*Enclosure 11-3*

S A M P L E

**Emergency Operations Center (EOC) Evaluation Tool**

Observer: Date: / /

Where is the EOC Location?

Primary: Building Room

Alternate: Building Room

Was an Incident Commander designated? Yes No

If yes, who?

Were other members of the incident command center easily identifiable?
Yes No

**Role Check if position filled Comments**

Incident Commander

Public Information Officer

Liaison

Safety

Police

Operations Chief

Logistics Chief

Planning Chief

Facilities Management

Communications

Patient Transportation

Supply

Nutrition & Food Service

Labor Pool

Medical Staff

Nursing

Ancillary Services Director

(Laboratory, radiology, pharmacy, etc.)

Human Services Director

(staff and psychological support)

Recorder

Other (Specify): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Other (Specify): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Other (Specify): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Other (Specify): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[EOC Operations]{.underline}**

Time EOC Activated: AM/PM

Was the hospital disaster plan available? Yes No

If the hospital disaster plan was available, what was its format?
(Hardcopy, electronic, etc.)

Was the space allocated for the EOC adequate? Yes No

If not enough space for the EOC, where did EOC activities overflow to?

Average number of people in the incident command center.

\< 5 6 - 10 11 - 20 \>20

Did the noise level in the incident command center interfere with
effective communication? Yes No

If the noise level interfered with communications, were steps taken to
correct the problem? Yes No

If yes what steps were taken?

**Communications**

**Device Used Comments**

2-way radio

Ham Radio

AM/FM radio(s)

E-mail and Internet access

Direct line(s)

FAX machine(s)

Intercom

Landline phone(s)

Megaphone(s)

Numeric paging

Overhead paging

Runner(s)

Television(s)

Text paging

Wireless/cell phone(s)

Other (Specify):

How was incoming information to the EOC recorded?

Computer (other electronic device)

Notepaper

Posted paper

White board/chalk board

Not recorded

Other (Specify):

**Information Flow**

Were problems created by delays in receiving information? Yes No

How often was the following information received by the incident command
center?

**Information Received Source Frequency**

**Internal External Once Other (list frequency)**

Available operating rooms

Available staffed floor beds

Available staffed intensive care beds

Available staffed isolation beds

Number of arriving victims

Estimated time of victims' arrival

Expected triage level of victims

Number of victims Emergency

Department can accept

Clinical staff available

(e.g., physicians, nurses)

Total number of expected victims

Potential discharges of 'actual' patients

Support staff available

(e.g., registrar, security)

Other (Specify):

Other (Specify):

Other (Specify):

Was the EOC in communication with outside agencies? Yes No

**Outside Agencies Contacted Communication Issues**

Ambulance systems

Disaster response agency

(state or federal) (e.g., FEMA)

Fire

Health department (local,

state, or federal)

Media

Military

Other hospitals

Police

Other (specify):\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Other (specify):\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Security**

Were security personnel present in the EOC? Yes No

If security personnel were present, what type of security?

VA Police

Other

Did all security staff present have a portable means of communication?
Yes No

Were entrances and exits strictly controlled in this area? Yes No

Did any security issues arise in this EOC? Yes No

If yes, did security respond? Yes No

If yes, was the situation effectively mitigated Yes No

Description of issue and measures taken:

**Rotation of Staff**

Was there a staff rotation/shift change? Yes No

If there was a staff rotation, did the officially designated person in
charge of the EOC change? Yes No

If there was a staff rotation, did problems arise? Yes No

Describe

How were incoming staff updated?

Group briefing

Individual briefing

Written notes

Not updated

Other (Specify):

**EOC Disruption**

Was there a plan in place to relocate the primary EOC if necessary? Yes
No

Did the primary EOC close at any time during the drill? Yes No

If the primary EOC closed during the drill, what was the reason for
closing?

Describe

If the primary EOC closed during the drill, were other EOCs notified?
Yes No

Was an alternate EOC site determined and opened? Yes No

If yes, state location:

Were operations interrupted until the alternate EOC opened? Yes No

Were other EOCs notified when the alternate EOC opened? Yes No

Were any critical issues observed with opening this EOC? Yes No

If yes, describe

Were portable means of communication used while relocating this EOC? Yes
No