Personal Assessment List:

     Consider what you will be able to do for yourself and what help you may need before,
     during, and after an emergency. Do you use:

                Personal care equipment (to bathe or dress)

                Adaptive feeding devices

                Electricity-dependent equipment

                Specially equipped vehicle

                Oxygen Tanks

                Visual aid devices

                Service animals or pets

     List what you will need during an emergency to identify items you will need in your
     Emergency Supply Kit.




Emergency Supply Kit
     Use a duffle bag, sports bag, back pack or tote to make your kit. Your basic emergency
     supply kit should last at least SEVEN (7) days and include the following:

                Any items you identified from the personal assessment list

                Medications or treatment items

                Water (1 gallon per day per person/animal)
 Food (non-perishable)

 Infant formula and diapers (if applicable)

 Can opener (if kit contains canned food)

 Paper plates, paper cups, plastic utensils

 Copy of your prescriptions

 Copy of emergency plan and your three contacts’ information

 First aid kit

 Matches in waterproof container

 Whistle or noise maker

 Flashlight

 Extra batteries for hearing aids, flashlights

 Wrench or pliers to turn off utilities

 Dust mask, bandana or cotton t-shirt to help filter air

 Plastic sheeting and duct tape (to shelter in place)

 Moist towlettes, garbage bags and plastic ties (for personal

 Personal hygiene items

 Extra clothing (including long sleeve shirt, long pants, sturdy

 Sleeping bag or warm blanket for each person
 Pad and pencil

 A pair of heavy gloves in case of broken glass and debris

 Patch kit and can of air for wheelchair tires

 Pet vaccination records

 Pet food and extra water

   Extra cash, traveler’s checks, change and credit cards

 Books, games, puzzles for children (if applicable)

 Household chlorine bleach and medicine dropper – When
  diluted, nine parts water to one part bleach, bleach can be used
  as a disinfectant. Or in an emergency, you can use it to treat
  water by using 16 drops of regular household liquid bleach per
  gallon of water. Do not use scented, color safe or bleaches with
  added cleaners.

To top