**Emergency Management Program**

**DATE: SAMPLE**

**[OPERATING UNIT: Canteen OPERATING UNIT MANAGER:]{.underline}**

+-------+----------+------+---------------+-----------+--------------+
| **Mi  | ##### Po | *    | Preparations  | If there  |              |
| ssion | tential  | *Con | to Make to    | is an     |              |
| Cri   | Problems | tact | Minimize      | int       |              |
| tical |          | for  |               | erruption |              |
| Sys   |          | As   | **Potential   | in        |              |
| tem** |          | sist | Problems**    | o         |              |
|       |          | ance |               | perations |              |
|       |          | in   |               | due to    |              |
|       |          | P    |               | loss of   |              |
|       |          | repa |               | the       |              |
|       |          | ring |               | Critical  |              |
|       |          | for  |               | System,   |              |
|       |          | P    |               | then:     |              |
|       |          | oten |               |           |              |
|       |          | tial |               | **Assess  |              |
|       |          | Pr   |               | the       |              |
|       |          | oble |               | situation |              |
|       |          | ms** |               | for:      |              |
|       |          |      |               | Action    |              |
|       |          |      |               | re        |              |
|       |          |      |               | quired:** |              |
+=======+==========+======+===============+===========+==============+
| **1.  | *Without | Con  | a)  No        | a)        | a)  Evacuate |
| Light | el       | tact |               | Determine |     staff    |
| ing** | ectrical | C    |   preparation |           |     from     |
|       | power    | hief |     during    |    extent |     work     |
| **(E  | the      | Fa   |     canteen   |     of    |     area to  |
| merge | canteen  | cili |               |           |     an area  |
| ncy** | will     | ties |  non-business |    outage |     with     |
|       | need to  | Ma   |     hours.    |     -- is |              |
| **Lig | shut     | nage |     Closed to |     it    |    emergency |
| hts** | down.*   | ment |     the       |           |     power    |
|       |          | for  |     public.   |  confined |              |
| **Av  |          | pos  |               |     or    |  (lighting). |
| ailab |          | sibi | b)  In a      |     t     |              |
| le)** |          | lity |     power     | hroughout | b)  Staff    |
|       |          | of   |     failure   |     de    |     could be |
|       |          | e    |     during    | partment. |     assigned |
|       |          | merg |     business  |           |     to work  |
|       |          | ency |     hours,    |           |     in       |
|       |          | po   |     staff     |           |              |
|       |          | wer. |     should be |           |  conjunction |
|       |          | No   |     informed  |           |     with     |
|       |          | con  |     of route  |           |              |
|       |          | tact |     of egress |           |   Dietetics, |
|       |          | with |     and will  |           |     or will  |
|       |          | Sa   |     evacuate  |           |     be made  |
|       |          | fety |     through   |           |              |
|       |          | Of   |     free and  |           |    available |
|       |          | fice |     clear     |           |     for the  |
|       |          | is   |     egress    |           |     labor    |
|       |          | r    |     route.    |           |     poll and |
|       |          | equi |               |           |     may be   |
|       |          | red. |               |           |     used to  |
|       |          |      |               |           |     support  |
|       |          |      |               |           |     other    |
|       |          |      |               |           |     areas of |
|       |          |      |               |           |     the      |
|       |          |      |               |           |              |
|       |          |      |               |           |    facility. |
|       |          |      |               |           |              |
|       |          |      |               |           | c)  Confer   |
|       |          |      |               |           |     with the |
|       |          |      |               |           |              |
|       |          |      |               |           |    Associate |
|       |          |      |               |           |     Director |
|       |          |      |               |           |     for      |
|       |          |      |               |           |     further  |
|       |          |      |               |           |              |
|       |          |      |               |           |    guidance. |
+-------+----------+------+---------------+-----------+--------------+
| **2.  | *Without | Con  | a\) Decrease  | a)        | a)  Staff    |
| El    | el       | tact | refrigerated  | Determine |     could be |
| ectri | ectrical | C    | supplies.     |     the   |     made     |
| cal** | power    | hief |               |           |              |
|       | canteen  | Fa   | b\) Acquire   |    extent |    available |
| **Po  | will     | cili | n             |     of    |     for the  |
| wer** | need to  | ties | on-perishable |     the   |     labor    |
|       | shut     | Ma   | food supplies |           |     pool and |
| **(G  | down.    | nage | to utilize in |    outage |     may be   |
| enera | 80% of   | ment | lieu of       |     and   |     used to  |
| tor** | e        | for  | perishables.  |     the   |     support  |
|       | quipment | pos  |               |           |     other    |
| **Po  | runs     | sibi |               | projected |     areas of |
| wer** | w/       | lity |               |           |     the      |
|       | electric | of   |               |    length |              |
| **Av  | power.   | e    |               |     of    |    facility. |
| ailab | Walk-in  | merg |               |     the   |              |
| le)** | refri    | ency |               |           | b)  Contact  |
|       | gerators | po   |               |   outage. |              |
|       | have no  | wer. |               |           |    utilities |
|       | e        | No   |               |           |     for      |
|       | mergency | con  |               |           |              |
|       | power    | tact |               |           |   activation |
|       | from     | with |               |           |     of       |
|       | gen      | Sa   |               |           |     switch   |
|       | erators, | fety |               |           |     when     |
|       | but are  | Of   |               |           |     excess   |
|       | on the   | fice |               |           |     power is |
|       | switch.* | is   |               |           |              |
|       |          | r    |               |           |    available |
|       |          | equi |               |           |     (excess  |
|       |          | red. |               |           |     power is |
|       |          |      |               |           |     possible |
|       |          |      |               |           |              |
|       |          |      |               |           |    depending |
|       |          |      |               |           |     on the   |
|       |          |      |               |           |              |
|       |          |      |               |           |   hospital's |
|       |          |      |               |           |     workload |
|       |          |      |               |           |     and      |
|       |          |      |               |           |     weather  |
|       |          |      |               |           |              |
|       |          |      |               |           |   conditions |
|       |          |      |               |           |     leading  |
|       |          |      |               |           |     to       |
|       |          |      |               |           |     savings  |
|       |          |      |               |           |     of A/C). |
|       |          |      |               |           |              |
|       |          |      |               |           | c)  Confer   |
|       |          |      |               |           |     with the |
|       |          |      |               |           |              |
|       |          |      |               |           |    Associate |
|       |          |      |               |           |     Director |
|       |          |      |               |           |     for      |
|       |          |      |               |           |     further  |
|       |          |      |               |           |              |
|       |          |      |               |           |    guidance. |
+-------+----------+------+---------------+-----------+--------------+
| **3.  | *Without | C    | a\) Assess    | a)  \# of | a\)          |
| St    | steam    | hief | quantity of   |     pr    | Distribute   |
| eam** | the      | Fa   | paper         | ospective | paper        |
|       | canteen  | cili | products      |           | products.    |
| *     | will not | ties | required.     | customers |              |
| *Dist | have     | Man  |               |           | b\) Place    |
| ribut | ca       | agem | b\) Assess    | b)  Waste | increased    |
| ion** | pability | ent. | distribution  |           | waste        |
|       | for      |      | procedure for |  handling | containers   |
|       | dishw    |      | paper         |     cap   | to handle    |
|       | ashing.* |      | products.     | abilities | paper        |
|       |          |      |               |     with  | product      |
|       |          |      |               |     use   | waste.       |
|       |          |      |               |     of    |              |
|       |          |      |               |     paper |              |
|       |          |      |               |           |              |
|       |          |      |               | products. |              |
+-------+----------+------+---------------+-----------+--------------+
| **4.  | *Without | Ch   | a\) Assess    | a\)       | Deploy       |
| Heati | heating  | ief, | need for      | Assess    | supplemental |
| ng,** | /cooling | Fac  | portable      | need for  | heating and  |
|       | will     | ilit | hea           | heating   | cooling      |
| **V   | need to  | ies/ | ting/cooling. | and       | units.       |
| entil | shut     | Eng  |               | cooling   |              |
| ation | down.*   | inee |               | units.    |              |
| & Air |          | ring |               |           |              |
| Co    |          |      |               |           |              |
| nditi |          |      |               |           |              |
| oning |          |      |               |           |              |
| (HV   |          |      |               |           |              |
| AC)** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **5.  | *No      | Ch   | Assess need   | Safety to | a)  Deploy   |
| R     | exhaust  | ief, | for portable  | staff and |              |
| oom** | out of   | Fac  | exhaust fans  | vi        | supplemental |
|       | cooking  | ilit |               | sibility. |     exhaust, |
| *     | hoods.*  | ies/ |               |           |     if       |
| *or** |          | Eng  |               |           |              |
|       |          | inee |               |           |   available. |
| *     |          | ring |               |           |              |
| *Hood |          |      |               |           | b)  Stop     |
| Exha  |          |      |               |           |     cooking  |
| ust** |          |      |               |           |     on       |
|       |          |      |               |           |     grid     |
|       |          |      |               |           | dles/grills. |
+-------+----------+------+---------------+-----------+--------------+
| **6.  | *Without | Ch   | a\) Assess    | a\)       | a\) Deploy   |
| Wa    | domestic | ief, | quantity of   | Assess    | domestic     |
| ter** | water,   | Faci | domestic      | quantity  | water.       |
|       | Canteen  | lity | water         | of        |              |
| **    | services | Ma   | required.     | bottled   | b\) Deploy   |
| Deliv | would be | nage |               | water     | alternate    |
| ery** | inter    | ment | b\) Acquire   | required. | means for    |
|       | rupted.* | Ser  | ample supply  |           | washing      |
|       |          | vice | of domestic   | b\)       | serving      |
|       |          |      | water.        | Assess    | utensils.    |
|       |          |      |               | need for  |              |
|       |          |      |               | dis       |              |
|       |          |      |               | tribution |              |
|       |          |      |               | of water  |              |
|       |          |      |               | for       |              |
|       |          |      |               | cleaning  |              |
|       |          |      |               | utensils. |              |
+-------+----------+------+---------------+-----------+--------------+
| **7.  | *Without | Ch   | a\) Assess    | a\)       | a\) Deploy   |
| Wa    | domestic | ief, | quantity of   | Assess    | domestic     |
| ter** | water,   | Faci | domestic      | quantity  | water.       |
|       | Canteen  | lity | water         | of        |              |
| *     | services | Ma   | required.     | bottled   | b\) Deploy   |
| *Cond | would be | nage |               | water     | alternate    |
| ition | inter    | ment | b\) Acquire   | required. | means for    |
| ing** | rupted.* | Ser  | ample supply  |           | washing      |
|       |          | vice | of domestic   | b\)       | serving      |
| *     |          |      | water.        | Assess    | utensils.    |
| *Or** |          |      |               | need for  |              |
|       |          |      |               | dis       |              |
| *     |          |      |               | tribution |              |
| *Drin |          |      |               | of water  |              |
| kabil |          |      |               | for       |              |
| ity** |          |      |               | cleaning  |              |
|       |          |      |               | utensils. |              |
+-------+----------+------+---------------+-----------+--------------+
| **8.  | *        | Ch   | Acquire ample | Assess    | a\)          |
| Wa    | Build-up | ief, | supply of     | method    | Implement    |
| ste** | of       | Faci | waste         | for waste | alternate    |
|       | waste.*  | lity | bins/bags.    | m         | waste        |
| **Str |          | Ma   |               | anagement | handling     |
| eam** |          | nage |               |           | procedures.  |
|       |          | ment |               |           |              |
| **    |          | Ser  |               |           | b\) Place    |
| (Sani |          | vice |               |           | spare waste  |
| tary, |          |      |               |           | bins/bags.   |
| S     |          |      |               |           |              |
| olid, |          |      |               |           |              |
| Li    |          |      |               |           |              |
| quid, |          |      |               |           |              |
| &**   |          |      |               |           |              |
|       |          |      |               |           |              |
| **Bi  |          |      |               |           |              |
| ohaza |          |      |               |           |              |
| rd)** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **9.  | *No      |      |               |           |              |
| Criti | impact*  |      |               |           |              |
| cal** |          |      |               |           |              |
|       |          |      |               |           |              |
| **    |          |      |               |           |              |
| Suppl |          |      |               |           |              |
| ies** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **10. | *Loss of | Ch   | Assess those  | Assess    | Co           |
| Commu | phones   | ief, | sections --   | for those | mmunications |
| ni-** | will     | IRM  | Canteen,      | areas     | mode will be |
|       | impede   |      | Burger King,  | requiring | merely to    |
| **ca  | the      |      | Retail Store  | commun    | monitor      |
| tions | dep      |      | -- that need  | ications. | against      |
| (     | artments |      | to have       |           | theft/       |
| Telep | ability  |      | c             |           | vandalism of |
| hone, | to       |      | ommunication. |           | the areas    |
| R     | com      |      | Obtain        |           | that are     |
| adio, | municate |      | hand-held     |           | closed.      |
| I     | with     |      | two-way       |           |              |
| nterc | medical  |      | radios or     |           |              |
| om,** | center   |      | cell phones   |           |              |
|       | staff    |      | from EOC.     |           |              |
| **    | and      |      |               |           |              |
| Nurse | external |      |               |           |              |
| Call; | c        |      |               |           |              |
| et    | ontacts* |      |               |           |              |
| c.)** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **11. | *No      |      |               |           |              |
| VISTA | Impact.* |      |               |           |              |
| &**   |          |      |               |           |              |
|       |          |      |               |           |              |
| **    |          |      |               |           |              |
| Other |          |      |               |           |              |
| Com   |          |      |               |           |              |
| puter |          |      |               |           |              |
| Appl  |          |      |               |           |              |
| icati |          |      |               |           |              |
| ons** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **12. | a        | Ch   | a)  Canteen   | a)        | a)  Assign   |
| Ala   | )  *With | ief, |     and       |   Conduct |     staff to |
| rms** |     out  | Po   |     retail    |     c     |     monitor  |
|       |          | lice |     store are | ontinuous |     the      |
| **(   |   active |      |     under     |     rea   |     area.    |
| Fire, |          | Pres |     electric  | ssessment |              |
| Code  |   alarms | ence |     alarm --  |     of    |              |
| Blue, |     the  | is   |     Need to   |     the   |              |
| Secu  |     risk | requ |     be        |     area  |              |
| rity, |     of   | ired |     secured   |     for   |              |
| Me    |          | to   |     and       |     theft |              |
| dical |    theft | se   |     monitor.  |     /     |              |
| G     |     /v   | cure |               |     v     |              |
| ases, | andalism | cash | b)  Walk-in   | andalism. |              |
| Nurse |     i    | in   |     r         |           |              |
| Call, | ncreases | the  | efrigerators, |           |              |
| Refr  |     in   | sa   |     office,   |           |              |
| igera |     all  | fety |     safety    |           |              |
| tion; |          | box. |     box, and  |           |              |
| et    | sections |      |     Food      |           |              |
| c.)** |     (    |      |               |           |              |
|       | canteen, |      |    department |           |              |
|       |          |      |     are       |           |              |
|       |   Burger |      |     alarmed   |           |              |
|       |          |      |     to        |           |              |
|       |    King, |      |     graphic   |           |              |
|       |          |      |     control.  |           |              |
|       |   Retail |      |               |           |              |
|       |          |      |               |           |              |
|       |   store, |      |               |           |              |
|       |     of   |      |               |           |              |
|       | fices).* |      |               |           |              |
|       |          |      |               |           |              |
|       | b)       |      |               |           |              |
|       | *Canteen |      |               |           |              |
|       |          |      |               |           |              |
|       |  service |      |               |           |              |
|       |     will |      |               |           |              |
|       |     have |      |               |           |              |
|       |     no   |      |               |           |              |
|       |     fire |      |               |           |              |
|       |     and  |      |               |           |              |
|       |          |      |               |           |              |
|       |    smoke |      |               |           |              |
|       |          |      |               |           |              |
|       | alarms.* |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **13. | *No      |      |               |           |              |
| E     | impact.* |      |               |           |              |
| levat |          |      |               |           |              |
| ors** |          |      |               |           |              |
|       |          |      |               |           |              |
| **&   |          |      |               |           |              |
| Other |          |      |               |           |              |
| Ver   |          |      |               |           |              |
| tical |          |      |               |           |              |
| T     |          |      |               |           |              |
| ransp |          |      |               |           |              |
| ort** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **14. | *No      |      |               |           |              |
| T     | Impact.* |      |               |           |              |
| ransp |          |      |               |           |              |
| ort** |          |      |               |           |              |
|       |          |      |               |           |              |
| *     |          |      |               |           |              |
| *Syst |          |      |               |           |              |
| ems** |          |      |               |           |              |
|       |          |      |               |           |              |
| *     |          |      |               |           |              |
| *(Rob |          |      |               |           |              |
| otic, |          |      |               |           |              |
| Pneu  |          |      |               |           |              |
| matic |          |      |               |           |              |
| Tube, |          |      |               |           |              |
| Tr    |          |      |               |           |              |
| acked |          |      |               |           |              |
| Veh   |          |      |               |           |              |
| icle; |          |      |               |           |              |
| et    |          |      |               |           |              |
| c.)** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **15. | *No      |      |               |           |              |
| Cent  | impact.* |      |               |           |              |
| ral** |          |      |               |           |              |
|       |          |      |               |           |              |
| **Me  |          |      |               |           |              |
| dical |          |      |               |           |              |
| Gases |          |      |               |           |              |
| (Ox   |          |      |               |           |              |
| ygen, |          |      |               |           |              |
| Me    |          |      |               |           |              |
| dical |          |      |               |           |              |
| Air,  |          |      |               |           |              |
| Vacu  |          |      |               |           |              |
| um)** |          |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+
| **1   | *An      | Con  | a\) Obtain    | Assess    | a\) Contact  |
| 6.Sec | inte     | tact | Police escort | contacts  | alternate    |
| urity | rruption | C    | to bring cash | for       | vendor.      |
| Pi    | in       | hief | to the bank   | Brinks    |              |
| ck-up | "Brinks" | of   | or secure     | services. | b\) Contact  |
| of    | services | Pol  | money in the  |           | police to    |
| Mo    | will     | ice. | safety box.   |           | implement    |
| ney** | affect   |      |               |           | emergency    |
|       | the      |      | b\) Establish |           | procedures.  |
|       | canteen  |      | alternate to  |           |              |
|       | because  |      | vendor        |           |              |
|       | e        |      | contract.     |           |              |
|       | scorting |      |               |           |              |
|       | the      |      |               |           |              |
|       | mo       |      |               |           |              |
|       | ney/cash |      |               |           |              |
|       | to the   |      |               |           |              |
|       | bank     |      |               |           |              |
|       | becomes  |      |               |           |              |
|       | an       |      |               |           |              |
|       | issue.*  |      |               |           |              |
+-------+----------+------+---------------+-----------+--------------+