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					                        LOGISTICS ASSESSMENT CAPABILITIES
                           GUIDANCE AND INSTRUCTION


MISSION: Enhance response readiness for initial 72 hours of disaster at all levels

GOAL: Improve operational readiness and reduce disaster impacts by identifying,
reducing and/or eliminating shortages that exist between requirements, standards and
performance versus the response or short-term recovery capabilities

How this Logistics Assessment Helps the Jurisdiction:
- Identifies what capabilities exist in your jurisdiction
- Identifies what shortages exist in your jurisdiction
- Planning tool: Data can be used when writing any of your jurisdiction plans
- Analysis Tool: Data will be used to create the Logistics Timeline (helps State fill shortages)

How do I fill out the logistics assessment worksheets?
There are several worksheets, all labeled at the tabs below. This allows you to more easily provide a
questionnaire per owning agency. Please label your pages with your jurisdiction and population. Please
provide answers to each of the questions and in the capacities section. Some questions or capacities
may not apply to your jurisdiction...just provide an N/A.

1. Having a shortage (or limitation; a.k.a. Gap) is not a bad thing. These worksheets are developed
to assist each jurisdiction in recognizing the capabilities and the shortages that are in need of
improvement. The logistics assessment worksheets allow the jurisdiction opportunities to identify their
capabilities as well as decrease the number of shortages that may exist presently.

2. Answering ‘no’ equals a shortage. Answering ‘no’ allows the jurisdiction to discover existing
shortages. It is expected that no jurisdiction will answer ‘yes’ to all logistics assessment questions.
Keep in mind these worksheets represent a ‘snapshot’ of the jurisdiction’s existing capabilities.

3. Finding a gap… now what? Now that a shortage has been determined, working towards eliminating
this shortage is critical. The State of Alaska DHS&EM will assist the jurisdiction in documenting the
current capabilities which will allow the jurisdiction to potentially eliminate the identified shortages.

Once complete please send to Christine Stroda either by email, fax or Mail. If you have any questions,
please don't hesitate to call.


Christine A. Stroda
Logistics Planner, DHS&EM
christine.stroda@alaska.gov
Work Number: (907) 428-7061
Fax: (907) 428-7009
Address: PO Box 5750, Fort Richardson, AK 99505
JURISDICTION:
POPULATION:
                         > Emergency management activities and written emergency plans
    Emergency            > Target Capabilities List: Planning, Emergency Operations Center Management, Risk Management
   Management            > Comprehensive Preparedness Guide 101: Basic Plan, Functional Annex A: Direction, Control, and
                           Coordination
                    1.0 Planning:                   Yes NO N/A Remarks
1.1 Local Emergency Management (EM) Website

1.2 Emergency Operations Plan (EOP) /Disaster
Response Plan
1.3 All Hazards Mitigation Plan

1.4 Continuity of Operations Plan (COOP) /Annex

1.5 Evacuation Plan/Annex

1.6 List Your Top Three Potential Disasters, Concerns, Hazards
That Could Affect Your Jurisdiction:


1.7 What are the probable high-risk areas that are likely to be
impacted by the defined hazards?



1.8 When is the worst or highest impact time of year for a
disaster to occur?


1.9 What limitations are expected in responding, sustaining and
recovering from worse case event?


1.10 Planning
Additional Notes:




2.0 Preparedness (Training, Exercises, Outreach):
                                                    Yes NO N/A Remarks
2.1 Have you exercised your plans? (Please, list
frequency and last time exercised)
2.2 Does jurisdiction citizens and non-
governmental entities participate in planning,
implementing and reviewing community
emergency exercises? (SPR pg 10)
2.3 Is there a training outline or schedule
established?

                                              Emergency Management: Page 2 of 60
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2.4 Has jurisdiction identified and worked with
private agencies/contractors that will support
resource management issues?
2.5 Has jurisdiction trained and exercised elected
officials in their roles and responsibilties for
implementing National Incident Management
System (NIMS) during an incident? (SPR pg 46)

2.6 Are command staff (police, fire, EMS, public
health) trained in how Incident Command System
(ICS) is applied locally during an incident? (SPR pg
46)
2.7 Does jurisdiction have a database with each
emergency worker's credentials prior to an
incident?
2.8 Preparedness
Additonal Notes:

3.0 Operations (distinguish within 72 hours vice
after 72 hours):                                  Yes NO N/A Remarks
3.1 Are Notification Rosters current to activate
Emergency Operations Center (EOC), Incident
Command (IC) Staff, and any other emergency
facilities?
3.2 Is there a process in place to manage EOC and
IC staffing needs, shift changes, resource needs,
feeding, and alternate power?
3.3 Do you need State assistance to man your
EOC and IC staffing 24 hours continuous each day
of event? (If yes, please list functional specialty
required for each shift in remarks)
3.4 Is an Incident Action Plan (IAP) developed in
accordance with ICS and NIMS? (SPR pg 47)
3.5 Is there a process in place to capture
expenses incurred during the response phase of
the event?
3.6 Are procedures established to
coordinate/integrate unplanned arrival of
individuals and volunteer groups into the
response system and to clarify their limits on
liability protection?
3.7 Operations
Additional Notes:

4.0 Recovery                                           Yes NO N/A Remarks


                                              Emergency Management: Page 3 of 60
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POPULATION:
4.1 Is there a process in place to document
expenses incurred during the recovery phase of
the event?
4.2 Is there a process to create historical records
of the event?
4.3 Does jurisdiction have an After Action Process
in place?
4.4 Is there a process to track and fix any "areas
for improvement" from the After Action Report
(AAR)?
4.5 Are procedures established to
deactivate/close the EOC and bring it back to a
state of readiness in preparation for next disaster
or event? (SPR pg 52)
4.6 Recovery
Additional Notes:

                                              Current Capacity (list
5.0 Capacity                                  type/quantity)           Location   Owning Org   Remarks

5.1 Emergency Operations Center (EOC)
(List your primary and secondary locations,
and include if mobile)

5.2 Emergency Operations Center (EOC) --
Equipment (List for primary, secondary,
and mobile)


5.3 Emergency Operations Center (EOC)
Dedicated Staffing (per shift)
5.4 Capacity Additional
Notes:




                                              Emergency Management: Page 4 of 60
JURISDICTION:
POPULATION:
                         > Telecommunications support; Restoration and repair of telecommunications infrastructure
                         > Coordination with telecommunications and information technology industries
                         > Protection, restoration, and sustainment of national cyber and information technology resources
 Communications          > Oversight of communications within the Federal incident management and response structures
                         > Target Capabilities List: Communications, Intelligence/Information Sharing, Information Gathering
                         > Comprehensive Preparedness Guide 101: Basic Plan, Functional Annex C: Communications
1.0 General Questions                                 YES NO N/A Remarks

1.1 Does jurisdiction have the capacity to directly
alert and warn citizens of an emergency?
1.2 Has the Communications Plan or Annex been
exercised?
1.3 Is there a trained cadre of volunteer emergency
communications (e.g. Radio Amateur Civil
Emergency Service)

1.4 Are there any support agreements with local
groups (e.g. Amateur Radio Emergency Service?)

1.5 Does jurisdiction have National
Communications System Shared HF Resources?
1.6 Does jurisdiction have access to FEMA National
Radio System/National Emergency Coordination
Network?

1.7 Does jurisdiction have a Government
Emergency Telecommunications Service?
1.8 Additional Notes:



2.0 Telephones, Cell Phones, and Equipment            YES NO N/A Remarks
2.1 Does jurisdiction have backup
communications/ capability if landlines or cellular
are damaged/congested?
2.2 Does jurisdiction have a Telecommunications
Service Priority?
2.3 Do Telecommunications Service Providers have
an emergency plan and/or back up systems in case
of an outage?
2.4 Additional Notes:



3.0 Satellite Phones and Equipment                    YES NO N/A Remarks
3.1 Does jurisdiction have satellite phone and/or
satellite computer capabilities?


                                                 Communications: Page 5 of 60
JURISDICTION:
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3.2 Can jurisdiction receive National Alert and
Warning System or Alaska Warning System
messages? (include "How it's received?")
3.3 Can jurisdiction receive Emergency Alert
System/ Emergency Broadcast System messages?
(include "How it's received?")
3.4 Additional Notes:



4.0 Mobile Radios and Equipment                       YES NO N/A Remarks
4.1 Are there survivable tactical UHF/VHF trunked
communications? (repeaters, handhelds, and
mobile units )
4.2 Is critical communications equipment
interoperable between emergency units? (i.e, are
police, fire, SAR have ability to be on same radio
channel as EOC, dispatch, etc)
4.3 Does jurisdiction have land mobile radio
bridging equipment?
4.4 Additional Notes:



5.0 Computers, internet, and Equipment                YES NO N/A Remarks
5.1 Does jurisdiction have backup
communications/ capability if internet is
damaged/congested?
5.2 Do Internet Service Providers have an
emergency plan and/or back up systems in case of
an outage?
5.3 Does jurisdiction have an Internet (wireless or
not) Priority Service?
5.4 Additional Notes:


6.0 General Communications Capabilities       Current Capacity (list
                                              type/quantity)           Location   Owning Org   Remarks




6.1 Command and Control Vehicles




6.2 Alert Warning Systems



                                                Communications: Page 6 of 60
JURISDICTION:
POPULATION:



6.3 Mass Notification Systems (TV, Radio,
Newspaper, etc)




6.4 Public Address Systems
6.5 Additional Notes:



7.0 Capacity in Telephones, Cell Phones, and Current Capacity (list
Equipment                                    type/quantity)             Location   Owning Org   Remarks

7.1 Telephones (landlines) Service Providers




7.2 Telephones (landlines) Surge Capacity


7.3 Backup Mobile 911 Center and
Dispatching Facility




7.4 Cell Phone Service Providers




7.5 Cell Phone Surge Capacity




7.6 Area Cellular Towers




7.7 Portable Cell Towers
7.8 Additional Notes:



8.0 Capacity of Satellite Phones and           Current Capacity (list
Equipment                                      type/quantity)           Location   Owning Org   Remarks




                                                 Communications: Page 7 of 60
JURISDICTION:
POPULATION:




8.1 Satellite Phones


8.2 Frequency of Maintenance and Testing
Satellite Phones




8.3 Satellite computers


8.4 Frequency of Maintenance and Testing
Satellite Computers
8.5 Additional Notes:



9.0 Capacity in Mobile Radios and          Current Capacity (list
Equipment                                  type/quantity)           Location   Owning Org   Remarks


9.1 Area Land Mobile Radio (ALMR)
(interoperability?)


9.2 Personal Land Mobile Radio
(interoperability?)


9.3 Frequency of Maintenance and Testing
Land Mobile Radios




9.4 Bridging Systems and Equipment Sets
9.5 Additional Notes:



10.0 Capacity in Computers and Internet    Current Capacity (list
Capability                                 type/quantity)           Location   Owning Org   Remarks

10.1 Internet Service Providers




                                             Communications: Page 8 of 60
JURISDICTION:
POPULATION:




10.2 Internet Surge Capacity




10.3 Microwave Backhaul Systems
10.4 Additional Notes:




Temporary Emergency Operations Center--
people




Backup Communications?




Communication Leaders




Radio Operators & Programmers




Dispatchers




Voice Networks (internet, satellite)




Data Networks (internet, satellite)



                                          Communications: Page 9 of 60
JURISDICTION:
POPULATION:




Voice/ data technicians
Transportation Tower Site and Equipment
Sets
1.2 Is there excess capacity (telephones, cell
phones, internet, etc) to meet incident surge
requirements? (list the capacities)
2.5 Are there any MOUs or Contracts with
commercial telecom service providers for
temporary cell service?




                                                 Communications: Page 10 of 60
JURISDICTION:
POPULATION:
                        > Providing accurate information to the general public on emergency incident
      Public
                        > Instructing responders and local officials on how to work with media during the emergency
   Information          > Target Capabilities List: Emergency Public Information
      Officer           > Comprehensive Preparedness Guide 101: Functional Annex E: Emergency Public Information

1.0 General Questions                             Yes NO N/A Remarks
1.1 Does juridiction address Public Information
Officer (PIO) actions in the Emergency Operations
Plan (EOP)?
1.2 Are procedures established for continuous
and accessible public information about the
disaster, secondary effects, and recovery
activities?
1.3 Has jurisdiction identified and trained the PIO
for emergencies ensuring competency in the
Incident Command System (ICS)?
1.4 As information is received by various sources,
are reviewers trained and knowledgeable in
determing its authencity and potential validity to
the emergency?
1.5 Are procedures in place to inform disabled,
functional needs, or peope with limited English
proficiency?
1.6 Does the PIO coordinate public releases,
including household pet evcuation and sheltering
information?
1.7 Are procedures established to identify and
control rumors by correcting minsinformation
rapidly?
1.8 Does jurisdiction have media scripted
releases established prior to an emergency?
1.9 Has PIO educated responders and local
officials on how to work with the media during
an emergency?
1.10 Does jurisdiction have a process in place to
provide public statements on shelter capacity
and availability that is updated as people/animals
come to the shelters?
1.11 Does the jurisdiction have a written Media
Plan or Annex to support mass evacuation
operations?                                           x             As part of the EOP, but it is not very specific

1.12 Has Media Plan or Annex been exercised?
1.13 Additional Notes:




                                             Public Information Officer: Page 11 of 60
JURISDICTION:
POPULATION:
                               Current Capacity (list
2.0 Local Media Capabilities   type/quantity)            Location     Owning Org   Remarks




2.1 Radio Stations




2.2 Local Television Station




2.3 Local News Paper




2.4 Community Websites
2.5 Additional Notes:




                               Public Information Officer: Page 12 of 60
JURISDICTION:
POPULATION:
                         > Ability to provide sufficient fuel resources to meet all energy and response needs
                         > Restore fuel supplies                           > Forecast
         Fuel            > Fuel infrastructure assessment, repair, and restoration
                         > Target Capabilities List: Resource Logistics and Distribution
                         > Comprehensive Preparedness Guide 101: Functional Annex I: Resource Management
1.0 General Fuel Questions                              Yes NO N/A Remarks
1.1 Does jurisdiction have an emergency/
contingency fuel plan allowing for extra fuel set
aside for prolonged fuel disruptions?
1.2 Does jurisdiction have an emergency/
contingency fuel plan to address the immediate
response requirements 72 hours following an
event?

1.3 Do jurisdiction's plans include capacity to meet
fueling requirements for all fuel types (e.g.,
propane, diesel, gasoline/petrol, coal and JP)?
1.4 Does the emergency/ contingency fuel plan
include mobile refueling support to include
refueling vehicles?
1.5 Does the emergency/ contingency fuel plan
include security for refueling sites for both private
and emergency vehicles?
1.6 Does jurisdiction have a plan for maintenance
of fueling sites and equipment?
1.7 Is there a plan or procedure in place that
prioritizes the fueling needs throughout the
community?
1.8 Does jurisdiction have set deliveries of
different types fuel?
1.8.1 If yes, list type fuel and quantity, when it's
delivered throughout the year, and how it's
delivered (by barge, air, rail, truck, etc)
1.9 Are any agreements/contracts established to
obtain/procure fuel in an emergency?

1.10 Additional Notes:



                                                 Current Capacity (list
2.0 Mobile Refueling                             type/quantity)           Location     Owning Org       Remarks

2.1 List vehicles used for mobile refueling

2.2 List equipment used for mobile refueling


                                                         Fuel: Page 13 of 60
JURISDICTION:
POPULATION:
2.3 Additional Notes:



                                            Current Capacity (list
3.0 Fuel Storage Capacity                   type/quantity)           Location   Owning Org   Remarks




3.1 Jet Fuel




3.2 Liquid Propane




3.3 Natural Gas




3.4 Diesel




3.5 Coal




3.6 Heating Oil
3.7 Additional Notes:




4.0 Provide number of days jurisdiction
functions can operate for each type fuel:
(also indicate any differences between      Current Capacity (list
summer and winter seasons)                  type/quantity)           Location   Owning Org   Remarks




4.1 Jet Fuel




4.2 Liquid Propane



                                                    Fuel: Page 14 of 60
JURISDICTION:
POPULATION:




4.3 Natural Gas




4.4 Diesel




4.5 Coal




4.6 Heating Oil
4.7 Additional Notes:




                        Fuel: Page 15 of 60
JURISDICTION:
POPULATION:
                        > Ability to provide sufficient emergency power resources to meet all energy and response needs
                        > Restore Power systems                                               > Industry utilities coordination
       Power            > Power infrastructure assessment, repair, and restoration            > Forecast
                        > Target Capabilities List: Restore Lifelines
                        > Comprehensive Preparedness Guide 101: Functional Annex I: Resource Management
1.0 Power Utilities                                   Yes NO N/A Remarks
1.1 Does the jurisdiction have a plan addressing
emergency power?
1.2 Have any power assessments been
completed? If yes, please specify

1.3 Does the jurisdiction share power from same
power facilities as neighboring jurisdictions?
1.3.1 If yes, explain company providing power
and which other jurisdictions use it
1.4 Does jurisdiction have any agreements in
place for the power mission?
1.5 Additional Notes:



2.0 Generators                                        Yes NO N/A Remarks
2.1 Does the jurisdiction have a plan for refueling
the generators?
2.1.1 Does this plan prioritize which facility
generators get refueled first?
2.2 Does the jurisdiction have a plan for
maintenance of generators?
2.3 Does the jurisdiction have their back-up
generators certified every 6 months?
2.4 Does the jurisdiction have the capability in
place to lease/ procure generators and /or haul,
install, fuel and service generators?
2.4.1 Who provides this capability?

2.5 Additional Notes:



3.0 Database and Web Tools                            Yes NO N/A Remarks
3.1 Does jurisdiction have a current database of
critical public facilities needing power that are
required to support the first 72hrs of disaster
response?
3.2 Does this database include facility name,
purpose, address, phone number, facility point of
contact, and geo-locate (GIS)?


                                                       Power: Page 16 of 60
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3.3 Are Critical Facilities in the database
prioritized for power needs?
3.4 Does database identify critical facilities with
permanently installed standby/ emergency
generators with the kW size, voltage,
configuration?
3.5 Does database identify critical emergency
power generators required for those facilities
without an existing backup?
3.6 Is database electronically maintained?

3.7 Is there an automated/ web based system to
identify needs and requests for generators of
emergency power?
3.7.1 If yes, what type is used?

3.8 Does jurisdiction have an automated system
or web tool to manage the emergency power
mission/ requests?
3.8.1 If yes, what type is used?


3.9 Will jurisdiction rely completely on the state/
federal government to provide emergency power
generators for their critical facilities?
3.10 Additional Notes:



                                               Current Capacity (list
4.0 Power Utilities Capabilites                type/quantity)           Location   Owning Org   Remarks




4.1 Power Plants




4.2 Power Surge Capacity




4.3 Substations




4.4 Transmission Lines


                                                       Power: Page 17 of 60
JURISDICTION:
POPULATION:




4.5 Transformers
4.6 Additional Notes:




5.0 Generators (Power Backup) for the
following: Include kW, fuel type, size of
fuel tank, how long it will operate, and    Current Capacity (list
what portion of facility does it support    type/quantity)           Location   Owning Org   Remarks




5.1 Power Facilities




5.2 Fire Department




5.3 Police Department




5.4 Hospital/ Clinics

5.5 Additional Facilities for Medical
(Nursing Homes, Senior Citizen Housing,
special needs, etc)




5.6 Main Population Shelters




5.7 Functional Needs Population Shelters




5.8 Household Pet Shelters




                                                    Power: Page 18 of 60
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POPULATION:




5.9 Sewer Facilities




5.10 Water Facilities




5.11 Search and Rescue (SAR) Facilities




5.12 Emergency Operations Center (EOC)




5.13 Airport Facilities


5.14 Other Emergency Response Facilities
(list what they are)
5.15 Additional Notes:



6.0 Lighting Requirements--any of the       Current Capacity (list
following require back up lighting or extra type/quantity)           Location   Owning Org   Remarks


6.1 Facilities (list all facilities that require
lighting)




6.2 Staging Areas (vehicles, goods, etc)




6.3 Points of Distribution Sites




6.4 Warehouses



                                                     Power: Page 19 of 60
JURISDICTION:
POPULATION:




6.5 Distribution Centers




6.6 Embarkation Sites




6.7 Debarkation Sites
6.8 Additional Notes:




                           Power: Page 20 of 60
JURISDICTION:
POPULATION:
                        > Detects an Suppresses wildland, rural and urban fires
                        > Coordination of Federal firefighting activities
                        > Support to wildland, rural, and urban firefighting operations
    Firefighting
                        > Target Capabilities List: On-Site Incident Management, Responder Safety, Fire Incident Response, Search and Rescu
                        > Comprehensive Preparedness Guide 101: Functional Annex D: Population Warning; Functional Annex F:
                        Public Protection
1.0 General Questions                          Yes NO N/A Remarks
1.1 Does the department's SOP/SOG address the
Incident Command System (ICS) and do personnel
implement ICS on incidents.

1.2 Does juristiction have any mutual aid
agreements? If Yes, list communities in remarks.
1.3 Does juristiction provide Emergency Medical
Services? If No, who provides?
1.4 Additional Notes:



2.0 Fire Fighting Capabilities

                                                Full Paid Positions                Total Active Members

                                                Part-time Positions                 Total Firefighters
         2.1 Department Personnel
                                                     Volunteer                     Total EMS Personnel
                                                    On-call Paid                    Hazmat Qualified
                                                        Fire                #                                         #
                                                 Pumpers/Engines                    Tankers/Tenders
                                                     Brush Rigs                            CFR
                                                     Fire Boats                      Specialty (Foam,
                                                 Aerial Apparatus                   Light Units, SCBA)
  2.2 Department Apparatus (Fire, EMS &
                                                 Rescue Vehicles                         Aircraft
                 Other)
                                                   Rescue Boats                    Command Vehicles
                                                    Ambulance               #                                         #
                                                        BLS                                ALS
                                                       Other                #                                         #
                                                     Code Red
2.3 Additional Notes:




                                                    Fire Fighting: Page 21 of 60
JURISDICTION:
POPULATION:

3.0 Department Duties

                                              Structural Firefighting                 Code Enforcement
                                               Marine Firefighting                       Plan Review
                                               Airport Fire/Rescue                   Fire Cause Investigation
3.1 Check official and routine duties of Fire
                                              Wildland Firefighting                     Public Fire Ed.
                Department.
                                              Industrial Firefighting                  Confined Space
                                                      Dive Rescue                             EMS
                                                 Search & Resuce                     Haz-Mat Team Response

3.2 Additional Notes:



4.0 Department Infrastructure

                                                          Quantity                             Locations (general)


4.1 How many fire stations are in the juristiction?




                                                       Yes No N/A Remarks

4.2 Does the station(s) have back-up power?

4.3 Does the station(s) have holding tanks for
water supply?
4.4 Are there any fixed drafting sites in the
community? (wells or pipes)
4.5 Can the department draft during winter
months?
4.6 Are there hydrants available throughout
whole community? (give est. % if yes)
4.7 Is there emergency food/water/quarters for
responders during catostrophic events for
24/48/72 hrs?
4.8 Additional Notes:




                                                      Fire Fighting: Page 22 of 60
JURISDICTION:
POPULATION:
                            > Provides equipment, materials, supplies and personnel to federal entities during response operations
                            > Provides equipment, materials, supplies and personnel to support staging areas and shelters
       Logistics            > Target Capabilities List: Resource Logistics and Distribution
                            > Comprehensive Preparedness Guide 101: Functional Annex I: Resource Management
1.0 Distribution Plan                                      Yes NO N/A Remarks
1.1 Does the jurisdiction have a commodities
distribution or resource management annex? If yes,
does it include the following:
1.1.1 Distribution locations (primary and
secondary)?
1.1.2 Operational setup?

1.1.3 Safety of personnel?

1.1.4 Security of site?

1.2 Has jurisdiction identified and prioritized critical
commodities for distribution? (water, meals, cots
and blankets)
1.3 Are written agreements and contracts in place
to procure commodities rapidly during an
emergency?
1.4 Additional Notes:



2.0 Distribution Sites                                     Yes NO N/A Remarks
2.1 Is local staffing available for 24 hour ops at
distribution sites (12 hours of supply distribution
and 12 hours of restocking)?
2.2 Is there a coordinated shipping plan for
distribution sites?
2.3 Is required equipment available at distribution
sites to include Material Handling Equipment and
Lighting?
2.4 Does Off-Load Capability exist?

2.5 Will the jurisdiction need federal/state support
to operate distribution sites?
2.6 Does the US Department of Agriculture manage
food distribution to schools?
2.7 Is there another agency that manages food
distribution to schools?




                                                           Logistics: Page 23 of 60
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2.8 Additional Notes:



3.0 Staging Areas                                      Yes NO N/A Remarks
3.1 Are staging areas pre-identified?

3.2 Will staging areas serve multiple jurisdictions?

3.3 Are staging areas noted in the Logistics Plan?

3.4 Additional Notes:


                                                 Current Capacity (list
4.0 Logistics Capabilties                        type/quantity)            Location   Owning Org   Remarks

4.1 Critical Supplies (list supplies required
during mass emergencies jurisdiction would
need to replenish continuously)

4.2 Critical Parts (list parts required during
mass emergencies jurisdiction would need to
keep equipment operable)

4.3 Critical Equipment (list equipment
required during mass emergencies
jurisdiction must have operable)


4.4 Resource Staging Areas (list all primary
and backup sites)




4.5 Portable Toilets
4.6 Additional Notes:


                                                 Current Capacity (list
5.0 Pre-Stocked Items                            type/quantity)            Location   Owning Org   Remarks




5.1 Water




                                                       Logistics: Page 24 of 60
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5.2 Meals




5.3 Cots




5.4 Blankets




5.5 Comfort Kits (per person)




5.6 Cleanup Kits (mops, broom, gloves, etc)




5.7 Tarps




5.8 Sheeting (plastic roofing)




5.9 Sandbags
5.10 Additional Notes:




  - With the private sector?

  - With Non-Government Organizations?




                                              Logistics: Page 25 of 60
JURISDICTION:
POPULATION:
                        > Identify food and water needs                                 > Food safety and security
                        > Ensure food and water gets to areas affected by disaster
 Warehouse and
                        > Maintain shelf-life of food and water
  Distribution          > Target Capabilities List: Resource Logistics and Distribution
                        > Comprehensive Preparedness Guide 101: Functional Annex I: Resource Management
1.0 General Questions                                Yes NO N/A Remarks
1.1 Does jurisdiction emergency plans address
storage of water and food commodities?
1.2 Does jurisdiction emergency plans address
distribution of water and food commodities?
1.3 Is storage and distribution of other
commodities such as cots and blankets included
in emergency plans?
1.4 Has points of distribution procedures and
processes been established? (how jurisdiction
provides basic commodity needs to the public)
1.5 Are contracts/agreements established for
warehousing and distribution centers/staging
sites to include crews?
1.6 Additional Notes:



                                               Current Capacity (list
2.0 Capabilities                               type/quantity)            Location      Owning Org        Remarks


2.1 Warehouses--water storage (explain
procedure to maintain shelf-life)


2.2 Warehouses--food storage (explain
procedure to maintain shelf-life)


2.3 Warehouses (other commodities such
as cots, blankets, etc)

2.4 Warehouse security/ protection
measures (security cameras, alarms, key
locks, cypher locks, etc)
2.5 Distribution Centers/ Staging Areas
(Site where city provides basic food, water,
commodities to the community not in
shelters)




                                            Warehouse and Distribution: Page 26 of 60
JURISDICTION:
POPULATION:



2.6 Distribution Center/ Staging Area
Crews (include shift hours)
2.7 Additional Notes:




                                        Warehouse and Distribution: Page 27 of 60
JURISDICTION:
POPULATION:
                           > Manages and coordinates food for victims
                           > Provides bulk distribution of relief supplies
       Feeding             > Target Capabilities List: Mass Care
                           > Comprehensive Preparedness Guide 101: Functional Annex G: Mass Care/Emergency Assistance
1.0 General Questions                                 Yes NO N/A Remarks

1.1 Does jurisdiction have a feeding plan?

1.2 If kitchen is available at shelters, is this
capability included in the feeding plan?
1.3 Is mobile feeding part of the feeding plan?

1.4 is fixed feeding addressed in the feeding
plan?
1.5 Other than shelters, are kitchens/meal
preparation sites available for feeding the
victims?
1.6 Is there an agency designated to coordinate
emergency feeding operations in the jurisdiction?

1.7 Does jurisdiction have a coordinated, multi-
agency feeding plan?
1.8 Does jurisdiction have procedures established
on feeding the main population that shelters in-
place at their homes?
1.9 What system does the jurisdiction use to
collect, manage, and report feeding data?
1.10 Is there a plan to provide security at feeding
facilities and distribution locations?
1.11 Additional Notes:



2.0 Are the following elements integrated as
part of the feeding plan?                             Yes NO N/A Remarks

2.1 USDA commodities?

2.2 Food Banks?

2.3 Mobile feeding routes?

2.4 Fixed Feeding sites?

2.5 Material handling equipment (pallet jacks,
fork lifts, hand trucks)
2.6 Catered/prepared meals?



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2.7 Vendors for commodities?

2.8 Vendor supplied meals?
2.9 Food grade warehouse space?

2.10 Additional Notes:



3.0 Unique feeding needs                            Yes NO N/A Remarks
3.1 Does jurisdiction address dietary needs due
to medical conditions (diabetic, low sodium?)
3.2 Does jurisdiction include food to support
dietary needs to religious/ cultural requirements
(e.g. kosher, vegetarian)
3.3 Does jurisdiction plan for infant formula and
baby food availability?
3.4 Additional Notes:



                                            Current Capacity (list
4.0 Capabilities                            type/quantity)           Location     Owning Org   Remarks




4.1 MREs or other shelf stable meals?

4.2 Meals prepared by Mass Care
Organizations? List type meals (hot or
cold) and how many people can be fed

4.3 Caterer supplied meals? List type
meals (hot or cold) and how many people
can be fed


4.4 List special/dietary food needs and
how many people can be fed
4.5 Additional Notes:




                                               Mass Care Feeding: Page 29 of 60
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Potable water (figure 1 gallon a day per
person)




  - Points of Distribution?




                                           Mass Care Feeding: Page 30 of 60
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                        > Manages and coordinates food, shelter and first aid for victims
                        > Provides bulk distribution of relief supplies
 Main Population        > Operates a system to assist family reunification
                        > Target Capabilities List: Mass Care
                        > Comprehensive Preparedness Guide 101: Functional Annex G: Mass Care/Emergency Assistance
1.0 General Questions                                 Yes NO N/A Remarks
1.1 What Agency has lead for Mass Care and
Emergency Assistant?
1.2 What agency has the lead role for
coordination of shelter operations?
1.3 What agencies/organizations manage and
operate main population shelters in the
jurisdiction?
1.4 What system does the jurisdiction use to
manage and report shelter data?
1.5 Are utilities adequate for the shelter?

1.6 Additional Notes:


2.0 Main Population Sheltering Plan Includes the
following?                                       Yes NO N/A Remarks
2.1 Basic first aid?

2.2 Security for facility and victims?

2.3 Interpreter/translator services in shelters
(sign language or other languages--tribal?)
2.4 Life sustaining supplies and shelter operations
equipment (infant care-diapers, personal
hygiene, sanitary items, cots and blankets)

2.4.1 List agency responsible for distributing
emergency relief items
2.5 Adequate space allocation for children and
those that need additional space of assistive
devices?
2.6 Vet support, food and supplies for service
animals staying with their owners?
2.7 Additional Notes:


3.0 Supplying and Servicing Shelter Facility          Yes NO N/A Remarks




                                               Main Population Shelter: Page 31 of 60
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3.1 Do shelters have an established trash removal
service?
3.2 Do shelters have an established sewage
removal service, if using portable toilets?
3.3 Do shelters have an established janitorial
service, to include resupply of paper products
and soaps?
3.4 Additional Notes:


4.0 Unique Populations                               Yes NO N/A Remarks
4.1 Does jurisdiction have alternate facility to
shelter and secure prisoners?
4.2 Does jurisdiction have different facility to
shelter sex offenders?
4.3 Does jurisdiction have different facilities to
shelter those with protective orders against
them?
4.3 Does jurisdiction have different facilities to
shelter those who have been exposed to hazards
posed by the disaster?
4.4 Are there procedures for handling and
providing for unaccompanied minors in shelters?

4.5 Additional Notes:


                                               Current Capacity (list
5.0 Capabilities                               type/quantity)           Location    Owning Org   Remarks


5.1 Shelter Facilities (list those compliant
for disabilities like ABA, ADA, UFAS)

5.2 How many trained shelter managers
are available to respond, during the first
72 hours?

5.3 How many trained shelter workers are
availble to respond, during the first 72
hours?


5.4 Spaces for temporary sheltering (Main
Population, based on 20 sqft per person)




                                               Main Population Shelter: Page 32 of 60
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5.5 Spaces for long-term sheltering (Main
Population, based on 50 sqft per person)

5.6 How many shelters can operate
concurrently during the first 72 hours of
operations?




5.7 Which shelters have kitchen facilities?


5.8 Which shelters have restrooms and/or
portable toilets?




5.9 Which shelters have showers?


5.10 Which shelters have laundry
facilities?
5.11 Additional Notes:




                                              Main Population Shelter: Page 33 of 60
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                         > Manages and coordinates shelter and first aid for victims
                         > Victims include: Disabled, Institutionalized Populations, Access and Functional Needs
Functional Needs         > Provides bulk distribution of relief supplies
    Shelter              > Operates a system to assist family reunification
                         > Target Capabilities List: Mass Care
                         > Comprehensive Preparedness Guide 101: Functional Annex G: Mass Care/Emergency Assistance
1.0 General Questions                               Yes NO N/A Remarks
1.1 Does the jurisdiction have a plan to operate
functional needs shelters independent of general
population shelters?
1.1.1 If yes, who has lead role for coordination of
functional needs shelters?
1.1.2 If no, how are functional needs issues
addressed during shelter operations?
1.2 What agencies/organizations manage and
operate functional needs shelters?
1.3 Are utilities adequate for the shelter?

1.4 What system does the jurisdiction use to
manage and report functional needs shelter
data?
1.5 Additional Notes:


2.0 Functional Needs Sheltering Plan Includes
the following?                                        Yes NO N/A Remarks
2.1 Accommodation for care givers (consider that
they could be family members who also have
family to care for)
2.2 Durable medical equipment to support
functional needs requirements (e.g. bedside
commode, cane, portable ramp, shower assistant
accessories, chair, walker, wheelchair)

2.3 Basic first aid?

2.4 Security for facility and victims?

2.5 Interpreter/translator services in shelters
(sign language or other languages--tribal?)
2.6 Life sustaining supplies and shelter operations
equipment (infant care-diapers, personal
hygiene, sanitary items, cots and blankets, etc)

2.7 Adequate space allocation for children and
those that need additional space for assistive


                                              Functional Needs Shelter: Page 34 of 60
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2.8 Vet support, food and supplies for service
animals staying with their owners?
2.9 Additional Notes:


3.0 Supplying and Servicing Shelter Facility           Yes NO N/A Remarks
3.1 Do functional needs shelters have an
established trash removal service?
3.2 Do functional needs shelters have an
established sewage removal service, if using
portable toilets?
3.3 Do functional needs shelters have an
established janitorial service, to include paper
resupply?
3.4 Additional Notes:


                                                 Current Capacity (list
4.0 Capabilities                                 type/quantity)           Location     Owning Org   Remarks


4.1 Shelter Facilities (list those compliant
for disabilities like ABA, ADA, UFAS)

4.2 How many trained shelter managers
are available to respond, during the first
72 hours?

4.3 How many trained shelter workers are
available to respond, during the first 72
hours?


4.4 List shelter facilities for Functional
Needs

4.5 Spaces for Functional Needs (Disabled,
elderly, mental illnesses, etc)--list for each
facility

4.6 How many trained functional needs
shelter managers are available to respond,
during the first 72 hours?




                                                 Functional Needs Shelter: Page 35 of 60
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4.7 How many trained functional needs
shelter workers are available to respond,
during the first 72 hours?

4.8 How many shelters can operate
concurrently during the first 72 hours of
operations?


4.9 Which functional needs shelters have
kitchen facilities?


4.10 Which functional needs shelters have
restrooms and/or portable toilets?

4.11 Which functional needs shelters have
restrooms/portable toilets sewage
cleanup?


4.12 Which functional needs shelters have
showers?


4.13 Which functional needs shelters have
laundry facilities?
4.14 Additional Notes:




                                            Functional Needs Shelter: Page 36 of 60
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                        > Safety and well-being of household pets                 > Food safety and security
                        > Identify sheltering size/space (cages) needs            > Identify food and water needs
      Pet Care          > Target Capabilities List: Mass Care
                        > Comprehensive Preparedness Guide 101: Functional Annex G: Mass Care/Emergency Assistance
1.0 General Questions                                Yes NO N/A Remarks
1.1 Does jurisdiction's Emergency Operations
Plan address care for household pets?
1.1.1 If Yes, who has lead role for coordination?

1.1.2 If no, how are household pets addressed
during a disaster response?
1.2 What agencies/organizations manage and
operate household pet shelters?

1.3 What system does the jurisdiction use to
manage and report household pet shelter data?

1.4 Is there a plan to provide security at
household pet shelters?
1.5 Does the jurisdiction have food, water,
supplies, and equipment on hand or a plan to
acquire the necessary items to implement and
sustain the household pet shelters?
1.6 Are procedures in place for capturing,
transporting, and sheltering unclaimed and/or
loose pets?
1.7 Is there resource support for service animals
that accompany owner in people shelters (food,
water, sanitary requirements)
1.8 Does the jurisdiction have an animal control
center?
1.9 Is veterinary care available for household
pets and service animals?
1.10 Are utilities adequate for the shelter?

1.11 Are procedures established to exercise pets,
especially if disaster to recovery is long-term?

1.12 Are written guidelines in place for pet waste
and dead animal disposal?

1.13 Are exotic household pets addressed in
plan? (birds, reptiles, rabbits, rodents, etc)
1.14 Does pet care plan address dog teams?




                                                      Pet Care: Page 37 of 60
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1.15 Is livestock addressed in plan? (cattle,
horses, pigs, etc)
1.16 Additional Notes:


                                                Current Capacity (list
2.0 Capabilities                                type/quantity)           Location   Owning Org   Remarks


2.1 Pet Shelter Facilities (secure area or
cage, cover from elements)


2.2 Trained Staff available to manage and
support household pets


2.3 How many pet shelter spaces can
operate concurrently?


2.4 List food, water, hazard cleanup
supplies for each of the shelters


2.5 What veterinary services can provide
veterinary care to sheltered pets?
2.6 Additional Notes:




Is veterinary care available to service animals?




                                                        Pet Care: Page 38 of 60
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                         > Mass fatality management
   Mass Fatality         > Target Capabilities List: Fatality Management
                         > Comprehensive Preparedness Guide 101: Functional Annex G: Mass Care/Emergency Assistance
1.0 General Questions                                  Yes NO N/A Remarks
1.1 Does jurisdiction have a plan addressing
mass casualtiy/fatality incidents?
1.2 Does jurisdiction have other facilities or
locations identified as mass casualty/fatality
collection points?

1.3 Does jurisdiction have a coroner or designee?
(list which agency performs the function)
1.4 Are agreements established for mortuary
services (morgue site, burial site, refers, etc)?
1.5 Is there a volunteer program to assist
mortuary services response staff?
1.6 Is there a tracking system to identify and
account for fatalities? (please, list)
1.7 Are there special considerations for handling
fatalities? (tribal customs, religious issues, etc)

1.8 Additional Notes:


                                              Current Capacity (list
2.0 Capabilities                              type/quantity)              Location   Owning Org    Remarks

2.1 How many trained staff
assigned/available to respond to mortuary
needs?

2.2 Protective respiratory devices,
clothing, equipment, antidotes (hazardous
or chemical environments/mishaps)


2.3 Emergency Mortuary Field Kits ("go-
kit")


2.4 Supplies (body bags, body transport
boxes, etc)




2.5 Refrigeration Storage


                                                      Mass Fatality: Page 39 of 60
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2.6 Mass Burial Site (temporary)
2.7 Additional Notes:




                                   Mass Fatality: Page 40 of 60
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                         > Provides assistance for public health and medical needs
                         > Mental Health Services
  Public Health/         > Target Capabilities List: CBRNE Detection, Epidemiology Survey and Investigation, Laboratory Testing,
                         Animal Disease Support, Environmental Health, Isolation and Quarantine, Emergency Triage, Medical Surge,
    Medical              Medicines Management and Distribution, Mass Prophylaxis, Mass Care
                         > Comprehensive Preparedness Guide 101: Functional Annexes D: Population Warning and G: Mass
                         Care/Emergency Assistance
1.0 Medical Services                                   Yes NO N/A Remarks
1.1 Does jurisdiction have other facilities or
locations identified as emergency treatment
centers?
1.2 Does the jurisdiction provide mental health
services for the general public impacted by the
disaster?
1.3 Are procedures and facilities /sites in place to
quarantine individuals who are exposed to
contagious disease or biological hazard?
1.4 Has jurisdiction assessed their medical and
general health supplies that will be needed
during a disaster?
1.5 Additional Notes:


2.0 Public Health                                      Yes NO N/A Remarks
2.1 Are environmental assessments (water, air,
sanitation, food, and safety) accomplished at
local mass care facilities, shelters, feeding
centers, and food/ice distribution centers? (SPR
pg 76)
2.2 Are methods in place for potable water, bulk
water and temporary water distribution systems
when jurisdictions water sytems are not
functioning?
2.3 Are methods in place to provide alternate
sources for human waste disposal?
2.4 Are processes established to assess and
provide vector control services?
2.5 Does the jurisdiction have procedures to
identify and respond to gravesites/ cemeteries
that are impacted by the disaster?
2.6 Is there a process established to
decontaminate people and animals for exposure
to chemicals, or biological hazards both at the
scene of the incident and at treatment facilities?




                                         Public Health and Medical Services: Page 41 of 60
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2.7 Additional Notes:


                                               Current Capacity (list
3.0 Capabilities                               type/quantity)           Location    Owning Org   Remarks


3.1 Trained staff (doctors, nurses,
assistants, etc) and list work shift hours


3.2 How many casualties can be worked on
simultaneously?


3.3 Hospital/clinics (bed capacity--include
burn beds)




3.4 Additional Facilities (Expansion)


3.5 Quarantine Areas (include how to
manage mass prophylaxis)




3.6 Decontamination Area

3.7 Medical Supplies (list supplies required
fduring mass emergencies jurisdiction
would need to replenish continuously)




3.8 Oxygen
3.9 Medicines/Vaccinations (list medicines
required during mass emergencies
jurisdiction would need to replenish
continuously)
3.10 Additional Notes:




                                         Public Health and Medical Services: Page 42 of 60
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   Wastewater/          > Restores essential public services and facilities        > Infrastructure protection and emergency repair
                        > Engineering services and construction Management         > Infrastructure restoration
     Sewage             > Target Capabilities List: Environmental Health, Restore Lifelines
    Treatment           > Comprehensive Preparedness Guide 101: Functional Annex D: Population Warning
1.0 General Questions                                Yes NO N/A Remarks
1.1 Does jurisdiction emergency plans address
continuity of wastewater/sewage treatment
infrastructure?
1.2 Additional Notes:


                                               Current Capacity (list
2.0 Capabilities                               type/quantity)            Location      Owning Org       Remarks




2.1 Gray Water Leech Fields
2.2 Additional Notes:


                                               Current Capacity (list
3.0 Distribution                               type/quantity)            Location      Owning Org       Remarks


3.1 Pipelines, valves and other parts in
place




3.2 Pump or pressure-reducing stations


3.3 Materials (extra pipe, valves, hydrants,
and so forth)
3.4 Additional Notes:


                                               Current Capacity (list
4.0 Transmission                               type/quantity)            Location      Owning Org       Remarks




4.1 Intake Structures




4.2 Aqueducts

                                       Waste Water and Sewage Treatment: Page 43 of 60
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4.3 Pump Stations


4.4 Pipelines, valves and other parts in
place
4.5 Additional Notes:


                                              Current Capacity (list
5.0 Treatment                                 type/quantity)           Location   Owning Org   Remarks


5.1 Facility structures (buildings, basins,
and tanks




5.2 Controls (manual and computer)




5.3 Equipment (feeder, pumps, and piping)




5.4 Chemicals
5.5 Additional Notes:




                                         Waste Water and Sewage Treatment: Page 44 of 60
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POPULATION:
                        > Restores essential public services and facilities        > Infrastructure restoration
                        > Engineering services and construction Management         > Infrastructure portection and emergency repair
       Water            > Target Capabilities List: Environmental Health, Restore Lifelines
                        > Comprehensive Preparedness Guide 101: Functional Annex D: Population Warning
1.0 General Questions                            Yes NO N/A Remarks
1.1 Does jurisdiction emergency plans address
potable water availability?
1.2 Are agreements established to obtain potable
water?
1.3 Are contracts established to obtain potable
water?
1.4 Additional Notes:


                                               Current Capacity (list
2.0 Distribution                               type/quantity)            Location      Owning Org       Remarks


2.1 Pipelines, valves and other parts in
place




2.2 Pump or pressure-reducing stations


2.3 Materials (extra pipe, valves, hydrants,
and so forth)
2.4 Additional Notes:


                                               Current Capacity (list
3.0 Source Water                               type/quantity)            Location      Owning Org       Remarks




3.1 Watersheds/ surface water souces




3.2 Reservoirs and dams




3.3 Ground water sources




                                                        Water: Page 45 of 60
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3.4 Wells and galleries
3.5 Additional Notes:


                                           Current Capacity (list
4.0 Storage                                type/quantity)           Location   Owning Org   Remarks




4.1 Tanks




4.2 Valves




4.3 Piping
4.4 Additional Notes:


                                           Current Capacity (list
5.0 Transmission                           type/quantity)           Location   Owning Org   Remarks




5.1 Intake Structures




5.2 Aqueducts




5.3 Pump Stations


5.4 Pipelines, valves and other parts in
place
5.5 Additional Notes:


                                           Current Capacity (list
6.0 Treatment                              type/quantity)           Location   Owning Org   Remarks


                                                    Water: Page 46 of 60
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6.1 Facility structures (buildings, basins,
and tanks




6.2 Controls (manual and computer)




6.3 Equipment (feeder, pumps, and piping)




6.4 Chemicals/ water purification resources
6.5 Additional Notes:




                                              Water: Page 47 of 60
JURISDICTION:
POPULATION:
                         > Restores essential public services such as clearing roads and bridges> Infrastructure restoration
                         > Engineering services and construction management                     > Clearing access to critical facilities
 Debris Removal          > Emergency contracting support for life-saving and life-sustaining services
                         > Target Capabilities List: Restore Lifelines
                         > Comprehensive Preparedness Guide 101: Functional Annex D: Population Warning
1.0 General Questions                                   Yes NO N/A Remarks
1.1 Does jurisdiction have debris removal services
written in an emergency plan?
1.2 Are debris removal services prioritized for
road/bridge clearing and critical facility access?
1.3 Does jurisdiction assess and resolve potential
health issues related to the debris removal
process?
1.4 Does jurisdiction have written procedures to
clear hazardous/infectious debris safely and
without further contaminating environment?
1.5 Does jurisdiction have designated sites for
collection of different types of debris?
1.6 Does jurisdiction have debris estimating
capabilities (forecasting tools) in place?
1.7 Does jurisdiction have safety procedures
established for debris removal operators to
include personel protective gear for the type of
equipment in use as well as the debris being
handled?
1.7 Do any agreements/contracts exist for debris
removal equipment and operators?
1.8 Does jurisdiction have local capability for
inspection and subsquent disposal of
contaminated food supplies?

1.9 Does jurisdiction have the capability to
dondemn, demolish, and dispose of structures
that present a safety hazard to the public?
1.10 Additional Notes:



2.0 Debris Removal Capability                     Current Capacity (list
                                                  type/quantity)             Location       Owning Org        Remarks




2.1 Bulldozers




                                                      Debris Removal: Page 48 of 60
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2.2 Graders




2.3 Dump Trucks




2.4 Landfill sites




2.5 Hazard-waste sites




2.6 Honey Bucket Haul System
2.7 Additional Notes:




                               Debris Removal: Page 49 of 60
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                          > Facility and resource security                         > Public safety and security support
Public Safety and         > Security planning and technical resource assistance    > Support to access, traffic, and crowd control
                          > Target Capabilities List: Responder Safety, Emergency Public Safety, Explosive Device Response Operations
    Security              > Comprehensive Preparedness Guide 101: Functional Annex D: Population Warning; Functional Annex F:
                          Public Protection
1.0 General Questions                                  Yes NO N/A Remarks
1.1 Does jurisdiction have a plan for providing
security for the public and proterties on and
around an incident site? (SPR pg 63)
1.2 Does jurisdiction have a process established
to manage and relocate incarerated person
during a crisis response?
1.3 Additional Notes:



                                                 Current Capacity (list
2.0 Capabilities                                 type/quantity)            Location     Owning Org        Remarks




2.1 Police Station


2.2 Police Teams/Staff (list type of teams
and staff personnel)

2.3 Corrections Center/Jail (list type of
detention facility and how many people it
can hold)




2.4 Police Vehicles




2.5 DARE Team




2.6 K-9 Team




2.7 State Troops (List staff for jurisdiction)




                                                      Public Safety: Page 50 of 60
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2.8 State Troops Vehicles/ Equipment




2.9 Village Public Safety Officer (List staff)

2.10 Village Public Safety Officer Training
(list training capabilities the staff are
certified for)


2.11 Village Public Safety Officer Vehicles/
Equipment
2.12 Additional Notes:




                                                 Public Safety: Page 51 of 60
JURISDICTION:
POPULATION:
                           > Provides equipment, materials, supplies, and personnel to federal entities during response operations
     Search and            > Life-saving assistance            > Search and rescure operations
       Rescue              > Target Capabilities List: Search and Rescue (Land-Based)
                           > Comprehensive Preparedness Guide 101: Functional Annex G: Mass Care/Emergency Assistance
1.0 General Questions                             Yes NO N/A Remarks
1.1 Does the jurisdiction response plan address
Search and Rescue (water resources, equipment,
etc)
1.2 Does the response plan provide identified
location for staging Search and Rescue
resources? (urban rescue, water rescue, and
wide area rescue?)
1.3 Does the jurisdiction have an air search plan
in place?
1.4 Have individuals with special needs or high
priorities been identified?
1.5 Does plan address heavy rescue equipment?

1.6 Does plan address air assets?

1.7 Are air assets in place?

1.8 Do Mutual Aid agreements provide for Search
and Rescue resources?
1.9 Does the jurisdiction have a Community
Emergency Response Team (CERT) program in
place and able to support Search and Rescue
activities?
1.10 Additional Notes:



                                                Current Capacity (list
2.0 Capabilities                                type/quantity)              Location     Owning Org       Remarks




2.1 List all available aircraft, vehicles,
boats, etc
2.2 Additional Notes:




                                                   Search and Rescure: Page 52 of 60
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                          > Civilian Transportation/Military Transportation > Transportation Safety          > Movement Restrictions
       Air                > Aviation/airspace management and control            > Damage and impact assessment
                          > Target Capabilities List: Resource Logistics and Distribution, Citizen Evacuation/Shelter In-Place,
  Transportation          Medications Management and Distribution, Mass Care
                          > Comprehensive Preparedness Guide 101: Functional Annex F: Public Protection
1.0 General Questions                                 Yes NO N/A Remarks
1.1 Are Contracts/MOUs established for aircraft
to include pilots/crew?
1.2 Additional Notes:



                                                Current Capacity (list
2.0 Capabilities                                type/quantity)             Location      Owning Org       Remarks

2.1 Routine/ annual deliveries by air
transport--include what type goods,
commodities, supplies, etc


2.2 Air (list jurisdiction owned, contracted,
taxi service, etc)




2.3 Airport Airfield Facilities

2.4 Airport Parking Maximum On Ground
(list maximum number of each type
aircraft that can land and park)
2.5 Airport Working Maximum On Ground
(list how many aircraft for each type that
can be downloaded/uploaded
simultaneously?)
2.6 Airport Material Handling Equipment
(forklifts, K-Loaders, flat bed hand trucks,
high boy lifts, pallet jacks, hand dollies,
passenger stairs, etc)
2.7 Additional Notes:




