EMS Emergency Preparedness and Response Plan Template

1. Organization Information

EMS Agency Name: Location/Area Served: Prepared By: Date:

2. Emergency Contacts

Role/Agency	Name	Phone	Email

3. Hazard Identification & Risk Assessment

Describe assessed risks and potential emergencies:

4. Chain of Command & Roles

Role	Name	Responsibilities

5. Communication Plan

Describe communication protocols during an emergency:

6. Resource Inventory

Resource	Location	Contact	Notes

7. Response Procedures

8. Training & Exercises

Describe training schedules and exercise plans:

9. Plan Maintenance & Review

Describe frequency and responsibility for reviewing the plan: