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Sample Emergency Management Plan: A Checklist for Clubs

Executive Summary
This section should give management and employees a brief overview of plan’s purpose; the club’s emergency management policy; authorities and responsibilities of key personnel; the kinds of potential emergencies the club may experience; and, where response operations will be managed.

Potential Hazards
The following natural and man-made disasters could impact club operations:

__________________________________

__________________________________

__________________________________

__________________________________

Emergency Management Team
The following people will participate in emergency planning and crisis management:

Primary Emergency Contact
The following person is the primary crisis manager and will serve as the company spokesperson in an emergency:

Primary Emergency Contact: ____________________________________________

Telephone Number: _____________________________________________________

Alternative Number: ____________________________________________________

E-mail: _______________________________________________________________

Secondary Emergency Contact

If the person is unable to manage the crisis, the person below will succeed in management:

Secondary Emergency Contact: _______________________________________________

Telephone Number: __________________________________________________________

Alternative Number: _________________________________________________________

E-mail: ____________________________________________________________________

Additional Emergency Contact Information

Dial 9-1-1 in an Emergency

Non-Emergency Police/Fire: __________________________________________________

Insurance Provider: __________________________________________________________

Insurance Policy Number: ____________________________________________________

Emergency Planning Team

The following people will participate in emergency planning and crisis management:

Name & Title: ________________________________________________________________

Telephone Number: ___________________________________________________________

E-mail: ______________________________________________________________________

Name & Title: ________________________________________________________________

Telephone Number: ___________________________________________________________

E-mail: ______________________________________________________________________

Name & Title: ________________________________________________________________

Telephone Number: ___________________________________________________________

E-mail: ______________________________________________________________________

External Coordination

The following people from neighboring businesses and our building management (in the case of city clubs) will participate on our emergency planning team:

Name & Title: ________________________________________________________________

Organization: ________________________________________________________________

Telephone Number: ___________________________________________________________

E-mail: ______________________________________________________________________

Name & Title: ________________________________________________________________

Organization: ________________________________________________________________

Telephone Number: ___________________________________________________________

E-mail: ______________________________________________________________________

Name & Title: ________________________________________________________________

Organization: ________________________________________________________________

Telephone Number: ___________________________________________________________

E-mail: ______________________________________________________________________

Evacuation Plan for [INSERT CLUB FACILITY HERE]
We have developed these plans in collaboration with neighboring businesses and building owners to avoid confusion or gridlock (city clubs).

We have located, copied and posted building and site maps.

Exits are clearly marked.

We will practice evacuation procedures ____ times a year.

If we must leave the club premises quickly:

________________________________________________

________________________________________________

________________________________________________

________________________________________________

Member Evacuation Procedures:

________________________________________________

________________________________________________

________________________________________________

________________________________________________

  1. Warning System:_______________________________________________________________

We will test the warning system and record results ____ times a year.

  1. Assembly Site: __________________________________________________________________
  2. Assembly Site Manager & Alternate: _________________________________________

                                     a. Responsibilities Include:

                                     ______________________________________________________________________________

                                     ______________________________________________________________________________

                                     ______________________________________________________________________________

4. Shut Down Manager & Alternate:______________________________________________

                                             a. Responsibilities Include:

                                             _______________________________________________________________________

                                             _______________________________________________________________________

                                             _______________________________________________________________________

5. ______________________________________________ is responsible for issuing “all clear.”

Shelter-In-Place Plan for [INSERT LOCATION HERE]

We have talked to co-workers about which emergency supplies, if any, the club will provide in the shelter location and which supplies individuals might consider keeping in a portable kit personalized for individual needs.

We will practice shelter procedures ____ times a year.

If we must take shelter quickly: ________________________________________________

________________________________________________

________________________________________________

________________________________________________

1. Warning System: ________________________________________________________________

     We will test the warning system and record results ____ times a year.

2. Storm Shelter Location: _______________________________________________________

3. “Seal the Room” Shelter Location: _____________________________________________

4. Shelter Manager & Alternate: __________________________________________________

                             a. Responsibilities Include:

                                    ______________________________________________________________________________

                                     ______________________________________________________________________________

                                     ______________________________________________________________________________

            5. Shut Down Manager & Alternate:

                            a. Responsibilities Include:

                                     ______________________________________________________________________________

                                     ______________________________________________________________________________

                                     ______________________________________________________________________________

6. ___________________________________________ is responsible for issuing “all clear.”

Communications
We will communicate our emergency plans with co-workers in the following way: ________________________________________________

________________________________________________

________________________________________________

________________________________________________

In the event of a disaster we will communicate with employees in the following way: ________________________________________________

________________________________________________

________________________________________________

________________________________________________

Cyber Security
To protect our computer hardware, we will: ________________________________________________

To protect our computer software, we will: ________________________________________________

If our computers are destroyed, we will use back-up computers at the following location: _______________________________________________________________________

Records Backup
________________________ is responsible for backing up our critical records including payroll and accounting systems.

Back-up records including a copy of this plan, site maps, insurance policies, bank account records and computer back ups are stored onsite ______________________________

Another set of back-up records is stored at the following off-site location: ________________________________________________

If our accounting and payroll records are destroyed, we will provide for continuity in the following ways: ________________________________________________

Critical Operations
The following is a prioritized list of our critical operations, staff and procedures needed to recover from a disaster.

Operation Staff in Charge Action Plan

Employee Emergency Contact Information
The following is a list of our co-workers and their individual emergency contact information:

Name Phone E-mail





Annual Review
We will review and update this business continuity and disaster plan in ______________.

**Plans should also include emergency resource lists, including the location of first aid or survival supplies, such as flashlights, water bottles, etc., and site maps indicating the following:

  • Utility shutoffs
  • Water hydrants
  • Water main valves
  • Water lines
  • Gas main valves
  • Gas lines
  • Electrical cutoffs
  • Electrical substations
  • Storm drains
  • Sewer lines
  • Location of each building (include name of building, street name and number)
  • Floor plans
  • Alarm and enunciators
  • Fire extinguishers
  • Fire suppression systems
  • Exits
  • Stairways
  • Designated escape routes
  • Restricted areas
  • Hazardous materials (including cleaning supplies and chemicals)
  • High-value items


Source: FEMA Emergency Management Guide for Business & Industry; READY.gov; U.S. Department of Homeland Security

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