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Personal Emergency Evacuation Plan FormThis Personal Emergency Evacuation Plan (PEEP) has been prepared by PHOENIX SAFETYTRAINING SERVICES; its purpose is to identify the individual needs of a resident with regard to theirsafe evacuation in an emergency. Personal Emergency Evacuation Plan FormIf NO Enter DetailsDoes the resident require the centre’s emergency procedures to be provided to them in an alternativeformat to the standard written instructions? Personal Emergency Evacuation Plan FormHow long would you estimate that it would take to evacuate the resident (other than with the help of anyitems identified above), in the event of an emergency? Clipping is a handy way to collect and organize the most important slides from a presentation.
The PEEP should be completed ONLY by a COMPETENT PERSONas defined in the Safety Health and Welfare at Work Act 2005.

The PEEP Form is not exhaustive andwhere additional requirements are identified they should be entered in “Section D under OtherInformation” showing any remedial actions deemed necessary. Each resident should have a PEEPprepared prior to their arrival or if already a resident within the Care Centre.The PEEPshould as far as practicable be specific to individual areas in the Care Centre. However if forexample, a number of activities are proposed to take place in adjacent areas from which escape will beaffected using the same emergency provisions then it may be possible to assess the provisions on onePEEP Form.
Hearing impaired residents will normally be able to be assessed on one PEEP Form since theprovisions made for this class of resident are likely to be the same regardless of location.It is important to distinguish in the PEEP whether the area to be accessed will be used inside or outside ofnormal working hours. It is likely that certain areas of the Care Centre will be inaccessible outside ofnormal working hours e.g.

The PEEP needs to demonstrate that this has beenadequately considered.If the PEEP Assessment deems that a particular area does not meet the general access requirements forthe resident being assessed then alternative management arrangements will need to be identified.

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