home fire / CO / gas smell inside: Out to Ring 1. Call 911 from outside. No elevators. No re-entry.
Extreme heat or cold with long power outage: If we cannot keep ________________________ (person) safe, we go to Ring 2: ________________________.
If we are apart when this starts: Do not all rush home. Meet at ________________________ unless it is in the hazard zone; then meet at ________________________.
4. Shelter-in-place (this building)
HVAC / fan shutoff is: ________________________
Who shuts it: ________________________
Windows / doors / fireplace: close. Bathroom fans off.
Interior room we use: ________________________
Radio lives: ________________________ Extra batteries: ________________________
Tape / towels live: ________________________
Pets go: ________________________
Meds / glasses / hearing batteries / charger: ________________________
Stay inside until officials say to open up. Then air the house.
5. Destinations and ways (from Week 3)
Ring 1 — right outside
Meeting spot: ________________________
Second way out of the home/unit: ________________________
No one goes back in for stuff.
Ring 2 — in town, out of the neighborhood
Place / host / address: ________________________
Phone: ________________________ They said yes (date): ________
Pets / access: ________________________
- Way A (usual): ________________________
- Way B (if A is blocked): ________________________
- Way C (no car or long way): ________________________
Time (normal): ________
Ring 2 backup (if Ring 2 is also hit): ________________________
Ways: ________________________
Ring 3 — out of town
Place / host / address: ________________________
Phone: ________________________
Direction / highways: ________________________
- Way A: ________________________
- Way B: ________________________
- Way C: ________________________
Ring 4 — without our car
Place: ________________________
How (walk / bike / bus / named rider): ________________________
Backup rider name + phone: ________________________
Do not drive toward: ________________________
6. School, work, and kids
School reunification site (if they told us): ________________________
Named adults allowed to pick up: ________________________
Kids stay with staff until a named adult arrives.
Workplace plan notes: ________________________
If children are home alone: They should ________________________
(examples: go to Ring 1 for fire; go inside and call out-of-area contact; wait for named neighbor ________)
7. Pets and extra-support people
Pets (names, crates, food location, microchip #): ________________________
Pet-friendly backup: ________________________
Who needs extra time or equipment to leave: ________________________
What they need: ________________________
County special-needs / utility-dependence registry: enrolled / not available / we will call ________
8. Neighbors
We check on: ________________________ Phone: ________
We check on: ________________________ Phone: ________
They check on us: ________________________ Phone: ________
Spare key is with: ________________________ (do not publish this copy online)
9. Utilities (only if you have been shown how)
Electric main: ________________________
Water main: ________________________
Gas: We will shut gas only if we smell gas or officials say to, and only if we have been shown how. We do not turn gas back on ourselves. Utility: ________________________
10. Where the modest supplies live
| Item | Location | Notes |
|---|---|---|
| Water | ||
| Food that needs no stove | ||
| Flashlights / batteries | ||
| Radio / weather radio | ||
| Power bank + cables | ||
| Medications list + extras | ||
| IDs / document pouch | ||
| Cash (small bills) | ||
| Pet gear | ||
| N95 / smoke masks | ||
| Other (formula, glasses, etc.) |
Go-bag lives: ________________________
We grab in 5 minutes: meds, pets, IDs/pouch, phones + power bank, this plan, keys, glasses, comfort item for kids.
11. Alerts we use
- Wireless Emergency Alerts: ON for every phone
- County / city alert signup: ________________________
- Weather: ________________________
- School: ________________________
- Building / neighborhood thread: ________________________
- NOAA weather radio tone alarm: yes / not yet
12. Practice log
| Date | What we practiced | What we changed |
|---|---|---|
We meant this
We read this together. We know it will be revised.
Names / signatures: ________________________
Date: ________
Copies: fridge / bag / car or transit bag / out-of-town contact.
Part of Ready Together, a four-week household series. Blank copies are for neighbors.
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