Business Continuity Management Plan Page 23

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Appendix B
Impact Assessment Form
Completed By
Incident
Date
Time
Question
Logged Response
How were you made aware of
the incident?
What is the nature of the
incident?
(e.g. type, location & severity)
Are there any staff or pupil
casualties or fatalities?
(Complete casualty / fatality
sheets if needed)
Have the Emergency Services
been called?
Is the incident currently
affecting School activities?
If so, which areas?
What is the estimated duration
of the incident?
What is the actual or
Over 50%
threatened loss of workforce?
20 – 50%
1 – 20%
Has access to the whole site
been denied? If so, for how
long?
(provide estimate if not known)
Which work areas have been
destroyed, damaged or made
unusable?
Is there evidence of structural
damage?
Which work areas are
inaccessible but intact?

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