Business Power Outage Preparedness Checklist Form
Assess your business’s readiness for a power outage by completing this essential preparedness checklist.
Business Name
*
Primary Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have a backup power source (e.g., generator, UPS) available and tested?
*
Yes
No
In Progress
Critical equipment and systems are protected against sudden power loss (e.g., surge protectors, auto-shutdown systems)
*
Yes
No
In Progress
Data backup procedures are in place and verified
*
Yes
No
In Progress
Communication plan for notifying staff and customers during outages
*
Yes
No
In Progress
Staff have received training on power outage protocols
*
Yes
No
In Progress
Date of last power outage preparedness review
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes (optional)
Submit Checklist
Should be Empty: