Safety6 min
Personal Safety Plan Template
A practical, fill-in template to prepare for high-risk moments and reduce harm.
How to Use This Plan
My Immediate Safety Steps
Children & Dependents Plan
Lesson Outline
Lesson outline
Step 1
How to Use This Plan
Step 2
My Immediate Safety Steps
Step 3
Children & Dependents Plan
Step 4
Digital Safety Plan
Step 5
Important Items to Keep Ready
Section 1
How to Use This Plan
- Fill this out when calm, then review it once a week.
- Keep one private copy in your phone and one physical copy in a safe location.
- Only share this plan with trusted people.
Section 2
My Immediate Safety Steps
- My safest exit points are: [door/gate/neighbor route].
- My emergency code word is: [code word].
- People I can call any time: [name + number].
- Safe places I can go in under 20 minutes: [location 1, location 2].
Section 3
Children & Dependents Plan
- Who picks up children in emergency: [name/number].
- School or caregiver emergency instruction: [short instruction].
- Medication or special needs checklist: [items].
Section 4
Digital Safety Plan
- Enable device lock with strong PIN (not birthday).
- Turn off location sharing with unsafe contacts.
- Change passwords for email, banking, and social media.
- Use two-factor authentication where possible.
Section 5
Important Items to Keep Ready
- National ID/passport copies
- Medical records and prescriptions
- Emergency cash and transport money
- Keys, charger, emergency contacts list
- Any legal or case-related documents
Quick Reference
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