Emergency preparedness guide for people with disabilities
Use this guide to help you be prepared for an emergency if you or members of your household include people with disabilities.
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This emergency preparedness guide for people with disabilities was prepared by the Government of Ontario’s Office of the Fire Marshal and Emergency Management Ontario in partnership with the Ministry for Seniors and Accessibility.
In order to produce a guide that promotes the values and protects the integrity, independence and safety of all Ontarians, the following organizations were consulted for their subject matter expertise and insights, for which we are most appreciative:
- Canadian Diabetes Association
- Canadian Hearing Society (now: Canadian Hearing Services)
- Canadian Red Cross
- Centre for Independent Living in Toronto (CILT)
- CNIB Foundation
- Emergency Management Ontario
- Global Affairs Canada
- Learning Disabilities Association of Ontario
- MedicAlert Foundation Canada
- Ministry of Community and Social Services Emergency Management Unit (now: Ministry of the Solicitor General)
- Ministry of Government Services (now: Ministry of Public and Business Service Delivery)
- Ministry of Seniors Affairs (now: Ministry for Seniors and Accessibility)
- Multiple Sclerosis Society of Canada, Toronto Chapter and Ontario Division
- National Organization on Disability (US)
- Office of the Fire Marshal
- Ontario March of Dimes Canada
- Ontario Society for the Prevention of Cruelty to Animals
- SOS Emergency Response Technologies
- Spinal Cord Injury Ontario
- St. Demetrius Development Corporation
- Toronto Rehabilitation Institute
Since not every emergency situation is similar or predictable, every person should rely on and use their best judgement when offering assistance to others in an emergency, without putting their own or other people's safety at risk.
Emergencies can occur suddenly and without any advance warning. Although Ontario has effective emergency management legislation and programs, individuals and families play a vital role in preparing for times of crisis when emergency services and other government resources may be strained. It is important that individuals and any members of their household prepare to be self-reliant for at least three (3) days immediately after or during an emergency. This guide provides emergency preparedness considerations and advice for the estimated 2.6 million Ontarians with disabilities.
Emergency preparedness includes developing and practising an emergency response plan and the preparation of an emergency survival kit. For those living with a physical, visual, auditory and/or other non-visible disability, emergency preparedness should also involve incorporating individual accommodations into their family emergency response plan. To best prepare for an emergency according to one’s individual needs, please refer to the appropriate category in this guide for a list of suggested emergency survival kit items and contingency planning considerations. For more information on emergency management arrangements in your area contact your municipal Emergency Management Coordinator through your local government office.
Emergency survival kit checklist
- flashlight and glow stick
- radio and batteries or crank radio
- spare batteries (for radio, flashlight, assistive devices, etc.)
- first-aid kit
- telephone that can work during a power disruption
- candles and matches/lighter
- extra car keys and cash
- important papers (identification)
- non-perishable food and bottled water
- manual can opener
- clothing and footwear
- blankets or sleeping bags
- toilet paper and other personal items
- medication, MedicAlert® bracelet or identification
- backpack/duffle bag
- whistle (to attract attention, if needed)
- playing cards
This emergency survival kit checklist outlines the basic items every individual should keep in an easy-to-reach place to help them be self-reliant for at least three (3) days immediately after or during an emergency. Since emergency supply requirements vary for individuals with different disabilities, please refer to the appropriate category in this guide for additional suggested survival kit items.
Service animal emergency kit checklist
This service animal emergency kit checklist outlines the basic items every person with a service animal should have prepared in advance to keep their service animals comfortable during the stress of an emergency situation. It is advisable to keep all items in a transportable bag that is easy to access should evacuating the home become necessary. Also, remember to check the kit twice a year (an easy way to remember is to do it when you check your smoke alarms bi-annually) to ensure freshness of food, water and medication, and to restock any supplies you may have
borrowed from the kit.
