EMERGENCY GENERAL ASSESSMENT CHECKLIST
Report Date and Time:____________________ Completed by:_________________________
Country and Type of Disaster:____________________________________________________
(Submitted within first 24 hours)
GENERAL PRELIMINARY DATA
REGIONS/ Locations, Names, Size, Approx. Number of People Affected
SECURITY Continuing or emerging threats (i.e. natural/human); political instability; Source
SITUATION: acceptance by host communities? Which areas are sensitive and why?
(For population, for What is the external security network (agencies, embassies, authorities)?
RESPONSE National/Local Authorities; ONS; PNS; Federation or ICRC; Local or Source
ACTIONS National NGOs; USG and/or other governments (US Embassy, OFDA,
TAKEN/ UN etc.)
DONOR Interested Embassies, Donor teams (DART,DFID, etc), Source
INTEREST/ Sector preferences of donors (housing, health, etc.)
IMMEDIATE Affected Population/ONS: Relief supplies (blankets, cooking sets, tarps) Source
NEEDS: water, sanitation, food, shelter, psychosocial, medical (supplies,
equipment, facilities) cash, family reunification.
IRT: Cash, personnel (local drivers, translators, admin etc. and ex-pat
finance, logistics, relief, wat/san, telecomm etc.), equipment (computers,
telecomm, admin etc.)
CONSIGNEE Name and formal recipient of incoming goods, delivery address and all Source
INFORMATION Point of Contact details, and Point of Notification information.