Our 3-Step Escape Plan

  • First Escape Route
  • Second Escape Route
  • Meeting Place
Notes

Use this space to note any additional information about your escape plan, i.e. who will assist

Your checklist

  • Get low

    Smoke is poisonous and more deadly than flames.

    If you breathe smoke for more than a few breaths it can kill you.

  • Be fast

    A house fire can kill you in less than three minutes.

    Don't spend time trying to save possessions.

  • Close doors

    A closed door buys you time.

    It slows down the spread of fire, giving you more time to get to safety.

  • Get out - stay out!

    People have died by going back into a fire.

    Don't leave the meeting place to go back inside for any reason.

Call emergency services as soon as you are out and safe. Ask for FIRE.

Clearly state your address and let the operator know it anyone is still inside or has not made it to the safe meeting place.

Emergency call 111 Emergency text 111

Refer a Home Fire Safety Visit

Referrer details

Referring agency

Contact details - referee

Use format: 021 222 3333 or +64 4 555 6666

Use format: 123 Street Name, Suburb, City, Postcode

Concerns

Is this person Deaf or using hearing aids?

Use format: 021 222 3333 or +64 4 555 6666

Smoke alarms

Does the contact have working smoke alarms installed?
Smoke alarm floor plan landscape

I confirm that I have the referee’s consent to share the information in this form with Fire and Emergency New Zealand for the purpose of a Home Fire Safety Visit.