- minimum three-day supply of bottled water and pet food
- portable water and food bowls
- paper towels and can opener
- medications with a list identifying reason (for example, medical condition), dosage, frequency and contact information of prescribing veterinarian
- medical records including vaccinations
- muzzle (if required)
- blanket and favourite toy
- waste bags
- up-to-date ID tag with your phone number and the name/phone number of your veterinarian (microchipping is also recommended)
- current photo of your service animal in case they get lost or separated from you
- copy of license (if required)
While service animals are accepted at shelters in an emergency, family pets are not. Hence, it is advisable for pet owners to prepare a similar emergency kit for each family pet according to the needs of each different animal. In the case of cats, include a cat carrier, small litter box, litter, scooper and plastic bags. It is also recommended for pet owners to have prior arrangements made with family or friends to take care of their animal, should evacuating the home be necessary during an emergency.
Important considerations before and during an emergency
- The emergency survival kit items listed in this guide are only a suggestion and may or may not apply to every emergency situation and/or a person’s specific disability. Therefore you should decide which essential items to include for yourself and your household members.
- During an emergency you may have no electrical power.
- During an emergency you may need to go to an emergency evacuation shelter. It is recommended that you and your family have a designated contact person that resides outside of your immediate community. This way, in the event of an evacuation, family members can easily notify each other by calling their designated contact person.
- Pack and store all emergency survival items (including medications, medical supplies and/or assistive devices) in an easy-to-access and easy-to-transport container, should you need to evacuate.
- Select a network of individuals at work and at home that will be able to assist you during an emergency. Make sure you inform your network of where you keep your emergency survival kit.
- Prepare a list of any food or drug allergies you might have and all the medications you are taking. You may want to provide this list to your designated network and also keep a copy in your emergency survival kit, on your person, at home, your workplace and in your car (if applicable).
- On your list of medications, specify the reason for each medicine that you are taking (for example, medical condition being treated) including the generic name, dosage, frequency, and the name and contact information of the prescribing physician.
- If you have children with a disability, prepare a similar list for each of your children and provide it to their caregiver, school, emergency contact members, etc.
- If you have an allergy, chronic medical condition, or medical need you may want to consider owning and wearing a MedicAlert® bracelet or identification as part of your emergency preparedness plan. For more information visit: MedicAlert®.
- Regularly check expiration dates on all medications, bottled water, and canned/packaged food in your emergency survival kit. It is best to replace food and bottled water at least once a year.
- Prepare a contact information list of all your emergency contact persons and provide a copy to your designated network at work and/or home. Also keep a copy in your survival kit, on your person, at home, at your workplace and in your car (if applicable).
- Provide written instructions for your network on how best to assist you and your service animal (if applicable) during an emergency.
- Label all of your assistive devices and equipment, and attach laminated instruction cards on how to use, retrieve and/or move each assistive device during an emergency.
- Since your medications, assistive devices, and medical conditions may change over time, it is advisable for you to regularly assess your needs and incorporate any changes to your emergency survival kit supplies and your emergency plan.
- If your personal needs require regular attendant care and/or life sustaining apparatus, arrange with your network to check on you immediately if an emergency occurs or if local officials issue an evacuation order.
- Carry a personal alarm that emits a loud noise to draw attention to your whereabouts.
- If you rely on any life sustaining equipment/apparatus, develop an emergency backup plan that will ensure the equipment/apparatus works in the event of a power outage.
- Install working smoke alarms on every floor of your home and outside all sleeping areas.
- Test alarms monthly by pushing the test button. Replace batteries once a year or whenever the low-battery warning sounds.
- Install carbon monoxide (CO) alarms outside all sleeping areas if your home has a fuel-burning appliance, fireplace or attached garage.
- Develop and practise a home fire escape plan or refer to your building’s fire safety plan so that everyone in your home knows what to do in the event of a fire.
- Practise your emergency plan with your network at least twice a year.
- If during an emergency your support network cannot assist you for whatever reason, ask other individuals around you to help you. Remember to inform them of your individual needs and how they can best offer any assistance to you.
General tips when helping a person with a disability
- Ask first if the person needs or wants your help — do not just assume that they do.
- Allow the person to identify how best to assist them.
- Do not touch the person, their service animal and/or their assistive device/equipment without their permission.
- Follow instructions posted on their equipment and/or assistive device during an emergency.
- Avoid attempts to lift, support or assist in moving someone unless you are familiar with safe techniques.
- Never administer any food or liquids to an unconscious or unresponsive person.
- Be aware that some people who have disabilities may request that you use latex-free gloves to reduce spread of viral infection to them.
- Ask the person if areas of their body have reduced sensation and if they need you to check those areas for injuries after a disaster.
- Mobility limitations may make it difficult for a person to use stairs or to move quickly over long distances. These can include reliance on mobility devices such as a wheelchair, scooter, walker, crutches or a walking cane. In addition, people with a heart condition or various respiratory difficulties can experience certain levels of mobility limitations.
Your emergency plan:
- Ask your network to practise moving your assistive devices and equipment during your emergency practice plan. This will help your network become more comfortable handling or using your equipment during an emergency.
- If you use a wheelchair or scooter, request that an emergency evacuation chair be stored near a stairwell on the same floor that you work or live on, so that your network can readily use it to help you safely evacuate the building.
- In your instruction list for your network, identify areas of your body that have reduced sensation so these areas can be checked for injuries after an emergency, if you cannot check them yourself.
- Check with your local municipal office to find out if emergency evacuation shelters in your area are wheelchair accessible.
Dos and don’ts when assisting people with mobility disabilities
- Use latex-free gloves when providing personal care whenever possible. For example, people with spinal cord injuries have a greater risk of developing an infectious disease during an emergency. Gloves help control secondary medical conditions that can easily arise if personal care is disrupted during an emergency.
- Ensure that the person’s wheelchair goes with the person.
- Do not push or pull a person’s wheelchair without their permission.
Vision loss can include a broad range of conditions ranging from complete blindness to partial or low vision that cannot be corrected with lenses or surgery. A person’s ability to read signs or move through unfamiliar environments during an emergency may be challenged, creating a feeling of being lost and/or being dependent on others for guidance.
Your emergency plan:
- Have a long cane available to readily manoeuvre around debris on the floor or furniture that may have shifted after an emergency.
- Mark all emergency supplies in advance with fluorescent tape, large print or in braille. Mark gas, water and electric shutoff valves in advance with fluorescent tape, large print or in braille.
- Familiarize yourself in advance with all escape routes and locations of emergency doors/exits on each floor of any building where you work, live and/or visit.
Dos and don’ts when assisting people with vision disabilities
- Always ask first if you can be of any assistance to them.
- For people who are blind and/or deaf, use your finger to draw an
Xon their back to let them know you are there to help during an emergency.
- To communicate with a blind and/or deaf person, try tracing letters with your finger on the palm of their hand.
- To guide the person, offer them your arm instead of taking theirs and walk at their pace. Keep half a step ahead of them.
- If the person has a service dog, ask them where you should walk to avoid distracting the animal.
- Provide advance warning of upcoming stairs, curbs, major obstacles, or changes in direction.
- Watch for overhangs or protrusions the person could walk into.
- Do not assume the person cannot see you, or that they need your help. Never grab or touch a person with vision loss.
- Do not touch, make eye contact or distract the person’s service dog as this can seriously endanger the owner. Do not shout at a person with vision loss. Speak clearly and provide specific and precise directions.
- Avoid the phrase "over there". Instead, describe locating positions such as,
to your right/left/straight ahead/behind you, or by relaying clock face positions (for example, 12 o’clock).
A person may be d/Deaf, deafened or hard of hearing. The distinction between these terms is based on the individual’s language and means of communicating rather than the degree of hearing loss. In an emergency, the method in which emergency warnings are issued becomes critical to how a person with hearing loss is able to respond and follow instructions to safety.
Your emergency plan:
- If your network is unavailable during an emergency, seek the assistance of others to whom you can communicate your hearing loss by spoken language, moving your lips without making a sound, pointing to your ear, using a gesture, or if applicable, pointing to your hearing aid.
- Keep a pencil and paper handy for written communication.
- Obtain a pager that is connected to an emergency paging system at your workplace and/or the building that you live in.
- Install a smoke-detection system that includes smoke alarms and accessory flashing strobe lights or vibrators to gain your attention if the alarms sound.
- Test smoke alarms on a monthly basis by pushing the test button.
- Replace batteries in battery-operated smoke alarms every six months and whenever the low-battery warning sounds.
- Keep a laminated card on your person and in your survival kit that identifies you as d/Deaf or hard of hearing and explains how to communicate with you.
Dos and don’ts when assisting people with hearing disabilities
- Get the person’s attention via a visual cue or a gentle touch on their arm before speaking to them.
- Face the person and make eye contact when speaking to them as they may rely on speech reading.
- Communicate in close proximity.
- Speak clearly and naturally.
- Use gestures to help explain the meaning of what you are trying to communicate to the person. Write a message if there is time and keep a pencil and paper handy.
- Avoid approaching the person from behind.
- Refrain from shouting or speaking unnaturally slowly.
- Do not make loud noises as hearing aids amplify sounds and can create a physical shock to the user.
Note: Typically people who are deafened or hard of hearing will need information presented in a text format.
Non-visible disabilities can include communication, cognitive, sensory, mental health, learning or intellectual disabilities in which an individual’s ability to respond to an emergency is restricted. They can also range from allergies, epilepsy, haemophilia, diabetes, thyroid condition, multiple sclerosis, pulmonary or heart disease and/or dependency on dialysis, sanitary or urinary supplies. Individuals with non-visible disabilities may have difficulty performing some tasks without appearing to have a disability.
Your emergency plan:
- Prepare an easy to understand list of instructions or information for yourself that you think you may need in an emergency.
- Keep an emergency contact list on your person of key people that are aware of your needs.
- Inform your designated support network of where you store your medication (if applicable).
- Keep a pencil and paper or portable electronic recording device handy to write down or record any new instructions provided to you in an emergency.
- Consider owning and wearing a MedicAlert® bracelet or identification because it will help notify emergency responders about your non-visible disabilities. For more information visit: MedicAlert®.
- Request a panic push-button to be installed in the building you work and/or live in, so that in the event of an emergency you can notify others of your whereabouts and that you need assistance.
- People with multiple sclerosis: Symptoms are often made worse by heat and humidity. Be prepared to keep cool and dry.
- People with diabetes: Keep frozen water bottles or ice packs in your freezer. Have an insulated bag or cooled thermos ready to store your insulin, should there be a power outage or you need to evacuate.
Dos and don’ts when assisting people with non-visible disabilities
- Allow the person to describe what help they need from you.
- Find effective means of communication. For example, provide drawn or written instructions. When giving directions use landmarks instead of terms
- Be patient, flexible and maintain eye contact when speaking to the person.
- Repeat instructions (if needed).
- Ask the person about their medication and if they need any help taking it. Never offer medicines not prescribed by their physician.
- Keep people with multiple sclerosis cool and dry to avoid making their symptoms worse.
- Avoid shouting or speaking quickly. Instead, speak clearly but not so slowly as to offend the person.
- Do not restrain a person having a convulsion. Instead, roll them on their side to keep their airway clear and place something soft (for example, your jacket) under their head to protect it from injury. Once the convulsion passes and they become conscious, help them into a resting position unique to their needs.
People with diabetes
- extra supply of insulin or oral agent
- extra supply of syringes, needles and insulin pens (if used)
- small container for storing used syringes/needles (if applicable)
- blood glucose testing kit, spare batteries and record book
- supply of blood glucose and urine ketone testing strips
- fast-acting insulin for high blood glucose (if applicable)
- fast-acting sugar for low blood glucose
- extra food to cover delayed meals
- ice packs and thermal bag to store insulin (if applicable)
High rise safety
High-rise buildings present unique challenges when evacuation is necessary during an emergency.
Residents should make themselves aware of:
- building superintendent’s name and phone number
- who sits on the Building Safety Committee
- who the floor monitors are
- who conducts evacuation drills, and how often
- location of fire extinguishers, automated external defibrillator units, and oxygen tank
- location of emergency evacuation device(s)
Your emergency plan:
- Advise your building manager/superintendent of your individual needs and/or requirements during an emergency.
- Familiarize yourself with your building’s evacuation plan.
- Know where all escape routes and emergency doors/exits are on each floor.
- Know the location of emergency buttons in the building and exits that are wheelchair-accessible (if applicable).
- Request that an emergency evacuation chair be installed on the floor you live or work on, preferably close to the stairwell (if applicable).
- If you live in a high-rise building, create a
buddysystem with your neighbours and regularly practise your emergency response plan with them.
- If you rely on any life sustaining equipment/ apparatus, develop an emergency back-up plan that will ensure the equipment/ apparatus is operable in the event of a power outage.
- Obtain large printed signs from the building manager that you can place in your window in the event of an emergency, indicating that you need assistance.
Dos and don’ts when assisting people with disabilities in high-rise buildings
- Check on neighbours and/or co-workers to find out if they need your help during an emergency or evacuation.
- Listen actively to what the individual is saying.
- During an emergency evacuation (if time permits), offer to carry the person’s emergency survival kit for them along with any equipment or assistive devices they will need.
- Review previous categories in this guide on how to assist people with specific disabilities.
- In general, avoid attempts to lift, support or assist in moving a person down the stairs, unless you are familiar with safe techniques.
Whether travelling locally or internationally, people with disabilities should take extra time to research and plan their trip to make their travel experience safe and enjoyable. This includes preparing in advance, an emergency plan and an emergency survival kit with survival items.
Your emergency plan:
- Before travelling, visit the Travel and tourism Canada website where you can register and find other helpful travel information safety tips.
- Discuss your particular accommodation needs with your travel agent.
- Discuss your trip with your doctor to prepare contingency plans in case of illness.
- Obtain necessary travel medical insurance.
- Carry a copy of the booklet Bon Voyage, but..., that contains contact information for your destination's Canadian office and Emergency Operations Centre.
- Divide your medications and medical supplies between your carry-on and check-in baggage, keeping them in their original labelled containers. Bring copies of your prescriptions with you.
- Always wear your MedicAlert® bracelet.
- Inform your travel companion(s) on how to assist you in an emergency.
- If travelling alone, establish a network (for example, hotel staff) that can assist you during an emergency.
- If you have difficulty using stairs, request a room on a lower floor.
- Review the hotel emergency exit plan.
- If you need to evacuate, bring your emergency survival kit and any assistive devices you may need.
Dos and don’ts when assisting people with disabilities while traveling
- Check on fellow travellers with disabilities to find out if they need your help during an emergency or evacuation.
- Listen actively to what the individual is saying and how they might need your help.
- If they speak in a language that you do not understand, try to communicate using gestures.
- During an emergency evacuation, if time permits, offer to carry the person’s emergency survival kit for them along with any equipment or assistive devices they will need.
- Review previous categories in this guide on how to assist people with specific disabilities.
- Do not let the person be separated from their wheelchair or mobility aids.
Spinal Cord Injury Ontario
Canadian Red Cross
Centre for Independent Living in Toronto (CILT)
Learning Disabilities Association of Ontario
Multiple Sclerosis Society of Canada
March of Dimes Canada
Ontario SPCA and Humane Society
Canadian Hearing Services
Toronto Rehabilitation Institute
Ministry for Seniors and Accessibility
Tel: 416-849-8276 Toll-free: 1-866-515-2025 TTY: 416-325-3408 Toll-free TTY: 1-866-268-7095