Earthquake Emergency Kit Checklist
Use this form to prepare and track your earthquake emergency kit essentials and verify your readiness.
Full Name
*
First Name
Last Name
Date of Kit Check
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Kit Readiness Status
*
Fully Ready
Partially Ready
Not Ready
Water (at least 3 days' supply per person)
*
Included
Missing
Non-perishable Food (at least 3 days' supply per person)
*
Included
Missing
Flashlight and Extra Batteries
*
Included
Missing
First Aid Kit
*
Included
Missing
Whistle (to signal for help)
*
Included
Missing
Personal Hygiene Items
*
Included
Missing
Additional Notes or Items (optional)
Submit Checklist
Should be Empty: