Residential Care Emergency Response Plan Template February 2013

[Insert Facility Name & Logo]
Emergency Response Plan

[Address]
[Created on]
[Facility Name & Logo]
FORWARD
The following is intended as an emergency preparedness resource to lead a residential care
facility planning team through a process of developing a comprehensive program. This
template, provided in word format, is intended to be a skeleton template for drafting a residential
facility emergency plan. If you have an existing plan, elements of the template can be used to
supplement that document.
[Instructions and locations where your facility information should be inserted] within the plan are
illustrated by brackets and italicized text and should be deleted after completion.
mmm/dd/yr age ! of "!
#ersion $
TABLE OF CONTENTS
INTRODUCTION......................................................................................................................... 5
urpose % &cope..................................................................................................................... '
(b)ectives................................................................................................................................ '
*uthority and +egislative ,e-uirements....................................................................................
/istribution % *mendments...................................................................................................... "
SITE DESCRIPTION...................................................................................................................
0acility +ocation....................................................................................................................... 1
0acility 2onstruction................................................................................................................. 1
0acility ,esidents..................................................................................................................... 1
0acility 3tilities......................................................................................................................... 4
0acility &ervices..................................................................................................................... $5
0loor lan............................................................................................................................... $!
E!ER"ENC# PREPAREDNESS............................................................................................. $%
6itigation................................................................................................................................ $7
8a9ard ,isk #ulnerability *nalysis......................................................................................... $7
&ite 8a9ard *ssessment........................................................................................................ $'
2ommunications.................................................................................................................... $"
(rgani9e and :-uip............................................................................................................... !$
0ood % ;ater......................................................................................................................... !$
RESPONSE PROCEDURES..................................................................................................... &%
:mergency 2olour 2odes...................................................................................................... !<
=eneral ,esponse rocedures.............................................................................................. !<
2ode ;hite > *ggression....................................................................................................... !7
2ode ?lack > ?omb Threat.................................................................................................... !.
2ode ?lue > 2ardiac *rrest or 6edical :mergency...............................................................!1
2ode (range > /isaster > 6ass 2asualty.............................................................................!4
2ode =reen > :vacuation...................................................................................................... <$
2ode ,ed > 0ire..................................................................................................................... <<
2ode ?rown > 8a9ardous 6aterials &pill...............................................................................<7
2ode @ellow > 6issing atient............................................................................................... <'
2ode =rey > 3tility (utage.................................................................................................... <"
:lectricity % =as................................................................................................................. <"
=as +eak........................................................................................................................... <"
ower (utage.................................................................................................................... <1
;ater % &ewer +ines (utage............................................................................................. <1
&anitation........................................................................................................................... <1
2ontrolled *ccess.................................................................................................................. <4
:arth-uake............................................................................................................................. 75
mmm/dd/yr age < of "!
#ersion $
,elocation % ,eception.......................................................................................................... 7$
0acility Transfer *greement............................................................................................... 7<
&helter in lace...................................................................................................................... 7'
RECO'ER#............................................................................................................................... ()
APPENDI* A............................................................................................................................. (
ROLES + RESPONSIBILITIES................................................................................................. (
RESPONSE OR"ANI,ATION................................................................................................... 5-
+evels of ,esponse % 2oordination....................................................................................... '5
&ite ,esponse........................................................................................................................ '$
Incident 2ommand &ystem.................................................................................................... '$
?asic rinciples of I2&........................................................................................................... '!
?2:,6& ,esponse =oals Apriority orderB.............................................................................'!
Incident 2ommand................................................................................................................. '7
Incident 2ommand ost......................................................................................................... '.
Incident 2ommand 0orms...................................................................................................... '"
&ite &upport........................................................................................................................... '"
APPENDI* B............................................................................................................................. )&
TRAININ" AND E*ERCISE...................................................................................................... )&
:arth-uake &cenario.............................................................................................................. .'
2hemical &pill &cenario......................................................................................................... ..
;indstorm &cenario............................................................................................................... ."
;ater 6ain ,upture............................................................................................................... .1
RESOURCES............................................................................................................................ ).
mmm/dd/yr age 7 of "!
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INTRODUCTION
The preparation and maintenance of an :mergency lan and program is a re-uirement of the
?2 ,esidential 2are ,egulation and [insert other applicable legislation !ro"incial #mergency
!rogram Act and the $C %ealth Act]. The [facility name] :mergency ,esponse lan is
designed to address these regulatory re-uirements and to ultimately ensure a safe and effective
response to emergencies.
The [facility name] :mergency ,esponse lan is a siteCspecific, allCha9ards disaster response
plan which provides overarching principles and operational guidelines used to coordinate an
effective response to all types of emergencies that may affect staff, residents and facilities. It is
intended to address all emergencies that are not normally managed by staff, re-uiring the
coordinated effort and resources of multiple departments, agencies and organi9ations.
P/rpose + Scope
The purpose and scope of the :mergency lan is to ensure that your facilityD
6aintains a continuous state of readiness to manage a disaster response
6inimi9es the actual or potential danger to individuals, resident, staff, volunteers, or
visitors
:nsures the continuity of operations to the highest degree possible
O01ec234es
To this end, the ob)ectives of this :mergency ,esponse lan are toD
provide direction and outline processes for the management of personnel, e-uipment,
facilities and resources during an emergency
minimi9e the impacts of an emergency by maintaining a standard of operational
readiness, awareness and preparedness
ensure, as much as possible, the well being of patients, residents, staff and all others on
site in the event of an emergency or disaster
provide a basis on which training and exercises relating to emergency management may
be developed
mmm/dd/yr age ' of "!
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A/25or32y an6 Leg3sla234e Re7/3remen2s
The [facility name] :mergency ,esponse lan has been prepared to address the following
regulatory and legislative re-uirementsD
[List all that apply to your facility]
Pro43nc3al + Reg3onal
?2 :mergency rogram *ct
8ealth *uthorities *ct
?2 :mergency rogram 6anagement ,egulation
?2 ,esidential 2are ,egulation
In6/s2ry S2an6ar6s an6 Corpora2e Pol3c3es
*ccreditation 2anada &tandards
mmm/dd/yr age . of "!
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D3s2r30/23on + Amen6men2s
The distribution of and amendments to the plan will be maintained and approved by [staff
position or department].
D3s2r30/23on L3s2
N/m0er Organ38a23on 9 Depar2men2 T32le Da2e
Amen6men2 Recor6
N/m0er
Page:s; o< Sec23ons Amen6e6 or
A66e6
Amen6e6 0y Da2e
mmm/dd/yr age " of "!
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SITE DESCRIPTION
The following site description identifies the physical location and construction of the facility,
layout of operations and key utilities and services that support the facility.
Fac3l32y Loca23on
S32e Loca23on
&treet *ddress
+egal /escription
=& 2oordinates
=eneral /irections
Fac3l32y Cons2r/c23on
S32e Descr3p23on
Eumber of floors
/ate of initial
construction
?uilding materials of
initial construction
+ist of additionAsB to
facility
/ateAsB of additionAsB
to facility
?uilding materialAsB
used for additionAsB
Fac3l32y Res36en2s
Pa23en2 Care Le4els o< care pro436e6= N/m0er o< 0e6s=
&ervices on floor $
&ervices on floor !
&ervices on floor <
&ervices on floor 7
&ervices on floor '
#ersion $
Fac3l32y U23l323es
U23l32y Descr3p23on
Eatural gas
#alve locationAsBF
3sesD
rovider/&ite +eadD
ropane
+ocationAsBD
3sesD
rovider/&ite +eadD
:lectrical
2apacityD
+ocation of disconnectD
rovider/&ite +eadD
;ater
&ourceD
&hutCoff valvesD
rovider/&ite +eadD
*lternative water source
&ourceD
*ccessD
rovider/&ite +eadD
6edical gases
TypeAsB / volumeAsBD
+ocationAsBD
3sesD
rovider/&ite +eadD
?ackCup generatorAsB
TypesAsBD
+ocationsAsBD
*reaAsB poweredD
0uel stores
TypeAsB / volumeAsBD
+ocationAsBD
rovider/&ite +eadD
?oiler
TypeD
+ocationD
rovider/&ite +eadD
*ir conditioning unit
TypeD
+ocationD
rovider/&ite +eadD
6echanical roomAsB +ocationD
:levatorAsB
+ocationAsBD
Type / capacityD
rovider/&ite +eadD
#ersion $
Fac3l32y Ser43ces
Ser43ce Descr3p23on
IT systems
InternetD
atient recordsD
rovider/&ite +eadD
hone system
+ocationD
TypeD
rovider/&ite +eadD
&hipping/receiving
+ocationD
/escriptionD
rovider/&ite +eadD
0ood services
+ocations of
/ining areasD
GitchenD
0ood &torageD
,efrigerationD
rovider/&ite +eadD
+aundry
+ocationD
:-uipmentD
rovider/&ite +eadD
+aboratory
+ocationD
rovider limitations
rovider/&ite +eadD
harmacy
+ocationD
rovider limitations
rovider/&ite +eadD
&terile processing
+ocationD
rovider limitationsD
rovider/&ite +eadD
8ousekeeping > chemical
storage
+ocationAsBD
/etailsD
rovider/&ite +eadD
atient transportation
(n siteD
:xternal resourcesD
*lternative service providersD
mmm/dd/yr age $5 of "!
#ersion $
Fac3l32y Emergency S/ppl3es
Floor Ca03ne2 N/m0er an69or Loca23on Access= >ey Loca23on
$.
&.
%.
mmm/dd/yr age $$ of "!
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Floor Plan
*ttach floor plans for each of the building/floors your site occupies here.
mmm/dd/yr age $! of "!
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E!ER"ENC# PREPAREDNESS
This section provides preparedness and mitigation strategies, includingD
8a9ard ,isk #ulnerability *nalysis
&ite 8a9ard *ssessment
2ommunications
:mergency reparedness &upplies
mmm/dd/yr age $< of "!
#ersion $
!323ga23on
6itigation is a key component of your emergency management program. reventing or
lessening the impact of emergencies and disasters starts with knowing what ha9ards are likely
to impact your community and understanding how they can impact your uni-ue situation.
?a8ar6 R3s@ '/lnera03l32y Analys3s
* 8a9ard ,isk #ulnerability *nalysis A8,#*B will enable you to identify and prioriti9e all potential
risks to your facility, staff and residents. &tart your 8,#* by consulting with your municipal
emergency planner to identify the most likely ha9ards that will impact your community and the
most common outcomes or conse-uences of that ha9ard. (nce your local ha9ards are
identified, consider how they may impact your facility, operations and staff and include this
information in your emergency plan using the 8,#* tool.
?a8ar6 Conse7/ences '/lnera03l323es Reso/rces
"/36el3nes
Identify the most
likely ha9ards to
impact your
community and any
uni-ue or specific
threats to your facility
given your immediate
environmentD
2ommunicable
disease outbreak
2riminal > bomb
threats, hostage,
shooting
:arth-uake
:xtreme
cold/heat
0ire
0looding
8a9ardous
6aterial event
Interface forest
fire
+andslide
&evere ;eather
events
2onsider the
potential
conse-uences of
each ha9ardD
/amage to
critical
infrastructureH >
:nergy % 3tilities,
0inance, 8ealth
&ervices,
Information %
2ommunications
Technology,
0ood, ;ater,
&afety,
=overnment
&ervices,
6anufacturing %
+ogistics
/amage to
critical facilities
In)uries %
fatalities
Threat to public
health
?usiness
/isruption
2onsider the impact
the ha9ards and
associated
conse-uences will
have on yourD
0acility
0amilies
Immediate
environment
,esidents
(perations
&taff
+ist the mitigation
and preparedness
strategies and
resources in place to
prevent or manage
the response to these
ha9ards, such asD
6itigation
strategies to
remove or reduce
ha9ard
:mergency lan
% applicable
response
procedures
,elated
education,
training %
exercises
,esources %
supplies
2ontingency
plans
:xternal
resources
#ersion $
3tility outages
mmm/dd/yr age $' of "!
#ersion $
S32e ?a8ar6 Assessmen2
2onduct a site ha9ard assessment utili9ing the expertise of your facilities maintenance
personnel, property management and other key stakeholders. /etermine what risks exist at
your facility and prioriti9e those risks that pose an immediate or significant threat to people, your
facility and assets, and determine strategies to mitigate.
&tructural and external ha9ards to consider in context of earth-uakes and other ha9ards
includeD
:nsure home is bolted to the foundation
8ot water tanks are bolted to studs in the wall or floor
?race lighting systems and gas appliances wherever possible
2onsider installing flexible metal connectors to connect appliances to rigid piping
Geep drainage systems clear of leaves, snow and other sources of blockage
*dditional information on ha9ard specific mitigation is available on the :mergency 6anagement
?2 ;ebsite at httpD//embc.gov.bc.ca/em/index.html.
mmm/dd/yr age $. of "!
#ersion $
Templa2e= S32e ?a8ar6 Assessmen2
NonAS2r/c2/ral ?a8ar6s
B2y Pr3or32yC Anc5or
$
Re<32
&
Reloca2e
%
Remo4e Be ADare
?eds near windows
8eavy ob)ects on high
shelves
3nsecured bookcases
3nsecured shelving
0reestanding cabinets
3nsecured light
fixtures
8anging mirrors/picture
frames
3nsecured
televisions/computers
3nsecured e-uipment
on wheels
2upboard doors
S2r/c2/ral ?a8ar6s
:ntrance/exits
partially blocked
;indows/glass
+ighting system
0ireplace
8ot water tank
=as appliances
:xternal power lines
8igh trees
6asonry chimney
/rainage systems
Da2e o<
Assessmen2=
Comple2e6 0y=
C Pr3or323es
*. Imme63a2e= *ltered *&*/no expense
$
Anc5or= &ecure, fasten
?. S5or2 Term= *ltered during term/little expense
!
Re<32= *dd or change for safe
2. Long Term= *ddition to budget
<
Reloca2e= 6ove to safer spot
D. No Ac23on= ?e advised of ha9ard
mmm/dd/yr age $" of "!
#ersion $
Comm/n3ca23ons
To ensure alternative modes of communications are deployable should one system fail during
an emergency, the following e-uipment or communication systems can be usedD
[list the alternati"e modes of communications a"ailable & can include telephone lines
'include analog phones in case of power outage( mobile both personal and facility
issued( radio 'handheld( am)fm and amateur*( pager( electronic & email( intranet and
internet sites( public announcement)broadcast systems]
Comm/n3ca23ons D3rec2ory
The communications directory ATable $B identifies the location of communications e-uipment
and provides the contact information of key staff, agencies and vendors. The directory is
updated [enter fre+uency & e,g, e"ery - months] by [enter staff position or department
responsible].
S2a<< D3rec2ory an6 Call Bac@
The staff directory ATable !B holds staff contact information based on their distance from and
travel time to work. /epending on the emergency and condition of ma)or transportation routes,
contact staff in closest proximity to your facility first. &taff availability and estimated time of
arrival can be tracked using Table < both during actual emergencies and during call back drills
to test your procedures and contact information. &taff /irectories should be updated twice a
year and tested annually.
#ersion $
Ta0le $ E Emergency Comm/n3ca23ons D3rec2ory
In2ernal
&atellite hones
8andheld ,adios
*mateur ,adio
P5one Cell P5one Pager Ema3l FaF
Incident 2ommand ost
EF2ernal
Agency P5one Cell P5one Pager Ema3l FaF
0ire, olice *mbulance 4$$
roperty 6anagement
,elocation &ite I$
,elocation &ite I!
+icensing +ocal (ffice
0ortis?2 $.155...<.44$$
?2 8ydro $.111.(;:,(E
Insurance 2ompany
olicy
Transportation roviders
#endors/2ontractors
,estoration 2ompanies
Up6a2e6 0y= Da2e=
mm/dd/yr age $4 of "!
#ersion $
Ta0le & E Emergency S2a<< D3rec2ory
Name ?ome P5one ?ome Ema3l Pager Cell FaF N/m0er
W3253n $5 !3n/2es
W3253n %- !3n/2es
O4er %- !3n/2es
Up6a2e6 0y= Da2e=
mm/dd/yr age !5 of "!
#ersion $
Ta0le % E S2a<< call Bac@ Recor6 S5ee2
Inc36en2= Da2e=
Recor6er= S3gna2/re
Fac3l32y Re2/rn <orm 2o=
Name T3me
Con2ac2
Ayes/noB
!essage Le<2
Ayes/noB
A4a3la0le
Ayes/noB
Es23ma2e6
T3me o<
Arr34al
mm/dd/yr age !$ of "!
#ersion $
Organ38e an6 E7/3p
In a ma)or emergency or disaster you may be on your own for a minimum of "! hours without
outside resources, electricity or the use of other utilities. To minimi9e these impacts and to
support staff in carrying out the response roles, each facility should store enough supplies to
sustain all staff and residents for a minimum of three days.
The list below contains suggested suppliesF supplies to meet the extra support needs of
residents should also be considered.
Emergency S/ppl3es
*6/06 radio % batteriesH 0ood % water
0lashlight % batteries aper cups % plates
+ight sticks 6anual can opener
?lankets 6edication
/ust masks /iapers % wipes
&afety =loves &anitation supplies
2rowbar Toilet paper
8ard hat ortable or *lternate Toilet
/uct Tape aper, pencils % indelible markers
lastic sheeting % tarps 0acility keys
=as wrench &ignage
*d)ustable wrench 2opy :mergency lan
&hovel ,esident medical records
*lternative lighting /isaster 0irst *id Git
8ydrated lime
2ommunication /irectories Akey contact
information for staff, volunteers and
external agencies
;ater purification tablets
=arbage bags
./o a"oid corrosion store batteries separately
Foo6 + Wa2er
0acilities should store a <Cday A"! hoursB supply of food and water. 2hoose nonCperishable
food that residents will en)oy, meets their nutritional needs Alow in sugar and saltB, meets
restricted diets, or other special needs and re-uires little or no preparation. 0or adults the
recommended -uantity of water is 7 litres per day including enough water for sanitation and
cooking. ublic &afety 2anada recommends ! litres per day is re-uired as drinking water.
0or more information regarding emergency food and water supply, please refer to the 6eals and
6ore or *udit and 6ore manuals available on the #ancouver 2oastal 8ealth > 0acility +icensing
website atD httpD//www.vch.ca/yourJenvironment/facilityJlicensing/residentialJcare/resources/.
mm/dd/yr age !! of "!
#ersion $
Ta0le ( E Emergency S/ppl3es In4en2ory + !a3n2enance Form
Loca23on=
"eneral S/ppl3es=
B2y I2em Inspec2e6 Commen2
Da2e
Replace6
Da2e o< Inspec23on= Inspec2e6 0y=
Da2e Replacemen2s Comple2e= Replace6 0y=
mm/dd/yr age !< of "!
#ersion $
RESPONSE PROCEDURES
Emergency Colo/r Co6es
:mergency colour codes are used in hospitals and other health care centres worldwide to
denote to staff various kinds of emergency situations. The use of codes is intended to
convey essential information -uickly and with minimal misunderstanding to appropriate
personnel. They enable a concise means of ensuring all personnel receive a common
messageF signaling the need for an urgent response without unnecessarily alerting or alarming
patients, residents or visitors.

In !5$$, the ?2 6inistry of 8ealth A6o8B issued a policy that standardi9es these colour codes in
acute care facilities across ?ritish 2olumbia. The intent of this policy is to ensure consistency in
colour codes used across the province. This need for standardi9ed codes is underscored by the
mobility of the health care workforce.

,esidential care facilities are not re-uired to develop codes that conform to this
standardi9ation. 8owever, it is strongly encouraged that sites align any codes they develop or
have developed to the policy issued by the 6o8. /oing so will help speed up response and
allow for a broader understanding by health care workers visiting from other facilities.
"eneral Response Proce6/res
This section provides general planning considerations and response procedures with regards to
emergency colour codes as outlined in the 6o8 policy. ?elow is a list of the templates provided
in the following pages. These templates correspond to the most common ha9ards that sites
should develop codes and procedures for. Templates will need to be customi9ed for your
facilities. EoteD &ites are not re-uired to adopt and develop all the codes listed below and in the
6o8 policy. &ites should only develop codes that are relevant to them.
*ggression > 2ode ;hite
?omb Threat > 2ode ?lack
2ardiac *rrest > 2ode ?lue
/isaster C 6ass 2asualties > 2ode (range
:vacuation > 2ode =reen
0ire > 2ode ,ed
8a9ardous 6aterial &pill > 2ode ?rown
6issing atient > 2ode @ellow
3tility 0ailures > ower, ;ater, =as, &anitation > 2ode =rey
2ontrolled *ccess
:arth-uake
,eception % ,elocation
&helter In lace
In the event of an incident, consider contacting you local municipal contact and/or you local
health authority.
#ersion $
Co6e W532e E Aggress3on
De<3n323on + O4er43eD
*ggression is the emergency response to a situation whereD
There is an encounter with a violent or aggressively behaving personAsB
* threatening situation
* situation that has the potential to escalate into a violent situation
Response C5ec@l3s2=
0irst person responding to the sceneD
*ssess the situation and report to the 2harge Eurse / ,22/ 6anager
8ow many personsK
#erbal/hysicalK
;eapons involvedK
(ther staff/clients at riskK
:nsure the safety of staff and visitors by assisting in their removal to a position of safety.
2harge Eurse does an overhead announcement C L2ode ;hite and locationM Arepeat <xB.
*ll staff acknowledges 2ode ;hite and go to area.
2harge Eurse ensure 4$$ A/ial 4$$B is notified as necessary.
lease noteD police will re-uire certain information when a re-uest for their assistance is
made. &taff making the call should not tell the police it is a L2ode ;hiteM as this does not
ade-uately describe the situation to the police. &taff should be prepared to answer
-uestions such asD
;hat is the nature of the incidentK Ae.g. person out of control, person with a
knife, etc.B
;here exactly is the incident occurringK
;hat exactly is the person doingK
/oes the person have a weaponK /escribe what it isK ;hat is the person doing
with the weaponK
8as anyone been in)uredK
8ow many people besides the person are in the roomK 2an they safely leaveK
/escribe the person Aname if known, race ,sex, age, height, weight, color/style of
hairB
If the person leaves, what is the direction of travelK 8ow long ago did the person
leaveK
;ho is the witness/contact person and where is he/sheK Apolice will want to talk
to someone as soon as possible when they arriveB
;hen police arrive at the scene, they assume control of the situation directing staff and
others as necessary.
2harge nurse will instruct other staff to perform actions, including but not limited toD
,emove any ob)ects in vicinity that can be thrown or used as weapons.
*llow acting out resident / visitor space and time to calm down independently.
mm/dd/yr age !' of "!
#ersion $
+ower external stimuli Alower T# volume, overhead pages, etc.B/etermine when it
is safe to give Lall clear/stand downM to 2ode ;hite response.
2oordinate postCevent debrief.
2omplete the appropriate from for your (8%&
A<2er Inc36en2 C5ec@l3s2=
:nsure any in)ured staff or residents receive the appropriate first air or medical attention.
The residentNs family physician should be notified.
mm/dd/yr age !. of "!
#ersion $
Co6e Blac@ E Bom0 T5rea2
?omb threats can be received by telephone, note, or by suspicious package. =enerally, bomb
threats are made to create anxiety, panic and to disrupt operationsF however, all threats should
be taken seriously.
Plann3ng Cons36era23ons
:nsure all staff are aware of their role in a bomb threat situation
,eception and frontline staff should always have immediate access to bomb threat
procedures and forms
Response "/36el3nes
*ssigned to/+eadD
?omb threat by telephone
+isten carefully, be calm and courteous. /( E(T interrupt the caller
Geep the caller on the line as long as possible. /( E(T put the caller on hold or
ask to wait
8and a coCworker a note asking that they call 4$$ immediately and notify
appropriate staff > security, resident manager/director/administrator on call of the
situation
/o not use radios unless cleared by ,26 Acould accidentally detonate the
deviceB
,ecord specific details and characteristics of the call on the /etail &heet Template
If caller hangs up phone, keep your receiver off the hook to allow tracing of the
call
;ritten or suspicious package
/o not touch the package or put down the letter
2all 4$$ immediately
Eotify appropriate staff > security, resident manager/director/administrator on call
*ll staff upon notification of bomb threat or seeing suspicious package
&ecure area and do a visual check for suspicious packages % persons
2onduct a systematic search of area looking for unusual and unidentified ob)ects
> do not touch or remove anything
6ark rooms that have been searched
,estrict movement of people until further instructions are provided. /o not
evacuate.
,estrict access to facility
If you see a suspicious package or ob)ect, /( E(T T(328 IT. 2all 4$$
immediately
0ollow instructions provided by ,26
mm/dd/yr age !" of "!
#ersion $
Bom0 T5rea2 De2a3l Form E Bom0 T5rea2 0y P5one
P5one N/m0er
A2heck call displayB
Da2e + T3me o< Call
W5en 3s 25e 0om0 go3ng
o<<G
W5ere 3s 25e 0om0G
W5a2 @3n6 o< 0om0 3s 32G
W5a2 6oes 32 loo@ l3@eG
W5y 636 yo/ place 25e
0om0G
W5o an6 D5ere are yo/G
D3s23ng/3s53ng 'o3ce C5arac2er3s23cs=
O 6ale O 0emale
Accen2
Age
Tone
Bac@gro/n6 No3se
O25er In<orma23on
Ac23ons Ta@en=
Comple2e6 0y=
Depar2men2=
Loca23on=
O25er De2a3ls=
#ersion $
Co6e Bl/e E Car63ac Arres2 or !e63cal Emergency
De<3n323on an6 o4er43eD
2ardiac *rrest or 6edical :mergency is the emergency response for someone in cardiac arrest.
In nonCacute facilities, the 2ode ?lue lan can be utili9ed for all emergency firstCaid events.
Response C5ec@l3s2
0irst ,esponder Afirst person responding to the sceneBD
*ssess the situation and identify 2ode ?lue or need for 0irstC*id.
&hout for help.
*dminister 0irstC*id if trained / able to do so.
2all reception to report 2ode ?lue or need for 0irst *id ,esponse.
=ive +ocation, *rea, Eame, ,oom Eumber.
,eception to call 4$$ for *mbulance transport if re-uired.
,eport to the building 0irst *id ,oom located at Ainsert location of roomB.
&econd ,esponder A,eception or 0irst *id *ttendantBD
,eception will contact 0irst *id *ttendant or L4$$M as specified by the 0irst ,esponder.
0irst *id *ttendant will attend to patient and contact L4$$M if needed.
&tay with patient until help arrives
*pply 0irst *id.
2ommence 2, if trained and if deemed necessary.
#ersion $
Co6e Orange E D3sas2er E !ass Cas/al2y
/isaster > 6ass 2asualty is the emergency response to a large scale event where demand for
service at a site exceeds capacity and support is needed.
Response C5ec@l3s2 <or !anager9Des3gna2e 3< a<2er 5o/rs=
erson inCcharge Ausually a 6anager//esignate if after hoursB to communicate with
*dmin on 2all and explain situation.
erson inCcharge contact services Ae.g. 8ome &upportB to advise them of situation,
prepare for response and to expect increased referrals that will re-uire immediate
attention.
If re-uired, person inCcharge will assign additional staff to acute care/community
health/public health/mental health.
erson inCcharge obtains staff :mergency / /isaster callCback lists.
If re-uired, person inCcharge arranges for callback of offCduty staff to assist at acute care
facility.
erson inCcharge designated community health/public health/mental health staff to
attend acute care facility to expedite assessments and discharges.
erson inCcharge to arrange for regular updates from acute care and to attend :(2 or
2ommand ost representing their program or department as re-uested.
&taff may be re-uired to report to a preCdesignated area and wait for further instructions
A+abour ool or #olunteer ositionsB.
erson inCcharge contact impacted services to advise them of normal operations once
all clear/standCdown has been given.
Response C5ec@l3s2 <or s2a<<=
OnAD/2y S2a<< A Upon 5ear3ng HCODE ORAN"E ACTI'ATION LE'ELI Repea2e6 % 23mes=
*ll staff return to work area.
&taff not designated, remain at your workstation and resume regular duties.
2onsult your 6anager for updates and wait for further instructions.
If additional &taff are re-uiredD
:mergency 2allC?ack +ists will be operationali9ed.
&taff with specific skill sets may be PloanedN from other departments, units, or
programs
* #olunteer ool will be coordinated.
;hen 2ode (range is over, there will be an overhead page L2(/: (,*E=: &T*E/
/(;EM 0epeated % 23mes.
O<<AD/2y S2a<< E Upon learn3ng a0o/2 a Co6e Orange ac234a23on=
*void calling your workplace.
Tune into a local radio station.
Ainsert fre-uency of local news radio stationB
mm/dd/yr age <5 of "!
#ersion $
Geep telephone available Ae.g. turned on and free from useB, in case staff are needed for
callCback.
&taff may be re-uired to report to a preCdesignated area and wait for further
instructions A+abour ool or #olunteer ositionsB.
,eport to work as per normal schedule.
;atch for changes to site access and parking.
;ear your photo identification.
mm/dd/yr age <$ of "!
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Co6e "reen E E4ac/a23on
:mergency evacuation is the immediate and rapid movement of people away from the threat or
actual occurrence of a ha9ard.
Imme63a2e or cr3s3s e4ac/a23ons occur when there is an immediate threat to the health and
safety of occupants > any employee can initiate an evacuation from an affected area.
Pre4en2a234e e4ac/a23ons occur when there is a credible, potential threat > the most senior
staff member decides to carry out a preventative evacuation often made in consultation with
local authorities.
The scale or level of the evacuation can vary depending on the threat. * hori9ontal evacuation
involves the movement of people away from the immediate threat but remaining in an area of
refuge on the same floorF a vertical evacuation involves the movement of people to a different
floor or a complete or facility evacuation re-uires the movement of people out of the facility to an
assembly point outside and potentially to a relocation site.
Identify wardens or evacuation leads for every floor.
Identify areas of refuge on every floor and assembly points outside of your facility.
+ocate these locations on your facility map.
2onduct and maintain an assessment of residents based on their mobility and ability or
re-uirements for evacuation.
/etermine criteria and priority for evacuation
2onsider devices and training staff in special lift techni-ues for nonCambulatory patients
:nsure plans are current and posted, reflecting any changes to your facility
:valuate your existing evacuation routes to ensure you have ! unobstructed escape
routes. Indicate the routes and exits on your facility map
/etermine who will lead the evacuation and has the authority to initiate a preventative or
complete evacuation, such as the facility administrator or most senior staff member
2onsider transportation resources and procedures > keep vehicle gas tanks half full of
gas
mm/dd/yr age <! of "!
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Response "/36el3nes
*ssigned to/+eadD
6ake a -uick assessment of the situation
:valuate the evacuation route to ensure a safe and clear route
Eotify staff in the immediate area or entire facility depending on the scale of the
evacuation, possibly through paging systems, operator or switchboard
=ive instructions to evacuate and to meet at the assembly point
/epending on the threat call in additional resources to assist and notify senior
management
:vacuate based on priorityD
$D move those closest to immediate danger
!D direct ambulatory patients and visitors
<D move non ambulatory and immobile patients
/esignate someone to open and close fire doors
2heck all rooms in the evacuation 9one and close doors and windows
6ark rooms that have been searched to inform others they are empty
Take resident medical records
0ollow evacuation routes
roceed to designated muster/meeting areas
*ccount for all staff and patients
:valuate the situation with the help of first responders Apolice, fire and ambulanceB prior to
reCentry
mm/dd/yr age << of "!
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Co6e Re6 E F3re
De<3n323on an6 o4er43eD
0ire ha9ards are the most significant risk in health care facilities. *lthough health care facilities
are generally designed to mitigate this risk by virtue of building design Asprinkler systems, fire
rated building materials, fire separation doors, alarm systems etcB, other associated ha9ards
such as flooding and smoke spread can force evacuation of facilities for periods of time.
Response "/36el3nes
&pread of smoke is the greatest threat to health and safety of residents and staff.
*ll 2ode ,ed alarms should be taken seriously and assumed to be real fire events until
verified otherwise.
RACE procedures must always be followed in the event of a fireD
Remove anyone in immediate danger through at least one set of closed doors.
Activate the alarm by pulling the nearest pull station, call Jn/m0erK Areception
during the day, [location and number] after hrsB to report 1Code 0ed Confirmed(
'location*2, :nsure 4$$ is called to report a fire at Asite name and address hereB
Close all doors and windows to prevent fire/smoke spread if possible to do so
safely.
Extinguish/Evacuate. (nly use the extinguisher ifD
@ou know how to use one and the fire is manageable.
@ou have your back to the exit route.
To use the fire extinguisher, PASSD
Pull the pin.
Aim the no99le at the base of the fire.
S-uee9e the lever.
Sweep from side to side.
If the fire is not extinguished or it is unsafe to do so, :#*23*T:D
:vacuate staff and residents through the nearest set of fire doors and meet at
your designated muster area. (nce you have cleared each room leave a pillow
outside the closed door to identify it as empty.
If fire is in one of the wings evacuate to the lounge or opposite wing.
If the fire is in the lounge evacuate to the wings.
If the fire/smoke prevents hori9ontal evacuation, use the stairwells to stage in
and move downstairs or outside as necessary.
#ersion $
Co6e BroDn E ?a8ar6o/s !a2er3als Sp3ll
* minor ha9ardous material spill is defined as a spill of a known substance in a manageable
-uantity that does not cause a chemical reaction.
* ma)or spill or ha9mat incident can be defined asD
a known substance that cannot be contained or cleaned up
a substance of significant -uantity that poses an immediate risk to staff and residents
the material is unknown
a chemical reaction is present or incident could escalate and increase level of risk
/etermine what resources are needed on site to clean up the spill , such as absorbent
pads and materials
2ontact external agencies that can assist with the mitigation and clean up of ha9ardous
material incidents.
Include this information in the communications directory
:nsure all ha9ardous materials are securely stored and maintained
Response "/36el3nes
*ssigned to/+eadD
6inor spill of a known substance
rotect yourself > avoid contact with skin, eyes and inhalation.
Eotify staff of the spill and cordon off area
3se absorbent material to clean up spill
/ispose of contaminated material as per your facility policies and protocols
6a)or &pill or unknown substance
rotect yourself > avoid contact with skin, eyes and inhalation.
Eotify staff of the spill
,emove anyone in immediate danger
2ordon off and secure the area to prevent reCentry
2all 4$$ immediately if there is a risk of explosion, chemical reaction or to staff.
*dvise first responders of details > location, type of spill and provide 6&/& sheet
if possible
2ontact emergency response contractors to assist with mitigation and clean up.
mm/dd/yr age <' of "!
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Co6e #elloD E !3ss3ng Pa23en2
6issing atient is the emergency response for when an adult Aperson ages $1 and overB
becomes missing while under your care. * patient, resident or client shall be considered to be
missing when his/her whereabouts and the reason for his/her absence are unknown. It is policy
to conduct a systematic environment search for those patients, residents or clients who meet
the following established criteriaD
/anger to self or others
2ognitive impairment
&erious physical limitations
Eeed of treatment
NOTE= Fac3l32y s2a<< m/s2 ma3n2a3n con<36en23ally o< all 3n<orma23on regar63ng 25e m3ss3ng
pa23en29res36en2 a2 all 23mes.
Response C5ec@l3s2=
ONASITE
*ll available staff in the immediate area will search the floor / rooms / area / sign out
board / activities / hairdresser / tub rooms.
If necessary, broaden search to include ad)acent floor / rooms / areaF searching room by
room so that all areas will be examined.
If the search is unsuccessful, 2harge Eurse or ,22 will direct all available staff to
search all areas of the facility, including nonCpatient areas and outside areas.
If search is unsuccessful, 2harge Eurse / ,22 will contact family.
Eotify staff by overhead call system.
2harge Eurse or ,22 announces P2ode @ellowN < times.
2harge Eurse or ,22 will notify 6anager, or *dmin (n 2all A*(2B if after hours
repare a descriptionD
hysical description > obtain photo
/istinguishing features
2lothing worn
:motional / mental state
Time last seen
If the facility wide search is unsuccessful, the 2harge Eurse or ,22 will notify the
hysician.
2all olice at 4$$ for assistance if situation warrants.
OFFASITE :3e. res36en2s o<<s32e <or program;=
&earch area.
2ontact 6anager, or *(2 if after hours.
2ontact the olice at 4$$ > if high risk of elopement or possible abduction.
mm/dd/yr age <. of "!
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W5en 25e res36en2 5as 0een loca2e6=
:nsure resident safely collected and returned.
3pdate *ll &taff / 0amily / 6anager Aor *(2 if after hoursB, and 4$$, if called for
assistance.
2harge Eurse or ,22 announces L2ode @ellow > 6issing atient all clear / stand
downM.
mm/dd/yr age <" of "!
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Co6e "rey E U23l32y O/2age
3tility outages, such as power outages can occur fre-uently and are generally manageable.
They can have a greater impact depending on the duration of the outage, the functions they
support and the time of year and weather conditions.
Identify all critical operations that rely on the key utilities % determine the impact of
service disruption and include this information the site description
:stablish procedures for restoring systems
/etermine alternatives or resources to manage conse-uences e.g. storing potable
water, warm blankets, emergency generators, temporary toilets
:stablish preventive maintenance schedules for all systems and e-uipment
Identify the location of utility controls and shutCoffs on your facility map
+abel the controls and shutCoff valves at the source, tag them with instructions on how to
properly turn them off, including ventilation systems
Teach all staff how, when and where to turn them off
Geep utilities clear of debris and ha9ards
Elec2r3c32y + "as
+eave the gas on unless you suspect that there is a leak > if you smell the Lrotten eggM smell of
gas, hear the hiss of escaping gas or see a ruptured gas line or connection. =as could be an
excellent source for heating and cooling your facility. If you turn it off, only a -ualified gas
technician can turn it back on safely.
"as Lea@
*ssigned to/+eadD
If you do not detect the rotten egg smell, hear the hissing of escaping gas or see a
broken gas line, consider leaving the gas on.
If a gas odour or sound of escaping gas is detectedD
/onQt smoke, light matches, operate electrical switches, use either cell or
telephones, or create any other source of ignition
Immediately evacuate staff and residents to the assembly point Afollowing
evacuation procedures and routesB
+eave doors open and any windows that may already be open
Turn off the gas at the meter located outside your home or facility
Turn the shutCoff valve R turn
=as is off when the valve is perpendicular to the pipe
/o not turn the gas back on, only a certified gas technician can do it safely.
2all 4$$ or the 0ortis?2 !7 hour emergency line at $A--A))%A..$$
#ersion $
PoDer O/2age
*ssigned to/+eadD
2heck neighbouring facilities power. If the power outage is limited to your facilityD
2heck your circuit breaker panel or fuse box
To turn off the power at the breaker, turn your face away from the panel. &tart
by turning off the individual breakers then the main switch
I< 25e poDer 3s o/2 3n yo/r s/rro/n63ng area=
Turn down thermostats and disconnect all electrical heaters and appliances to
reduce the initial demand when the power is reconnected
3nplug computers, /#/ players, T#Ns, microwaves to protect against possible
surges when the power is restored
Turn off all lights except one, which will alert you when the power has been
restored
Geep the doors of your refrigerator and free9er shut as much as possible to
maintain the cold temperature
(nce the power is restored, turn on only the most essential appliances and wait
<5 minutes before reconnecting others
To report an outage or downed power lines call ?2 8ydro
$.111.(;:,(E A$ 111 ".4 <"..B
Wa2er + SeDer L3nes O/2age
;ater and sewer lines can be damaged in a significant earth-uake. If you experience a water
leak there could be various shutCoff locationsD
+ocali9ed at the appliance
#alve inside your home or facility, where water supply enters your facility, often located in
the basement or garage
#alve outside your home or facility at the municipal source
0ollowing a ma)or earth-uake you should assume that sewer lines are broken and that using the
toilet could cause a sewage spill. Include in your emergency kit, supplies to create alternative
toilets C a portable toilet or industrial pail % sealable lid, garbage bags, and hydrated lime for
disinfecting waste.
San32a23on
*ssigned to/+eadD
0ollowing a ma)or earth-uake, assume that sewer lines have been damagedD
:nsure sewer lines are intact
If not, do not allow the toilet to flush
3se an alternate toilet C portable toilet, industrial pail with seat lid, or remove
water from toilet bowl, line with two garbage bags Apuncture holes in the inner
bag to separate li-uidB
/ispose of waste wisely > &eparate li-uid and solid waste
/isinfect solid waste > use gloves and powdered hydrated lime
&tore solid waste in industrial pail with tight fitting lid
#ersion $
Con2rolle6 Access
* controlled access of your facility may be re-uired to ensure an external ha9ard does not enter
your facility. 2ontrolled access procedures are implemented to secure and protect staff and
residents when an unauthori9ed or suspicious person enters your facility or grounds. 2ontrolled
access procedures are similar to shelterCinCplace procedures in that they are to be used when it
may be more dangerous to evacuate the facility than stay inside. If the intruder is outside the
facility secure all windows and doors, and gather all staff and residents inside the building. If
the intruder has entered the facility, secure staff and residents in a safe room.
;hen implementing controlled access procedures, ensure that you are communicating with staff
as calmly as possible, call 4$$ immediately and follow the direction of the police. ?y controlling
access to, and movement and noise within the facility, emergency personnel are better able to
manage and respond to the threat.
&imilar to shelteringCinCplace, select an interior room to shelter in with the fewest
windows, access to a telephone or an alternative means of communication. Identify this
room in advance and note it on your facility map
/etermine how to alert and notify all staff of the threat and to initiate controlled access
procedures.
Response "/36el3nes
*ssigned to/+eadD
2all 4$$ as soon as possible
2ommunicate with staff to initiate controlled access procedures
=ather residents, staff and volunteers inside, preferably in an interior room away
from the intruder with access to telephone and other communications Aturn phones
on -uiet or vibrateB
Geep everyone away from windows and doors. 2hoose an inner wall
2lose, lock and cover all windows and doors. ?arricade doors if possible.
&peak as calmly as possible. rovide -uiet activities to help keep residents
focused and -uiet
,emain indoors until you receive further instruction from emergency personnel/the
police
mm/dd/yr age 75 of "!
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Ear257/a@e
/uring an earth-uake, the ma)ority of in)uries are caused by nonCstructural items falling and
becoming pro)ectiles. The best way to protect yourself is to drop, cover and hold. /rop under a
sturdy desk, table or piece of furnitureF cover your face, head and neckF hold onto the leg of the
furniture and hold this position until the shaking stops.
2omplete a ha9ard site assessment and mitigate as many of the earth-uake ha9ards as
possible.
Identify safe places in each room and areas within the facility and site.
Eote all locations on your facility map.
rovide educational material or sessions to help staff understand how to protect
themselves during an earth-uake and how to prepare at home.
Response "/36el3nes
*ssigned toD *ll &taff
;hen you feel the shaking of an earth-uake, immediatelyD
rotect yourself > drop, cover and hold
2almly call out your earth-uake command
/irect all staff, residents, volunteers and visitors to drop, cover and hold until the
shaking stops
&tay away from windows, bookcases and other ha9ards
If no shelter/furniture is availableD
2hoose an inner wall, hallway or corner
2rouch down with your back to the wall and protect your head and neck
lace blankets over head to prevent debris from entering or in)uring eyes/face
To follow after the immediate threat of an earth-uake or other emergencyD
rotect yourself > wear sturdy shoes, gloves and other protective gear, as
needed
2heck for immediate ha9ards > fire, flooding, chemical spills
/etermine if evacuation or shelterCinCplace is re-uired. *ccount for all staff %
residents
2heck for in)uries % provide first aid
Inspect for and respond to a disruption to utilities > gas, hydro, water and sewer
lines
2onduct an assessment of damage to your building
:stablish communications > listen to radio for local updates, check phone lines,
if the phone is off the hook hang it up
mm/dd/yr age 7$ of "!
#ersion $
Reloca23on + Recep23on
If a complete or facility evacuation is re-uired and reCentry is not possible, the facility,
operations, staff and residents will need to relocate. EoteD the
Identify similar facility for relocation
/etermine and negotiate re-uirements including space, staffing, supplies, medical
management and additional support re-uired
&ecure access to sufficient transportation
/etermine how notification, activation and transportation will occur to facilitate relocation
of residents
/evelop a letter of agreement/memorandum of understanding with transportation
providers and relocation site
Response "/36el3nes
&ite :vacuation % ,elocation
If further evacuation is re-uired or you are unable to reCenter your facilityD
/etermine host facility based on situation, ha9ard and weather
2ontact host facility with estimated arrival time of residents and staff.
&ecure your facility if possible, shutting off utilities as re-uired
*rrange for sufficient transportation
Transport all necessary medications, supplies, signs, emergency contacts,
medical records, record of attendance/signCin sheet
Take attendance again once you arrive at the reClocation site
Eotify families of evacuation and host facility information
6ake arrangements for support of residents at host facility until reCentry or an
alternate facility is available.
mm/dd/yr age 7! of "!
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E4ac/a23on + Reloca23on S32es
E4ac/a23on Assem0ly
Po3n2
*n area outside the facility that is designated for
assembly of staff, residents, volunteers and visitors.
Loca23on
Secon6ary Assem0ly
Po3n2
*n open or safe area within the area should you need to
evacuate further from your facility.
Loca23on
Reloca23on S32es *n alternate site that can accommodate the needs of
residents. These facilities must agree to serve as hosts
for your staff and residents, have suitable space and
amenities to meet the needs of residents.
Fac3l32y Name=
Loca23on=
P5one n/m0er=
Al2erna2e n/m0er=
Con2ac2 person=
Fac3l32y & Name=
Loca23on=
P5one n/m0er=
Al2erna2e n/m0er=
Con2ac2 person=
mm/dd/yr age 7< of "!
#ersion $
Fac3l32y Trans<er Agreemen2
This is a mutual agreement between J [ facility name ]JJJJJJJJJJJJJJ
and J [ facility name ]JJJJJJJJJJJJJJ to provide assistance in the event an
evacuation of either facility is re-uired.
lease note that each residentNs original LhomeM facility is ultimately responsible for ensuring
appropriate care and services for those residents remaining under the care of said facility,
regardless of the residentNs relocation status during a disaster. *ll costs incurred for care and
services provided are the responsibility of the residentNs LhomeM facility.
,esponsibilities of the E4ac/a23ng Fac3l32y include, but are not limitedD
:nsure appropriate care and services for
romptly notify the ,eceiving 0acility of the potential to evacuate
romptly notify the ,eceiving 0acility when the decision to evacuate has been made
:vacuate residents, utili9ing own resources, to the ,eceiving 0acility
&upplement the ,eceiving 0acilityNs staff
rovide the following itemsD
,esident medications and medication storage unit
6edical supplies and e-uipment
0ood and water
6edical records
?lankets as needed
&taff
,esponsibilities of the Rece343ng Fac3l32y include, but are not limited toD
rovide a person of contact upon notification of imminent evacuation
,eceive residents and direct to area where they will be sheltered
2oordinate appropriate use of medical supplies and services
Integrate :vacuating 0acilityNs staff into resident care planning
Integrate :vacuating 0acilityNs kitchen staff
rovide dietary needs using food supplies from :vacuating 0acility
In the event of a disaster or other emergency that damages both facilities, the senior
management of both facilities will determine to what extent each facility may assist the other.
This agreement is effective upon signature of both facility leadership/administrators.
#ersion $
Term o< Agreemen2
This agreement shall be automatically renewed on a month to month basis without action by
either facility. :ither party may terminate this agreement with a thirty A<5B day written notice
Eame, &taff osition, 0acility Eame, &taff osition, 0acility
[ensure agreement is appro"ed by staff with the authority to enter into an
agreement on behalf of your facility)company]
&ignature &ignature
/ate /ate
mm/dd/yr age 7' of "!
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S5el2er 3n Place
&heltering in place is a process of taking immediate shelter in a location by typically sealing a
room from outside contaminants for a short period of time.
In the event of a chemical release, local authorities and/or first responders may instruct people
in the affected area to remain indoors and shelterCinCplace. The goal is to prevent inhalation or
ingestion of the chemical by remaining indoors and preventing the contaminate from entering
the facility.
&elect an interior room to shelter in with the fewest windows and vents, access to a
telephone or an alternative means of communication. Identify this room in advance and
note it on your facility map
+earn the location and how to turn off ventilation systems for the entire facility.
Eote all locations on your facility map.
If you lease space in a building, managed by a property management company,
municipality or school, talk to them about how to access the necessary controls.
:nsure you have ade-uate supplies to seal windows and doors to prevent contaminants
from entering the room.
Response "/36el3nes
*ssigned to/+eadD
=ather all staff and residents in to the room with the least windows % doors
lace emergency supplies in the room you plan to shelter in
:nsure you have access to a telephone or alternate communications
Turn off ventilation systems, including heat, air conditioning and fans
2lose and lock all windows, doors and vents
2lose off nonCessential rooms > storage areas, laundry room
&eal gaps around windows, doors, vents, exhaust fans with preCcut plastic sheeting
and duct tape Ause painters tape first to protect wallsB
lace a damp towel or blanket at bottom of door opening
2ome out of the building only when an all clear has been issued
Geep staff and families informed and advise them to listen to the radio for safety
instructions prior to coming to the facility
mm/dd/yr age 7. of "!
#ersion $
RECO'ER#
,ecovery planning is )ust as important as preparedness planning. 6any facilities that have not
planned for business disruption have never recovered from a disaster. If you are forced to close
over a long period of time, what will happen to your workforceK If you re-uire speciali9ed
e-uipment and technology, how long will it take to replace, particularly if other facilities are also
attempting to find a replacementK
To assist in the recovery of your facility and operations,
Identify critical supplies, e-uipment, and key suppliers that support your facility to
determine strategies to protect key resources or to identify alternatives. Include contact
information of key suppliers in the communications directory
/etermine critical operations and make plans to ensure the continuity of those
operations or to bring those systems back online.
?ack up or store offCsite copies of key documents, files and business records
Identify and make arrangements for an alternate location where you can continue to
provide care, if you cannot reCoccupy your site
/etermine if you have ade-uate insurance coverage, including earth-uake coverage
6aintain ade-uate records to inventory furniture, e-uipment and highCcost items
2onduct a thorough damage assessment of your facility following the disaster
2onsider plans for supporting staff C cash advances, salary continuation, flexible work
hours, reduced work hours, crisis counseling, care packages, daycare
Identify restoration companies that can assist with the clean up of your facility and
include their !7 hour contact information in the communications directory
2ontact #28 2ommunity 2are 0acility +icensing to report a service delivery problem
within !7 hours of isolated incidents using the Incident ,eport 0orm
mm/dd/yr age 7" of "!
#ersion $
Cr323cal E7/3pmen2 + In<orma23on
Ins/rance Pol3cy Company
Pol3cy N/m0er Con2ac2 In<orma23on
Cr323cal
E7/3pmen29In<orma23on
Loca23on Ser3al N/m0er
Pre4en234e Ac23on
Re7/3re6
Loca23on o< Bac@A/p
2omputer
#ersion $
APPENDI* A
ROLES + RESPONSIBILITIES
!anager9D3rec2or9?ea6 o< Fac3l32y
2oordinate with :mergency 6anagement to create and maintain an emergency program
and plan for the facility.
/evelop, in coordination with :mergency 6anagement, an annual training and exercise
program including personal preparedness training for staff, monthly evacuation drills and
an exercise of the emergency plan, at least once a year
6aintain records and documentation of emergency training, exercises and maintenance
of supplies and e-uipment
+ead the response to incidents as the Incident 2ommander and ensure alternates are
clearly designated in your absence.
:stablish agreements with reClocation facilities and essential vendors/suppliers.
Res36en2 Care Coor63na2or:s; A RCC
:nsure the most appropriate ,22 acts as Incident 2ommander during emergencies,
when &ite 6anager is not onCsite. Incident 2ommander to appoint supporting leadership
staff Ai.e. &ection 2hiefsB as appropriate and as staffing resources allow.
*ct in supporting leadership roles Ai.e. (perations &ection 2hiefB during emergencies
when &ite 6anager is acting as Incident 2ommanderF oversee direct resident care and
continuity of operations.
2ommunicate with staff, residents and visitors, at the direction of the Incident
2ommander or provide this leadership when acting as the Incident 2ommander.
rovide input and participate in emergency planning activities and exercises on a routine
basis.
All S2a<<
/evelop and maintain personal emergency plan and preparedness.
articipate, review and assist in the development of the emergency plans and
procedures.
*ttend and participate in emergency training and exercises.
:nsure the supervision and onCgoing care of residents.
#ersion $
Foo6 Ser43ces
articipate, review and assist in the development of the facility emergency plans and
procedures.
6aintain a sufficient supply of food and water in case of emergency, minimum < days.
/evelop contingency plans to support the emergency stockpile of food and water.
*ttend and participate in emergency training and exercises.
Fac3l323es9!a3n2enance
articipate, review and assist in the development of the facility emergency plans and
procedures.
articipate or lead the ha9ard site assessment to identify and mitigate physical ha9ards.
rovide and maintain facility specific information in the emergency plan, such as the
location of utility controls and procedures for managing in an emergency.
mm/dd/yr age '5 of "!
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RESPONSE OR"ANI,ATION
This section outlines the framework for [site name] organi9ational response. It includes an
organi9ational structure to provide overall direction and control of the facilityNs emergency
operations.
Le4els o< Response + Coor63na23on
In ?2, the ?ritish 2olumbia :mergency ,esponse 6anagement &ystem A?2:,6&B is adopted
by local and provincial governments, regional health authorities and first response agencies as
a comprehensive management system that provides the framework for a standardi9ed
emergency response. It is based on the Incident 2ommand &ystem and the operational levels
are in the diagram below.
The ?2:,6& is a PbottomCupN response model, and reflects the fact that emergency events are
predominantly managed at the facility or site level. In the event that the incident cannot be
ade-uately managed from the site due to insufficient resources, an escalating threat, or an
incident that impacts multiple sites, site support can be provided by the organi9ationNs corporate
leadership, health authority or local government.
Incidents in the community are managed daily by first responders > police, fire and ambulance.
:mergency calls are prioriti9ed based on the severity of the incident and the availability of
resources. In a larger scale event, local authorities may also activate :mergency (perations
2entres A:(2sB or mobili9e staff to coordinate the response. /uring these ma)or emergencies,
the local authority, together with first responders, will assess and prioriti9e community needs,
allocate resources and respond based on the determined priorities. In a ma)or emergency that
cause ma)or disruption to transportation networks or infrastructure, outside assistance or
community resources may not be immediately available. 8igh demand for limited resources
mm/dd/yr age '$ of "!
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&ite
Incident 2ommand
ost
AI2B
&ite &upport
+evel :mergency (perations 2entre A:(2B
rovincial ,egional
2oordination +evel
A,:(2 B
rovincial
2entral
2oordination
+evel A:22B
6inistry of 8ealth
A6(8B
8ealth *uthority
A,egional :(2B

&ite/0acility
AI2
B
*rea
&upport A:(2B
Local + Pro43nc3al A/25or323es
?eal25 A/25or32y
and nature of the emergency itself means that facilities should be selfCsufficient and manage
impacts at the site level as much as possible, and look to corporate leadership for site support
where necessary.
S32e Response
The ma)ority of incidents are managed at the site level and are the responsibility of the facility.
/uring an emergency at [site name], the Incident 2ommand &ystem AI2&B will be used as a
framework for command, control and coordination of emergency operations. The I2& provides
a way of coordinating staff and resources toward safely responding, controlling, and mitigating
an emergency incident. I2& is an organi9ed response management structure used by local
governments, agencies, and provincial ministries that applies key principals and goals in a
standardi9ed way.
Inc36en2 Comman6 Sys2em
The I2& is organi9ed into ' key functions as described belowD
F/nc23on Role
Inc36en2
Comman6
:"reen;
,esponsible for overall command, control and
coordination of site emergency operations, including
public information/media relations, agency liaison
and safety/risk management.
Opera23ons
:Orange;
,esponsible for providing a communications link with
the site or units and coordinating operations in
support of the emergency response.
Plann3ng
:Bl/e;
,esponsible for collecting, evaluating, and
disseminating information within the I2, developing
the *ction lan, and the &ituational ,eport in
coordination with other functionsF and maintaining all
I2 documentation.
Log3s23cs
:#elloD;
,esponsible for ensuring that the I2 is operationalF
and providing staff, services, e-uipment and supplies
to fulfill any approved resource re-uests.
F3nance + A6m3n
:"rey;
,esponsible for all aspects of financial management
including cost tracking, financial reporting,
administering procurement contracts, and overseeing
the procurement process.
mm/dd/yr age '! of "!
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Bas3c Pr3nc3ples o< ICS
The basic principles of I2& includeD
*ppointment of an Incident 2ommander who has overall responsibility for the facilityNs
response.
*ll functions remain with the Incident 2ommander until delegated to other positions.
* preCdefined, clear reporting channel Achain of commandB is to be followed in order to
maintain a manageable span of control Ano more than 'C" direct reportsB.
* common language for all 2ommand &taff and &ection 2hief positions is used, which
allows for greater interoperability between partner agencies.
reCdefined responsibilities are based on response role or function.
6anagement by ob)ectives > incidents are best managed when issues are identified and
prioriti9ed. *chievable management ob)ectives are then developed and detailed
strategies and tactics for implementation. &trategies should be &6*,T Aspecific,
measurable, actionCoriented, realistic and timeCspecificB.
BCER!S Response "oals :pr3or32y or6er;
$. rovide for safety % health of responders
!. &ave lives
<. ,educe suffering
7. rotect public health
'. rotect government infrastructure
.. rotect property
". rotect the environment
1. ,educe economic % &ocial losses
mm/dd/yr age '< of "!
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#ersion $
INCIDENT CO!!AND
A&ite 6anager or ,22B
OPERATIONS
+*EEIE=
LO"ISTICS FINANCE
Track and account for all
staff and residents
2are for residents medical
needs
2onduct evacuation,
relocation or other
emergency procedures
as necessary
2ollect, evaluate, and
disseminate information,
develop the *ction lan,
and the &ituational
,eport in coordination
with other functions
6aintain emergency food %
water supplies
(btain % track medical
supplies
6ake alternate shelter
arrangements
*rrange transportation
6aintain communications
e-uipment
Track expenses %
administer procurement
processes associated
with disaster
(verall command, control and coordination of
facility emergency operations
6anagement of risk, public and internal
communications, and external agencies
liaison
Inc36en2 Comman6
,esponsibilities of the Incident 2ommander includeD
:xercise overall management responsibility for the facility emergency operations,
including establishing priorities for response efforts.
:nsure all actions are accomplished within priorities established.
+iaise with &enior 6anagement.
/etermine if 2ommand ost activation is re-uired and establish appropriate staffing
level for the 2ommand ost, and monitor effectiveness of the response.
:nsure interagency coordination is accomplished effectively.
*ssure employee safety and risk management principles / procedures are applied for all
activities.
/irect appropriate emergency public and internal information actions using the best
methods of dissemination to ensure effective communication with staff, residents,
volunteers, families, the public and other key stakeholders.
:nsures risk management principles and procedures are applied to all I2 activities in
consultation with the &afety and ,isk 6anagement (fficer.
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Inc36en2 Comman6er
The Incident 2ommander is responsible for directing site emergency response activities,
including oversight of other &ection 2hiefs, as they are appointed by the Incident
2ommander.
Ass3gne6 2o= &ite 6anager
Al2erna2es= ,esidential 2are 2oordinator A,22B
Repor2 2o= Incident 2ommand ost +ocation
Respons303l323es= $. /irect and coordinate emergency response activities
!. /etermine the need for and re-uest outside assistance
<. Interact with and assist first responders with re-uests for
information and access to facility
7. 2ollect, analy9e and report information on facility damage,
in)uries and other response issues
'. ,esponsible for the safety of staff and residents
.. :nsure that appropriate and coordinated communication
is provided, residents, families and ,ichmond
*dministration at regular intervals
C5ec@l3s2= *ssess the situation, impact to facility, staff and residents
*ctivate the Incident 2ommand ost AI2B
:stablish appropriate staffing levels for the I2
(btain a status of facility, operations, staff and residents
&chedule an action planning meetings with key staff to
determine ob)ectives, priorities, resource needs and
assignment of tasks
Eotify appropriate staff and external agencies of the
situation and activation of the I2
6aintain contact with first responders and key external
agencies, senior management
6onitor general staff activities to ensure that all
appropriate actions are being taken
:nsure staff and site safety and security
6aintain and provide situational awareness and
communication with key stakeholders
Forms= &tatus ,eport
*ction lan
+og &heet
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Inc36en2 Comman6 Pos2
The Incident 2ommand ost AI2B is a centrali9ed location for [site name] staff to convene to
coordinate activities, resources and the flow of information. *fter the immediate life safety
response Ai.e. evacuation due a fireB the Incident 2ommand ost should be activated to manage
the ongoing activities in a sustained response.
The I2 should support and coordinate activities relating toD
olicy direction and support
Information management Acollection, evaluation and displayB
:stablishment of priorities
,esource management
2ommunications Ainternal and externalB
The primary and alternate locations of the [site name] command post areD
$.
!.
The following staff, or the most senior staff on site at the time of an incident, has the authority to
activate the I2D
[Eame], &ite 6anager
[Eame], ,22
/irect atient 2are II A,EB supervisory staff
To set up the Incident 2ommand ostD
$. :nsure Incident 2ommander is appointedF determine which location to use.
!. :nsure staff and &ite 6anager / *dmin on 2all have communication with I2.
<. Incident 2ommander appoints supporting staff A&ection 2hiefsB as needed.
7. =ather materials and stationery as needed.
'. ?egin assessment and action planning > identify priority actions, delegate to
appropriate leads, set &6*,T ob)ectives to meet priority actions for next
operational period.
.. &hare response plan with staff, &ite 6anager or *dministrator on 2all Aand
partner agencies if onCsiteB.
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Inc36en2 Comman6 Forms
To support the Incident 2ommand ost activities, I2 forms are provided.
S2a2/s Repor2 > a simple form that is intended to help &ection 2hiefs gather information
needed to update the Incident 2ommander during planning meetings in the I2. &tatus
,eports are read out at the meeting and then submitted to lanning 2hief Acopy retained
by the issuing &ection 2hiefB for further analysis and inclusion in the *ction lan. &tatus
,eports will be generated by each section for each lanning 6eeting.
Ac23on Plan > a document that describes the priority (b)ectives, &trategies and Tasks
for the upcoming operational period. The *ction lan is authori9ed by the Incident
2ommander prior to implementation and may be re-uested by the :(2. The *ction
lan is also an important reference document during shift changes in prolonged
incidents. *ction lans are developed for every operational period.
S3gn 3n S5ee2 > to track staff attendance and assignments in the I2.
Pos323on Log S5ee2 E to record key decisions and actions taken by individual staff
S32e S/ppor2
In the event that the response cannot be ade-uately managed by the facility or site, site support
for Asite nameB can be provided by Ainsert site support level, :mergency (perations 2entreB
The site support level serves to provide support to the facility or site in the following areasD
InterCagency coordination
2ommunications % media relations
olicy guidance
+ogistics C resource ac-uisition, transportation and staffing
#ersion $
S2a2/s Repor2
TO BE USED B# ALL SECTION C?IEFS FOR DOCU!ENTATION AND PLANNIN" !EETIN"S
E4en2=
S2a2/s Repor2 prepare6 0y=
Sec23on9F/nc23on=
Name=
Da2e= T3me=
Opera23onal Per3o6=

S32e name=
Con2ac2 n/m0er=
FaF n/m0er=
C/rren2 S32/a23on= AIncidents, actions taken, resource statusSB Awhat is currently occurring in your functional areaB

In1/r3es an6 Illnesses Ato be completed by (perations &ection onlyB
/escription of In)uries / IllnessD
I of /eathsD I of In)uredD I of IllD
otential/:stimated Eo. of atientsD
O/2s2an63ng Iss/es9C5allenges9Pro0lems= Aoutstanding issues needing to be resolvedB

An23c3pa2e6 Pr3or323es9Ac234323es= A0or future operational periodsB

O25er Commen2s9Iss/es= Ai.e. media information, public information bulletins, safety tipsSB

D3s2r30/23on=
Incident 2ommander lanning &ection 2hief
:(2 lanning (therD
P/rpose= ,eport on the status of each function for each operational period or as re-uested.
Comple2e6 0y= *ll functions A6anagement Team, lanning, (perations, +ogistics and 0inanceB
Sen6 To= I2 lanning 2hief and :(2 lanning A/ocumentationB
ICP Ac23on Plan
:W5a2 are 25e o01ec234es an6 5oD are De go3ng 2o 6o 253s;
One Ac23on Plan <or eac5 Opera23onal per3o6
E4en2 + S32e name= Da2e= T3me=
Opera23onal Per3o6= Prepare6 By Plann3ng=
O01ec234es= AIn priority orderB S2ra2eg3es= A8ow listed ob)ectives will be metB
$. $.
&. !.
%. <.
(. 7.
5. '.
Tas@s9Ac23on I2ems=
F/nc23on
Ass3gne6 To=
Es23ma2e6
Comple23on
T3me=
$.
!.
<.
7.
'.
A22ac5men2s= A2heck if attachedB
(rgani9ation 2hart &tatus ,eport ,e-uest for &upport
I2 0loor lan &ituation 6ap (therD
Recommen6e6 0y= Alanning &ection 2hiefB

Appro4e6 By= AIncident 2ommanderB

D3s2r30/23on= Incident 2ommander (peration &ection 2hief
lanning &ection 2hief lanning &ection 2hief
+ogistics &ection 2hief
0inance/*dministration &ection
2hief
osted for *ll I2 ersonnel :(2
(ther
Pos323on Log
E4en2=
Sec23on9F/nc23on= Pos323on=
Da2e +
T3me
To9From Ac23on + Descr3p23on
FolloDA/p
Re7/3re6
SI"NAIN 9 SI"NAOUT S?EET
Inc36en2= Opera23onal Per3o6=
Da2e= Fac3l32y=
Pr3n2 Name
:F3rs2 an6 Las2;
Agency 9 Organ38a23on 9
Depar2men2
T3me
In
S3gna2/re
Role OR
Person !ee23ng
T3me
O/2
In323als
age JJJJJJJJ of JJJJJJJJ repared ?yD AEame and ositionB
APPENDI* B
TRAININ" AND E*ERCISE
Training and exercising plans, procedures and staff are essential components of an emergency
management program. The re-uirement to train and exercise is established in the new ?2 ,esidential
2are +icensing ,egulation, the 2anadian 2ouncil of 8ealth &ervices *ccreditation standards, and
provincial legislation governing emergency management. The goal is to provide staff with opportunities to
further their understanding of the facility emergency plan and procedures, enhance their familiarity,
confidence and capacity to carry out their role in an emergency.
The following types of exercises provide a practical approach to staff training and an opportunity to test
and evaluate the effectiveness of your emergency plan and procedures. 3se a combination of the
various types of exercises depending on your needs and ob)ectives.
Type of :xercise /escription 2haracteristics
(rientation * basic familiari9ation with a specific plan,
procedure, or piece of e-uipmentF discussionC
based
Information discussion
$C! hours
/rill * coordinated, supervised exercise to test or
practice a single specific function
:xamplesD fire and earth-uake response and
evacuation drills, test of communications
e-uipment and call back procedures
*ctual facility response
&imple to design
3se of actual e-uipment
<5 > .5 minutes
Tabletop * facilitated analysis of an emergency
situationF usually lowCstress, problemCsolving
discussionCbased
;ritten narrative with
problem statements
Eo time pressures
$C7 hours
0unctional * simulated, interactive exercise to test an
organi9ationNs ability to respond to a moderate
incident
Interactive with inputs
provided by simulators
,eal time pressure
! or more hour
0ull &cale &imulates a real, potentially stressful event as
closely as possibleF evaluates operational
capabilities
,ealistic event
3se of personnel and
e-uipment
! hours to ! days
* suggested schedule includesD
/rills > monthly to test communication e-uipment, evacuation procedures and ha9ard specific
response to fire, earth-uake and chemical events
Tabletop > -uarterly to exercise various aspects of the emergency plan
0unctional > annually once staff have participated in the previous types of exercises to add real
time pressure
0ull &cale > because full scale exercises are more complex and time consuming to both design
and deliver, consider running every few years
* sample tabletop exercise and a record of participation are provided as templates on the following
pages.
mm/dd/yr age .7 of "!
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Tra3n3ng + EFerc3se Recor6 o< Par23c3pa23on
#ear=
Da2e Type O01ec234e Par23c3pan2s
C5anges
Re7/3re6
Ass3gne6 2o
E6/ca23on an6 Tra3n3ng
&taff (rientation (verview of emergency program
ersonal
reparedness
To encourage staff to be prepared
lan (rientation 0amiliari9ation with emergency plan
Incident
2ommand
3nderstanding the command
structure
EFerc3ses
/rill :vacuation > earth-uake scenario
Tabletop exercise &helter in place procedures
lan review
2ommunications /irectory >
updated staff contact information
6aintenance
:mergency supplies > expired
items
mm/dd/yr age .' of "!
#ersion $
Ta0le2op EFerc3se Templa2e
Da2e= Fac3l32a2or=
Par23c3pan2s=
P/rpose= To provide an opportunity to discuss and reinforce earth-uake safety procedures
and establishing an incident command post.
O01ec234es=
Scenar3o=
*t $5D5" hours this morning, a ".! magnitude earth-uake with its epicentre )ust off the coast
of #ancouver Island, struck southwestern ?ritish 2olumbia. The earth-uake, accompanied by
strong surface shaking, lasted approximately 7' seconds. 8ardest hit were #ancouver Island,
the urban centres of =reater #ancouver, the &unshine 2oast and large portions of the 0raser
#alley. The tremors were felt as far away as Terrace to the north and Gamloops to the east.
Imagine that you hear a low, rumbling, roaring sound. The noise builds, getting louder and
louder, for about ten seconds. Then you feel the building and floor beneath you shake.
B/es23ons + Inp/2s EFpec2e6 O/2come A<2er Ac23on Ass3gne6 To
;hat should you do
firstK
rotect yourself C drop,
cover % hold and call
out your earth-uake
command to trigger
everyone to do the
same
;hat if you cannot find
furniture to get underK
2hoose inner hallway,
corner, crouch,
protecting head, and
neck
Inp/2 $=
The shaking has stopped. &taff begin coming out from under furniture and other safe
positions. The power is out and staffs wonders if they should evacuate.
;hat are your first
stepsK
*ssess environment
and impact on staff
and residents. If no
immediate life
threatening situations
re-uiring the need to
evacuate, assemble at
Incident 2ommand
ost to organi9e your
response.
&ome staff unaware
of Incident
2ommand ost
location. assembly
point
2onduct
LwalkaboutM drill to
point out location
mm/dd/yr age .. of "!
#ersion $
Ear257/a@e Scenar3o
*t 5.D5" hours this morning, a ".! magnitude earth-uake with its epicentre )ust off the coast of
#ancouver Island, struck southwestern ?ritish 2olumbia. The earth-uake, accompanied by
strong surface shaking, lasted approximately 7' seconds. 8ardest hit were #ancouver Island,
the urban centres of =reater #ancouver, the &unshine 2oast and large portions of the 0raser
#alley. The tremors were felt as far away as Terrace to the north and Gamloops to the east.
Thousands of people sustained mild to severe in)uries, and hospitals experienced moderate to
severe damage to their facilities and infrastructure. :mergency 6edical &ervices are
overwhelmed by the numbers of calls and arriving in)ured. Transportation to hospitals is difficult
due to street debris that is blocking access.
6ain water and power services have been disrupted in your community. Telephone landlines are
nonCfunctional, rendering telephone, fax and internet unavailable to the 2are 2entre.
@our facility appears to have sustained minor damage, with a few broken windows and cracks in
the concrete parking area walls. The generator can not be started. The damage may be minor
but the problem has not yet been diagnosed.
Sample B/es23ons
$. ;hat do you need to know to determine the magnitude of the eventK
!. ;hat is your primary concernK
<. ;ho would you put in charge at the incidentK
7. ;ho should receive the initial notification of this incident, how will you contact them and
what information will you provideK
'. ;hat are you top three prioritiesK
.. ;hat is needed to address the identified prioritiesK
mm/dd/yr age ." of "!
#ersion $
C5em3cal Sp3ll Scenar3o
Gaboom 2hemical 2orporation is located in the industrial area in close proximity to your facility.
Today at $<D$' 8ours, a malfunction within the plant causes an explosion. 0ire breaks out and
there is an immediate release of chlorine gas into the air. * light A" km per hourB bree9e carries
the plume north east toward your facility and residential areas. There are a moderate number of
casualties and only two fatalities on site, but people in the immediate area are exposed to high
levels of chlorine.
:mergency warnings are issued for nearby residents to shelterCinCplace. It is estimated that
nearly $5,555 people could potentially be exposed to the smoke and chlorine, as the plume
moves downwind.
The local 0ire /epartment and ?2 *mbulance are dispatched to the scene. 3pon verification of
the incident and determination of its severity, other appropriate agencies are notified, including
the ,26 and ha9ardous material team.
There is widespread fear among residents, of contamination even though they are not in the
plume area. 0amily members are calling your facility for more information.
Sample B/es23ons
#ersion $
W3n6s2orm Scenar3o
(n Tuesday /ecember 4, at $1D<5 hrs the rovincial :mergency rograms sends out a
L;eather *dvisoryM predicting that a storm will strike the &outhwestern portion of ?ritish
2olumbia midCmorning tomorrow. 6edia outlets are informed but do not report the storm as it
appears to be trivial.
?y ;ednesday at 54D'5 hrs the storm warning has been upgraded to LsevereM. :nvironment
2anada 6eteorological &ervice is predicting that 15 to $55 km A'5 to .5 mphB winds will be a
possibility in the afternoon. 6edia outlets are now reporting on the coming storm, warning
residents to stay in place.
?y noon, a severe windstorm is striking the &outh ;est portion of the rovince, hitting
#ancouver with winds gusting to $!' km per hour A15 mphB. ower outages are reported
throughout the region,
?y $<D<5 hrs the storm has set in and constant winds of $.5 Gm per hour A$55 mphB are
causing structural damage, downed trees and interruption of telephone service. 6ost cellular
sites in the =reater #ancouver area are heavily damaged by the extreme winds.
*t $7D7' hrs severe winds persist causing a power blackout. &ome windows in your building
have blown out. /ebris from roof tops is falling on the street.
*t $'D5' hrs all telephone and cellular communication in 6etro #ancouver is down, unconfirmed
reports that .5T of the phone system in the 0raser #alley is damaged. 0alling trees and debris
from buildings have caused most ma)or routes to be closed. 2omplete power failure in your
community. There is partial power failure throughout neighbouring communities.
Sample B/es23ons
#ersion $
Wa2er !a3n R/p2/re
There is construction several doors for your facility. /uring excavation a $! inch water main is
ruptured causing significant flooding in your neighbourhood. This causes a disruption of water
service to your facility and the surrounding area and repair may take more than $! hours. 0lood
waters are encroaching on the grounds of your facility.
Sample B/es23ons
mm/dd/yr age "5 of "!
#ersion $
RESOURCES
Local
*bbotsford httpD//www.abbotsford.ca/emergencyJprogram.htm
*nmore httpD//www.anmore.com/siteengine/activepage.aspKageI/U"!
?elcarra httpD//www.belcarra.ca/indexCprotectiveCservices.htm
?urnaby httpD//www.burnaby.ca/2ityC&ervices/ublicC&afety/:mergencyCrogram.html
2hilliwack httpD//www.chilliwack.com/main/page.cfmKidU45"
2o-uitlam httpD//www.co-uitlam.ca/default.htm
/elta httpD//www.corp.delta.bc.ca/:E/main/residents/publicJsafety/emo.html
8ope httpD//www.hope.ca/index.php
Gent httpD//www.district.kent.bc.ca/index.html
+angley
A2ity % TownshipB
httpD//www.city.langley.bc.ca/index.php/residents/emergencyCprogram
6aple ,idge httpD//www.mapleridge.ca/:E/main/emergency/municipalJemergency.html
6etro #ancouver httpD//www.metrovancouver.org/planning/emergency/ages/default.aspx
6ission httpD//www.mission.ca/
Eew ;estminster httpD//www.newwestcity.ca/residents/publicJsafety/emergencyJpreparedness/index.php
Eorth &hore
Aincludes 2ity of Eorth
#ancouver, /istrict of Eorth
#ancouver % /istrict of
;est #ancouverB
httpD//www.nsemo.org/
itt 6eadows httpD//www.pittmeadows.bc.ca/:E/main/residents/74$$1/.1<.html
ort 2o-uitlam
httpD//www.city.portC
co-uitlam.bc.ca/2ityJ8all/2ityJ/epartments/0ireJJJ:mergencyJ&ervices/:mergencyJre
paredness.htm
ort 6oody httpD//www.portmoody.ca/index.aspxKpageU<.5
owell ,iver www.powellriverrd.bc.ca/emergency.html
,ichmond httpD//www.richmond.ca/safety/prepare/about.htmI
&unshine 2oast www.scrd.ca
&-uamish
httpD//s-uamish.ca/cityChall/departments/protectiveCandCsupportCservices/s-uamishC
emergencyCprogram
&urrey httpD//www.surrey.ca/cityCservices/"5".aspx
#ancouver httpD//vancouver.ca/emerg/index.htm
;hite ,ock httpD//www.whiterockcity.ca/:E/main/city/fireCpolice/emergencyCprogram.html
;histler
httpD//www.whistler.ca/residents/emergencyCprotectiveCservices/whistlerCemergencyC
program
Reg3onal ?eal25 A/25or323es
mm/dd/yr age "$ of "!
#ersion $
0raser 8ealth httpD//www.fraserhealth.ca/
rovidence 8ealth httpD//www.providencehealthcare.org/
rovincial 8ealth &ervices httpD//www.phsa.ca/default.htm
#ancouver 2oastal 8ealth www.vch.ca
Pro43nc3al an6 Fe6eral
"! 8our reparedness www.getprepared.ca
?2 8ydro www.bchydro.com
:mergency 6anagement ?2 httpD//www.embc.gov.bc.ca/index.htm
6inistry of 8ealthy +iving and &port www.hls.gov.bc.ca/ccf/adultJcare.html
Eatural ,esources www.earth-uakescanada.nrcan.gc.ca
ublic 8ealth *gency of 2anada www.phacCaspc.gc.ca/indexCeng.php
&afe 2anada www.safecanada.ca
0ortis ?2 httpD//www.fortisbc.com
A66323onal Reso/rces
?2 2oalition of eople with /isabilities httpD//www.bccpd.bc.ca
/ialC*C/ietitian www.dialadietitian.org
:mergency reparedness for Industry and
2ommerce 2ouncil
www.epicc.org
Emergency S/ppl3ers
?raidner &urvival Gits www.survivalkits.com
0.*.&.T. +td www.fastlimited.com
Grasicki and ;ard www.krasickiandward.com
Vuake &afe +td. www.-s-uakesafe.com
Terra 0irm :arth-uake reparedness Inc www.terrafirm.ca
mm/dd/yr age "! of "!
#ersion $

Residential Care Emergency Response Plan Template February 2013

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Emergency Response Plan

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