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emergency self-assessment

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Emergency Ability Self-Assessment

 Evaluate your capabilities, limitations and needs, as well as your surroundings to determine what type of help you will need in an emergency.

Abilities/Preparedness

Yes

No

Do you know the location of all fire alarms and extinguishers?

Yes

No

  • Are you able to activate the fire alarms?

Yes

No

Can you operate a fire extinguisher?

Yes

No

·        Have you practiced?

Yes

No

Do you know the location of ALL exits?

Yes

No

·           Have you evaluated your ability to use them?

Yes

No

Have you determined how you may be of assistance to others in an emergency? (i.e. guiding people to and through darkened spaces and exits if you have no or low vision, offering calming and emotional support, etc.)

Yes

No

Have you anticipated how you will function if your service animal becomes confused, panicked, frightened or disoriented?  A harness leash, pad protectors (for hot asphalt, hot metal stairs, broken glass) are important items for managing a nervous or upset animal. Be prepared to use alternative ways to negotiate your environment (i.e. sighted guides, members of your personal support network who can offer emotional support).

Yes

No

·           Do you keep critical carry-with-you supplies:

Yes

No

·           Essential medication?

Yes

No

·           Small flashlight?

Yes

No

·           Fully charged portable devices and extra batteries) such as a cell phone.  Many people used cell phones and two-way pagers on 9/11/01 to alert authorities or to call loved ones.

Yes

No

·           Paper and pencil?

Yes

No

·           Customized, pre-printed message?

Yes

No

·           Emergency Health Information? It should communicate to rescuers what they need to know if they find you unconscious or incoherent or if they need to quickly help evacuate you (list of current medications, allergies, special equipment, names, addresses, and telephone numbers of doctors, pharmacies, family members, friends, and any other important information). 

Evacuating a Site After Usual Business Hours

Yes

No

Determine your risks regarding being in the building after usual working hours when there are fewer people to provide emergency assistance?

·           Is there a way you can make your presence known to others including personnel in the security or emergency control center, when in the building after hours?

·           Do you know how to reach emergency personnel in case on an emergency?

Sight

Yes

No

Will you be able to evacuate independently without relying on the usual auditory cues (such as the hum of the copy machine near the stairs)? (These cues will be absent, if the electricity goes off or alarms are blaring).

Yes

No

Can you read the emergency signage in print or Braille?

Yes

No

Are there raised and Braille characters on signs that designate exits, direction to exits, information on exit routes, and floors designated by numbers or letters, including floor level designations provided in stairwells?

Yes

No

Is there emergency lighting along the escape route that will automatically light, if electrical service is interrupted?

Yes

No

If you wear contact lenses, what will you do if and when smoke, dust or fumes become painful or dangerous. Do you keep glasses with you?

Yes

No

Can you use the two-way communication devices installed in the elevators and areas of refuge/ rescue assistance?

Yes

No

Have you instructed your personal support network how to act as a “sighted guide” if needed?

Hearing

Yes

No

Have you practiced having people communicate emergency information to you?

Yes

No

Does the building have two-way communication devices installed in the elevators and areas of refuge/rescue assistance?

Yes

No

·       Have you practiced using them in a non-emergency to make sure the system works?

Yes

No

Do you know the locations of text telephones or phones that have amplification?

Yes

No

Do emergency alarm systems have audible and visible features (visual strobes)?

Yes

No

If you are hard of hearing will you be able to hear over the sound of very loud emergency alarms? How will you understand emergency information and directions that are typically given verbally? (Hearing aids amplify background noise, so the sound of the alarms may interfere or drown out voice announcements). Instruct your support network to speak looking at you and to repeat critical announcements.

Yes

No

Will your hearing aids work if they get wet, for example from sprinklers?

Yes

No

Are the newer displays  (television monitors or scrolling text signs) available throughout your site? Will they work if the power goes out?

Yes

No

·           Do you know all their locations?

Yes

No

Are portable devices (tactile/vibrating pagers) available for you to use?

Yes

No

Do you keep with you a small flashlight handy to aid in seeing visual cues during an emergency?

Yes

No

Have you determined how you will communicate with colleagues and emergency personnel if there is no interpreter or if your hearing aid(s) are not working? 

Yes

No

·        Do you carry with you paper and pens?

Yes

No

·                   Do you carry a pre-printed copy of key phrase messages with you such as "I  use American Sign Language (ASL)," "I do not write or read English well." "If you make announcements, I will need to have them written simply or signed."

Deaf‑Blind

Yes

No

Do you have a personal support network? Since the usual alarms or flashing lights won't work, it is critical that you have a large personal support network

Speech

Yes

No

Have you determined how you will communicate with colleagues and emergency personnel, if you do not have your usual communication devices (augmentative communication device, word board, artificial larynx)?

