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®
SERVPRO of Williamson, Maury & Giles Counties
3542 Jim Warren Rd
Spring Hill, TN 37174
SERVPRO® of Williamson CountyRepresentative:
Phone: 615-790-9634
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®
Date: 11-11-11
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EMERGENCY ACTION CHECKLISTBelow is a top line Action Checklist of what to do in the event of a fire or water damage that will help keep employees safe and help reduce business interruption.
Advanced Warning: Be Alert and Stay Informed
Always Think Safety First
Stop the Source of Damage
Notify Emergency Contacts
Call SERVPRO® Emergency Services
Notify Key Contacts
Secure the Property
Take Photos of Damage
Write Summary of Event / Documentation
WHAT IS IN THIS PROFILE-Emergency Action Checklist 2
-Advanced Warning and Emergency Contacts 3
-Emergency Contacts 3
-Main Utility Information (Shut Off Locations) 4
-Primary Contact Information (Work Authorization Contact) 5
-Insurance Contact Information 6
-Miscellaneous Contact Information 7
-Property Overview 8
-Building Access Information 9
ADVANCED WARNING
It is important to listen to local weather reports when severe weather is threatening. There are precautions that may help minimize damage to certain areas of your business:
€ Turn off utilities at the main switches or valves when instructed to do so.€ Disconnect electrical equipment and appliances.€ Move vehicles out of low lying parking garages or to higher ground.€ Raise elevators from the bottom floor.€ Review evacuation floor plans. Note: Make copies and file with your ERP.€ Board up windows prior to forecasted high wind storm events, such as hurricanes.
EMPLOYEE AND EMERGENCY CONTACTS NOTIFICATION
Before, during and after any disaster event, employee safety should always be the first priority. Account for all employees by establishing evacuation plans in advance, identifying areas outside the building that are designated meeting places. Appoint Team Leaders responsible for keeping a list of names and contact information of their team members in order to account for their whereabouts. Establish a central form of contact, ideally a Human Resources lead, and contact them immediately upon learning of any damage. A Phone Tree is recommended to help ensure all employees are contacted and accounted for. Also consider a password-protected information page on your website.
Once the HR Lead is contacted, it will be necessary to then contact your local emergency authorities to respond and begin securing the facility.
Name Title Phone Emergency Phone
Main HR Contact Kathy Squires Co-Owner 615-790-9634 615-405-9791
Email: squiresk@servprowmsn.com
Emergency Non Emergency Local Direct Line
Local Fire Department 911 931-381-3366
Local Police Department 911 931-486-2252
Local Hospital 911 931-381-1111
Security Company 615-822-1938
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SAFETY FIRST
BE ALERT
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Phone Number After Hours Ph Acct #
Electric Company 1-877-777-9020 same 200042692802
Phone Number After Hours Ph Acct #
Heritage Propane 800-997-2227 same
Phone Number After Hours Ph Acct #
Water CompanyMaury Co Water Systems
931-381-8900 607350-005
Shut Off Location: X Inside Outside Floor Location? 1st
Description of Location: Main floor in supply closet.
Is there a key needed for access? YES x NO If yes, location:
Shut Off Location: Inside X Outside Floor Location? N/A
Description of Location: Outside on side of building closest to Interstate 65.
Is there a key needed for access? YES X NO If yes, location:
Shut Off Location: Inside X Outside Floor Location?
Description of Location: Roadside to the left of the driveway in ditch.
Is there a key needed for access? X YES NO If yes, location: Standard water key to turn off water is located in
equipment cage in warehouse.
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UTILITY CONTACT AND SHUT OFFG
AS
WA
TE
RE
LE
CT
RIC
ITY
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Phone Number After Hours Ph Acct #
Alarm Company 615-822-1938 SERVPRO
Phone Number After Hours Ph Acct #
Sprinkler Company N/A
Contact Cell Work Phone
Shut Off Location: X Inside Outside Floor Location?
Description of Location: Keypads are located next to main office door and rear side door.
Is there a key needed for access? YES NO If yes, location:
Shut Off Location: Inside Outside Floor Location?
Description of Location: No fire suppression in facility.
