DRAFT!: H&S: EMERGENCY CONTACT FORM

EMERGENCY CONTACT NUMBER FORM:

Draft an internal company emergency contact form (standard) to regulate the contacting procedure to be followed should an emergency occur in the workplace.

Accepted file types: jpg, jpeg, png, gif.

Add your Company Logo here. This is an optional option.

COMPANY NAME:(Required)

COMPANY REPRESENTATIVE:(Required)

Date of Issue:(Required)

REVISION NUMBER:(Required)

LIST OF EMERGENCY CONTACT NUMBERS IN THE EVENT OF AN EMERGENCY WITHIN THE COMPANY:

Fire Department:

Police Department:

Ambulance:

City / Town Emergency Response Number:

HR / Manager CONTACT NUMBER:

CEO / OWNER / DIRECTOR CONTACT NUMBER: