Emergency Response Plan Form
Complete this quiz to check emergency response plan knowledge, evacuation readiness, and reporting procedures. Answer all questions using the options provided.
Quiz Respondent Info
Full Name
*
First Name
Last Name
Department / Team or Role
*
Location / Site (Optional)
Emergency Response Knowledge
What should you do first when an emergency occurs?
*
Stay calm and assess the situation
Ignore it and continue working
Leave the area immediately without alerting anyone
Wait for someone else to decide
How should an incident be reported?
*
Notify the designated emergency contact or supervisor right away
Report it only at the end of the day
Post about it in a group chat and wait
Do nothing unless damage is visible
Where can the emergency response plan usually be found?
In the company safety manual or shared emergency procedures folder
Only with the local fire department
Nowhere; it is not documented
In personal email signatures
How confident are you in the following emergency response actions?
Rows
Not confident
Somewhat confident
Confident
Very confident
Knowing what to do first in an emergency
1
2
3
4
Reporting an incident correctly
5
6
7
8
Finding the emergency response plan
9
10
11
12
Notifying the right people
13
14
15
16
Evacuation and Drill Readiness
How familiar are you with the evacuation routes for your area?
*
Very familiar
Somewhat familiar
Not familiar
How familiar are you with the designated assembly point?
*
Very familiar
Somewhat familiar
Not familiar
Drill readiness by scenario
Rows
Know the first action
Know the evacuation route
Know the assembly point
Fire alarm sounds
17
18
19
Power outage occurs
20
21
22
Severe weather alert is issued
23
24
25
Submit
Should be Empty: