Emergency Response Bag Checklist Form
Use this Emergency Response Bag Checklist Form to verify bag readiness, track essential contents, and document maintenance or restocking needs.
Date of Inspection
*
-
Month
-
Day
Year
Date
Inspector Name
*
First Name
Last Name
First Aid Kit Status
*
Present and Complete
Present but Needs Restock
Missing
Flashlight and Batteries
*
Present and Working
Present but Needs Replacement
Missing
Water Supply
*
Sufficient
Needs Restock
Missing
Non-Perishable Food
*
Sufficient
Needs Restock
Missing
Personal Protective Equipment (PPE)
*
Present and Usable
Needs Replacement
Missing
Communication Device (e.g., Radio, Phone)
*
Present and Charged
Present but Needs Charging/Replacement
Missing
Documentation (Instructions, Maps, Emergency Contacts)
*
Present and Up-to-date
Needs Update
Missing
Spare Clothing and Blanket
*
Present and Clean
Needs Replacement
Missing
Additional Comments or Maintenance Notes
Submit Checklist
Should be Empty: