Evacuation Plan

APPENDIX 3
EVACUATION PLAN

Evacuation Plan Form in PDF format
Evacuation Plan Form in MS Word format

(to be filled out by trip leader and filed with LOC Safety Officer or Appropriate Section/Division Head
or designate prior to trip departure)

Example of a completed Evacuation Plan Form


Field Trip Name          _________________________________________________

Date                           _________________________________________________

Field Trip Leader       _________________________________________________

Responsible Safety officer      Name______________________________________
Phone __________________________

General Information

Stop # Evacuation Challenge Evacuation procedures Nearest emergency medical facility Hours of operation







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