Employee Emergency Contact Form

What this sheet is for

Have somebody to telephone when something happens at work, before you need it.

Who it is for

Every employer, and particularly small ones who assume they would just know.

How to use it

1. Ask every employee to complete one when they start.
2. Take two contacts. One is often unreachable.
3. Only record medical information the employee volunteers.
4. Store securely and review once a year.
5. Make sure whoever would need it can actually get to it out of hours.

What is on the sheet

The layout is fixed at a size that fits both A4 and US Letter, so the A4 and Letter files are visually identical and print at full size on either. Rows are set at a height that an adult can actually write a date and a few words into with a pen — most printable tables are built in a word processor and never tested with one.

Questions

Is it safe to keep this on paper?

It holds other people's personal details, so keep it somewhere secure, show it to no more people than need it, and destroy it once there is no longer a reason to hold it. Data protection law applies to a sheet of paper exactly as it does to a database.

Can I ask about medical conditions?

Be careful. What you may ask, and what you must do with the answer, is governed by employment and data protection law where you are. This form asks only for what the employee is content to share, and you should not press beyond that.