Template

PEEP Assessment for Residents

by Emma Snelling, from the Community

10+

Use this PEEP assessment template to evaluate a resident’s personal emergency evacuation needs. Capture hearing and visual limitations, mobility and stair access, ability to find alternative routes and reach refuge points, and any assistance or equipment required. Record further actions, transfer details to the PEEP register, secure information in the site box, and collect signatures with review dates for ongoing compliance.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template
Culligan Personal Emergency Evacuation Plan PEEP
Use this Personal Emergency Evacuation Plan to document the support an employee needs to evacuate safely from your site. Capture job role and location and normal work areas across floors and yards and specific evacuation needs. Assess access to alarms signage and routes communication needs and mobility limitations. Assign an evacuation buddy and deputy attach a building layout with routes and record employee and assessor sign off. Review the plan at least annually or after significant changes.
by Tiffany Argent, from the Community
Downloads: 10+
Get
Template
Personal Emergency Evacuation Plan PEEP
Use this template to build a Personal Emergency Evacuation Plan for workers who may need assistance leaving a building during an incident. Capture job role and normal work areas, assess ability to hear alarms and read signage, and specify accessible routes and evacuation support. Assign an evacuation buddy and deputy, document wheelchair transfer needs, and attach a marked building layout. Include consent statements and signatures, and review the plan annually or after significant changes.
by Tiffany Argent, from the Community
Downloads: 20+
Get
Template
Personal Emergency Evacuation Plan (PEEP) Template
This Personal Emergency Evacuation Plan template helps retail stores prepare inclusive evacuation procedures for disabled customers, staff and visitors. It guides managers to assess mobility, hearing, vision and cognitive needs; review building systems like fire alarms and beacons; and detail accessible routes, ramps, handrails and signage. The checklist covers store-specific layouts including mezzanine or split levels, step navigation and wheelchair assistance, plus clear duties for staff to sweep all areas and guide people to the assembly point. Use it to brief teams, post procedures, and maintain compliance with health and safety requirements.
by Curtis Dwyer, from the Community
Downloads: 40+
Get
Template
PEEPS Audit Checklist
This PEEPS Audit checklist supports care homes and health services in reviewing Personal Emergency Evacuation Plans each month. It helps confirm that every resident has a current PEEP with accurate identifiers (name and room), building location and closest exit/staircase, required assistance and the designated staff to help, and any techniques or equipment suited to individual needs. It also prompts inclusion of a step‑by‑step evacuation plan from alarm to exit, and highlights additional hazards such as flammable ointments, reduced mobility, or sedative medications. Use it to document findings, update plans following any changes to residents, staff, hazards, or the building, and bring actions to the next QA meeting.
by Laura Mortimer, from the Community
Downloads: 10+
Get

Culligan Personal Emergency Evacuation Plan PEEP

Use this Personal Emergency Evacuation Plan to document the support an employee needs to evacuate safely from your site. Capture job role and location and normal work areas across floors and yards and specific evacuation needs. Assess access to alarms signage and routes communication needs and mobility limitations. Assign an evacuation buddy and deputy attach a building layout with routes and record employee and assessor sign off. Review the plan at least annually or after significant changes.

by Tiffany Argent, from the Community

10+

Get

Template

Personal Emergency Evacuation Plan PEEP

Use this template to build a Personal Emergency Evacuation Plan for workers who may need assistance leaving a building during an incident. Capture job role and normal work areas, assess ability to hear alarms and read signage, and specify accessible routes and evacuation support. Assign an evacuation buddy and deputy, document wheelchair transfer needs, and attach a marked building layout. Include consent statements and signatures, and review the plan annually or after significant changes.

by Tiffany Argent, from the Community

20+

Get

Template

Personal Emergency Evacuation Plan (PEEP) Template

This Personal Emergency Evacuation Plan template helps retail stores prepare inclusive evacuation procedures for disabled customers, staff and visitors. It guides managers to assess mobility, hearing, vision and cognitive needs; review building systems like fire alarms and beacons; and detail accessible routes, ramps, handrails and signage. The checklist covers store-specific layouts including mezzanine or split levels, step navigation and wheelchair assistance, plus clear duties for staff to sweep all areas and guide people to the assembly point. Use it to brief teams, post procedures, and maintain compliance with health and safety requirements.

by Curtis Dwyer, from the Community

40+

Get

Template

PEEPS Audit Checklist

This PEEPS Audit checklist supports care homes and health services in reviewing Personal Emergency Evacuation Plans each month. It helps confirm that every resident has a current PEEP with accurate identifiers (name and room), building location and closest exit/staircase, required assistance and the designated staff to help, and any techniques or equipment suited to individual needs. It also prompts inclusion of a step‑by‑step evacuation plan from alarm to exit, and highlights additional hazards such as flammable ointments, reduced mobility, or sedative medications. Use it to document findings, update plans following any changes to residents, staff, hazards, or the building, and bring actions to the next QA meeting.

by Laura Mortimer, from the Community

10+

Get

PEEP Assessment for Residents

About author

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Culligan Personal Emergency Evacuation Plan PEEP

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Personal Emergency Evacuation Plan (PEEP) Template

PEEPS Audit Checklist

You might also like

Culligan Personal Emergency Evacuation Plan PEEP

Personal Emergency Evacuation Plan PEEP

Personal Emergency Evacuation Plan (PEEP) Template

PEEPS Audit Checklist