After-Action Report Short Form - Emergency Response Assessment

ADVERTISEMENT

Final 4/20/09
NATIONAL ARCHIVES AND RECORDS ADMINISTRATION
PRESERVATION PROGRAMS
AFTER ACTION REPORT SHORT FORM
Emergency Response Assessment
For Incidents Handled by In house Staff Only
Directions: This short form is for small incidents that do not involve outside emergency
response contractors. Expand the form below as needed. For large incidents that require
obtaining these services, use After Action Report long form.
Unless otherwise designated, the staff persons (records custodian, curator, emergency
beeper team member) who respond first to a records emergency in person or over the
phone will write a report. Name the file After Action Report Short form [facility short
name] [YYYYMONTHDD], for example, After Action Report short form AI 2009Feb20.
Submit the completed report to the head of the emergency response team and the
appropriate administrator or director as applicable, and submit and retain the file
following the emergency response procedures for your facility.
1. Date of incident________ Facility_________ Stack or affected locations__________
Nature of incident? water___fire___natural disaster___mold___insects/rodents___
Other?_______________________________________________________
What factors caused and/or contributed to the emergency event?___________
Summarize outcome of event: no damage_____
Damage: wet boxes__wet records__ media bled__photos blocked__ paper blocked__
moldy records__Other?__________________________________________________
Cubic feet or quantity of records damaged or affected?___________
2. Who discovered emergency? _______________
Who notified you? _____________ How: beeper, phone, in person, other? ______
Date and time event discovered?__________ Time elapsed till notified?__________
Did you receive accurate, complete and timely information? Y/N
3. Who responded from the facilities staff?
Were facilities staff and facilities contractors effectively/ appropriately deployed? Y/N
Actions taken: e.g. shut off water__ power__elevators__ wet vacuum water, plastic
sheeting brought to affected area, plastic draped over affected areas, clogged drains
opened___floor drains opened___other?__________________________________
4. When did records recovery efforts begin?___________
Were records relocated?Y/N_________ If so, where?____________________
Were emergency response team members such as archival or curatorial staff involved?
Y/N

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2