Yes

No

Do you store copies of a word or letter board, paper and writing materials, pre-printed messages and key phrases specific to an anticipated emergency, in your wallet, backpack or purse?

Yes

No

Does your Emergency Health Information Card explain the best method to communicate with you (written notes, pointing to letters/words/pictures)?

Memory, Judgment, Learning And Related Information Processing

Yes

No

Have you practiced how to communicate your needs?

Yes

No

Have you anticipated the types of reactions you may have in an emergency and planned strategies for coping with these reactions? (There are a number of reactions that may occur or become more intense during an emergency. Such reactions include: confusion, thought processing and memory difficulties, agitation, paranoia, crying, fear, panic, anxiety, and shaking. Think through the types of reactions you may anticipate and plan strategies for coping with these reactions.  Prepare your personal support network to assist you with these planned strategies).

Yes

No

Does your Emergency Health Information explain the best method to assist you?

Assistive Device Users

Yes

No

What will it take to get your wheelchair or other important assistive devices out of the building?

Yes

No

Have you informed your personal support network how to operate and safely move your equipment if necessary?

Yes

No

Have you labeled equipment, added simple instruction cards (laminate instruction cards for added durability) and attached them to equipment regarding how to operate and safely move?

Yes

No

Do you keep a copy of these instructions with you and have you shared copies with your personal support network?

Yes

No

If you are a manual wheelchair user, do you carry heavy gloves with you to protect hands from debris while pushing?

Yes

No

Have you thought through all your options if you are not able to be evacuated in your chair or other assistive device?

Physical / Mobility

Yes

No

Can you operate a fire extinguisher?

Yes

No

·           Have you practiced?

Yes

No

·           Will extended handles make them usable for you?

Yes

No

Do you know the location of all exits and your ability to navigate them?

Yes

No

Do you know where all evacuation chairs are stored?

Yes

No

·           Have you practiced using them?

Yes

No

Do you know where all, if any, rescue areas are located?

Yes

No

Can you reach and activate an alarm?

Yes

No

Will you be able to independently evacuate from the site? (What will it take)?

Yes

No

·            How long will it take?

Yes

No

·           Will you need someone to help with your balance and help you to walk down steps more quickly?

Yes

No

·           Would it be faster if you used an evacuation chair or were carried?

Yes

No

·           If you absolutely had to, could you bump down the stairs on your butt, crawl, etc?  Will you need something to strap on to protect your butt? Gloves to protect your hands? Etc.

Yes

No

·           Have you tested this method?

Yes

No

Can you transfer in and out of evacuation devices independently, or with assistance?

Yes

No

Can you give quick instructions regarding how to safely transport you if you need to be carried?

Yes

No

·           Have you included any areas of vulnerability regarding how to safely remove you from your chair?

Yes

No

·           If you want to be lifted in your chair make sure this is realistic (How much does your chair weigh with you in it)?

Yes

No

Do you know where all the areas of refuge/rescue assistance are located? (See Areas of Refuge/Rescue Assistance)

Yes

No

Do you know if your site has “evacuation elevators” and where they are located? (see Use of Elevators)

Allergies, Multiple Chemical Sensitivities (MCS)

Yes

No

Do you carry supplies with you based on your worse days:

·        Industrial respirator with gas-mist filters?

·        Gloves?

·        Inhaler?

Nicotine gum for use in bargaining with rescuers or distraught people who will want to smoke cigarettes?

Yes

No

Does your emergency health information clearly explain your sensitivities and reactions, most helpful treatments, and treatments which are harmful? Be specific, as other conditions (disorientation, aphasia, panic) may be diagnosed and treated as something other than chemical sensitivity and you may not be able to describe your needs verbally.

Excerpted from: Kailes, June Isaacson. Evacuation Preparedness: Taking Responsibility For Your Safety: A Guide For People With Disabilities and Other Activity Limitations, 2002.For more information this 36 page Guide is available at no cost from http://www.cdihp.org/products.html#eeguide, or to order a hard copy, send a check payable to: CDIHP for $24.00 (includes shipping, handling and applicable tax) to CDIHP, 309 E. 2nd Street, Pomona, CA 91766‑1854.  Contact CDIHP for pricing on bulk or international orders at Phone:  (909) 469‑5380, TTY (909) 469-5520, Fax: (909) 469‑5407, Email: evac@westernu.edu.

 

 

 

© The Arc of the Mid Ohio Valley 2006
521 Market Street, #17    § Dils Center  Parkersburg, WV  26101    § 304-422-3151 phone    § 304-865-2072 fax