Employee Emergency Contact Form

Employee Emergency Contact Form Template for New Zealand

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Key Requirements PROMPT example:

"I need a simple Employee Emergency Contact Form for my small retail business of 15 employees in Auckland, compliant with New Zealand privacy laws, with basic contact fields and a straightforward consent section."

Document background

The Employee Emergency Contact Form is a crucial document required for all employees in New Zealand workplaces, forming an essential component of an organization's health and safety framework. This document is implemented to comply with obligations under the Health and Safety at Work Act 2015 and the Privacy Act 2020, ensuring employers can respond effectively to workplace emergencies while maintaining appropriate privacy protections. The form collects vital information including employee identification details, primary and secondary emergency contacts, and optional medical information. It should be updated regularly to ensure accuracy and requires explicit consent from the employee for the collection and use of personal information. This document is particularly important in fulfilling an employer's duty of care and maintaining appropriate emergency response capabilities.

Suggested Sections

1. Employee Information: Basic details about the employee including full name, employee ID, department, work location, and contact details

2. Primary Emergency Contact: Details of the main emergency contact including full name, relationship to employee, contact numbers (mobile, home, work), and address

3. Secondary Emergency Contact: Details of an alternate emergency contact with the same information fields as the primary contact

4. Authorization: Employee's signature, date, and consent for the employer to contact listed individuals in case of emergency

5. Privacy Statement: Statement explaining how the information will be used, stored, and protected in accordance with the Privacy Act 2020

Optional Sections

1. Medical Information Summary: Basic medical information such as allergies, medical conditions, or medications that emergency responders should know about. Include when the workplace has specific health and safety requirements or risks

2. International Contact: Additional contact details for an international emergency contact. Relevant for organizations with many expatriate employees

3. Special Instructions: Space for any specific instructions or preferences in case of emergency. Useful for organizations with specific emergency response protocols

4. Language Preferences: Preferred language for communication with emergency contacts. Important in multilingual workplaces

Suggested Schedules

1. Medical Information Form: Detailed medical information form that can be sealed and only opened in emergencies

2. Contact Priority Flow Chart: Visual representation of who to contact in what order under different emergency scenarios

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Education

Manufacturing

Retail

Professional Services

Technology

Construction

Hospitality

Financial Services

Government

Non-profit

Transportation

Agriculture

Mining

Energy

Telecommunications

Relevant Teams

Human Resources

People Operations

Health and Safety

Facilities Management

Legal and Compliance

Operations

Administration

Risk Management

Relevant Roles

Human Resources Manager

Health and Safety Officer

HR Administrator

Office Manager

Facilities Manager

HR Director

People Operations Manager

Employee Relations Manager

HR Coordinator

Compliance Officer

Risk Manager

Operations Manager

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Let's create your Employee Emergency Contact Form

Authors

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