Safe Hands - Newcastle, NSW

Individual Emergency Evacuation Plan (IEEP)

A participant-specific evacuation plan for any participant with mobility, sensory, communication, or behavioural needs that require non-standard support in an emergency. Every worker assigned to this participant must read and sign before their first shift. Refer to Emergency Management Policy (POL-EMG-001).

Form IDFORM-IEEP-001

Version1.0

Effective1 January 2026

Linked PolicyPOL-EMG-001

1. Participant & Location

Participant full name

Date of birth

NDIS participant number

Plan review date

Primary support location (address)

Other regular support locations (community, day programs, transport routes)

2. Mobility & Physical Needs

Mobility status

e.g. independent walker / uses walking frame / wheelchair (manual or power) / non-weight-bearing / requires hoist for transfers

Mobility equipment that must be evacuated with the participant

e.g. powered wheelchair, walker, AFOs, transfer board, oxygen cylinder

Specific assistance required to evacuate (transfer technique, number of workers)

3. Medical Needs During Evacuation

Medications / medical devices that must be taken in an evacuation

e.g. EpiPen, midazolam, insulin, oxygen, AAC device

Medical conditions that affect evacuation (e.g. seizure risk, oxygen dependency, fragile skin, fall risk)

Time-critical medication or care (and when last administered today)

4. Sensory & Communication Needs

Communication style and aids

e.g. verbal / non-verbal / AAC device / sign / picture cards / Auslan interpreter

How to give instructions during an emergency

e.g. short clear sentences, visual cues, demonstrate first then instruct

Sensory considerations (alarms, lights, crowds)

5. Behavioural Considerations

Known triggers in emergency situations

De-escalation strategies that work for this participant

If participant refuses to evacuate - what to do

If this participant has a Behaviour Support Plan, attach a copy or note where it is filed. Workers must follow the BSP.

6. Evacuation Route & Assembly

Primary evacuation route from primary location

Secondary route if primary is blocked

Designated assembly point

Special considerations (lift restrictions, stairs, narrow doors)

7. Emergency Contacts

Emergency contact 1 - name

Phone

Emergency contact 2 - name

Phone

GP / treating doctor

Phone

Safe Hands on-call manager

Rotates - check shift roster

Phone

0485 553 397

8. Worker Acknowledgement

Every worker assigned to this participant must read this plan and sign below before their first shift. Add more rows as needed.

Worker name

Signature

Date read

Manager initials

9. Plan Approval & Review

Developed with participant on

Date / Participant signature

Approved by Safe Hands Director

Name / Date

Next scheduled review (max 12 months)

Date

Triggers for earlier review

Note any (mobility change, new diagnosis, change of address)