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Contingency Plan Checklist Form Template

Create a tailored contingency plan that protects your team.

Unexpected events can disrupt your operations, leaving your team unprepared and vulnerable. This contingency plan checklist template helps businesses like yours set clear protocols for emergencies, ensuring a structured response that minimizes risk. You can easily track essential information, customize it to fit your specific needs, and access it on any device, making your planning process seamless and effective. Start using this live template and enhance your readiness.

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Organization name
Plan owner full name
Plan owner email
Date last reviewed
The plan scope is documented and accessible
Yes
No
Recovery objectives (RTO/RPO) are defined for critical processes
Yes
No
Applicable legal or regulatory requirements are identified
Yes
No
Date of most recent business impact analysis (BIA)
Critical processes are identified and prioritized
Yes
No
Incident lead is designated
Yes
No
Storage location for the team contact list
Response and recovery team roster is current
Yes
No
Internal notification procedures are documented
Yes
No
Primary communication channels to use during a disruption
External stakeholders for notification are identified
Yes
No
Backups are verified on a defined schedule
Yes
No
Backup restore has been tested within the last 12 months
Yes
No
Access methods available during a system outage
Read-only data exports
Manual workarounds documented
Alternative application
Third-party managed service
Paper-based forms
Not applicable
Other
Please Specify:
Evacuation procedures are current for the primary site
Yes
No
Alternate work arrangements readiness
Ready and validated
In progress
Planned, not ready
No arrangements
Not applicable
Critical suppliers and service providers are identified
Yes
No
Alternate suppliers are available for critical items or services
Yes
No
Most recent exercise date
Exercise types conducted in the last 12 months
Call-tree drill
Tabletop exercise
Functional exercise
Full-scale exercise
IT failover test
Emergency evacuation drill
None
Other
Please Specify:
Plan review frequency
Quarterly
Semiannually
Annually
Every two years
Ad hoc
Not defined
A change log is maintained and accessible
Yes
No
Authorized person full name
Date
I confirm that the information provided is accurate to the best of my knowledge
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration depicting a contingency plan checklist with various items and a pen on a table

When to use this form

Use this checklist when you need a clear plan for disruptions such as fires, power outages, cyber incidents, supply delays, or severe weather. It helps operations leads, safety managers, and small business owners coordinate roles, contacts, and recovery steps. You can set triggers, document communication, and confirm resources so your team acts fast and in sync. If fire hazards are a concern, pair it with the Fire risk assessment form. Public facilities and industrial sites can also reference the Fire department pre-plan form to align with local responders. The result is an actionable plan your team can execute under pressure.

Must Ask Contingency Plan Checklist Questions

  1. What are the top five risks that could disrupt operations in the next 12 months?

    This focuses planning on the most likely, high-impact events and prevents scattered efforts. For workplace hazards, cross-check risks against insights from an Occupational health and safety questionnaire form.

  2. Who is on the incident response team, and how will you reach them after hours?

    Clear owners and after-hours contact methods (phone tree, SMS, radio) cut delays during the first hour. Capturing alternates and escalation paths reduces single points of failure.

  3. What are your critical processes and the maximum acceptable downtime (RTO) for each?

    Defining priorities and recovery time objectives helps you stage backups and staffing. It also sets expectations with leaders and customers.

  4. What backups, supplies, and alternate sites are available, and when were they last tested?

    An inventory with test dates proves that generators, VPNs, and failover workflows actually work. It also surfaces gaps you can fix before an incident.

  5. What regulatory or safety obligations apply during an incident, and how will you meet them?

    Compliance needs vary by industry; for example, food businesses can map controls using a HACCP Plan form. Documenting required notifications and recordkeeping avoids fines and speeds recovery.

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