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Emergency action plan template with fire prevention plan

This emergency action plan template fills in both plans for your office: the emergency action plan and the fire prevention plan. An office with 10 or fewer employees may communicate both plans orally 29 CFR 1910.38(b) 29 CFR 1910.39(b). With more than 10 employees, both plans are in writing.

Office name

Number of employees

How staff report a fire or other emergency

Alarm method

Exit routes

Meeting place outside

Contacts for the plan

29 CFR 1910.39

Fire prevention plan template

The fire prevention plan lists your major fire hazards and the people who control them. Both plans print together.

Major fire hazards

Who maintains equipment that prevents or controls ignition sources or fires

Who controls fuel source hazards

Employer: ____________________

Emergency action plan

Number of employees: ____________________. This plan is kept in the office and available to employees for review. 29 CFR 1910.38(b)

1. Reporting a fire or other emergency 29 CFR 1910.38(c)(1), (d)

How to report: ____________________

Alarm: ____________________. The alarm uses a distinctive signal for each purpose.

2. Emergency evacuation 29 CFR 1910.38(c)(2)

Exit routes: ____________________

Type of evacuation and exit route assignments

3. Critical operations before evacuation 29 CFR 1910.38(c)(3)

Employees who stay to operate critical operations before they evacuate, and their procedures

4. Accounting for all employees after evacuation 29 CFR 1910.38(c)(4)

Meeting place: ____________________

Who takes the head count, and how

5. Rescue and medical duties 29 CFR 1910.38(c)(5)

Employees with rescue or medical duties, and their procedures

6. Contacts for this plan 29 CFR 1910.38(c)(6)

Employees may contact these people for more information about the plan or their duties under it.

Employees designated and trained to help with a safe and orderly evacuation 29 CFR 1910.38(e)

The office reviews this plan with each employee when the plan is developed or the employee starts the job, when the employee's duties under it change, and when the plan changes. 29 CFR 1910.38(f)

Employer: ____________________

Fire prevention plan

This plan is kept in the office and available to employees for review. 29 CFR 1910.39(b)

1. Major fire hazards 29 CFR 1910.39(c)(1)

2. Control of flammable and combustible waste 29 CFR 1910.39(c)(2)

3. Maintenance of safeguards on heat-producing equipment 29 CFR 1910.39(c)(3)

4. Responsible people 29 CFR 1910.39(c)(4)-(5)

Maintains equipment that prevents or controls ignition sources or fires: ____________________

Controls fuel source hazards: ____________________

Each employee learns the fire hazards of their job at initial assignment, and reviews the parts of this plan they need for self-protection. 29 CFR 1910.39(d)

the rule

When does a dental office need an emergency action plan?

When an OSHA standard requires one 29 CFR 1910.38(a). The fire prevention plan follows the same rule 29 CFR 1910.39(a). One case in a dental office: fire extinguishers that staff are not meant to use. With both plans, the extinguisher rule asks only for inspection, maintenance and testing 29 CFR 1910.157(a). A written plan is kept in the workplace and available to employees for review 29 CFR 1910.38(b).

See every other OSHA requirement in the guide to OSHA requirements for dental offices.

Questions about the emergency action plan

What must an emergency action plan include?

Procedures to report a fire or other emergency, to evacuate with exit route assignments, for staff who run critical operations before they leave, to account for all employees, and for staff with rescue or medical duties. It also names who to contact about the plan 29 CFR 1910.38(c).

What must a fire prevention plan include?

The major fire hazards, with the handling and storage of hazardous materials, the ignition sources and their control, and the fire protection equipment for each. It also covers waste control, maintenance of heat-producing equipment, and who is responsible for ignition sources and fuel source hazards 29 CFR 1910.39(c).

When do we review the plan with staff?

With each covered employee: when the plan is made or the employee starts the job, when their duties under the plan change, and when the plan changes 29 CFR 1910.38(f). Tell each employee the fire hazards they are exposed to when they start 29 CFR 1910.39(d).

Does the office need an alarm?

Yes. An employer with an emergency action plan has and maintains an employee alarm system with a distinctive signal for each purpose 29 CFR 1910.38(d). The employer also designates and trains staff to help with a safe and orderly evacuation 29 CFR 1910.38(e).