Number range CHAPTER**U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES**

**National Institutes of Health**

**Animal Resources Team**

**Handbook**

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height="1.5722222222222222in"}

**TABLE of CONTENTS**

**GENERAL ORGANIZATION**

-   Animal Resources Team (ART) Emergency Handbook

-   Animal Resources Team (ART) Responsibilities

-   Animal Resources Team (ART) Response -- Levels Determination,
    Reporting,
    Communication...........................................................................................

-   NIH Continuity of Operations Plan (COOP)

-   Homeland Security Threat Levels
    ...................................................................

-   NIH COOP Incident Command System (IC)

-   Readiness

-   List of Acronyms for Disaster Recovery

-   Emergency Response Quick Guide

    **PERSONNEL DIRECTORY**

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-   Emergency Telephone Numbers

-   NIH Animal Resources Team (ART) - Emergency Response Roster

-   NIH Institute Points-of-Contact

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-   APD Contact List

-   IC Animal Facility Roster

    **SITUATIONS / EMERGENCIES**

-   After Action Report

-   Animal Bites and Scratches

-   Animal Evacuation Procedures

-   Biohazard Exposure

-   Bomb Threats

-   Chemical Hazards

-   Code Red Alert

-   Disgruntled Employee

-   Emergency Response Quick Guide

-   Fire

-   First Aid

-   Flood and High Water

-   HVAC Failure

-   Large Animal Surgery and Imaging
    Evacuation..................................................

-   Media and FOIA Inquiries and List of IC Information Officers

-   Medical Emergency

-   Pandemic Flu for Research
    Animals.................................................................

-   Radiation Exposure

-   Red Alert Critical Delivery
    Process...................................................................

-   Security Breach

-   Sewer Stoppage

-   Storms

-   Strange Odors in the Workplace

-   Structural Damage

-   Suspected Terrorist Activity

-   Utility Failure

-   Water Failure and Calculating Minimum Water Requirements

**REFERENCES**

-   NIH Emergency Preparedness Handbook

-   Web Sites

    **[General Organization]{.smallcaps}**

    **THE ANIMAL RESOURCES TEAM HANDBOOK**

    **Purpose**

    The NIH is comprised of multiple Institutes and Centers, each unique
    with regard to their research activities, location, facility
    construction and capabilities, animal species, and personnel
    expertise. The Animal Resources Team (ART) Handbook is a NIH-wide
    template to provide individual Institutes and Centers (IC) with the
    information, tools, and resources to develop meaningful,
    site-specific emergency response plans for laboratory animal
    facilities.

    **IC Responsibilities**

    Each IC should conduct an individual situation probability/response
    assessment for its animal facilities. The ART Handbook is designed
    to provide guidelines and identify resources for certain situations.
    Each IC should be able to:

1.  Understand the importance for a multi-disciplinary team approach to
    develop an IC emergency plan.

2.  Identify likely key representatives/offices needed to develop the
    emergency plan:

-   IC Facility

-   Security

-   Occupational Health & Safety

-   Legal

-   Emergency response

-   Public Relations

-   Data Processing

-   Maintenance & Engineering

-   Finance

-   Information

-   Office of Animal Care & Use:
    (<http://oacu.od.nih.gov/disaster/index.htm> )

    **Key points** to consider when designing an IC emergency plan:

1.  The ART Handbook is designed as a reference guide for individuals
    responding to emergencies affecting animal facilities.

2.  The ART Handbook is facility non-specific, and is intended to serve
    as a template around which specific IC/animal facility emergency
    plans can be structured.

3.  Although it is impossible to thoroughly address every conceivable
    emergency situation, IC emergency plans should address the topics
    presented in the ART Handbook. Identification of the situation and
    courses of action are critical and essential.

4.  Additional IC-specific instructions should be added to ensure
    coverage of those issues unique to the IC. Specific instructions can
    be written into the pages of the ART Handbook, or additional
    sections addressing specific instructions can be added.

5.  Any response should first address personnel injury and safety;
    animal care should always be considered secondary.

6.  Adequate preparation and appropriate training is the cornerstone to
    successful mitigation of potential disasters. Therefore, the ART
    Handbook should not be used as a substitute for training,
    experience, or good judgment.

    **ANIMAL RESOURCES TEAM RESPONSIBILITIES**

    Animal Resource Team (ART) members coordinate operations with the
    on-scene Officer-in-Charge (OIC) prior to initiating activities for
    the purposes of prioritizing resources, including human health and
    animal recovery. Local jurisdiction Fire/Police will likely be the
    OIC at off campus facilities.

    Responsibilities of the ART include, but are not limited to, the
    following actions:

-   Develop pre-emergency and relocation plans/procedures for
    appropriate employees and animals.

-   Identify required resources for relocation efforts with the
    Emergency Response Team (ERT) Leader.

-   Coordinate relocation and support efforts as necessary to provide a
    safe environment for animals.

-   Identify modes of transportation and animal care personnel issues.

-   Coordinate relocation efforts as necessary to provide a safe
    environment for animals.

-   Inform the Public Information Office and the ERT Leader of any
    animal retrieval activities.

-   Attend briefings by the ERT Leader.

-   Coordinate animal recovery efforts with the ERT.

-   Rescue, reclaim, or recover animals.

-   Triage, treatment and/or euthanasia of animals as required and
    determined appropriate in accordance with established policy.

**Number range CHAPTERART Response -- Levels Determination, Reporting &
Communication**

If an event occurs the following factors will be used to judge the level
of the response:

1.  Has damage occurred to the animal facility structure?

2.  Is access to the facility restricted and if so, for how long will it
    be restricted?

3.  Is adequate staff present on site?

4.  Does the facility have feed/bedding available?

5.  Is there water, power, HVAC or other issues needing ORF response?

6.  Do animals need to be relocated?

7.  Has a hazardous exposure occurred?

**[Animal Resources Coordinator's Responsibilities:]{.underline}**

1.  Upon notification of an event, the ARC will determine the response
    needed using the attached algorithm.

2.  The ARC will notify the team members deemed necessary to support the
    response. Some or all of the ART may be put on standby notice to
    prepare to respond.

3.  The ARC will notify the OACU point of contact when enough
    information about the status of the event and the affect on animal
    facility function is known.

4.  At the conclusion of the event the ARC will notify all ART members,
    DEPC, OACU and points of contact in the affected ICs of the outcome.

5.  The ARC will request after action responses from those members and
    IC staff involved in the response using the template survey.

6.  The ARC will compile a summary report following receipt of responses
    and distribute for comment at next DRAAC meeting.

**[Animal Resources Team Member Responsibilities:]{.underline}**

1.  Maintain contact information up to date.

2.  If planned absence for leave or government travel, notify team
    leader or ARC with at least 24 hours advance notice.

3.  Maintain ART emergency pack with adequate supplies of batteries and
    other expendable supplies. Inform OACU if replacement equipment or
    supplies are needed.

4.  Upon notification of an event, respond to location as notified, or
    if placed on standby keep communication routes open to be ready to
    respond.

5.  Complete after actions reports as requested by team leader or ARC.

+-------+--------+-------+---------+-------+--------+-------+-------+
| Res   |        |       |         |       |        |       |       |
| ponse |        |       |         |       |        |       |       |
| Level |        |       |         |       |        |       |       |
| Det   |        |       |         |       |        |       |       |
| ermin |        |       |         |       |        |       |       |
| ation |        |       |         |       |        |       |       |
| --    |        |       |         |       |        |       |       |
| A     |        |       |         |       |        |       |       |
| nimal |        |       |         |       |        |       |       |
| Reso  |        |       |         |       |        |       |       |
| urces |        |       |         |       |        |       |       |
| Team  |        |       |         |       |        |       |       |
+-------+--------+-------+---------+-------+--------+-------+-------+
| Has   | Is     | Is    | Does    | W     | Do     | Have  | Has a |
| d     | access | ade   | the     | ater, | a      | an    | haza  |
| amage | to the | quate | f       | p     | nimals | imals | rdous |
| occ   | fa     | staff | acility | ower, | need   | been  | exp   |
| urred | cility | pr    | have    | HVAC  | to be  | in    | osure |
| to    | restr  | esent | feed/   | or    | relo   | jured | occu  |
| the   | icted? | on    | bedding | other | cated? | or    | rred? |
| a     |        | site? | ava     | i     |        | rele  |       |
| nimal |        |       | ilable? | ssues |        | ased? |       |
| fac   |        |       |         | ne    |        |       |       |
| ility |        |       |         | eding |        |       |       |
| struc |        |       |         | ORF   |        |       |       |
| ture? |        |       |         | res   |        |       |       |
|       |        |       |         | ponse |        |       |       |
+-------+--------+-------+---------+-------+--------+-------+-------+
| If    | If No, | If    | If Yes, | If    | If No, | If    | If    |
| No, 0 | 0      | Yes,  | 0       | No, 0 | 0      | No, 0 | No, 0 |
| p     | points | 0     | points  | p     | points | p     | p     |
| oints |        | p     |         | oints |        | oints | oints |
|       |        | oints |         |       |        |       |       |
+-------+--------+-------+---------+-------+--------+-------+-------+
| If    | If     | If    | If No,  | If    | If     | If    | If    |
| Yes,  | Yes, 1 | No, 1 | 1 point | Yes,  | Yes, 1 | yes,  | yes,  |
| 1     | point  | point |         | 1     | point  | 1     | 1     |
| point |        |       |         | point |        | point | point |
+-------+--------+-------+---------+-------+--------+-------+-------+
|       | For    | Who   |         |       |        |       |       |
|       | how    | is    |         |       |        |       |       |
|       | long:  | n     |         |       |        |       |       |
|       |        | eeded |         |       |        |       |       |
|       | \< 3   | to    |         |       |        |       |       |
|       | hrs -- | as    |         |       |        |       |       |
|       | 0      | sist: |         |       |        |       |       |
|       | points |       |         |       |        |       |       |
|       |        | IC    |         |       |        |       |       |
|       | \> 3 & | staff |         |       |        |       |       |
|       | \< 12  | -- 0  |         |       |        |       |       |
|       | hrs -- | p     |         |       |        |       |       |
|       | 1      | oints |         |       |        |       |       |
|       | point  |       |         |       |        |       |       |
|       |        | ART   |         |       |        |       |       |
|       | \>12   | -- 1  |         |       |        |       |       |
|       | hours  | point |         |       |        |       |       |
|       | -- 2   |       |         |       |        |       |       |
|       | points | ART+  |         |       |        |       |       |
|       |        | ot    |         |       |        |       |       |
|       |        | hers- |         |       |        |       |       |
|       |        | 2     |         |       |        |       |       |
|       |        | p     |         |       |        |       |       |
|       |        | oints |         |       |        |       |       |
+-------+--------+-------+---------+-------+--------+-------+-------+

Level 1 -- total points = 0 Level 2 -- total points = 1 Level 3 -- total
points = 2-4 Level 4 -- total points = 5+

**Level I** - handled by on-site emergency service and IC animal staff
using resources which are readily available on site; and where essential
services are not compromised.

**Level II** - the IC affected can successfully respond to the crisis
affecting the animal holding facility using inherent IC resources. NIH
fire and rescue or police departments may respond, but do not normally
require expertise or assistance apart from what the IC can provide. The
animal facilities are viable and animal health is either unaffected, or
the animals can be readily relocated away from the hazard or threat.

**Level III** - animal health status may be compromised. Local
containment is questionable, and there may be utility disruption
with/without satisfactory backup. Police may be unable to provide
adequate security. Several floors of one or more buildings may be
involved, or major portions of the building(s) might be uninhabitable.
IC resources are limited or exhausted. One or more members of the ART
are required to provide expertise and facilitate actions.

**Level IV** - Significant disruption and damage. Animals have been
injured or released. Biohazard release, chemical contamination, or
radiation hazard that cannot be readily contained or controlled without
additional assistance has occurred. Animal holding facilities are
limited or no longer suitable. The ART is needed to provide expertise
and coordinate resource allocation.

**THE NIH CONTINUITY OF OPERATIONS PLAN**

**Background**

The NIH Continuity of Operations (COOP) plan is a trans-NIH disaster
response plan designed to mitigate a catastrophic event or disaster
affecting the NIH community at either the Bethesda campus or the
Poolesville facility, and facilitate a return to active research as soon
as practicable. The NIH Animal Resources Team (ART) is one of several
teams within the COOP program, and is prepared to respond, in whole or
in part, to any disaster affecting research animals, regardless of
whether resources or circumstances permit an effective or adequate
response by the affected IC.

A precipitating or initial large-scale disaster is often characterized
as the primary event. Affected ICs will more likely be characterized as
the secondary event, which may or may not be the result of the primary
event. For planning purposes, as well as for effective management and
efficient response activities, disasters and resultant secondary events
are subdivided into 4 incident categories.

**Level I** - Level I incidents are expected to be routinely handled by
on-site emergency service and support groups with limited resources
which are readily available on site; and where essential services are
not compromised.

**Level II** - With Level II incidents, it is understood that the IC's
affected can successfully respond to the crisis affecting the animal
holding facility using inherent IC resources. NIH fire and rescue or
police departments may respond, but do not normally require expertise or
assistance apart from what the IC can provide. The animal facilities are
viable and animal health is either unaffected, or the animals can be
readily relocated away from the hazard or threat.

**Level III** - It is expected that Level III events would likely
compromise animal health status. Local containment may be questionable,
and there may be utility disruption with/without satisfactory backup.
Police may be unable to provide adequate security. Several floors of one
or more buildings may be involved, or major portions of the building(s)
might be uninhabitable. IC resources are limited or nearly exhausted.
One or more members of the ART are required to provide expertise and
facilitate actions.

**Level IV** - Significant disruption and damage characterizes Level IV
emergencies. Animals have been injured or inadvertently released. There
may be a suspicion of a biohazard release, chemical contamination, or
radiation hazard that cannot be readily contained or controlled without
additional assistance. Animal holding facilities are limited or no
longer suitable. The ART is needed to provide expertise and coordinate
resource allocation.

The corresponding classification of Incident Levels (I, II, III or IV)
described above places an increasing demand on animal care personnel and
resources. The COOP Disaster Recovery Coordinator, in coordination with
the Animal Resources Coordinator, will continually assess the events and
decide when to call upon other members of their teams for assistance.
When called, individuals of the ART will assemble at determined
locations to organize a balanced response. This will include requests
for additional personnel support and acquisition of IC resources.

**HOMELAND SECURITY THREAT LEVELS**

The threat levels are as follows:

+-----------------------------------------------------------------------+
| -   ![](media/image3.png){width="0.9895833333333334in"                |
|     height="0.3229166666666667in"} Low Condition (Green). There is a  |
|     low risk of terrorist attacks. **LEVEL 1**                        |
|                                                                       |
| -   ![](media/image4.png){width="0.9895833333333334in"                |
|     height="0.3229166666666667in"} Guarded Condition (Blue). There is |
|     a general risk of terrorist attacks. **LEVEL 2**                  |
|                                                                       |
| -   ![](media/image5.png){width="0.9895833333333334in"                |
|     height="0.3229166666666667in"} Elevated Condition (Yellow). There |
|     is a significant risk of terrorist attacks. The public should be  |
|     alert to suspicious activity. **LEVEL 3**                         |
|                                                                       |
| -   ![](media/image6.png){width="0.9895833333333334in"                |
|     height="0.3333333333333333in"} High Condition (Orange). There is  |
|     a high risk of terrorist attacks. Officials will take additional  |
|     precautions at public events and restrict access to some specific |
|     sites within a city or area. **LEVEL 4**                          |
|                                                                       |
| -   ![](media/image7.png){width="0.9895833333333334in"                |
|     height="0.3020833333333333in"} Severe Condition (Red). There is a |
|     severe risk of terrorist attacks and is the highest level.        |
|     Officials may close public and government buildings, activate     |
|     special teams and limit transportation systems. People should     |
|     avoid public gathering places and stay tuned to the media.        |
|     **LEVEL RED ALERT CRITICAL**                                      |
|                                                                       |
|                                                                       |
+-----------------------------------------------------------------------+

**THE NIH COOP INCIDENT COMMAND SYSTEM**

**Structure**

The Incident Command System (ICS) is a nationally recognized,
standardized management system used by emergency response agencies to
manage all types of emergency situations. These situations may range
from small emergencies to large- scale disasters. Fire departments, law
enforcement agencies and emergency management (EM) officials utilize the
ICS to accomplish the tasks of planning, organizing, directing,
coordinating, delegating, communicating and evaluating incidents in a
systematic and logical approach.

The Department of Health and Human Services along with local/federal
emergency response groups that have pre-established mutual aid
agreements with the NIH and all use the ICS. Therefore, the NIH has
adopted this system to manage the COOP.

Two important reasons for use of the ICS by NIH are:

1.  The ICS provides a seamless integration of direction and control
    responsibilities between the NIH and other response groups involved
    in the control and recovery of the incident.

2.  The ICS provides a proven management system to effectively and
    efficiently handle the NIH control and recovery operations.

**Incident Command System - NIH COOP**

The ICS incorporates the management principles of "Unity" and "Chain of
Command" to provide a standardized hierarchy for the management of an
incident. Unity of command means that every individual has a designated
supervisor. Chain of command means that there is an orderly line of
authority within the structure of the system with subordinate levels
connected to higher levels. This chain of command starts with the person
who has the ultimate authority to properly deal with the event, herein
referred to as the Disaster Recovery Coordinator (DRC).

**Establishment and Transfer of Command**

The ICS is to be implemented immediately upon notification of an event
threatening NIH's continuity of operations. Upon implementation of the
NIH COOP, the DRC assumes the role of Command/Emergency Response Team
Leader. In the absence of the DRC, the role of Command/ERT Leader shall
be filled in order by the:

1.  Deputy Disaster Recovery Coordinator

2.  First arriving (ERT) Leader to the ERT Operations Site

3.  Senior Management Coordinator

An immediate establishment of the ICS is necessary to quickly assess the
situation, provide direction and control to NIH personnel, ensure the
safety of employees, and provide liaison with NIH emergency response
groups. The Command position is maintained throughout the incident,
although the person designated as Command may change. This change in
personnel is termed **Transfer of Command**.

**Designated ERT Operations Site**

The NIH ERT will establish operations at a pre-established location for
the direction and control of NIH personnel, resources and recovery
activities. The person in the Command role, and other team leaders if
the ICS is expanded, are located in this area. In most cases NIH
emergency service groups will be involved. These groups will have, in
most cases, already established an on-site Command Post (CP) for
direction and control of their personnel, resources, and the direction
of mutual aid resources.

ERT activities with the CP include:

1.  Liaison with emergency response groups throughout the incident.

2.  Provide technical assistance concerning the facility and NIH
    operations within that facility to emergency personnel.

3.  Obtain information from emergency response groups concerning
    incident stabilization efforts in order to brief NIH executive level
    staff, and to determine time estimates for Continuity of Operations
    Planning (NIH COOP).

    **READINESS**

    Sufficient preparation is critical to successful mitigation of
    emergencies. Each individual responsible for animal care should
    review and be familiar with workplace evacuation routes, equipment,
    and supplies before an actual emergency occurs.

    A personnel training program using the Emergency Plan is critical to
    the outcome of specific situations. Subtle changes in routine
    operations may necessitate changes in the plan and require
    additional training of personnel.

    **ACTIONS Checklist**

-   Read and understand the ART Emergency Handbook.

-   Be familiar with your building's floor plans and evacuation routes
    and the NIH Emergency Preparedness Handbook.

-   Participate in practice scenarios - fire drills, power failure,
    animal escape, human-animal bite, chemical spill, eye splash, etc.

-   Prepare yourself and your family so they know and understand what to
    do, where to go, and how to cope if you are unable to return home
    immediately.

-   Read and familiarize yourself with the applicable IC SOPs, NIH Waste
    Disposal Guide, emergency phone numbers, and applicable emergency
    procedures.

-   Know the location of the following:

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-   Emergency information (guides, manuals, SOPs, telephone numbers)

-   Telephones

-   Stairwells (avoid elevators)

-   Fire alarms and extinguishers

-   First Aid and Bite Kits

-   Eyewash stations

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-   Keep the following items on hand and in a location known to all
    employees:

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-   Flashlights and fresh batteries

-   Portable radio and fresh batteries

-   Personal emergency telephone numbers, e.g. children's schools,
    next-of-kin, significant other, doctor, etc.

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-   Keep the following items on hand and in a location known to
    appropriate supervisory staff: Personal information that may be
    required by emergency response personnel, e.g. drug allergies,
    present medications, etc.

    **DISASTER RECOVERY ACRONYMS**

    ARC Animal Recovery Coordinator

    ART Animal Resources Team

    COG Continuity of Government

    COOP Continuity of Operations

    CONOPS Concept of Operations

    CP Command Post

    CVI Commercial Vehicle Inspection

    DEPC Division of Emergency Preparedness & Coordination, ORS

    DRAAC Disaster Response Animal Advisory Committee

    DRC Disaster Recovery Coordinator

    ECC Emergency Communications Center (DEPC, Fire, Police and Animal
    Operations)

    EM Emergency Management

    EOC Emergency Operations Center

    EPC Emergency Planning Coordinator

    ERT Emergency Response Team

    ETO Ethylene Oxide

    Fire Chief Officer-in-Charge of the Fire Department

    FT Financial Team

    FTC Floor Team Coordinator

    HST Health and Safety Team

    ICS Incident Command System

    I and R Information and Reference

    JIC Joint Information Center

    LT Logistics Team

    NIH National Institutes of Health

    OEC Occupant Emergency Coordinator

    OIC Officer-In-Charge

    PIO Public Information Officer

    PIT Public Information Team

    RT Relocation Team

    SMC Senior Management Coordinator

    SMG Senior Management Group

***EMERGENCY RESPONSE QUICK GUIDE***

+-----------------+-------------------+-------------------------------+
| ***INCIDENT***  | > ***WHO TO       | > ***INITIAL RESPONSE***      |
|                 | > CONTACT***      |                               |
+-----------------+-------------------+-------------------------------+
| > ***Monkey     | > ***Page Project | > ***Notify personnel in      |
| > Escape***     | > Manager &       | > area; secure room or        |
|                 | > Project         | > corridor; secure            |
|                 | > Officer***      | > elevators.***               |
+-----------------+-------------------+-------------------------------+
| > ***Rodent     | > ***Page Project | > ***Notify personnel in      |
| > Loose***      | > Manager &       | > area, secure room or        |
|                 | > Project         | > corridor***                 |
|                 | > Officer***      |                               |
+-----------------+-------------------+-------------------------------+
| > ***Fire &     | > ***Dial 911***  | > ***Notify personnel in      |
| > Strange       |                   | > area; activate the nearest  |
| > Odors***      |                   | > fire alarm box; turn off    |
|                 |                   | > any gas being used, close   |
|                 |                   | > doors, evacuate the         |
|                 |                   | > building***                 |
+-----------------+-------------------+-------------------------------+
| > ***Chemical   | > ***Dial 911 &   | ***[Exposure:]{.underline}    |
| > Exposure/     | > 301-496-2346*** | Flush exposure with copious   |
| > Spill***      |                   | amount of water; If face or   |
|                 |                   | eyes are affected, irrigate   |
|                 |                   | with eyewash continuously for |
|                 |                   | 5 minutes; remove             |
|                 |                   | contaminated clothing and     |
|                 |                   | flush skin with large amounts |
|                 |                   | of water for 5 minutes.***    |
|                 |                   |                               |
|                 |                   | ***[Spill:]{.underline}       |
|                 |                   | Notify personnel in room of   |
|                 |                   | spill; cover spill with       |
|                 |                   | absorbent towels; do not      |
|                 |                   | track the spill through the   |
|                 |                   | facility; remove contaminated |
|                 |                   | clothing and wash all parts   |
|                 |                   | of body using copious amounts |
|                 |                   | of water.***                  |
+-----------------+-------------------+-------------------------------+
| >               | > ***Dial 911 &   | ***[Exposure:]{.underline}    |
|  ***Radioactive | > 301-496-5774*** | Wash affected skin with soap  |
| > Exposure/     |                   | and water, remove             |
| > Spill***      |                   | contaminated clothing and     |
|                 |                   | gloves; put on clean gloves   |
|                 |                   | after contaminated clothing   |
|                 |                   | is removed; monitor body with |
|                 |                   | radiation monitors.***        |
|                 |                   |                               |
|                 |                   | ***[Spill:]{.underline}       |
|                 |                   | Notify personnel in room of   |
|                 |                   | the spill; do not track spill |
|                 |                   | through the facility;cover    |
|                 |                   | spill with absorbent towels   |
|                 |                   | using gloves; clean spill     |
|                 |                   | area with mild soap water     |
|                 |                   | solution working from outside |
|                 |                   | toward the center, monitor    |
|                 |                   | contamination area with       |
|                 |                   | survey meter or wipe test.*** |
|                 |                   |                               |
|                 |                   | ***testttest; continue to     |
|                 |                   | clean until there is no       |
|                 |                   | removable contamination.***   |
+-----------------+-------------------+-------------------------------+
| > ***Biohazard  | ***Dial 911 &     | ***[Exposure:]{.underline}    |
| > Ex            | 301-496-2346***   | Eyes splattered with blood or |
| posure/Spill*** |                   | body fluid, flush with water  |
|                 |                   | using eyewash stations for 5  |
|                 |                   | minutes. Mouth splashed with  |
|                 |                   | blood or body fluid, rinse    |
|                 |                   | with water for 5 minutes.     |
|                 |                   | Needle stick milk wound to    |
|                 |                   | induce bleeding, wash with    |
|                 |                   | soap & water 5 minutes.       |
|                 |                   | Remove contaminated clothing, |
|                 |                   | wash skin and replace with    |
|                 |                   | clean clothing.***            |
|                 |                   |                               |
|                 |                   | ***[Spill:]{.underline}       |
|                 |                   | Notify personnel in room of   |
|                 |                   | the spill; do not track spill |
|                 |                   | through the facility; flush   |
|                 |                   | spilled material with a 1:10  |
|                 |                   | dilution of bleach or         |
|                 |                   | povidone iodine solution      |
|                 |                   | (Betadine); wipe all          |
|                 |                   | equipment and surfaces        |
|                 |                   | potentially contaminated.***  |
|                 |                   |                               |
|                 |                   | ***contaminated.***           |
+-----------------+-------------------+-------------------------------+
| > ***Medical    | ***Dial 911 &     | ***Monitor the victim for     |
| > Emergency***  | 301-496-4411 &    | vital signs, then call for    |
|                 | notify Project    | help; wear protective gloves  |
|                 | Manager &         | to avoid contact with blood   |
|                 | Officer***        | or body fluids.***            |
+-----------------+-------------------+-------------------------------+
| >               | ***Dial           | > ***[BITE/SCRATCH/LACERATION |
|  ***\"Potential | 301-496-4411&     | > FROM                        |
| > Exposure to   | notify Project    | >                             |
| > Herpesvirus   | Manager &         |  CONTAMINATED]{.underline}*** |
| > simiae\"***   | Officer***        | >                             |
| >               |                   | > ***[SHARP OR                |
| > ***Monkey     |                   | > EOUIPMENT:]{.underline}***  |
| > Bite/Scratch/ |                   | >                             |
| > Mucous        |                   | > ***Wound cleansing must     |
| > Membrane      |                   | > occur in less that 5        |
| > Exposures***  |                   | > minutes; sponge scrub wound |
|                 |                   | > with povidone-iodine or     |
|                 |                   | > chlorhexidine for 25        |
|                 |                   | > minutes; after 15 minutes   |
|                 |                   | > scrub rinse wound           |
|                 |                   | > thoroughly with water;      |
|                 |                   | > Report to OMS.***           |
|                 |                   | >                             |
|                 |                   | > ***[SPLASH OF POTENTIALLY   |
|                 |                   | > CONTAMINATED FLUID          |
|                 |                   | > TO]{.underline}***          |
|                 |                   | >                             |
|                 |                   | > ***[EYES. MOUTH OR          |
|                 |                   | > NOSE:]{.underline}***       |
|                 |                   |                               |
|                 |                   | ***Flush site with water or   |
|                 |                   | saline for 15 minutes, report |
|                 |                   | to OMS.***                    |
|                 |                   |                               |
|                 |                   | ***[When an exposure occurs   |
|                 |                   | outside of normal OMS         |
|                 |                   | working]{.underline}***       |
|                 |                   |                               |
|                 |                   | > ***[hours (7:30 a.m.-7:30   |
|                 |                   | > p.m.                        |
|                 |                   | > Mo                          |
|                 |                   | nday-Friday):]{.underline}*** |
|                 |                   | >                             |
|                 |                   | > ***Call the NIH page        |
|                 |                   | > Operator at 496-1211; give  |
|                 |                   | > your name, location and     |
|                 |                   | > phone number, ask to be     |
|                 |                   | > immediately contacted by    |
|                 |                   | > the OMS physician           |
|                 |                   | > on-call.***                 |
+-----------------+-------------------+-------------------------------+
| > ***Water      | ***Dial           | > ***Contain the leak, if     |
| > Leak/Flood*** | 301-435-8000***   | > possible; evacuate the area |
|                 |                   | > via stairwells; do not use  |
|                 | ***Notify Project | > elevators***                |
|                 | Manager &         |                               |
|                 | Officer***        |                               |
+-----------------+-------------------+-------------------------------+
| > ***Power      | ***Dial           | ***Inform maintenance that    |
| > Failure***    | 301-435-8000***   | research animals lives are at |
|                 |                   | risk; turn off light          |
|                 | ***Notify Project | switches, ventilated racks &  |
|                 | Manager &         | other electrical equipment,   |
|                 | Officer***        | close sash on all hoods;***   |
+-----------------+-------------------+-------------------------------+
| > ***Elevator   | ***Dial           | > ***Use the emergency phone  |
| > Failure***    | 301-496-2105,     | > in the elevator to call the |
|                 | Notify Project    | > elevator dispatcher,        |
|                 | Manager &         | > explain situation; wait for |
|                 | Officer***        | > qualified assistance***     |
+-----------------+-------------------+-------------------------------+
| > ***ETO        | ***Dial 911 &     | ***Notify all personnel       |
| > (Ethylene     | 301-496-2346,     | within the area; close doors; |
| > Oxide)        | Notify Project    | evaluate the area;( follow    |
| > Alarm***      | Manager &         | specific safety guidelines    |
|                 | Officer***        | for ETO located in drop down  |
|                 |                   | box, B1D44 or in the Surgical |
|                 |                   | Administrative Office***      |
+-----------------+-------------------+-------------------------------+
| ***HVAC         | ***Dial           | ***Inform maintenance that    |
| Failure***      | 301-435-8000***   | research animal lives are at  |
|                 |                   | risk; continually monitor     |
| ***(no air,     | ***Notify Project | room temperature and          |
| heating,        | Manager &         | humidity; use chiller coils   |
| cooling, steam, | Officer***        | or space heaters, if          |
| hot water,      |                   | necessary for immune          |
| low/high        |                   | compromised rodents, rabbits, |
| humidity)***    |                   | marmosets, aquatics***        |
+-----------------+-------------------+-------------------------------+
| > ***Sewer      | ***Dial           | ***Do not flush toilets; stop |
| > Stoppage***   | 301-435-8000***   | use of water***               |
| >               |                   |                               |
| > ***(drains,   | ***Notify Project |                               |
| > toilets,      | Manager &         |                               |
| > sinks         | Officer***        |                               |
| >               |                   |                               |
| inoperative)*** |                   |                               |
+-----------------+-------------------+-------------------------------+
| > ***Water      | ***Dial           | ***Use of alternate water     |
| > supply is     | 301-435-8000***   | supply and containers if      |
| > rendered      |                   | water outage exceeds 4        |
| >               | ***Notify Project | hours***                      |
|  Non-Potable*** | Manager &         |                               |
|                 | Officer***        |                               |
+-----------------+-------------------+-------------------------------+
| ***Te           | ***Dial           | ***Use of 2 way radios to     |
| lecommunication | 301-402-9935 and  | maintain internal             |
| Service         | Notify Project    | communication***              |
| Failure***      | Manager &         |                               |
|                 | Officer***        |                               |
+-----------------+-------------------+-------------------------------+
| > ***Security   | ***Dial 911 or    | ***Await further instructions |
| > Breach***     | 301-496-5685 &    | by the NIH police***          |
|                 | Notify Project    |                               |
|                 | Manager &         |                               |
|                 | Officer***        |                               |
+-----------------+-------------------+-------------------------------+
| > ***Cage wash  | ***Dial           | ***ORF maintenance or         |
| > machinery     | 301-402-4500 and  | preventive maintenance        |
| > inoperable*** | Notify Project    | contractor will response;     |
|                 | Manager &         | manual washing or disposal    |
|                 | Officer***        | methods may be required       |
|                 |                   | beyond 4 hours***             |
+-----------------+-------------------+-------------------------------+
| > ***Cardkey    | ***Dial           | ***Post signs on cardkeys to  |
| > system        | 301-496-2105 and  | alert people of the problem   |
| > failure***    | Notify Project    | with an emergency CAF contact |
|                 | Manager &         | for entrance***               |
|                 | Officer***        |                               |
+-----------------+-------------------+-------------------------------+
| > ***Sprinkle   | ***Dial 911 and   | ***Notify personnel within    |
| > System set    | notify Project    | the area; access the welfare  |
| > off           | Manager &         | of the animals; close doors   |
| > i             | Officer***        | and evacuate the area.***     |
| nadvertently*** |                   |                               |
+-----------------+-------------------+-------------------------------+
| > ***Inclement  | ***Notify Project | ***Notify emergency           |
| > Weather***    | Officer***        | personnel; review abbreviated |
|                 |                   | cage changing schedule and    |
|                 |                   | feed requirements***          |
+-----------------+-------------------+-------------------------------+

Emergency Response Quick Guide

**[Personnel Directory]{.smallcaps}**

**EMERGENCY TELEPHONE NUMBERS**

**ON-CAMPUS POLICE - FIRE - RESCUE - HAZMAT 911**

**TTY Telephone Line DIAL 301-496-0063**

**Emergency Communications Center (24 Hour) 301-496-5685**

**OFF-CAMPUS POLICE - FIRE - RESCUE - HAZMAT 9-911**

**Emergency Maintenance Services (24 hr) Dial 301-435-8000**

**Building 10 Critical Medical Services 111**

**Division of Police (Non-Emergency) Dial 301-496-2387**

**Division of Fire and Rescue Services (Non-Emergency) Dial
301-496-2372**

**Division of the Fire Marshall Dial 301-496-0487**

**Division of Emergency Preparedness and Coordination Dial
301-496-1985**

**Division of Occupational Health and Safety Dial 301-496-2960**

**Division of Physical Security Management Dial 301-496-9109**

**Occupational Medical Service Dial 301-496-4411**

**Employee Transportation Services Dial 301-402-RIDE**

**Emergency Radio Stations:**

**NIH 1660 AM\
WMAL 630 AM\
WTOP 820 AM, 103.5 FM\
WASH 97.1 FM\
WBIG 100.3 FM**

**ORS Information Line 301-594-6677**

**[Situations/Emergencies]{.smallcaps}**

**AFTER ACTION REPORT**

The After Action Report should be generated after any emergency or
disaster. The document should fully describe the incident, immediate
effects, methods used to resolve the situation and how the problem may
be averted in the future. Include the following descriptions:

1.  Record the circumstances resulting in the disruption of normal
    operations.

-   Date -

-   Time -

-   Location -

-   Personnel affected - Animals/species involved -

-   Physical plant damaged -

-   Equipment affected -

2.  Did the incident compromise the health, safety or welfare of any
    animals or personnel?

3.  Was this reported to the Office of Animal Care and Use and OPRR?

4.  Describe how operations were restored. If only temporary or partial,
    when will operations be fully restored?

5.  Describe any loss of holding space for animals and how it was
    replaced.

6.  Describe any loss of equipment and how it is expected to be
    replaced.

7.  Describe how the incident impacted the research mission.

-   Was there permanent loss of data; must experiments be repeated; was
    there loss of founder animals with/without offspring, or loss of
    strains that must be imported or derived from embryos?

-   If there was a compromise of health status, are the animals to be
    rederived or the facility restocked?

8.  Estimate the costs to your organization.

-   Personnel

-   Animals

-   Facility

-   Equipment

**After Action Report continued...**

9.  Were there any premonitory signs that could have forewarned of the
    impending emergency? Were these premonitory signs reported to or
    discussed by the facility management and was some action taken prior
    to the incident?

10. Were there some preparations for this type of emergency (mitigation)
    that could have prevented or lessened the detrimental effects on the
    operations of the facility?

11. Was the disaster management plan consulted to resolve issues
    associated with the emergency?

12. Was the evacuation plan needed during this emergency, was it
    followed, and did it work appropriately?

13. What other preparations would be useful to ensure the health and
    safety of personnel and animals?

    **ANIMAL BITES AND SCRATCHES**

# **ACTIONS Checklist**

***If bite, scratch, or splash is related to a Non-Macaque species (dog,
cat, etc)*:**

-   Administer first aid as necessary. If the injury results in
    excessive bleeding, call ON CAMPUS 911 or OFF-CAMPUS 9-911.

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-   CLEANSE and IRRIGATE by gently scrubbing the wound with soap and
    running water. Use whatever supplies (disinfectants and bandages)
    necessary from the First Aid kits in the facilities.

-   If other personnel are available, have someone call OMS
    (301-496-4411) and tell them about the accident and that the victim
    is on the way.

-   If the accident occurs during the normal workday, immediately report
    to OMS, Building 10 (open from 7:30-4:00). If the accident occurs on
    a weekend, holiday, or after duty hours, immediately report to
    Suburban Hospital.

-   Notify supervisor and take whatever measures necessary to identify
    and isolate the animal for evaluation and observation.

-   Ensure the animal involved is identified and returned to its cage.

-   Ensure proper follow up and/or monitoring by supervisor and other
    personnel as necessary.

    ***If bite, scratch, or splash is related to an Old World Monkey:***

-   ***REMAIN CALM!!*** Follow the procedures in the Bite Kits located
    in each housing area if you have a:

\> bite or scratch that causes bleeding

\> cage scratch that causes bleeding

> \> puncture with a needle that has previously been in a non-human
> primate
>
> \> splashing of feces, urine, saliva, or blood into your eye, mouth,
> or cut in your skin

-   ***IF SCRATCHED OR BITTEN*:**

\> OPEN sealed Bite Kit containing scrub brush and culturette tube.

> \> SCRUB the wound with the bristle side of the betadine (or similar
> disinfectant soap) scrub brush for at least 10 minutes. Rinse with tap
> water, irrigation solution, or sterile saline to remove detergent.
>
> \> SWAB the wound deeply using viral culture swabs. Replace the swab
> in plastic tube and squeeze the bottom to break the bulb.

-   ***IF IN EYES OR MOUTH:*** Rinse your eyes or mouth at the eye wash
    station for 15 minutes. DO NOT SWAB EYES.

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-   Contact supervisor immediately.

-   If the accident occurs during regular working hours and you, or your
    supervisor, are unsure what to do, contact OMS at 301-496-4411.
    Follow instructions in the Bite/Scratch Kit.

-   If the accident occurs on a weekend, holiday, or after duty hours,
    contact the NIH page operator at 301-496-1211 and tell them you are
    reporting a monkey bite/scratch and that they need to page the OMS
    physician on call - immediately.

-   If you experience any difficulty contacting the page operator and/or
    the OMS physician on call, report to Suburban Hospital. Take the
    Bite/Scratch Kit with you.

-   Call ON CAMPUS 911 or OFF-CAMPUS 9-911 if transportation to Suburban
    Hospital is needed.

-   Ensure proper follow up and/or monitoring by supervisor and other
    personnel as necessary.

    **Readiness - Animal Bites and Scratches**

1.  Definition: Wounds that break the skin and that are inflicted on the
    victim by any species of animal as the result of being bitten or
    scratched by the animal. Wounds that break the skin as a result of
    being scratched/punctured by objects that have been in contact with
    certain species (Old World macaques), or that have been contaminated
    by a known or suspected pathogen, should also be considered as
    medical emergencies.

2.  Each facility should have an internal SOP addressing proper action
    to be taken following an animal related injury.

3.  A Quick Guide for immediate action following injury related to an
    Old World macaque should be posted in all nonhuman primate
    facilities.

4.  Conduct frequent training to ensure all personnel know the location
    of the Bite/Scratch Kits and know what to do following an
    animal-related injury.

5.  Inventory Bite/Scratch Kits on a monthly basis and ensure the kits
    do not contain expired items.

**ANIMAL EVACUATION PROCEDURES**

**(Local Disasters, Tornadoes, Hurricanes, and Earthquakes)**

**Local Disaster**

**ACTION Checklist**

-   Follow same guidelines as for local evacuation, fire evacuation,
    bomb evacuation and chemical /biohazard spills.

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-   If necessary, and if safe to exit the facility, evacuate animals
    (**[AFTER]{.underline}** OIC approves building re-entry).

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-   Communicate with other facility managers and/or the NIH Animal
    Resources Coordinator for alternate animal housing and supplies if
    needed.

-   Consult with facility veterinarian or appropriate ART personnel to
    determine disposition of animals that are injured and/or seem to be
    in pain.

-   Prepare for 1-2 days of temporary housing in adjoining facilities.
    Buildings 14E, 28, or 14G contain space appropriate for housing of
    critically ill animals.

    **Tornadoes, Hurricanes**

    **ACTION Checklist**

    **Large Scale or Multiple Facility Evacuation**

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-   Remain inside or move to first floor or basement location.

-   DO NOT use elevators, use stairs only

-   Expect shattered glass/debris and electrical outages.

-   Inventory personnel for potential missing or injured staff.

-   Perform first aid as necessary and as the situation allows.

-   Inventory animal population and account for any potentially escaped
    animals.

-   Alert NIH Security (301-496-5685) if there are escaped animals.

-   Institute prioritization system for existing animal population.

-   Institute supply/crash-cart stocking.

-   Contact ORF to locate generator outside temporary holding area.

-   Protect cages from potentially shattering glass.

-   Take dry/wet vacuum to temporary location.

-   Consult with facility veterinarian or appropriate ART personnel to
    determine disposition of animals that are injured and/or seem to be
    in pain.

-   Communicate with other facility managers and/or the NIH Animal
    Resources Coordinator for alternate animal housing and supplies if
    needed.

    **Earthquakes**

    **ACTION Checklist**

    **NOTE: Earthquakes often strike with no warning. Search for humans
    and rendering appropriate first aid and advanced medical attention
    must take priority.**

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-   Follow facility evacuation plans.

-   If fire, chemical or radiation spill is happening in aftermath,
    immediately evacuate facility.

-   Communicate with NIH disaster coordinator or on site OEC to request
    immediate medical need to injured staff.

-   Consult with facility veterinarian or appropriate ART personnel to
    determine disposition of animals that are injured and/or demonstrate
    signs of pain.

-   Communicate with other facility managers and/or the NIH Animal
    Resources Coordinator for alternate animal housing and supplies if
    needed.

    **Readiness - Animal Evacuation Procedures**

1.  Follow facility evacuation guidelines. Attempt immediate medical
    care and relief for animals if possible, but do not delay evacuation
    or human safety

2.  For ICU and Clinical areas: Keep daily entry at bottom of treatment
    list which indicates total census and total daily supplies of drugs
    and drug administration items. Keep crash cart stocked with 24-hour
    supply including euthanasia solution and necessary analgesics in
    locked drawer of crash cart.

3.  Know and train in nearest evacuation exits from facility.

4.  Implement animal salvage priority scale by color or symbol on cage
    card.

5.  Stock one mobile cage with several days supply of food, changes of
    bedding, heating pads, clippers and reserve human supplies.

6.  All caging should have wheels and doorways should be wide enough in
    exit pattern for widest portable cage.

7.  Facilities: At least one agreement should be in place for
    contractual services in off-campus domains should the disaster be
    general. If possible, coordinate with appropriate administrative
    personnel to prepare a requisition for private sector animal
    hospital care.

8.  Generator demands at maximum capacity for ICU equipment should be
    determined to ensure alternate housing sites are capable of
    supporting animal patient requirements. Inform ORF of generator
    requirements and animal location.

9.  Evacuation should include a communications/personnel checklist with
    key phone numbers and personal contacts.

10. Wet-dry vac should accompany evacuation team supplies.

    **BIOHAZARD EXPOSURE**

    **ACTION Checklist: First Aid**

-   Provide immediate first aid.

-   **EYES** splattered with blood or body fluid: **FLUSH** with water
    at least 15 minutes (use EYEWASH station).

-   **MOUTH** splashed with blood or body fluid: **RINSE** with plain
    water for at least 15 minutes.

-   **SKIN** compromised by needle stick, cut, scrape, etc.: **MILK
    WOUND** to induce bleeding, and then wash with soap and water for 15
    minutes. See note below.

-   **SKIN** contact with biohazard: **REMOVE CONTAMINATED CLOTHING**,
    wash skin, and replace with clean clothing.

-   **IMMEDIATELY CALL NIH FIRE DEPARTMENT: ON CAMPUS 911, OFF CAMPUS
    9-911.** If spill is large (use judgment) call OFF CAMPUS NIH Safety
    Operations (301-496-2372) if the spill is small (use judgment) 9-911
    for the NIH Fire Department. The Fire Department staff is equipped
    to assess circumstances and obtain other appropriate resources as
    necessary.

    **NOTE:** For wounds occurring between 7:30 a.m. and 4:00 p.m.
    Monday through Friday, report to Occupational Medical Services,
    Building 10, Room 6C306. For injuries occurring on weekends,
    holidays, or 4:00 p.m. to 7:30 a.m. Monday through Friday, the
    individual or supervisor should call the NIH Pager Operator
    (301-496-1211) and ask to be contacted by the OMS duty physician. If
    contact is not made, report to Suburban Hospital Emergency Room.

    **ACTION Checklist: Cleanup [Small Spill]{.underline} (\<200 ml)**

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-   **PROTECT BODY:** Put on protective clothing (gloves, safety goggles
    or glasses,

    and lab coat).

-   **FIRST AID** if needed.

-   **FLUSH** spilled material with a 1:10 dilution of bleach or
    Wescodyne (betadine).

-   **WIPE** down all equipment and surfaces potentially contaminated.

-   **DISPOSE** of contaminated material as biohazardous waste.

-   **WASH** hands with soap and warm water.

-   **CONTACT:** Your area Health and Safety Specialist @ 301-496-2346.

    **ACTION Checklist: Cleanup [Large Spill]{.underline} (\> 200 ml)**

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-   **CONTACT:** Your area Health and Safety Specialist @ 301-496-2346.

-   **CHECK** for exposure.

-   **FIRST AID** if needed.

-   **LEAVE** room.

-   **CLOSE** door.

-   **POST** person by door to prevent re-entry.

-   If the spill is locally contained, call NIH Safety @ 301-496-2346.
    If the spill is large (use judgment) call the NIH Fire Department
    (on campus) @ 911, or off campus at 9-911.

    **Readiness - Biohazard Exposure**

1.  Advise personnel in the room/area of the spill to evacuate
    immediately.

2.  Close windows and doors to the room/area of the spill and evacuate.

3.  If warranted, i.e. large spill not able to be contained by facility
    personnel, call ON CAMPUS 911, OFF CAMPUS 9-911; report spill to NIH
    Fire Department.

4.  Remove clothing and wash all parts of the body, which may have come
    in contact with the biological agent using copious amounts of water.

5.  All personnel who may have been contaminated by the biological agent
    should report to and remain in one safe location until the arrival
    of the Fire Department. This will decrease the chance of
    contaminating other personnel and other areas.

6.  Do not re-enter the room/area until the appropriate safety officials
    have determined that the area is safe to re-enter.

    **BOMB THREATS**

    **ACTION Checklist: For Telephone Call**

-   Immediately notify NIH Police @ 911, OFF CAMPUS 9-911.

-   Complete the Bomb Threat Checklist

-   If do not have caller ID on phone receiving the call, dial \*69 to
    determine origin of the call.

-   Notify immediate supervisor.

-   Remain at your location until Security Officer arrives.

    **ACTION Checklist: For Suspect Package**

    If you have a suspicious looking letter or package:

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-   Do not try to open it.

-   Isolate it and evacuate everyone in the vicinity to a safe distance.

-   Notify local police and await their arrival.

    **BOMB THREAT CHECKLIST**

    **QUESTIONS TO ASK:**

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-   When is the bomb going to explode?

-   Where is the bomb?

-   What does it look like?

-   What kind of bomb is it?

-   What will cause it to explode?

-   Did you place the bomb?

-   Why?

-   Where are you calling from?

-   What is your address?

-   What is your name?

**EXACT WORDING OF THE THREAT:**

**CALLER'S VOICE:** (Circle all applicable)

calm angry excited slow raspy

loud crying normal nasal deep

stutter ragged lisp accent familiar

deep breathing cracking voice soft rapid

laughter distinct clearing throat slurred

-   If voice is familiar, who did it sound like?

-   Were there any background noises? (i.e., street noises, music,
    static, voices, etc.)

**THREAT LANGUAGE: (Circle all applicable)**

Well spoken (educated) Irrational Incoherent Taped Foul

**REMARKS:** (for example, perceived sex, race, ethnicity, etc.)

**PERSON RECEIVING CALL:**

**NUMBER AT WHICH CALL IS RECEIVED:**

**DATE:**

**TIME:**

**CALLBACK NUMBER DISPLAYED ON PHONE OR CALLER ID:**

**REPORT CALL IMMEDIATELY - ON CAMPUS 911 (NIH POLICE)**

**OFF CAMPUS 9-911 (LOCAL POLICE)**

**Readiness - Bomb Threat**

**General Procedures for Telephonic Threat**

1.  Engage caller in conversation. Obtain as much information as
    possible from the caller - type of device, what it looks like, where
    it\'s located, what time it will go off, etc. If possible, have
    someone listen in on the call.

2.  Be calm and, if possible, take notes of the conversation. Jot down
    EXACT WORDS as soon as possible. Use **Bomb Threat Checklist**, or
    any paper available.

3.  Persons receiving such calls should:

-   Listen - be calm - be courteous

-   Do not interrupt the caller

-   Keep the caller on the line as long as possible

-   Ask caller to repeat the message

-   Pay attention for any strange or peculiar background noises

-   Characterize voice: gender, young/mature, accent, speech pattern

-   Repeat words/phrases

-   If time permits, ask \"Who is this calling, please?" or \"What is
    your name?\"

4.  Try to determine...

-   The exact location of the bomb

-   The source of the threat

-   Time of the explosion

-   Background noises on the phone

-   Qualities of the caller's voice

-   Sex and approximate age

5.  If the threat is left on voice mail, do not delete it.

6.  Check "CALLER ID\" or dial \*69 to determine where call originated.

7.  Call the NIH Police by dialing ON CAMPUS 911, OFF CAMPUS 9-911.

8.  Notify supervisor.

9.  Do not discuss the situation with news media or other outsiders.
    Inquiries should be courteously and tactfully directed to the IC
    Public Information Office.

    **Recognition of Suspicious Package**

    **EXAMINE MAIL GENTLY - Touching Triggers Tragedy!**

-   **Place of Origin.** Note the delivery postmark.

-   **Sender's Writing.** Treat with caution if unusual type of writing
    not normally received on the address.

-   **Balance.** Has loose contents, or is heavier on one side than the
    other.

-   **Weight.** Excessively heavy for its volume.

-   **Feel.** Springiness at the top, bottom, or sides, but it does not
    bend or flex.

-   **Protruding Wires.**

-   **Holes.** In the envelope or wrapping.

-   **Grease Marks.**

-   **Smell.** A smell suggestive of almonds or marzipan, or any other
    strange smell.

-   **Unrequested Delivery.**

-   **Suspicious Packaging.**

-   **Letter Stiffness.** Presence of stiff cardboard, metal, or
    plastic.

-   **Inner Sealed Enclosures.**

    **General Procedures for Suspected Explosive Devise**

1.  Never touch a suspected bomb/explosive devise.

2.  Turn off all radios and transceiver equipment near the suspected
    area.

3.  Call the NIH Police by dialing ON CAMPUS 911, OFF CAMPUS 9-911.

4.  If evacuation is necessary, leave in ordinary manner.

5.  Cooperate with emergency personnel during evacuation and to resolve
    the incident.

    **CHEMICAL HAZARDS**

    **Chemical Exposure**

    **ACTION Checklist**

-   FLUSH exposed tissue with copious amounts of water.

-   If face and/or eyes are affected, immediately irrigate with EYEWASH
    continuously for 5 minutes.

-   REMOVE clothing and flush skin with large amounts of water for 5
    minutes.

-   Get MEDICAL ATTENTION for all injurious exposures.

-   CALL NIH Fire Department -- ON CAMPUS 911, OFF CAMPUS 9-911.

-   CONTACT your area Health and Safety Specialist @ 301-496-2346.

    **Chemical Spills**

    **ACTION Checklist: Cleanup Small Spill (\< 200 ml)**

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-   CALL Fire Department - On Campus 911.

-   CHECK for exposure.

-   FIRST AID if needed.

-   DO NOT TRACK spill through facility.

-   TURN OFF GAS burners.

-   PROTECT BODY: Put on protective clothing (gloves, safety goggles or
    glasses, and lab coat).

-   COVER small spills with absorbent towels.

-   CLEAN spill area working from outside toward the center until there
    is no more removable contamination.

-   CONTACT your area Health & Safety Specialist @ 301-496-2346.

-   SUBMIT REPORT.

    **ACTION Checklist: Cleanup Large Spill (\>200 ml)**

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-   CALL Fire Department - on Campus 911.

-   CHECK for exposure.

-   FIRST AID if needed.

-   DO NOT TRACK spill through facility.

-   TURN OFF GAS burners.

-   LEAVE room. Do not attempt to clean up the spill.

-   CLOSE door.

-   POST person by door to prevent re-entry.

-   CONTACT your area Health & Safety Specialist @ 301-496-2346.

-   SUBMIT REPORT.

    **Readiness - Chemical Hazards**

    1\. Notify personnel in the room/area of the spill to evacuate
    immediately.

    2\. Close windows and doors to the room/area of the spill and
    evacuate.

    3\. Call ON CAMPUS 911, OFF CAMPUS 9-911; report spill to NIH Fire
    Department.

    4\. Remove clothing and wash all parts of the body which may have
    come in contact with the chemical using copious amounts of water.

    5\. All personnel who may have been contaminated by the chemical
    should report to and remain in one safe location until the arrival
    of the Fire Department. This will decrease the chance of
    contaminating other personnel and other areas.

    6\. Do not re-enter the room/area until the appropriate safety
    officials have determined that the area is safe to re-enter.

**Number range CHAPTERCODE RED ALERT**

**ACTION Checklist**

1.  1\. Identify minimum number of key personnel (Red Alert Critical
    designation), with appropriate skills to maintain animal well-being
    and facility operation. Include back-up responders for each team
    member in case initial member is unable to report.

2.  2\. Establish teams to be called in and report to the facility to
    maintain continuity of operation for each 24 hour period up to 72
    hours to include:

> All animals have adequate amounts of feed, water and absorbent bedding
> to maintain for 24 hours.
>
> Animals requiring more frequent than daily treatment have been
> reassessed and maximum effective interval between treatments
> established.
>
> All facility controls for HVAC, electric, water are operating and
> capable to sustain operation for at least 24 hours.

1.  3\. Have key staff on standby, preferably on-site unless instructed
    to evacuate to prevent loss of life or injury.

2.  4\. Review animal care and facility operation responsibilities with
    team member's prior to alert being raised to red.

**When Red Alert is Declared during Normal Working Hours**:

1.  5\. Inventory animal population and account for any special needs
    (treatment, surgery in progress, etc.)

2.  6\. Suspend all animal procedures, surgeries or other activities and
    evacuate non-essential staff to other areas of building or as
    directed by Emergency Response Team.

3.  7\. Determine transportation and temporary housing arrangements for
    animal care teams reporting on next 2 successive days.

4.  8\. ***Contact the Animal Resources Coordinator in the COOP command
    center at 301-402-4474 or 301-402-5322. If there is no answer,
    contact the NIH Emergency Communication Center at 301-496-5685***
    and provide the following information:

> Facility is secured and animals sustained for next 24 hours.
>
> RAC designated teams are identified and prepared to report every 24
> hours for next 2 successive days

5.  9\. If the red alert status will prevent personnel from reporting to
    the facility the following morning, arrange accommodations for
    animal care and/or management staff to spend the night in the
    facility, or near the facility. Ensure personnel are supplied with
    adequate amounts of food and water for the anticipated duration.
    Notify the building security staff how many and who from the animal
    care staff will be remaining in the facility over night.

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1.  10\. Ensure adequate emergency supplies are on hand to deal with
    potential adverse conditions created by the situation. Supplies
    should include (but are not limited to): flashlights for each
    individual, walkie-talkies, extra batteries for battery-powered
    items, points of contact list (facility personnel and
    investigators), cellular phone, etc.

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1.  11\. Check inventory of emergency water and food supplies for
    animals and assess how long the supplies will maintain the present
    animal occupancy of the facility. ***A supply to sustain up to 72
    hours should be on hand.***

**When Red Alert is Declared on Non-Working Day:**

2.  5\. If staff is on site, contact Animal Program Director or
    designee**.** If staff is not on site, Animal Program Director is
    contacted by Animal Resources Coordinator.

3.  6\. Inventory animal population and account for any special needs
    (treatment, surgery in progress, etc.)

4.  7\. Suspend all animal procedures, surgeries or other activities and
    evacuate non-essential staff to other areas of building or as
    directed by Emergency Response Team.

5.  8\. Determine transportation requirements for animal care teams
    reporting on next 2 successive days.

6.  9\. **Contact the Animal Resources Coordinator at 6-1985 and provide
    the following information:**

> Facility is secured and animals sustained for next 24 hours.
>
> RAC designated teams are identified and prepared to report every 24
> hours for next 2 successive days.

7.  10\. If the red alert status will prevent personnel from reporting
    to the facility the following morning, arrange accommodations for
    animal care and/or management staff to spend the night in the
    facility, or near the facility. Ensure personnel are supplied with
    adequate food for the anticipated duration. Notify the building
    security staff how many and who from the animal care staff will be
    remaining in the facility over night.

8.  11\. Ensure adequate emergency supplies are on hand to deal with
    potential adverse conditions created by the situation. Supplies
    should include (but are not limited to): flashlights for each
    individual, walkie-talkies, extra batteries for battery-powered
    items, points of contact list (facility personnel and
    investigators), cellular phone, etc.

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1.  12\. Check inventory of emergency water and food supplies for
    animals and assess how long the supplies will maintain the present
    animal occupancy of the facility.

**Readiness -- Code Red Alert**

1.  Prepare for possible utility and communication failures.

2.  Identify "Red Alert Critical" (RAC) personnel, both contractor and
    government, for the facility, and review on a regular basis what
    responsibilities are associated with this designation. Managers
    should designate a minimum number of essential personnel to remain
    in the facility as necessary. Staying on-site may be the safest
    method to ensure essential personnel are on site to provide required
    animal care.

3.  Among RAC personnel, arrange to have necessary personnel sleep in
    the facility if emergency conditions may keep them from returning to
    the work site the next day. Instruct contract project managers to
    implement plans for similar arrangements for their RAC personnel.

4.  Prepare government administrative officers to make financial and
    contractual provisions for RAC personnel to sleep in or near the
    facility.

5.  Distribute home and work phone numbers for key car pool teams.

6.  Maintain adequate food supplies (frozen and/or canned) for staff in
    the facility at all times, e.g., at least enough food items for
    three individuals to eat two days of food in the facility. There are
    designated cafeterias in the Clinical Center during Code Red
    Conditions. ART members will have access to other food services
    options. Use the ART phone list to contact assistance for food
    service when necessary.

7.  Maintain at least one type of alternative communication capability,
    such as walkie-talkies and/or cellular phones.

8.  Make wallet cards with ART team numbers and key facility contacts
    for each RAC team member. APD's are encouraged to work with the
    APD's of shared facilities in order to maximize use of key
    personnel.

9.  Establish SOP's for relieving personnel every 24 hours if conditions
    persist.

10. Identify sleep areas and food preparation for overnight or prolonged
    stay. These can be conference rooms, offices and the ICU in building
    28.

11. Establish key foot patterns to follow between clean and dirty areas.
    IC veterinarians should make key patterns available to any
    responding ART.

12. Adequate emergency water and animal feed should be readily available
    to sustain the animal population for 72 hours.

**DISGRUNTLED EMPLOYEE**

**ACTION Checklist**

-   Avoid immediate danger.

-   If possible, calmly alert other employees in the area.

-   Notify immediate supervisor.

-   If necessary, notify NIH Police: ON CAMPUS 911, OFF CAMPUS 9-911.

    **Readiness - Disgruntled Employees**

1.  Be sympathetic and make an effort to understand their concerns.
    Remain calm and do not become confrontational.

2.  If unable to interact in positive manner, attempt to establish the
    magnitude of the problem and manage the complaint in a progressive
    fashion through referral of the employee to one of the following
    individuals:

    • Professional Staff, Employee Assistance Program counselor

    • Animal Program Director

    • Chair, IACUC

    • Office of Animal Care and Use (ph 301-496-5424)

    • Deputy Director of Intramural Research

3.  If necessary, notify local police and await their arrival.

    **F I R E**

    **ACTION Checklist**

-   Notify Fire Department immediately.

    • Pull/Activate the nearest fire alarm.

    • If a telephone is closer than alarm, call Fire Department (911 on
    campus, 9-911 off campus) then pull fire alarm to evacuate others.

-   Evacuate.

    • Notify personnel in the room/area of the fire to evacuate
    immediately.

    • Complete safety actions as time permits.

    • Turn off any gas being used.

    • Return flammables to safety cabinet.

    • Close all doors.

    • Depart building. Walk to the nearest stairwell/exit and evacuate
    the building. DO NOT USE ELEVATORS.

-   Fire Officer-In-Charge/OEC/FTC departs last:

    • Check to ensure that all personnel have evacuated & all doors are
    closed.

    • Use stairs & follow designated fire exit route.

    • DO NOT USE ELEVATORS.

-   Report to Fire OIC/OEC at designated outside assembly area.

-   Evacuate animals ASAP after Fire OIC approves building re-entry.

    **Safety Rules-of-Thumb**

    • \"Get Low and Go\" - to avoid contaminated smoke-filled air

    • \"Stop, Drop, and Roll\" - if your clothing catches fire

    **Readiness - Fire**

    **General Precautions**

    Smoke, heat, and toxic gases from a fire rather than the flames, are
    the most common cause of fire related deaths and injuries. Be aware
    that these deadly fire elements rise and collect at ceiling levels,
    pushing cooler, cleaner air toward the floor. While toxic gases and
    heat are often fire\'s invisible killers, it should be realized that
    rising smoke may cover and hide exit signs above doorways.

    **Note:** Vivarium personnel must be able to find building exits
    even if directional signs are obscured by smoke and/or if the area
    is dark due to power outage.

    **OIC/OEC Duties**

    • Alert occupants

    • \"Sweep\" assigned area

    • Tell occupants to leave immediately

    • Secure flammables

    • Close doors of vacated areas

    • Proceed to outside assembly area

    • Confirm all personnel evacuated are present at assembly area with
    FTC\'s

    • Report to Fire Department OIC

    **Prevention Practices**

    • Keep flammables in appropriate cabinets.

    • Keep hallways clear.

    • Identify at least two evacuation routes that lead safely outside
    the building. Review the IC-specific facility and building floor
    plan maps included in this handbook.

    • Locate the evacuation assembly area both physically outside the
    building and as listed in the building floor plans. All vivarium
    personnel should report to the single predetermined location
    following any evacuation.

    • Notify the OEC in your building if you have a disability that may
    limit or impede your ability to evacuate the building in a timely
    manner. Assistance will be provided to enable you to evacuate
    safely.

    • The OEC shall designate FTCs as necessary to facilitate rapid
    evacuation.

    • Practice drills are to be performed twice per year with the EPC.

    • Staff orientation procedures should include review of facility
    emergency equipment (type and location) and the location of exits.
    Supervisors should ensure all personnel are capable of finding exits
    in the dark (from smoke and/or power outage).

    **FIRST AID**

    **ACTIONS Checklist**

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-   If victim is unconscious and does not appear to be breathing, have
    someone call 911 if on-campus or 9-911 if off campus immediately!

-   If necessary, begin and continue CPR until assistance arrives and
    you are relieved. Only qualified personnel (certified) should
    perform CPR.

-   START BREATHING for the victim if necessary - Gently tilt the head
    back and open the airway. Pinch the nose closed and give two slow
    full breaths. Watch the chest rise and fall during each breath.
    Breathe into the victim once every five seconds. For infants,
    breathe more gently once every three seconds. Don\'t stop until help
    arrives.

-   STOP BLEEDING - Help victim lie down. Press directly onto the wound
    with sterile gauze, paper towel, clean handkerchief, or gloved hand.
    Maintain steady pressure for 5 to 15 minutes. If bleeding from arm
    or leg, elevate that arm or leg.

-   TREAT FOR SHOCK - Keep victim warm. Keep victim flat or with legs
    slightly elevated.

-   CHOKING - If victim can speak, encourage coughing. If not, use
    Heimlich Maneuver for conscious person. For unconscious person, call
    for help and give resuscitation. Try to clear airway if obstruction
    is obvious.

    **Readiness - First Aid**

1.  First Aid is defined as: Emergency treatment for injury or sudden
    illness, given before regular medical care is available.

2.  Know the individuals in your facility who have completed first aid
    training and use their expertise if necessary.

3.  All employees should know where a basic first aid kit is located in
    the facility.

4.  If at all possible, first aid procedures should be performed by a
    trained individual. Most individuals working in an animal facility
    have at least a limited knowledge of basic first aid, and could
    perform potentially life-saving procedures if necessary.

5.  If in doubt as to what first aid procedure is required, or if an
    individual appears to need immediate medical attention, do not
    hesitate to call 911 (on campus) or 9-911 (off campus). Evaluation
    of the situation is critical before first aid is rendered.
    Inappropriate first aid procedures may lead to further injury or
    jeopardize recovery.

    **FLOOD AND HIGH WATER**

    **ACTION** **Checklist**

-   Notify on-site maintenance personnel (ORF if time permits). State
    location, including building(s), room number(s), and degree of water
    damage (volume, size of area, type of water).

-   Evacuate affected area or building.

-   Complete safety actions as time permits:

    1.  Turn off all electrical equipment and power disconnects.

    2.  Close all doors.

    3.  Relocate animals from affected area if safe to do so.

    4.  Fire Warden/OEC/FTC or supervisors depart last (Check that all
        personnel have evacuated and all doors are closed).

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-   Do not use elevators. Use stairs and follow designated fire exit
    route.

-   Report to Fire Warden/OEC at designated outside assembly area.

-   Evacuate animals when possible (AFTER) Fire Marshall or
    ORF/Maintenance supervisor approves building re-entry.

    **ACTION Checklist: Fire Wardens/OEC Duties**

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-   Alert occupants.

-   \"Sweep\" assigned area.

-   Tell occupants to leave immediately.

-   Turn off electrical equipment and power disconnects.

-   Close doors of vacated areas.

-   Proceed to outside assembly area.

-   Confirm all personnel evacuated are present at assembly area with
    FTC\'s.

-   Report to Fire Department OIC or Maintenance supervisor.

    **Readiness - Flood and High Water**

    1\. Safety Rules-of-Thumb

    • Flooding water has tremendous force.

    • Do not enter floors or rooms that have water present.

    • Remember electrical hazards in flooded areas.

    • Keep all floor drains unobstructed.

    • Keep hallways clear.

    2\. Locate and identify low-lying areas that could be affected by
    flooding waters.

    3\. Identify at least two evacuation routes that lead safely outside
    the building. Review building floor plan maps.

    4\. Locate evacuation assembly place both outside the building and
    on the building floor plans. All vivarium personnel will report to
    the one predetermined location following any evacuation.

    5\. Notify the OEC in your building if you have a disability that
    may limit or impede your ability to evacuate the building in a
    timely manner. Assistance will be provided to enable you to evacuate
    safely.

    6\. The OEC shall designate FTCs as necessary to facilitate rapid
    evacuation.

    7\. Consider evacuating animals if notified of adverse weather
    forecast or mechanical problems that may lead to flooding. Animals
    may be temporarily relocated from low- level areas to laboratories
    or other animal facilities on upper floors of the same or other IC
    buildings.

    **HVAC FAILURE**

    **ACTIONS Checklist**

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-   Check room temperature and humidity manually.

-   Call Office of Research Facilities (ORF) if necessary at
    301-435-8000.

-   Notify the Animal Facility Manager immediately.

-   Check to see if the failure/fluctuation may be due to a scheduled
    utility shutdown.

-   If animal room temperature is elevated to a dangerous temperature
    (i.e. animal lives are at risk), open doors or use portable fans.

    **NOTE:** If biohazard agents are used in a room, contact NIH
    Division of Occupational Health & Safety at 301-496-2346 before
    leaving animal room doors open or using portable fans.

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-   If animal room temperature falls to a dangerous level (i.e. animal
    lives are at risk), place portable/space heaters in the room.

#### Readiness - HVAC Failure

1.  Facility managers should have contingency plans to ensure animals
    receive adequate care in the event of abnormal temperatures.

2.  Make arrangements with other NIH facilities or contract animal
    facilities to accept animals on short notice if necessary.

3.  Locate (purchase or know where to borrow) portable space chillers,
    heater, and fans.

4.  Ensure caretaker personnel are trained on appropriate remedial
    actions to be taken during (extreme temperature fluctuations).

5.  Ensure all animal care personnel are familiar with acceptable
    temperature ranges and know to report temperature fluctuations
    immediately to facility management.

# **[Large Animal Surgery and Imaging Evacuation]{.mark}**

[]{.mark}

[In coordination with the NIH Division of Emergency Preparedness and
Coordination (DEPC) and the Division of Fire and Rescue Services (DFRS)
the following steps will be taken when an alarm or voice announcement is
sounded in a Large Animal Surgical Area or areas such as imaging where
large animals are anesthetized.]{.mark}

[]{.mark}

**[Of utmost concern at all times, will be the safety of human life and
secondarily, that of the animals.]{.mark}**

[]{.mark}

[***NOTE:*** All facilities have Occupant Emergency Coordinators (OEC)
assigned. During any emergency, the OEC promptly evacuates to the
pre-determined assembly area to meet with the DFRS Incident Commander.
Area team coordinators (ATC)/Facility Managers/Floor team coordinators
(FTC) will conduct a brief search of all assigned areas, and then report
to the OEC.]{.mark}

[]{.mark}

**[If fire or smoke is detected in or near the surgery suite at any
time, then the surgical team must evacuate the building
immediately.]{.mark}**

[]{.mark}

**ACTIONS Checklist**

-   [All non-essential persons should immediately depart the surgical
    suite area and evacuate the building through the nearest
    exit]{.mark}.

[]{.mark}

-   [The ATC/FTC/Facility Managers will report the evacuation status of
    their area(s) to the OEC. Ensure that they relay the location and
    the number of persons within the surgery suite.]{.mark}

[]{.mark}

-   [The Occupancy Emergency Coordinator (OEC) will be the
    point-of-contact for status reports to the DFRS Incident Commander.
    The ATC/FTC/Facility Manager will interface with the OEC and update
    the Surgical Team Leader as necessary.]{.mark}

[]{.mark}

> [**If evacuation is required** ...]{.mark}

[]{.mark}

> [**and a surgical incision has not been made at the time of the
> alarm**, the surgeon should not proceed any further with the planned
> procedure. The animal will be disconnected from anesthesia and any
> monitoring equipment and relocated to an empty ICU cage. The cuff on
> the endotracheal tube will be deflated and the tube removed.
> (Alternatively, the surgical team may decide to evacuate the animal
> when they evacuate from the building as described in item 1
> below.)]{.mark}
>
> []{.mark}
>
> [**and a surgical incision has been made or if the procedure is well
> under way**, the surgical team will evacuate. The surgical team should
> halt the procedure and begin an emergency closure or protection of the
> surgical site affected to ready the animal for relocation. The
> following options are available:]{.mark}
>
> []{.mark}

1.  [The Surgical Team Leader will decide if the animal shall be taken
    off gas anesthesia and given an appropriate injectable anesthetic.
    The surgical site should be covered with saline moistened sterile
    gauze, and if not given already, an appropriate antibiotic should be
    given at this time. The animal should be placed in an appropriate
    transport cart and evacuated with the surgical staff out of the
    building.]{.mark} Appropriate emergency supplies and a wound closure
    kit should accompany the animal.

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1.  [If there is imminent danger to the surgical staff and time does not
    permit an evacuation of the surgical patient, the animal should be
    euthanized with an overdose of an appropriate injectable
    anesthetic.]{.mark} The surgical team should then evacuate
    immediately.

    **MEDIA AND FOIA INQUIRIES**

    **ACTIONS Checklist**

-   If inquiry is from an unfamiliar source, direct caller/visitor to
    facility manager or facility veterinarian.

-   Direct FOIA (Freedom Of Information Act) inquiries to the IC
    Information Officer (see attached list for points of contact).

-   If a threatening phone call/inquiry is received, leave the phone off
    the hook and contact NIH Security at 301-496-5685

    **Readiness - Media and FOIA Inquiries**

1.  Phone calls directed to individuals within the facility about any
    NIH employee or scientific project should be directed to the
    facility manager or veterinarian.

2.  Facility managers and veterinarians should not immediately answer
    any questions which are inflammatory in nature - Refer these
    questions immediately to the IC Information Officer. See attached
    list for specific points of contact. If after normal working hours,
    inform NIH police to notify the point of contact at their emergency
    numbers.

3.  Be certain that all individuals who answer the facility phone and
    admit personnel into the facility are aware of any impending
    problems. Keep the IC Information Officer informed as necessary.

4.  Do not be rushed or provoked into making a wrongful statement. Use
    caution and refer inquiries to the IC Information Officer.

5.  Keep a log of contacts during any event. If there is a threatening
    phone call, avoid confrontation and do not hang up the phone. Leave
    the line off the hook; this may help Security trace the call.

6.  Ensure all facility personnel are familiar with the above
    procedures.

![](media/image3.wmf) ![](media/image2.wmf)

**MEDICAL EMERGENCY**

**Major Medical Emergency**

**ACTIONS Checklist**

-   Administer first aid as necessary (see first aid section).

-   If emergency is in any building on the NIH campus call 911. If
    off-campus call 9-911.

-   State that you or others require immediate medical attention. The
    caller should have as much information available as possible; stay
    on the phone with the operator/dispatcher so that information can be
    relayed to the responding emergency unit.

-   Provide the following information to the emergency operator:

1.  Victim\'s name

2.  Caller\'s name

3.  Location of victim: building \_\_\_\_\_\_\_\_\_
    floor\_\_\_\_\_\_\_\_\_ room number\_\_\_\_\_\_

4.  Type of emergency

5.  Victim\'s condition

6.  Chronological order of events and all action

7.  Medical history of victim

-   Meet the emergency unit to direct them to the victim. Use additional
    personnel as necessary to ensure responders have access to victim.

    **Minor Medical Emergency**

    **ACTIONS Checklist**

-   Administer first aid as necessary.

-   If during normal work hours and victim does not require an
    ambulance, the victim should report to Occupational Medical Services
    in Building 10, room 6C306. (7:30 a.m. to 4:00 p.m. Mon-Fri; closed
    weekends and government holidays)

-   If other personnel are available, have someone call OMS
    (301-496-4411) - tell them about the accident and that the victim is
    on the way.

-   If during hours that OMS is not available, call 911 for on-campus or
    9-911 for off- campus. Inform operator of the victim\'s condition.
    Victim can report to Suburban Hospital if ambulatory.

#### Readiness - Medical Emergency

1.  Major Medical Emergency: Severe illness or injury that requires
    immediate hospital care. Victim is in severe pain or distress and/or
    has life-threatening condition. Includes the following:

    -   Severe bleeding

    -   Head injuries

    -   Broken/dislocated joints or bones

    -   Heart attack or severe chest pains

    -   Unconscious and/or not breathing

    -   Anaphylaxis

    -   Severe chemical burn

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2.  Minor Medical Emergency: Minor illness or injury that does not
    require immediate hospital care. Victim not in severe pain or
    distress and does not have life-threatening condition. Includes the
    following:

    -   Minor strains/sprains

    -   Allergic reaction (other than anaphylaxis)

    -   Minor burns

3.  Know who in your group (working area) has completed first aid
    training, and the location of first aid kits.

4.  Personal safety is the first consideration. Do not become another
    victim by entering an unsafe accident scene.

5.  Personnel certified to provide first aid or CPR may give emergency
    care. Untrained staff may render support at the direction of the
    emergency operator.

6.  Avoid contact with blood or body fluids. Protective gloves are kept
    in first aid kits located in the facility.

7.  When in doubt concerning the severity of an injury or the condition
    of the victim, call ON CAMPUS 911, OFF CAMPUS 9-911.

    8\. Occupational Medical Services is located in Building 10, room
    6C306. Open 7:30 a.m. to 4:00 p.m. Mon-Fri, closed weekends and
    government holidays. OMS phone number is 301-496-4411. After normal
    work hours, call 9-911 or report to Suburban Hospital located on the
    corner of Old Georgetown Road and Lincoln.

**PANDEMIC FLU**

**Readiness -- Pandemic Plan for Research Animals**

**Personnel Planning**

1.  Prepare for possible communication failures by keeping animal
    facility emergency contact list up to date. A quarterly review and
    update is recommended.

2.  Identify essential positions in sufficient quantity necessary to
    maintain animal facility operations at normal capacity (e.g. cage
    wash, autoclave, inventory and materials ordering, animal husbandry,
    veterinary treatment, surgical support, animal recordkeeping). For
    each position, both contractor and government, identify names of 3
    alternates. Review on a regular basis (semiannually is recommended)
    what responsibilities are associated with these positions. Managers
    should designate a minimum number of essential personnel to keep
    necessary functions operating. Instruct contract project managers to
    implement plans for similar arrangements for their personnel.

3.  Develop and conduct cross-training for government and contract
    animal care staff to ensure all critical operations can continue
    (cage wash, autoclave, inventory, animal husbandry, veterinary
    treatment, surgical support, animal recordkeeping).

4.  Develop plans for cancelling or alternative methods for conducting
    training, meetings or other group interactions. Consider staggered
    breaks or meal times to minimize larger congregations of animal
    facility staff.

**Supply and Logistics Planning**

1.  Identify on site stockpile locations within animal facilities for
    critical items (1-2 month supply based on normal usage is
    recommended):

    a.  Animal feed and bedding

    b.  Personal protective equipment normally used for animal facility
        operation

    c.  Disinfectant and cage wash cleaning supplies

    d.  Hand sanitizers for personal hygiene

2.  Identify critical supplies or equipment not available through NIH
    Supply and develop a stockpile plan and alternative sources for
    these items. Consider extended lead times for delivery of these
    items in establishing how much of each item should be stockpiled on
    site. Stockpiling of supplies should not commence unless directed by
    the Animal Resources Coordinator or other members of the Animal
    Resources Team as part of the NIH Continuity of Operations Plan.

3.  Maintain at least one type of alternative communication capability,
    such as walkie-talkies and/or cellular phones.

**Animal Husbandry and Health Planning**

1.  Establish key foot patterns to follow between clean and dirty areas
    of the facility to allow a diminished number of staff to carry out
    multiple functions without compromising animal health.

2.  Conduct training (annually prior to flu season is recommended) on
    prevention techniques (proper hand washing and cough hygiene). (see
    Basic Principles.ppt)

3.  Although transmission of pathogenic H5N1 stains from humans to
    mammalian species in a research setting has not been reported,
    studies have reported natural or experimental infections in cats,
    ferrets, pigs, rabbits, rats and mice. (see
    <http://www.nwhc.usgs.gov/disease_information/avian_influenza/affected_species_chart.jsp>
    ) Animal care staff experiencing flu-like symptoms should not handle
    animals and should be discouraged from reporting to work.

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5.  Develop alternative standard operating procedures to allow fewer
    staff to manage the animal colony husbandry (e.g. extended cage
    changing and sanitizing schedules). If procedures are outside of
    Guide for the Care and Use of Laboratory Animals recommendations
    (e.g. wire bar lid change once per month) obtain ACUC approval for
    all departures from the Guide based on the emergency situation.
    Additional examples of conservation of resources include using more
    bedding in solid bottom cages for rodents to allow less frequent
    changing and less frequent replacement of feed in rodent hoppers to
    extend feed supplies.

6.  Develop plans for extended use of protective clothing or alternative
    types of protective clothing within the animal facility in case
    normal supplies of masks, gloves, disposable clothing, etc. are
    diminished or non existent.

7.  For outdoor animal enclosures, consider barriers or other protective
    measures to limit exposure to wild bird or other vermin populations.

**Key Reference:**

**<http://pandemicflu.gov/> - links to all major federal state and
international resources on pandemic flu planning.**

##### 

##### RADIATION EXPOSURE

**ACTION Checklist: First Aid**

-   WASH affected SKIN with soap and water.

-   REMOVE gloves and all potentially CONTAMINATED CLOTHING.

-   Person assisting should wear gloves. Put on fresh gloves after
    clothing removal and before handling contaminated person again.

-   Seek immediate MEDICAL ATTENTION. If incident occurs between 7:30
    a.m. and 4:00 p.m. Monday through Friday, call NIH Occupational
    Medical Services at 301-496-4411 or go to Building 10, Room 6C306.
    For injuries occurring on weekends, holidays, or 4:00 p.m. to 7:30
    a.m. Monday through Friday, the individual or supervisor should call
    the NIH Pager Operator (301-496-1211) and ask to be contacted by the
    OMS duty physician. If contact is not made within 15 minutes, report
    to Suburban Hospital Emergency Room.

-   Call Radiation Safety Branch @ 301-496-5774 (during regular work
    hours).

-   After hours call the NIH Fire Department at 911 (on campus), or
    9-911 (off campus).

-   MONITOR:

    -   Body Contamination -- Geiger-Mueller (GM) probe

    -   I - sodium iodide probe

    -   H - bioassay

        **ACTION Checklist: Cleanup Small Spill (\<500 microcuries)**

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-   CHECK for exposure.

-   FIRST AID if needed.

-   DO NOT TRACK spill through facility.

-   COVER: Lay absorbent material over spill without splashing it.

-   COLLECT absorbent material into a radioactive waste container
    (manageable spills only) using gloves and appropriate tool to
    collect material.

-   DISPOSE of contaminated material as waste.

-   CLEAN spill area with soap and water working from the outside toward
    the center.

-   CHECK for contamination repeatedly using survey meter or wipe test.

-   CLEAN until there is no removable contamination.

-   NOTIFY Radiation Safety Branch @ 301-496-5774.

    **ACTION Checklist: Cleanup Large Spill (\>500 microcuries)**

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-   CHECK for exposure.

-   FIRST AID if needed.

-   DO NOT TRACK spill through facility.

-   SHIELD large spills if possible without contaminating yourself or
    creating an exposure.

-   LEAVE room.

-   CLOSE door.

-   WARN: Post person by door to prevent re-entry.

-   CALL Radiation Safety Branch @ 301-496-5744.

-   AFTER HOURS -- call NIH Fire Department ON CAMPUS 911, OFF CAMPUS
    9-911.

    **Readiness - Radiation Exposure**

1.  Notify personnel in the room/area of the spill to evacuate
    immediately.

2.  Confine the contamination using absorbent material.

3.  Remove contaminated clothing and shoes before going to a clean area.

4.  Call the Fire Department by dialing ON CAMPUS 911; for OFF CAMPUS
    call Radiation Safety to triage @ 301-496-4411.

5.  Wash potentially exposed body areas with soap and water.

6.  Contact the Occupational Medical Service by dialing 301-496-4411. If
    a patient is involved, contact the physician in charge and the Chief
    of Nursing Services or the nursing supervisor.

**RED ALERT CRITICAL DELIVERY PROCESS**

1\. All delivery vehicles are processed at the Commercial Vehicle
Inspection (CVI) Facility for processing on to the campus.

2\. A CVI Point of Contact (POC) from the Office of Research Facilities
Development and Operations (ORFDO) will be established to coordinate all
deliveries.

3\. The CVI POC will contact the Institute and Center (IC) primary POC
and confirm that the specific delivery is expected. If the delivery
cannot be confirmed the vehicle/delivery will be held until confirmation
is made.

4\. The CVI POC will contact the Dock POC of the specific building the
delivery is to be made in order to ensure coordination.

5\. Following confirmation of delivery by the IC POC and the
notification of the Dock POC the delivery vehicle will be processed for
inspection by CVI Security Personnel. The driver license of the driver
of the delivery vehicle will be scanned by the CVI POC prior to entering
onto the campus to make the delivery.

6\. Once the vehicle has been inspected and cleared, by CVI Security
Personnel, the CVI POC will contact the Dock POC and indicate that the
delivery vehicle is in route to the (specific building) dock.

7\. Once the vehicle has been inspected and cleared by the CVI Security
Personnel it will proceed to the required loading dock to deliver the
materials.

8\. The Dock POC will meet the delivery vehicle at the dock and except
the materials.

9\. The Dock POC will contact the CVI POC and advise that the delivery
vehicle is in route to the CVI\*.

10\. The Dock POC will coordinate the delivery of materials to the IC.

11\. Upon arrival of the delivery vehicle at the CVI, the CVI POC out
processes the vehicle and driver. The driver license of the driver of
the delivery vehicle will be scanned by the CVI POC prior to exiting the
campus.

\* If there are additional deliveries required of the delivery vehicle,
the Dock POC will contact the CVI POC who will coordinate the additional
deliveries.

**SECURITY BREACH**

**ACTION Checklist**

-   Report personal injury or property damage to the NIH Police - ON
    CAMPUS dial 911, OFF CAMPUS dial 9-911.

-   Report theft of property to the NIH Police by dialing 301-496-5685.
    Off campus incidents should be reported to local police as well.

-   Threats, to person and/or personal property, should be reported to
    the NIH Police by dialing 301-496-5685.

-   Report unauthorized entrance into an NIH facility to the NIH police
    at 301-496-5685. If an unauthorized individual is observed
    committing a crime, call the NIH police at 911.

-   Report suspicious persons and/or behavior, and other
    security-related incidents to the NIH police at 301-496-5685.

    **Readiness - Security Breach**

1.  The NIH Police operate 24 hours a day, 7 days a week. They can be
    reached by dialing 301-496-5685 at any time to report security
    incidents or to request a safety escort.

2.  The key to prevention of crimes against persons and property is
    employee awareness. Employees can reduce the opportunity for
    criminal activity by locking offices and laboratories and securing
    valuable property.

3.  Emergency Blue Light Telephones are located throughout the NIH
    CAMPUS for use in the event of an emergency. These phones ring
    directly to the NIH Police for EMERGENCY ONLY.

4.  Personal Protection

    -   Wear Government-issued identification badges at all times.

    -   Request a safety escort to vehicle parking area or other campus
        destination when needed.

    -   Review security reports (monthly at a minimum).

5.  Physical Property Protection

    -   Lock up valuables at all times.

    -   Keep keys in a location other than your center desk drawer.

    -   Change cipher lock codes semi-annually.

    -   Secure all movable/portable equipment.

    -   Check doors semi-annually at a minimum for proper locking
        function.

        **SEWER STOPPAGE**

        **ACTIONS Checklist**

-   Call the Office of Research Facilities (ORF) at 301-435-8000.

-   Notify the Animal Facility Manager immediately.

-   Observe animal rooms for flooding or for potential of flooding. Take
    appropriate action to ensure cages/animals will not be exposed to
    contaminated and/or rising water.

-   Do not flush toilets.

-   Stop all use of water.

-   Do not continue to dump fluids down the drains.

-   Check availability of emergency water and implement appropriate
    action.

    **Readiness - Sewer Stoppage**

1.  Ensure animal care personnel are properly trained to respond to
    sewer stoppage and associated problems. This may include relocating
    animals/cages to higher shelves if possible, moving them to another
    room, moving them to another facility, etc.

2.  Adequate emergency water supplies should be readily available.

    **STORMS**

    **ACTION Checklist**

-   Identify a weather watcher among facility staff. Weather updates can
    be viewed at [www.weather.com](http://www.weather.com/) or
    [www.wtop.com](http://www.wtop.com/) . News/weather radio stations
    are WTOP 107.7 FM or 1500 AM.

-   Establish teams to be called in and report to the facility before
    the storm begins.

-   Have key staff on standby, preferably on-site, ahead of the
    predictable storms.

-   Review animal care responsibilities with essential personnel prior
    to storm arrival.

-   Determine the appropriate staffing levels for necessary animal care
    activities. If staffing levels are not adequate for required animal
    care, contact the facility manager, facility veterinarian, or APD.
    If no response, contact the NIH ART Coordinator.

-   Determine transportation requirements for animal care staff.

-   Arrange accommodations for animal care and/or management staff to
    spend the night in the facility, or near the facility, if
    anticipated weather conditions may prevent personnel from reporting
    to the facility the following morning. Ensure personnel are supplied
    with adequate food for the anticipated duration.

-   Ensure adequate emergency supplies are on hand to deal with
    potential adverse conditions created by the storm. Supplies should
    include (but are not limited to): flashlights for each individual,
    walkie-talkies, extra batteries for battery-powered items, points of
    contact list (facility personnel and investigators), cellular phone,
    etc.

    **Readiness - Storms**

1.  Prepare for possible utility and communication failures.

2.  Identify \"essential\" personnel, both contractor and government,
    for the facility and review on a regular basis what those
    responsibilities mean.

3.  Among essential personnel, arrange to have necessary personnel sleep
    in the facility if weather conditions may keep them from returning
    to the work site the next day. Instruct contract project managers to
    implement plans for similar arrangements for their key personnel.

4.  Prepare government administrative officers to make financial and
    contractual provisions for key personnel to sleep in or near the
    facility.

5.  Distribute home and work phone numbers for key car pool teams.

6.  Maintain adequate food supplies (frozen and/or canned) in the
    facility at all times, e.g. at least enough food items for three
    individuals to eat two days of food in the facility. Many area
    restaurants also deliver to NIH in severe weather conditions and
    there are designated cafeterias for patients in the Clinical Center.
    ART members will have access to other food services options. Use the
    ART phone list to contact assistance for food service if your
    disaster has reached level III.

7.  Maintain at least one type of alternative communication capability,
    such as walkie-talkies and/or cellular

8.  Make wallet cards with ART team numbers and key facility contacts
    for each essential personnel member. IC APDs are encouraged to work
    with the APDs of shared facilities in order to maximize use of key
    personnel.

9.  Establish SOPs for relieving personnel if conditions persist.

10. Identify sleep areas and food preparation for overnight or prolonged
    stay. These can be conference rooms, offices and the ICU in building
    28.

11. Establish key foot patterns to follow between clean and dirty areas.
    IC veterinarians should make key patterns available to any
    responding ART

12. Winter Storms: Severe winter storms can create \"white out\"
    conditions where visibility is near zero, as well as extremely cold
    temperatures. Do not attempt to travel in \"white out\" conditions
    unless it is a life or death situation, or you have experience and
    training with appropriate equipment to do so. Most storms are
    predicted. Managers should designate a minimum number of essential
    personnel to remain in the facility as necessary. Staying on-site is
    the safest method to ensure essential personnel are on site to
    provide required animal care.

13. Summer Storms: Thunderstorms are intense weather phenomena that
    often generate severe winds, rain, hail and lightening. Power
    fluctuations or outages and flash floods are not uncommon. Stay
    indoors whenever possible and listen to the local weather forecast
    by whatever means available for thunderstorm, tornado, and other
    severe weather warnings.

    **STRANGE ODORS IN THE WORKPLACE**

    **ACTION Checklist**

-   CALL NIH Fire Department ON CAMPUS 911

    OFF CAMPUS 9-911

-   Evacuate if necessary

    **Readiness - Strange Odors in the Workplace**

1.  Don\'t spend time looking for the source - report it - and, if
    necessary, evacuate.

2.  Construction in or near your work area - At times, work being
    performed in a construction site may generate odors not normally
    encountered in your work area. Don\'t assume that the odor you smell
    is from the construction site or that it is a non-threatening
    material. The odor could be from a fire and not related to the
    construction, a chemical odor from a hazardous materials spill in a
    nearby lab or in the hallway outside of your office. Remember -
    never assume - call 911/9-911 for assistance.

3.  Familiar Burning Odor - Many times individuals will recognize an
    odor that is frequently encountered, for example an electrical odor,
    and a short time later find that the odor has dissipated. At the end
    of the day they leave work only to return the next morning to find
    that a fire occurred in their work area overnight. Remember - never
    assume - call 911/9-911 for assistance.

4.  Burning Odor with No Sign of Smoke - Often individuals will smell a
    burning odor and because they do not see smoke, they do not call the
    Fire Department for assistance. Also, many times employees think,
    \"someone else has called the fire department.\" As a result, the
    fire department does not receive notification of the fire emergency
    until it has developed into a major incident. Remember - never
    assume - call 911/9-911 for assistance.

5.  Odors Causing Physical Effects - Our bodies have a built-in
    monitoring system and if we are exposed to a chemical that may be
    harmful, in many cases, our body will let us know by watery and
    burning eyes, coughing, nausea, etc. If you find yourself in a
    situation where you are being physically affected, you should advise
    the people near the area of the odor, contact the fire department
    and evacuate the area. Note that many chemicals do not cause
    immediate physical effects. Remember - never assume - call 911/9-911
    for assistance.

6.  Even if you KNOW the cause of a chemical or burning odor - Call 911
    or 9-911.

7.  Questions regarding the management of odors or other emergencies -
    Please contact the Emergency Planning Coordinator, Division of
    Emergency Preparedness & Coordination @ 301-496-1985.

    **STRUCTURAL DAMAGE**

    **ACTION Checklist**

-   Be prepared to evacuate at any time.

-   Protect yourself from loose debris.

-   Be aware that walls, windows, doors and ceilings may be unsafe.

-   Utility conduits such as gas, water and electrical power lines can
    be active.

-   Be prepared to abort evacuation and take cover at any time during
    the emergency.

-   Safety of employees, visitors, and vendors is the first priority. Do
    not risk human lives to save the animal population!

-   Check for injuries to people in the immediate area.

-   Begin first aid, but do not attempt to move a seriously injured
    person.

-   Do not use candles, matches or other flame, and do not turn
    electrical equipment on or off. Flames and electrical sparks can
    cause leaking gas to ignite or explode.

-   Evacuate if there is a fire, broken gas pipes, or severe structural
    damage to the building.

-   Note that fallen light fixtures, ceiling tiles, and paint cracks do
    not necessarily indicate damage to the primary structure.

-   If evacuation routes are secure, exit as directed by the public
    address system, security/emergency personnel, or Occupant Emergency
    Coordinator (OEC).

-   Use stairs to move from floor to floor. DO NOT use elevators.

-   Only call 911 (ON CAMPUS) or 9-911 (OFF CAMPUS) as required for
    emergency assistance.

-   Proceed to the designated outside assembly area, and report to the
    OEC or FTC for your area.

-   OEC or FTC\'s must verify that all personnel have vacated the
    building.

-   Note any missing personnel, and collect information on damage and
    injuries. Provide collected information to emergency response teams,
    medical assistance, and damage control.

-   Report damage observed in your area to the on-scene commander or
    Fire Department.

-   Do not enter the facility until cleared to do so by the on-scene
    commander.

-   If permission to enter the building has been approved by the
    on-scene commander, proceed to triage, treat/euthanize, and
    relocate/evacuate the animals in accordance with pre-established IC
    priority procedures.

    **Readiness - Structural Damage**

1.  Structural shaking may begin suddenly without warning. The motion
    may vary from floor to floor and building to building due to many
    differences, including building construction, conditions of the
    ground support, building shape, and number of stories. Sounds may
    emanate from the creak and groan of the unstable building, from the
    breaking of falling objects, and from outside events.

2.  Consider evacuation of animals if adverse weather is forecasted and
    subsequent structural damage of the building may likely threaten
    animals. Animals may be temporarily relocated from low-level areas
    to laboratories or other animal facilities on upper floors of the
    same or other IC buildings.

3.  Maintenance & Facilities, Environmental Health & Safety, and
    Security Team personnel will all be on the scene to coordinate
    immediate needs for NIH. Plan to be present on-site without services
    (water, power, telephone) for at least 72 hours.

4.  Check your work areas for heavy objects and equipment-stored
    overhead that could potentially fall with inadvertent movement of
    the supporting structure.

5.  If possible, relocate tall file cabinets and bookshelves away from
    doorways and out of hallways to prevent them from blocking exits.

6.  Keep emergency supplies in a readily accessible area: include a
    flashlight, telephone contact numbers, family emergency contact
    telephone numbers, first aid kit, and battery operated radio.

7.  Identify \"Safety Spots\" such as sturdy tables or desk in your work
    areas that will provide protection from falling objects. If no
    furniture is available to provide shelter, move to an inside wall,
    next to a securely anchored piece of furniture or equipment (higher
    than your head) or in a hallway.

    **SUSPECTED TERRORIST ACTIVITY**

    **ACTION Checklist**

-   Immediately notify NIH Police: ON CAMPUS 911, OFF CAMPUS 9-911.

-   Complete the TERRORIST THREAT CHECKLIST.

-   Notify immediate supervisor.

-   Remain at your location until Security Officer arrives.

    **TERRORIST THREAT CHECKLIST**

    **QUESTIONS TO ASK:**

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-   What do you plan to do? If Bomb go to Bomb threat checklist.

-   When do you plan on doing it?

-   Why?

-   Are you trying to hurt people?

-   Where are you calling from?

-   What is your address?

-   What is your name?

    **EXACT WORDING OF THE THREAT:**

    **CALLER\'S VOICE:** (Circle)

    calm angry excited slow

    loud crying normal nasal

    stutter ragged lisp accent familiar

    deep breathing cracking voice soft rapid

    laughter distinct clearing throat slurred

    raspy deep

    If voice is familiar, who did it sound like?

    Were there any background noises? (i.e., street noises, music,
    static, voices, etc.)

    **THREAT LANGUAGE:** (Circle all that apply)

    Well spoken (educated) Irrational Incoherent

    Taped Foul

    **REMARKS:** (sex, race, etc.)

    **PERSON RECEIVING CALL:**

    **NUMBER AT WHICH CALL IS RECEIVED:**

    **DATE:**

    **TIME:**

    **CALLBACK NUMBER DISPLAYED ON PHONE OR CALLER ID:**

    **REPORT CALL IMMEDIATELY:** **If ON-CAMPUS dial 911 (NIH POLICE)**

    **If OFF-CAMPUS dial 9-911 (LOCAL POLICE)**

    **Readiness - Suspected Terrorist Activity**

1.  Obtain as much information as possible from the individual /caller -
    type of threat, where is the threat targeted for, when will the
    threat be carried out, etc.

2.  Jot down EXACT WORDS as soon as possible. Use TERRORIST THREAT
    CHECKLIST, or any paper available.

3.  If possible, have someone listen in on the call.

4.  Persons receiving such calls should:

    -   Listen - be calm - be courteous

    -   Do not interrupt the caller

    -   Keep the caller on the line as long as possible

    -   Ask caller to repeat the message

    -   Pay attention for any strange or peculiar background noises

    -   Characterize voice: gender, young/mature, accent, speech pattern

    -   Repeat words/phrases

    -   

5.  If time permits, ask \"Who is this calling, please?" or \"What is
    your name?\"\"

6.  Call the NIH Police by dialing ON CAMPUS 911, OFF CAMPUS 9-911.

7.  Notify supervisor.

8.  If the threat is left on voice mail, do not delete it.

9.  Check \"CALLER ID\" or dial \*69 to determine where call originated.

10. Do not discuss the situation with news media or other outsiders.
    Inquiries should be courteously and tactfully directed to the IC
    Public Information Office.

    **UTILITY FAILURE**

    **ELECTRICAL POWER EMERGENCY**

    **ACTIONS Checklist**

-   Call ORF Emergency Services at 301-435-8000

-   Provide the following information:

    -   Contact Person

    -   Building

    -   Room

    -   Telephone Number

    -   Inform them that research animal lives are at risk.

-   Shut off the main breaker switch(es) and the following equipment:

    -   Landis and Staefa Monitoring equipment

    -   Light Switches

    -   Equipment - cage washer, autoclave, ventilated racks, etc.

    -   Close sash on all hoods that are in use during power failure.

-   Remain at your location until emergency services arrive.

-   If evacuation is necessary:

    -   Locate flashlights for emergency light source.

    -   Evacuate building if fire accompanies power failure.

    -   Turn on battery operated radio to check for local outage reports
        or other emergency information.

    -   Use stairways during periods of power surges.

    -   Stay to the right side of the hallway at all times and use the
        handrail if provided.

    -   Assemble in outside parking lot unless response action calls for
        another location.

    -   Zone Monitors should verify that all persons are out of the
        building.

    -   Do not use elevators.

        **ELEVATOR EMERGENCY INSTRUCTIONS**

        **ACTIONS Checklist**

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-   If the elevator stops between floors or doors do not open:

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-   Hold emergency telephone to your ear until elevator shop dispatcher
    answers.

-   Explain situation - be sure to advise the rescuers of your condition

-   WAIT FOR QUALIFIED ASSISTANCE - Never attempt to exit an elevator
    when stalled between floors. If the elevator cannot be moved to a
    floor landing level, experienced personnel will assist you through a
    hatch in the top of the elevator.

    **RETURN OF POWER**

    **ACTIONS Checklist**

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-   Return of normal power, or emergency generator is on:

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-   Turn on light switches and ventilated racks first, then other
    equipment as needed.

-   Check each animal room temperature and humidity.

-   Check safety cabinets in each procedure room.

-   Check alarm panels for any alarms and repair if possible.

-   Turn ON Seimens (Landis & Staefa) monitoring equipment.

    **UTILITY FAILURE**

    **EQUIPMENT and PROCEDURE CHECKLIST**

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-   Back-up generators

-   Flashlights and batteries

-   Walkie-talkies (optional, but nice to have)

-   Cellular phone (optional, but nice to have)

-   Portable radio

-   Emergency lights for stairways and hallways

-   Ventilation

-   Heaters

-   Chillers

-   Know location of water shut-off valve(s)

-   Alternate water supply

-   Assign zone monitors for evacuation purposes

    **Readiness - Utility Failure**

1.  Loss of power can occur due to many reasons, but the general results
    and the effect it can have on the animals is the same regardless of
    the source of the outage.

2.  Prior planning and training of personnel is paramount to adequate
    response and dealing with the animal care issues in such a
    situation. All personnel that may be responsible for providing
    animal care during a power outage should be familiar with location
    of power switches, emergency lighting, emergency equipment for
    cooling or heating, etc.

3.  Never tamper with power sources, fuse boxes, transformers, etc. Wait
    for appropriate facilities maintenance personnel to perform
    evaluations and repair.

    **WATER FAILURE**

    **Water Line Break / Water Supply Failure**

    **ACTIONS Checklist**

-   Call ORF Emergency Services at 301-435-8000

-   Provide the following information:

    -   Contact Person

    -   Building

    -   Room \#

    -   Telephone Number

    -   Inform that research animal lives are at risk

-   Shut off main water intake and/or other valves as necessary to help
    control the situation.

-   Control flooding or redirect water flow if practical.

-   Relocate (or move to higher areas) animals/cages that may be
    threatened by rising water. This should only be attempted if
    personnel are not in danger and if it can be safely performed.

-   Obtain potable water if outage exceeds 4 hours.

    **Readiness - Water Failure**

1.  Establish a facility specific SOP that explains how to conserve
    water. Include procedures for hand cleaning cages by dumping and
    replacing bedding over short periods of time.

2.  Ensure there are pre-established sources of potable water in case of
    an emergency. Administrative personnel should be involved so that
    procurement will not be Water vendors in Montgomery County include:

    Deer Park 3 & 5 gallon bottles 800-205-8274

    Culligan 3 & 5 gallon bottles 301-621-2321

    Rands Transport Commercial Quantities 410-671-7000

3.  It may be a good idea to maintain potable water on hand in reusable
    barrels. Appropriate SOPs should be developed and facility personnel
    trained on use of emergency water sources. Guidelines on how to
    calculate minimum water requirements are provided on the following
    page.

4.  To facilitate rapid response and to minimize damage caused by water
    leaks, line breaks, etc., it is a good idea to have all water valves
    properly labeled, and conduct training to familiarize all facility
    personnel with location and operation of the valves. This should
    include valves on cage wash equipment.

5.  Flooded areas, and even areas with small amounts of standing water,
    should be avoided if at all possible due to the risk of electrical
    shock.

    **Calculating Minimum Water Requirements**

    It is best to perform this exercise prior to an emergency. Use the
    average facility census to allow management to conduct proactive
    planning for water supplies and logistics. Adjustments up or down
    can then be made after an actual water emergency has occurred. To
    figure the daily drinking water needs for gravity or pump
    administered water:

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1.  Count the number of animals in the building for each species.

2.  Multiply by the approximate total number of different species by the
    approximate average daily water consumption by species.

Average daily water consumption by species

Mice - 6.7 ml per adult (225 ml/kg)

Rat - 45 ml per adult (80 -- 110 ml /kg)

Hamster - approximately 15 ml per adult (14 ml/100 gm)

Rabbit - 400ml per adult (100 ml / kg)

Guinea Pigs - 90 ml per adult (100ml/kg)

Other large animals (rule of thumb - 30 ml or 1 oz per pound per day)

Cats - 300 ml per adult

Primate - 600 ml per adult

Dog (beagle size) - 1000 ml per adult

Dog (Fox hound size) - 2000 ml per adult

3.  Add the total average daily water by species. This equals the total
    volume of water in milliliters required per day for the entire
    facility.

    Example:

    • There are 1,000 cages of mice (5 per cage), and 100 cages of rats
    (3 per cage) in the facility.

    • 5 mice/cage x 1,000 cages x 6.7 ml/mouse + 3 rats/cage x 100 cages
    x 45 ml/rat = 47,000 ml = 47 liters = 12.41 gallons (3,785 ml /
    gallon).

4.  The volume of the water in the supply lines must be determined if
    the water failure results in facility supply lines being drained or
    discarded. This volume must be calculated and adequate water made
    available to fill the lines. This volume would usually be needed to
    add to the total needed only one time in emergency situations.

Note: one cubic centimeter equals the same volume as 1 ml of water,
3,785 ml = 1 Gallon, Pi = 3.14, and radius = diameter divided by 2

The formula for calculating volume for a water line = Pi x radius of the
pipe squared x length of the pipe. Remember 1cubic centimeter (cc) = 1
ml so working in centimeters will make for easy conversion. For example,
to determine the volume in a water line 1.6 cm in diameter 100 meters
long: Pi = 3.14, the radius would be ½ the diameter or .8cm, and the
length is 10,000 cm. Therefore, the calculations are: 3.14 x (.8cm) x
(.8 cm) x 10,000 cm = 10,096 cc or 5.3 gallons.

5.  Add to this amount, the value from number 3.

6.  It may be useful to multiply the total amount calculate by 2 to
    account for varying rates of use and waste.

    Reference:

    Laboratory Animal Medicine 2^nd^ edition

    James G Fox, Lynn C. Anderson, Franklin M. Loew, Fred W. Quimby

    **REFERENCES**

    **REFERENCES**

    **Insert the NIH Emergency Preparedness Handbook as a Required
    Reference for your vivarium response plan
    (<http://ser.ors.od.nih.gov/documents/HandbookFinal.pdf>).**

    Other useful NIH and other institutional documents and web sites
    addressing emergency or disaster response are available for
    information and guidance for use in a vivarium disaster response
    plan.

    **ANIMAL BITES AND SCRATCHES**

    CDC National Center for Infectious Diseases -- B virus Information

    <http://www.cdc.gov/ncidod/diseases/bvirus.htm>

    Recommendations for Prevention of and Therapy for Exposure to B
    Virus

    <http://www.cdc.gov/ncidod/diseases/BVIRUS.PDF>

    **ANIMAL EVACUATION**

    PM1342 - NIH Occupant Evacuation Plan

    <http://www1.od.nih.gov/oma/manualchapters/management/1342/>

    701 -- NIH Clinical Center Occupant Evacuation Plan for Nonpatient
    Care Areas

    <http://intranet.cc.nih.gov/od/admin_policy/s701.html>

    CC Emergency Management Plan 2005

    <http://intranet.cc.nih.gov/od/emergencyplan/>

    NIEHS Emergency Evacuation Procedures

    <http://www.niehs.nih.gov/omfeb/evacuation.htm>

    **CHEMICAL HAZARDS**

    [Material Safety Data Sheets]{.underline}

    <http://www.nih.gov/od/ors/ds/msds.html>

    [Waste Disposal Guide]{.underline}

    <http://orf.od.nih.gov/waste/wasteguide.html>

    [Division of Occupational Safety and Health - Spills]{.underline}

    <http://www.nih.gov/od/ors/ds/spills.html>

    **FIRE**

    [NIH Division of Fire and Rescue Services]{.underline}

    <http://ser.ors.od.nih.gov/fire_rescue.htm>

    NIH Emergency Preparedness Services

    <http://ser.ors.od.nih.gov/emergency_prep.htm>

    [NIH Division of the Fire Marshall]{.underline}

    <http://ser.ors.od.nih.gov/fire_marshal.htm>

    [NIH Division of the Fire Marshall Safety Links - Fire
    Prevention]{.underline}

    <http://ser.ors.od.nih.gov/fire_safety_links.htm>

    CC Emergency Management Plan 2005

    <http://intranet.cc.nih.gov/od/emergencyplan/>

    **FIRST AID**

    <http://www.fema.gov/preparedness/prepare_guides_links.shtm#guides>

    (FEMA site - Preparedness Guides and Links)

    <http://www.survival-center.com/firstaid/book.htm>

    (first aid tutorial)

    **FLOOD AND HIGH WATER**

    Emergency Preparedness Information - DEPC

    <http://ser.ors.od.nih.gov/preparedness.htm>

    NIH Emergency Procedures

    <http://ser.ors.od.nih.gov/documents/HandbookFinal.pdf>

    PM1342 -- NIH Occupant Evacuation Plan

    <http://www1.od.nih.gov/oma/manualchapters/management/1342/>

    [Flood]{.underline} - CDC Emergency Preparedness

    <http://www.bt.cdc.gov/disasters/floods/index.asp>

    CDC -- Natural Disasters Preparedness Guide

    <http://www.bt.cdc.gov/disasters/index.asp>

    CC Emergency Management Plan 2005

    <http://intranet.cc.nih.gov/od/emergencyplan/>

    **HVAC FAILURE / SEWER STOPPAGE**

    Office of Research Facilities Development and Operations-Emergencies

    <http://orf.od.nih.gov/58000/>

    ORF-Public Notices of Utility Outages

    <http://orf.od.nih.gov/utilityshutdown/index.htm>

    ORF Operations and Maintenance

    <http://orf.od.nih.gov/operations.htm>

    Occupational Health & Safety- Working Safely with Hazardous
    Biological Materials

    <http://www1.od.nih.gov/oma/manualchapters/intramural/3035/>

    **READINESS**

    ART Emergency Handbook

    ART Handbook -- Version 9/2006

    <http://oacu.od.nih.gov/disaster/index.htm>

    Division of Emergency Preparedness and Coordination

    <http://ser.ors.od.nih.gov/emergency_prep.htm>

    Emergency Preparedness Information - DEPC

    <http://ser.ors.od.nih.gov/preparedness.htm>

    CC Emergency Management Plan 2005

    <http://intranet.cc.nih.gov/od/emergencyplan/>

    NIH Guide to Waste Disposal

    <http://orf.od.nih.gov/waste/wasteguide.html>

    CDC -- Natural Disasters Preparedness Guide

    <http://www.bt.cdc.gov/disasters/index.asp>

NIH - Pandemic Flu Plan for Research Animals

**<http://pandemicflu.gov/>**

**SECURITY BREACH**

NIH Police Services

<http://ser.ors.od.nih.gov/police.htm>

Security and Emergency Response Resources

<http://ser.ors.od.nih.gov/>

Montgomery County Department of Police

<http://www.montgomerycountymd.gov/poltmpl.asp?url=/Content/POL/index.asp>

Maryland State Police Department

<http://www.mdsp.org/>

**STORMS**

Emergency Preparedness Information - DEPC

<http://ser.ors.od.nih.gov/preparedness.htm>

NIH Emergency Procedures

<http://ser.ors.od.nih.gov/documents/HandbookFinal.pdf>

PM1342 -- NIH Occupant Evacuation Plan

<http://www1.od.nih.gov/oma/manualchapters/management/1342/>

CDC -- Natural Disasters Preparedness Guide

<http://www.bt.cdc.gov/disasters/index.asp>

**STRUCTURAL DAMAGE**

Emergency Preparedness Information - DEPC

<http://ser.ors.od.nih.gov/preparedness.htm>

NIH Emergency Procedures

<http://ser.ors.od.nih.gov/documents/HandbookFinal.pdf>

PM1342 - NIH Occupant Evacuation Plan

<http://www1.od.nih.gov/oma/manualchapters/management/1342/>

CC Emergency Management Plan 2005

<http://intranet.cc.nih.gov/od/emergencyplan/>

CDC -- Natural Disasters Preparedness Guide

<http://www.bt.cdc.gov/disasters/index.asp>

**SUSPECTED TERRORIST ACTIVITY**

Emergency Preparedness Information - DEPC

<http://ser.ors.od.nih.gov/preparedness.htm>

NIH Emergency Procedures

<http://ser.ors.od.nih.gov/documents/HandbookFinal.pdf>

PM1342 - NIH Occupant Evacuation Plan

<http://www1.od.nih.gov/oma/manualchapters/management/1342/>

**UTILITY FAILURE**

Emergency Preparedness Information - DEPC

<http://ser.ors.od.nih.gov/preparedness.htm>

NIH Emergency Procedures

<http://ser.ors.od.nih.gov/documents/HandbookFinal.pdf>

CC Emergency Management Plan 2005

<http://intranet.cc.nih.gov/od/emergencyplan/>

CDC -- Natural Disasters Preparedness Guide

<http://www.bt.cdc.gov/disasters/index.asp>

NIEHS Emergency Evacuation Procedures

<http://www.niehs.nih.gov/omfeb/evacuation.htm>

**WATER FAILURE**

Emergency Preparedness Information - DEPC

<http://ser.ors.od.nih.gov/preparedness.htm>

NIH Emergency Procedures

<http://ser.ors.od.nih.gov/documents/HandbookFinal.pdf>

CC Emergency Management Plan 2005

<http://intranet.cc.nih.gov/od/emergencyplan/>

PM1342 - NIH Occupant Evacuation Plan

<http://www1.od.nih.gov/oma/manualchapters/management/1342/>