Is there a key needed for access? YES NO If yes, location:
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UTILITY CONTACT AND SHUT OFFGA
SA
LA
RM
SP
RIN
KL
ER
SE
RV
ER
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IT/IS Division GSG Computers 615-826-0017
Name Title Phone Emergency Phone
Building Owner Greg Martin Co-Owner 615-790-9634 615-405-0095
Email marting@servprowmsn.com
Building Contact Kathy Squires Co-Owner 615-790-9634 615-405-9791
Email squiresk@servprowmsn.com
Work Authorization(Main Structure)
Greg Martin Owner 615-790-9634 615-405-0095
Email marting@servprowmsn.com
Maintenance Alfredo Ruiz Warehouse Mgr 615-790-9634 615-425-8442
Email aruiz@servprowmsn.com
SERVPRO® Pete Martin Production Mgr 615-790-9634 615-336-4047
Email pmartin@servprowmsn.com
Battery Backup: x Inside Outside Floor Location? 1st
Description of Location: Server room adjacent to conference room.
Is there a key needed for access? YES X NO If yes, location:
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PRIMARY CONTACTS
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Risk/Prop Mngr N/A
Other
INSURANCE CONTACT INFORMATION: Structural Insurance Information (if applicable)Insurance Broker: Chappell Smith & Assoc Phone: 615-478-7515
Insurance Carrier: Auto Owners Policy: 10171903040562
Dec Pg Attached? X YES No Bulletin Reference: N/A
Contents Insurance Information (if applicable) – Mainly for Tenant UseInsurance Broker: N/A Policy Number:
Insurance Carrier: Phone:
Dec Pg Attached? YES No Bulletin Reference:
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Phone Number After Hours Account Number
Internet Provider 800-391-3000 same 32007527016-01-7
HVAC-McBroom 615-504-7914 same
Flooring-Carpet Den 615-568-3692 same
Plumber-L. Bateman 615-207-8179 same
Elevator Company N/A
Phone Company 888-401-4336 61522170315250478
Electrician-Hobbs 931-623-4429
Mechanical N/A
(Other)
(Other)
(Other)
Other
Other
Other
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MISCELLANEOUS CONTACTS
3452 Jim Warren Rd
Spring Hill, TN 37174
(931) 388-4248
I 65 to exit 53 then exit 1 Port Royal Rd, head south on Port Royal Turn left on Jim Warren Rd. Arrive at 3542 Jim Warren Rd, on left.
Year Built: 1999 Renovations? Yes X No If yes, what year?
Are you Energy Program Certified? YES X NO Mulit-Tenant Building? YES X NO
KNOWN HAZARDOUS MATERIAL INFORMATION: Main Contact: Pete Martin Phone: 615-790-9634Type Fire Star Location: Chemical loft Report? X Y N Attached? Y X NType Industrial Cleaner
Location: Chemical loft Report? X Y N Attached? Y X N
Type Location: Report? Y N Attached? Y N
Metal warehouse with office space.TOTAL SQUARE FOOTAGE OF BUILDING: 6000Floor Primary Use Square Footage Type of FlooringLL Other: 1 Office Other: Warehouse 6000 Carpet / Concrete2 Chemical Storage Other: 800 plywood3 Other: 4 Other: 5 Other:
Other:
BLUEPRINTS AVAILABLE?: YES X NO If YES, Location:
SUPPLEMENTAL GENERATOR POWER YES X NO
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Photo of Front of Building
Photo of Generator Location
Building Address:
Directions to Property:
DESCRIPTION OF BUILDING:
PROPERTY OVERVIEWPROPERTY OVERVIEW
LOCATION TO PARK SERVPRO® VEHICLES Notes: Back Parking Lot
PREFERRED BUILDING ACCESS FOR SERVICE Notes: Rear service entrance
ELEVATOR ACCESS FOR SERVICE Notes: N/A
STAIRWAY ACCESS FOR SERVICE Notes: Stairs are to left of door from office to warehouse, next to restroom
Other Special Instructions: none
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Photo of stairway access
Photo of parking location
Photo of building access location
Photo of elevator access location
BUILDING ACCESS
© Copyright 2011
Type of Work Preauthorized: Extract & Treat NO DEMO
Additional Notes About Property:
This space available for any notes pertaining to potential safety issues or any other information you would like relayed to a party responding to an emergency.
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ADDITIONAL NOTES
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COPY OF INSURANCE DEC PAGE
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COPY OF LEAD REPORT
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COPY OF ASBESTOS LETTER
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COPY OF EVACUATION FLOOR PLANS
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