EmergencyMap

Emergency Map
Project Name:
Date

MonthDayYear
Date
MUSTER POINT LOCATED:
ADDRESS:
Supervisor

EMERGENCY EQUIPMENT LOCATED
Fire Alarm:
Fire Extinguisher:
Fire Hose:
First Aid Kit Alberta #2:
SDS Binder:
Eyewash Station:
Safety horn:

Nearest Emergency Services

Rows	Phone Number	Adreess
Police deportment
Ambulance
Fire Department
Hospital

All workers must be familiarized with the job site/task hazard assessment and must sign it before commencing work.
Worker 1
Signature 1

Clear
Worker 2
Signature 2

Clear
Worker 3
Signature 3

Clear
Worker 4
Signature 4

Clear
Worker 5
Signature 5

Clear
Worker 6
Signature 5

Clear
Worker 7
Signature 7

Clear
Worker 8
Signature 8

Clear
YesNo
Add workers

Worker Name Signature Signature
Worker Name Signature Signature
Calculation

Emergency Route
Type a question
Should be Empty: