Personal Emergency Evacuation Plan (PEEP)

For Residents in Leasehold Blocks of Flats (England & Wales)

This Personal Emergency Evacuation Plan (PEEP) is intended for residents who may need support evacuating a building during an emergency. It ensures the person responsible (e.g. property manager or managing agent) is aware of individual needs and can assist in planning a safe evacuation strategy.

Please fill out the Form below

Personal Emergency Evacuation Plan (PEEP)

Who Should Complete a PEEP?(Required)

You should complete this form if any of the following apply to you or a tenant residing in your property:

I have a mobility impairment that affects my ability to use stairs or exit routes independently.

I have a visual or hearing impairment that may prevent me from detecting alarms or instructions.

I have a condition that may impair my ability to respond quickly in an emergency.

I require assistance or use of specialist equipment to evacuate safely.

Resident Information

Name(Required)

First Last

Address(Required)

Including floor number

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Add more resident information if required.

Evacuation Awareness(Required)

I am aware of the fire evacuation procedures in this building.

I understand what the fire alarm sounds like and what to do when it sounds.

I require assistance to evacuate during an emergency.

Nature of Assistance Required(Required)

Please describe the nature of your condition or impairment and the type of support you may require:

Evacuation Strategy & Alert(Required)

Evacuation Strategy of Building (tick as known):

Stay Put Policy

Full/Simultaneous Evacuation

Type of Alert System Needed (tick all that apply):(Required)

Audible Alarm

Visual Alarm

Vibrating Pager

Other

Please specify

Method of Evacuation(Required)

Who will assist you in evacuating? (tick all that apply)

Fire & Rescue Services

On-site staff

Nominated buddy or carer

Other

Please specify

Declaration(Required)

I confirm that the information provided above is accurate to the best of my knowledge and understand that it will be used to support my safe evacuation during emergencies.

I agree

Signature(Required)

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FEEDBACK AND COMPLIANCE
COMPLAINT PROCEDURE
UNACCEPTABLE BEHAVIOUR POLICY
PRIVACY POLICY
COOKIE POLICY

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NOTICES & DOCUMENTS
ACCESS FOB ORDER FORM
PROPERTY TRANSFER
LANDLORD FEES
REPAIR REPORT FORM
MY ACCOUNT

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