Here is a model safety plan to leave with a family member and to have on the trail.
Backcountry Safety Plan
Emergency Instructions: Please notify Ranger station if I do not make contact within 24 hours after exit location time below.
Trip Information
Trip: (location; dates; # days/nights)
Leader: (name)
Participants: (# male; # female; names)
Travel Plans: (vehicle year, make, model, color, license plate; flight information; travel dates)
Entry Location: (date; trailhead; time)
Exit Location: (date; trailhead; time)
Communication Gear: (plb, satellite phone, cellular phone)
Land Management Information
Location Name: (name of national forest or national park)
Management Agency: (name; address; phone)
Ranger Station/Outpost Facility: (ranger district; address; phone)
Additional Emergency Contacts
Hiking Group: (name; address; phone; website)
Sheriff: (name; county; address; phone)
Police: (department; address; phone)
EMS/Fire Department: (fire dept; address; phone)
Medical Facilities (24 hour emergency services)
1. name; address; phone
2. name; address; phone
Route/Evacuation Information
Day 1 (day of week; date)
Route: entering trailhead; trail name(s); direction of travel; on-trail or cross country; possible camping locations
Evacuation: most likely trailheads to evacuate
Day 2 (day of week; date)
Route: trail name(s); direction of travel; on-trail or cross country; possible camping locations
Evacuation: most likely trailheads to evacuate
Day 3 (day of week; date)
Route: trail name(s); direction; exiting trailhead
Evacuation: most likely trailheads to evacuate