                                                   Air Transportation: Page 53 of 60
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POPULATION:
                           > Civilian Transportation/Military Transportation    > Transportation Safety
      Water                > Movement Restrictions                               > Damage and impact assessment
                           > Target Capabilities List: Resource Logistics and Distribution, Citizen Evacuation/Shelter In-Place,
  Transportation           Medications Management and Distribution, Mass Care
                           > Comprehensive Preparedness Guide 101: Functional Annex F: Public Protection
1.0 General Questions                                   Yes NO N/A Remarks
1.1 Are Contracts/MOUs established for
watercraft to include captains/crew?
1.2 Additional Notes:



                                                 Current Capacity (list
2.0 Capabilities                                 type/quantity)                Location     Owning Org        Remarks


2.1 Water Transports (list jurisdiction
owned, contracted, taxi service, etc)




2.2 Waterport Facilities

2.3 Waterport docking Maximum boats,
barges, ships, ferries, etc (list type and
how many can dock simultaneously)

2.4 Waterport working Maximum boats
(list type and how many ships can be
downloaded/uploaded simultaneously)


2.5 Waterport Material Handling
Equipment (forklifts, loaders, cranes, etc)

2.6 Routine/ annual deliveries by water
transport--include what type goods,
commodities, supplies, etc
2.7 Additional Notes:




                                                   Water Transportation: Page 54 of 60
JURISDICTION:
POPULATION:
                        > Civilian Transportation/Military Transportation           > Transportation Safety
                        > Movement Restrictions                                      > Damage and impact assessment
     Ground             > Restoration/recovery of transportation infrastructure
  Transportation        > Target Capabilities List: Resource Logistics and Distribution, Citizen Evacuation/Shelter In-Place,
                        Medications Management and Distribution, Mass Care
                        > Comprehensive Preparedness Guide 101: Functional Annex F: Public Protection
1.0 General Questions                                Yes NO N/A Remarks
1.1 Contracts/MOUs for transportation vehicles
to include operators?
1.2 Does jurisdiction have a voluntary pre-
registration system?
1.3 Is there a communication plan/ reporting
structure in place?
1.4 Additional Notes:



                                              Current Capacity (list
2.0 Capabilities                              type/quantity)                Location      Owning Org        Remarks

2.1 School Buses




2.2 Transit Buses




2.3 Motor Coaches




2.4 Bridges




2.5 Critical Roads
2.6 Additional Notes:




                                               Ground Transportation: Page 55 of 60
JURISDICTION:
POPULATION:
                        > Civilian Transportation/Military Transportation          > Transportation Safety
                        > Movement Restrictions                                     > Damage and impact assessment
       Rail             > Restoration/recovery of transportation infrastructure
  Transportation        > Target Capabilities List: Resource Logistics and Distribution, Citizen Evacuation/Shelter In-Place,
                        Medications Management and Distribution, Mass Care
                        > Comprehensive Preparedness Guide 101: Functional Annex F: Public Protection
1.0 General Questions                            Yes NO N/A Remarks
1.1 Are Contracts/MOUs established for trains to
include operators/crew?
1.2 Additional Notes:



                                              Current Capacity (list
2.0 Capabilities                              type/quantity)                Location     Owning Org        Remarks




2.1 Railways (commuter trains)




2.2 Railway facilities for people and cargo


2.3 List how many trains can be
uploaded/downloaded simultaneously

2.4 Routine/ annual deliveries by rail
transport--include what type goods,
commodities, supplies, etc
2.5 Additional Notes:




                                                 Rail Transportation: Page 56 of 60
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                        > Manage evacuation operations to include transportation requests
    Evacuation          > Target Capabilities List: Citizen Evacuation and Shelter In-place
                        > Comprehensive Preparedness Guide 101: Functional Annex F: Public Protection
1.0 General Questions                                Yes NO N/A Remarks
1.1 Does jurisdiction have an Evacuation Plan or
Annex?
1.2 Has the Evacuation Plan been exercised?
(Indicate how often?)
1.3 Does jurisdiction have access to readily
available media instructions for the public to
support mass evacuation operations?
1.4 Is there a process in place for advanced early
evacuation?

1.5 Is there a process established to provide safe
evacuation/transportation assistance to
unaccompanied minors?
1.6 Does jurisdiction address methods used to
keep children and others with disabilites with
their caregivers, mobility devices, other durable
medical equipment and/or service animals during
an emergency?

1.7 Are there procedures in place for the care of
evacuee's household pets or service animals?

1.8 Is there resource support for household
pets/service animals that accompany evacuees
(food, water, sanitary requirements)
1.9 Are procedures in-place for actions to take
when general public refuses to evacuate? (SPR pg
88)
1.10 Does jurisdiction address transportation
needs for persons who do not have
transportation resources? (SPR pg 87)
1.11 Are written procedures in place for
identifying, screening and handling evacuees
exposed to hazards posed by the disaster to keep
modes of transportation free of contamination?
1.12 Does the jurisdiction's evacuation plan
include providing durable medical equipment to
support evacuee mobility requirements? (cane,
walker, wheelchair, etc)
1.13 Is citizen protection decision coordinated
with surrounding jurisdictions to support
evacuation routes, and activate reception
facilities and shelters? (SPR pg 90)


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1.14 What agency is responsible for coordinating
mass care and emergency assistance for
evacuees during the return trip and in the
affected area?
1.15 Additional Notes:




2.0 Evacuation Plan Specifics Include the
Following:                                           Yes NO N/A Remarks
2.1 General Population (not including self-
evacuees)

2.2 Tourists/Visitors

2.3 People with Functional Needs

2.4 Registered Sex Offenders

2.5 Inmates

2.6 Household Pets

2.7 People and their Service Animals

2.8 People checked into jurisdiction's hospital(s)

2.9 People living in Nursing Homes
2.10 Use of all ground transport modes:
(Indicate owned, private, contracted, etc)

2.10.1 School Bus

2.10.2 Motor Coach

2.10.3 Transit Bus
2.11 Contra Flow (road/lane reversal for
evacuations)
2.12 Contracts/MOUs for transportation vehicles
to include operators?
2.13 Additional Notes:




3.0 Tracking and Reporting                           Yes NO N/A Remarks



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3.1 Does jurisdiction have an evacuee tracking
system?
3.2 Is the jurisdiction aware of the National
Emergency Family Registry and Locator System
(NEFRLS)?

3.3 If yes, is there a plan to provide access to the
Internet and/or telephones to evacuees if NEFRLS
is activated?

3.4 Additional Notes:




4.0 Modes of Transportation Use                   Yes NO N/A Remarks
4.1 Does evacuation plan include: Use of all air
transportation modes: (Indicate owned, private,
contracted, etc)
4.2 Does Evacuation Plan include any serviceable
airport with regularly scheduled flights?
4.3 Are procedures included to manifest
evacuees onto air transportation?
4.4 Does evacuation plan include use of all water
transports? (Indicate owned, private, contracted,
etc)
4.5 Are procedures included to manifest
evacuees onto different water transports?
4.6 Does evacuation plan include use of rail
transports? (Indicate owned, private,
contracted, etc)
4.7 Does Evacuation Plan include any serviceable
Train/Rail stations with regularly scheduled stops
for people and cargo?
4.8 Are procedures included to manifest
evacuees onto trains?
4.9 Have Evacuation instructions/route maps
been distributed to public? (Indicate how
information is disseminated)
4.10 Are procedures included to manifest
evacuees onto ground transports?
4.11 Are procedures established for collecting,
consolidating, tracking, recording, monitoring,
and prioritizing evacuation transportation
requests from the public?




                                                       Evacuation: Page 59 of 60
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4.12 Additional Notes:




5.0 What functional needs care/
emergency assistance services is required Current Capacity (list
at:                                       type/quantity)            Location   Owning Org   Remarks




5.1 Embarkation (departure locations)




5.2 Debarkation (reception locations)




5.3 Reception Processing Sites
5.4 Additional Notes:




                                                  Evacuation: Page 60 of 60

				
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