Appendix C - Bushfire Hazard Assessment and Management Plan

                               Household Emergency Plan
                               Circle the hazards in our area:




                                    BUSHFIRE                storm         cyclone                  Coastal             flood
                                                                                                 Inundation
                                                                       Evacuation destination
our household emergency plan




                               Place to meet:
                               Address:
                               Phone number:
                               Email address:
                                                                    Out of town emergency contact
                               Name:
                               Address:
                               Phone number:
                               Email address:
                                 Main service supplies                                Location/switch off
                               Electricity:
                               Gas:
                               Water:
                                    Vehicle registration                              Vehicle description




                                                                        Our strongest room is




                                    Medical conditions                           Essential medication /dosage




                                              Pets                          Pet requirements (including vet details)




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