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Do not include any sensitive information on this form or (if applicable) files uploaded to this form. Sensitive information includes, but is not limited to, social security numbers, driver’s license numbers, bank account information, routing numbers, medical information, passport numbers, or passwords.
This survey tracks items for consideration from either an actual event or exercise for the EOC.
Below, provide information about the event.
Was the event an exercise or actual event?
Provide the date/time span that this survey covers. If the event was a multiple day event, a "hotwash" should be completed at the end of each shift.
Provide the type of incident.
Provide a short summary of the event, focusing on the conditions that your agency was focused on for the time period this survey covers.
Provide your emergency operations function / annex
Provide the role you were in for this event.
Provide description for "Other"
Rate the below items in the EOP and the EOCs actions based upon the following scale:
1 = Element should have been performed or described in the plan, but was not.
2 = Element was performed as planned, but failed or produced a negative outcome.
3 = Element performed as planned, met standards, got the job done ok, but was cumbersome and not necessarily the best way to do it.
4 = Element is clear in plan and no changes are needed. We executed the actions and we did pretty well. We could improve by training, acquiring equipment, or otherwise get a little better.
5 = It's clear in the plan. We own it. We aren't perfect, but we are very confident we performed very well. We practice this a lot and performed as a best practice in this area.
N/A = Not applicable, or scenario did not allow demonstration, or it was performed by someone else and you did not observe or have direct knowledge of how well it was implemented.
Identify Items for improvement and provide them as action item statements in each area below. If you have general comments, there is also space provided for those (things we should know, but don't necessarily need us to look at changing something).
The EOP has sufficient detail necessary for me to identify what my agency and I need to do to respond to this type of emergency.
Identify areas for improvement - phrase as action items.
Sufficient training and practice prior to the event to prepared staff to effectively respond.
BCPSCC is notified of the event, identifies the event is major, and activated the EMHSD staff in a timely and clear manner.
Alert 100% of the assigned EOC staff, mobilize, and make the EOC operational within 45 minutes of decision to activate.
Identify areas for improvement - phrase items as action items.
Facilities and equipment are sufficient to support the operations of the EOC.
An exhaustion of local resources (actual or impending) was identified and a Local State of Emergency was declared in an appropriate time. The EOP was implemented properly. An extension of the State of Emergency was renewed in 7 days.
Key personnel with leadership roles for the EOC provided direction and control to that part of the overall response that they were responsible for.
Having a decision making role, my agency and I had the tools and information needed to make decisions in our area of responsibility to support the responders.
MICIMS, GIS displays, and verbal briefings, were sufficient to support information sharing and benefited situational awareness.
At least two systems are available and at least one worked to link the EOC, SEOC, ICP, JIC, and other support facilities, if activated.
The emergency is well documented, messages were not lost, messages were delivered in a timely manner, action requests or resource requests were not missed or neglected.
Emergency Worker safety controls were in place for this event (safety briefings, protective equipment, or other controls).
Immediate hazards to the general public were identified in an appropriate amount of time and appropriate actions were made to protect the public from exposure to the identified hazards.
Hazards to particularly vulnerable populations were identified in an appropriate amount of time and appropriate actions were taken to protect the public from exposure to the identified hazards.
Traffic and Access Control to the affected area was implemented in a timely manner and accurate instructions was given to the staff setting up or manning points. Evacuation routes were maintained free of impediments and were clearly established and communicated to the public.
Consequences for long term exposure to, or the potential ingestion of, hazardous substances are identified and protective actions are taken to protect from chronic exposure.
Throughout the event, assessment of the impacts caused by the event were completed and reported clearly. Within 72 hours, an initial damage assessment was completed and submitted to the State of Michigan.
NOTE - Impact Assessments include: Numbers of people requiring evacuation, number of people with access and functional needs requiring evacuation, number of miles of road affected, number of businesses closed, number of hazmat sites near the incident that were or could become impacted, number of fatalities/injured, number of structure fires, number of affected healthcare facilities and social service organizations, number of people requiring long term housing, number of customers without water or wastewater services, number of customers without long term communications service, number without power, number requiring shelter, number of people who need food and water, number of animals needing shelter, number of people needing rescue, number of damaged natural or cultural resources or historic properties, number of people affected overall, number affected with limited English proficiency, number of jurisdictions affected, number of partner agencies involved or needed.
The alert and notification system (sirens, IPAWS, EAS, BWARN!) was completed in a timely manner and the message was clear.
Accurate, clear emergency information and instructions were given to the public and media through wide distribution and news updates in a timely and appropriate manner.
A Reception Center, FAC, or MARC, was activated in a timely manner and had adequate space, adequate resources, and trained personnel to operate. If decontamination is necessary, it was done in a way to prevent the spread of contamination beyond and throughout the facility. Service agencies coordinated in an appropriate manner.
An Emergency Worker ICP, Staging, or Decontamination Center was activated in a timely manner and had adequate resources to operate. If decontamination was necessary, it was completed in an appropriate manner.
A JIC or other designated space was activated in a timely manner and had adequate accommodations for workers and the media.
Shelters were activated in an appropriate amount of time and had adequate space and accommodations for the sheltered population. Public health countermeasures were taken into consideration when necessary.
Hospitals and other urgent medical facilities were prepared to receive a surge of patients or potentially contaminated patients. If the facility required to be evacuated, then appropriate coordination was demonstrated.
Facilities were identified and acquired in a timely manner. Appropriate numbers of trained staff operated the facility. The facility had adequate space and resources to operate.
While an area was evacuated or restricted, effective plans were in place to either deny entry completely or allow orderly temporary reentry of the public into the affected area for appropriate reasons (such as to gather essential items).
An assessment of the evacuated area is made in after an appropriate amount of time and if it is identified additional people need to be relocated due to long term exposures to hazards, they are moved out of the area.
Restoration of critical services to the public are restored in a timely manner.
The public is allowed unrestricted return to the area and public messaging supports the lifting of emergency restrictions.
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