EMERGENCY PREPAREDNESS CHECKLIST Supplies for People with Disabilities Power Supplies * For those who depend on power for equipment or refrigeration, have a back-up power supply (generator, power inverters, charged batteries, adapter plug for vehicle lighter). * For devices that use batteries, stock extra batteries. Mobility * Manual chair for electric wheelchair users. * Pair of heavy-duty gloves for wheeling over debris. * Shower chair and toilet riser. * Patch kit for flat tires and extra inner tubes. * Extra charged battery for a power wheelchair or scooter. (Ask vendor how to charge in emergency situations.) * Assistive devices for eating. * Backpack with smaller supplies on this list (to grab and attach to chair). * Other ________________ Hearing * Notebook and pen. * Battery-operated lantern (for lip reading and sign language). * Visual or sensory alerts. * Vibrating/strobe alarm clock. * Extra pager, TTY batteries, hearing aid, or implant batteries. * Pager/communication devices. * Portable, battery-powered television. * Other _______________ Sight * Extra pair of glasses. * Extra supply of contact lenses and lens solution. * Extra cane tips or telescoping cane. * Portable radio with batteries. * Other ________________ This document was adapted from The Prepared Lifestyle: How to Plan for Seasonal and Pandemic Flu and Other Emergencies, Research and Training Center on Independent Living (RTC/IL), University of Kansas. EMERGENCY PREPAREDNESS CHECKLIST Emergency Supplies * 3-day supply of water (1 gallon per person, per day). * Fever medicines (acetaminophen or ibuprofen). No aspirin for children because of Reye’s syndrome. * 14-day supply of prescription medications. * 10-day supply of antiviral prescription medication. * Vitamins. * Thermometer and extra batteries for digital ones. * Anti-diarrheal medication. * Medicine dropper. * Cough suppressants. * Surgical or HEPA mask (N95 and N100 respirators). * Latex or non-latex gloves. * Cleaning agents, soap, and hand soap. * Liquid hand sanitizer (60-95% alcohol-based). * Household liquid chlorine bleach. (NO scented, color safe, or added cleaner.) * Other disinfectants. * Paper tissues. * Toilet paper. * Feminine and other hygiene products. * Toothpaste and denture solution. * Extra shaving supplies. * Manual can opener. * Extra durable medical equipment supplies. * Plastic bags * Flashlight with extra batteries (NO candles). * Portable radio with extra batteries or crank radio. * Matches in waterproof container. * Whistle (to attract emergency personnel). * Cash and coins (ATMs may not be accessible). * Duct tape. * Pack of cards/small entertainment options. This document was adapted from The Prepared Lifestyle: How to Plan for Seasonal and Pandemic Flu and Other Emergencies, Research and Training Center on Independent Living (RTC/IL), University of Kansas. EMERGENCY PREPAREDNESS STOCKPILE CHECKLIST 7- Day Supply of Nonperishable Food * ___________ Ready-to-eat canned items. * ____________ Protein and fruit bars. * ____________ Dry cereal and granola. * ____________ Peanut butter and jelly. * ____________ Dried fruit and nuts. * ____________ Crackers. * ____________ Canned or boxed juices. * ____________ Canned or jarred baby food/formula. * ____________ Canned or boxed milk or soy products. * ____________ Powdered milk. * ____________ Comfort foods such as cookies. * ____________ Fluids with electrolytes. * ____________ Sports drinks. * ____________ Instant coffee and tea. * ____________ Other boxed foods needing only water or milk. * ____________ Staples: Sugar, honey, salt, and flour. * ____________ Other (for restricted or special diets). * ____________ Pet food and litter. During weekly shopping trips, pick up one or two items on this list. Annually rotate non-perishable foods and check documents to ensure they are up-to-date. This document was adapted from The Prepared Lifestyle: How to Plan for Seasonal and Pandemic Flu and Other Emergencies, Research and Training Center on Independent Living (RTC/IL), University of Kansas. EMERGENCY PREPAREDNESS STOCKPILE CHECKLIST Important Documents Seal copies of your important documents in freezer bags and place them in waterproof containers. These include: * Social security card (to resume benefits). * Family and friends' contact information. * Lists of medications. * Doctors' and pharmacists' contact information. * Bank account numbers. * Serial numbers/style for mobility and medical devices. * Health cards and medical alerts. * Birth certificate, immigration documents or guardianship decrees. * Medicaid/Medicare ID and food stamp ID. * Insurance information. (Keep up-to-date.) * Eyeglasses and denture information. This document was adapted from The Prepared Lifestyle: How to Plan for Seasonal and Pandemic Flu and Other Emergencies, Research and Training Center on Independent Living (RTC/IL), University of Kansas. EMERGENCY PREPAREDNESS STOCKPILE CHECKLIST Service Animals Do NOT leave your service animal or pet(s) behind during a disaster. Take him or her with you! To ensure your safety and the safety of service animals and pets, prepare as suggested by the Humane Society of the U.S. and the American Red Cross. * Make arrangements for someone to care for your animal in times when you cannot get home during a disaster. * Determine places that will take your animal during an evacuation (relative/friend or hotel/motel). * Tag or microchip implant each animal. Important Documentation (Keep in waterproof container.) * Breed, color(s), markings, age, sex, neutered or unneutered, any medical and behavioral problems,and medical and feeding schedules. * Describe any unusual habits or markings because many animals look the same (e.g., “tabby cat” or “yellow Lab”), making it difficult to identify otherwise. * Service animal identification. * Veterinarian name and number. * Photo for identification in case you are separated. Put photo on carrier too. * Copy of vaccination record. To-Go Kit of Animal Supply Items * Collar and tag for each animal that has your phone number (very important to ensure your pet gets back to you if lost). Put collar on during disaster. * Sturdy leash and harness. * Well-labeled cage/carrier for each animal (for transport, to prevent escape and for safe return) with animal identification information, your phone number, and photo of animal. Carriers should be large enough for animal to stand and turn around in. * 3-day supply of food and water with can opener, food and water bowls. * Bedding, favorite toy, brush and comb. * Extra supply of medications. * Litter, litter pan, and litter scoop. * Plastic bags/paper towels for disposing of feces. This document was adapted from The Prepared Lifestyle: How to Plan for Seasonal and Pandemic Flu and Other Emergencies, Research and Training Center on Independent Living (RTC/IL), University of Kansas.