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Emergency Call Preparation in Japan: Checklist

Emergency call preparation in Japan is a one-hour task done once, early in residence, that decides how fast help finds you later.1 An address card, six phrases, an ID, a medical summary, a koban visit, and one practice run cover nearly every call you will ever make.12

Confirm current details with official sources

Procedures, fees, and requirements can change. Confirm current details at the Tokyo Metropolitan Police Department site, your municipal fire department's 119 pages, and the Tokyo Intercultural Portal.

Overview

Emergency dispatchers need three things: where, what, and who.1 Preparation puts all three within arm's reach before stress steals fine motor control and memory.1 Work through the four sections below in order, in your first month, and refresh the card after every move.

The Address Card

Callers must describe their address or location in Japanese or enlist someone who can, because few responding officers and fire staff speak English.1 The address card solves this for everyone in the household, including visitors and babysitters who never studied a word.

Write it large, save it twice

Write the full address in Japanese script, large, and post it inside the apartment door where any caller can read it aloud.1 Save the same text twice more: on the phone home screen or lock-screen note, and on a wallet card.1 A screenshot beats memory under stress, and a door card covers callers whose phones are dead or missing.

Include the building name, room number, and one nearby landmark such as the closest station or convenience store.1 Add the callback number dispatch should use if the call drops.

Learn the Japanese reading order

Give addresses in Japanese order: ward, district, block, number (ku, cho, ban, go), then building and room.1 Practice reading your own address aloud until it flows, since block readings (ban, go) are easy to mispronounce and hard to correct mid-call.1

Utility poles, vending machines, buildings, traffic signs, and signals carry address plates and control numbers.3 When calling from an unfamiliar spot, read the nearest plate aloud instead of guessing the address.

Confirm the reading at your koban visit

Block-number readings follow local custom, not textbook rules. Reading your address once to an officer during the visit below catches errors no app will flag.2

Key Phrases

Six phrases open any emergency call. Memorize them alongside the address, not instead of it.1

SayPronunciation hintMeaningUsed for
火事ですkaji desuThere is a fire119 fire routing
救急ですkyukyu desuMedical emergency119 ambulance routing
警察keisatsuPolice110 routing
助けてtasuketeHelpAny urgent opening
病気ですbyoki desuI am sickMedical context
事故ですjiko desuIt is an accidentPolice or medical context

The fire-or-ambulance pair comes first because the 119 dispatcher asks exactly that question.1 Embassy phrase tables add the name-and-number pair (my telephone number is, my name is) plus symptom words for bleeding, fracture, burns, breathing difficulty, convulsions, and chest pain; learn the two or three matching your household's risks.1

ID and the Family Medical Card

Residents must carry their passport or residence card at all times.4 First responders need identification from the caller or patient, so the 在留カード (zairyū kādo, "residence card") lives in the wallet, not the drawer.45

Build one family medical emergency card per household member with four lines in Japanese and English: chronic conditions, current medications, allergies, and emergency contacts.5 Hospital ER checklists ask for identification, the health insurance card, the medication list, referral documents, and a payment method; the card compresses most of that onto one sheet.5 Keep a photo of the card on every adult's phone and a paper copy with the address card.

An ID alone slows intake without the medical lines

Identification opens the file, but conditions, medications, and allergies decide treatment.5 The four-line card earns its space by answering the crew's second round of questions before they ask.

Meet Your Koban and Test the Flow

The 交番 (koban, "police box") is the neighborhood post where officers handle patrols, accident response, lost-and-found reports, and directions around the clock.6 Visit yours once, early in residence: introduce the household, verify the address reading and the route crews would take, and ask any small question you have been saving.26 Officers remember local faces, and familiarity pays off in any future emergency.2

Then test the call flow with a friend without dialing a real number. One person plays the dispatcher, asking for the address, the emergency type, and the callback number; the other reads from the door card and the phrase list.1 The first real call should never be the first rehearsal.

Good to know

A screenshot beats memory under stress

Reading beats recalling.1 Every adult phone should hold the address text, the six phrases, and the medical card photo in one album or note, reachable without unlocking extra apps.

Update the card after every move

An old address on the door card actively misdirects crews.1 Reprint the door card, the wallet card, and the phone note on moving day, and re-verify the reading at the new koban that week.

Visitors and babysitters need the card too

Anyone alone in the apartment may become the caller.1 Point guests and sitters at the door card on arrival; thirty seconds of orientation covers a stranger making your emergency call.

See also

References

Footnotes

  1. U.S. Embassy Tokyo. "Calling for Help" (updated 2024-04-12). https://jp.usembassy.gov/services/calling-for-help 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

  2. Tokyo Metropolitan Police Department. "Tips for protecting yourself from crime or other trouble" (updated 2022-06-23). https://www.keishicho.metro.tokyo.lg.jp/multilingual/english/safe_society/victim_of_crime/ninpo.html 2 3 4

  3. Tokyo Metropolitan Police Department. "110 Call Statistics in 2024" (English PDF). https://www.keishicho.metro.tokyo.lg.jp/multilingual/english/about_us/graph_keishicho.files/E_7.pdf

  4. Tokyo Metropolitan Police Department. "Live Safe and Well in Japan" Q and A (English PDF). https://www.keishicho.metro.tokyo.lg.jp/multilingual/english/finding_services/living_guide/index.files/Living_guide_English.pdf 2

  5. Kishiwada Tokushukai Hospital. "Emergency Room Osaka" (2026-04-23). https://kishiwada.tokushukai.or.jp/en/for-patients/emergency-room 2 3 4

  6. The Expat's Guide to Japan. "Emergencies and Disaster Prevention" (2026-04-16). https://expatsguide.jp/health-safety/emergencies 2