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Farm Emergency Response Checklist

Ensure farm safety and minimize risks with our Farm Emergency Response Checklist. Prepare for the unexpected - from equipment failures to natural disasters - and protect your farm, livestock, and team. Download now and build a resilient operation.

This Template was installed 5 times.

Initial Assessment & Notification

1 of 8

Immediate actions upon discovering an emergency.

Emergency Location

Time of Incident

Brief Description of Incident

Type of Emergency

Severity Level (1-5, 1=Minor, 5=Critical)

Is Emergency Controlled?

Initial Responder Name

Fire Emergency Procedures

2 of 8

Steps to take in case of a fire on the farm.

Time of Fire Detection

Description of Fire (Location, Size, Smoke)

Fire Severity

Equipment Used (Fire Extinguisher, Hose, etc.)

Fire Extinguisher Used (Quantity)

Approximate Fire Location

Person Responding to Fire

Medical Emergency Response

3 of 8

Procedures for handling injuries or illnesses.

Patient's Name

Brief Description of Incident/Injury

Patient's Age (Years)

Severity of Injury (Initial Assessment)

Date of Incident

Time of Incident

Location of Incident on Farm

First Responder Signature

Animal Escape/Release Protocol

4 of 8

Steps for dealing with escaped livestock.

Type of Animal Escaped

Estimated Number of Animals Escaped

Initial Location of Escape (GPS Coordinates)

Description of Escape Circumstances

Time of Escape Discovery

Containment Status

Name of Person Reporting Escape

Hazardous Material Spill Control

5 of 8

Procedures for handling chemical spills.

Type of Spill

Estimated Spill Volume (Gallons/Liters)

Spill Location (GPS Coordinates or Description)

Description of Spill Circumstances

Containment Measures Taken

Date of Spill

Time of Spill

Photos/Video Documentation

Spill Response Personnel Signature

Severe Weather Preparedness & Response

6 of 8

Actions to take before, during, and after severe weather events.

Last Severe Weather Drill Date

Primary Weather Threat

Designated Safe Shelter Location(s)

Current Level of Supplies (Days)

Alerting Methods

Specific Preparation Actions Taken

Next Scheduled Weather Alert System Check

Communication & Contact List Verification

7 of 8

Ensuring contact information is up-to-date and readily accessible.

Emergency Contact List (Farm Manager, Key Personnel)

Local Emergency Services (Police, Fire, Ambulance)

Police Non-Emergency Number

Fire Department Number

Ambulance/EMS Number

Primary Communication Method (Emergency)

Last Contact List Update Date

Post-Emergency Review & Reporting

8 of 8

Steps to assess the event, report findings, and prevent recurrence.

Date of Incident Review

Detailed Description of Event & Response

Estimated Cost of Damages (USD)

Contributing Factors (Select all that apply)

Corrective Actions Implemented

Severity of Incident

Supporting Documentation (Photos, Reports)

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