Knowledge
1.
Do you know the hazards or risks that could affect you and your household , such as
living near a petrol station, having power lines near trees, etc.?
Yes
No
2. Do you know the disasters (natural or man-made) ,
that could affect your area, such as floods, bushfires, chemical spills, etc.?
Yes
No
3. Do you know the following emergency support channels (select checkbox if yes):
Phone numbers for life-threatening situations?
Phone numbers for help with urgent flood or storm damage?
Your official local emergency radio station?
The Standard Emergency Warning Signal (SEWS) and what it sounds like?
Where to find information about emergency evacuation centre locations?
4. Do you know what the emergency and evacuation plans are at your workplace/educational institution?
Yes
No
Not applicable N/A
5. If you have children , do you know what the emergency and evacuation plans are at their
school or day care centre?
Yes
No
Not applicable N/A
Do you know (select checkbox if yes)
How the school or day care centre will communicate with families during a crisis?
If the school or day care centre stores adequate food, water and other basic supplies?
If your child`s school is prepared to shelter-in-place if need be, and where they plan to go if they must get away?
Action
6. Have you planned with your household what you would do in the event of an emergency ?
Yes
No
Have you and your household discussed/planned (select checkbox if yes)
An emergency contact list containing important phone numbers, including out-of-town emergency contacts?
Medical conditions of household members that may require special attention?
An emergency meeting place outside of your neighbourhood, at least 100 kilometres away?
Do you know what to do for your pets or animals during an emergency?
Yes
No
Not applicable
7. Have you prepared your home (annually) for an emergency?
Yes
No
Have you (select checkbox if yes)
Ensured that your home, contents and car insurance is current and adequate?
Cleaned gutters and drains, and cut back tree branches hanging over roofs this year?*
Locate your gas, power and water meters and shut-off valves?
Identified the strongest room in the house which could provide a temporary emergency shelter?
Purchased tools and supplies which could help fortify your home in the event of a disaster?
* If you live in an apartment unit or a rental house, have you checked that ongoing maintenance is being done?
8. Do you have an emergency stay/go kit ?
Yes
No
Do you have (select checkbox if yes)
Torch (with spare batteries)?
Battery-operated radio (with spare batteries)?
Mobile phone charger and battery?
Food, snacks, water and cooking materials?
First aid kit?
Important documents and valuable mementoes/keepsakes?
Toiletries, including sunscreen and insect repellent?
Clothing, hats and an emergency blanket?
Additional items such as infant supplies, pet food, medications and scripts?
Spare house keys?
Money?
Cards, books, pens and pencils for entertainment?
Is your emergency stay/go kit transportable?
Yes
No
Connection
9. Do you know your neighbours well?
Yes
No
Do you know (select checkbox if yes)
Who might need extra help in an emergency, and if they have someone to help them prepare for an emergency?
Who has resources which could help during an emergency?
Who has skills which could help during an emergency?
Are you (select checkbox if yes)
Chatting to your neighbours regularly?
Discussing emergency preparedness with your neighbours?
Involved in neighbourhood groups or activites?