+---------------------------------+------------------------------------+
| Capability Description:         |                                    |
|                                 |                                    |
| Search and Rescue (SAR) is the  |                                    |
| capability to coordinate and    |                                    |
| conduct search and rescue       |                                    |
| response efforts for all        |                                    |
| hazards including searching     |                                    |
| affected areas for victims and  |                                    |
| locating, accessing, medically  |                                    |
| stabilizing, and extricating    |                                    |
| victims trapped in damaged or   |                                    |
| collapsed structures.           |                                    |
+---------------------------------+------------------------------------+
| Capability Outcome:             |                                    |
|                                 |                                    |
| The greatest numbers of victims |                                    |
| are rescued in the shortest     |                                    |
| amount of time, while           |                                    |
| maintaining rescuer safety. The |                                    |
| greatest numbers of victims are |                                    |
| transferred to medical or mass  |                                    |
| care capabilities, in the       |                                    |
| shortest amount of time, while  |                                    |
| maintaining rescuer safety.     |                                    |
+---------------------------------+------------------------------------+
| Jurisdiction or Organization:   | Name of Exercise:                  |
|                                 |                                    |
+---------------------------------+------------------------------------+
| Location:                       | Date:                              |
+---------------------------------+------------------------------------+
| Evaluator:                      | Evaluator Contact Info:            |
+---------------------------------+------------------------------------+
| *Note to Exercise Evaluators:   |                                    |
| Only review those activities    |                                    |
| listed below to which you have  |                                    |
| been assigned*                  |                                    |
+---------------------------------+------------------------------------+

Activity 1: Activate Search and Rescue

**Activity Description:** In response to notification, mobilize and
arrive at the incident scene to begin operations.

+---+-----------------------------------------+------------+------------+
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| t |                                         |            |            |
| s |                                         |            |            |
| ) |                                         |            |            |
| * |                                         |            |            |
+===+=========================================+============+============+
|   | Tasks/*Observation Keys*                | Time of    |            |
|   |                                         | Ob         |            |
|   |                                         | servation/ |            |
|   |                                         | Task       |            |
|   |                                         | Completion |            |
+---+-----------------------------------------+------------+------------+
| 1 | Receive search and rescue (SAR)         | Time:      |            |
| . | alert/activation order.                 |            |            |
| 1 |                                         |            |            |
|   | -   Assess readiness of team (go/no-go) | Task       |            |
|   |                                         | Completed? |            |
|   | -   Receive approval of government      |            |            |
|   |     official(s) to mobilize (e.g.,      | Fully      |            |
|   |     sponsoring agency)                  | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
| 1 | Initiate mobilization procedure.        | Time:      |            |
| . |                                         |            |            |
| 2 | -   Team notified                       |            |            |
|   |                                         | Task       |            |
|   | -   Team logistics functions notified   | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
| 1 | Assemble personnel and equipment at     | Time:      |            |
| . | designated location.                    |            |            |
| 3 |                                         |            |            |
|   | -   Preliminary briefing of team on     | Task       |            |
|   |     incident and SAR role/need          | Completed? |            |
|   |                                         |            |            |
|   | -   Review of personnel status          | Fully      |            |
|   |     (health/medical) for deployment     | Partially  |            |
|   |     conducted (individuals go/no go)    | Not N/A    |            |
|   |                                         |            |            |
|   | -   Review of equipment status          |            |            |
|   |     (personnel and team) and supplies   |            |            |
|   |     for deployment conducted            |            |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Duration of time for which SAR    | **TARGET** | **ACTUAL** |
|   |     capability can self sustain its own |            |            |
|   |     operations without additional       | **72       | **     **  |
|   |     resources**                         | hours**    |            |
+---+-----------------------------------------+------------+------------+
| 1 | > Transport team (personnel and         | Time:      |            |
| . | > equipment) to incident scene.         |            |            |
| 4 |                                         |            |            |
|   | -   Team advises sponsoring agency and  | Task       |            |
|   |     requests entity of progress towards | Completed? |            |
|   |     scene and Estimated Time of Arrival |            |            |
|   |     (ETA)                               | Fully      |            |
|   |                                         | Partially  |            |
|   | -   Accountability of personnel and     | Not N/A    |            |
|   |     equipment maintained throughout     |            |            |
|   |     transport                           |            |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Time from request to deployment   | **TARGET** | **ACTUAL** |
|   |     of local SAR capability to arrive   |            |            |
|   |     on-scene**                          | **2        | **     **  |
|   |                                         | hours**    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Time from request to deployment   | **TARGET** | **ACTUAL** |
|   |     of regional SAR capability to       |            |            |
|   |     arrive on-scene**                   | **12       | **     **  |
|   |                                         | hours**    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Time from request to deployment   | **TARGET** | **ACTUAL** |
|   |     of federally-designated SAR task    |            |            |
|   |     force teams to arrive on-scene**    | **6        | **     **  |
|   |                                         | hours**    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Time from request to deployment   | **TARGET** | **ACTUAL** |
|   |     of first Federal SAR-capable units  |            |            |
|   |     arrive on-scene**                   | **24       | **     **  |
|   |                                         | hours**    |            |
+---+-----------------------------------------+------------+------------+
| 1 | **     **                               | Time:      |            |
| . |                                         |            |            |
| 5 |                                         |            |            |
|   |                                         | Task       |            |
|   |                                         | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+

Activity 2: Direct SAR Tactical Operations

**Activity Description:** Provide overall management and coordination of
SAR capability, from activation through demobilization.

+---+-----------------------------------------+------------+------------+
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| ) |                                         |            |            |
| * |                                         |            |            |
+===+=========================================+============+============+
|   | Tasks/*Observation Keys*                | Time of    |            |
|   |                                         | Ob         |            |
|   |                                         | servation/ |            |
|   |                                         | Task       |            |
|   |                                         | Completion |            |
+---+-----------------------------------------+------------+------------+
| 2 | > Plan and coordinate urban SAR         | Time:      |            |
| . | > operations at incident site.          |            |            |
| 1 |                                         |            |            |
|   | -   Coordinate with Incident Command    | Task       |            |
|   |     (IC) /Unified Command (UC) on       | Completed? |            |
|   |     search priorities                   |            |            |
|   |                                         | Fully      |            |
|   | -   SAR team assignments established    | Partially  |            |
|   |                                         | Not N/A    |            |
|   | -   Direct SAR resources according to   |            |            |
|   |     National Incident Management System |            |            |
|   |     (NIMS), Incident Command System     |            |            |
|   |     (ICS), and consensus-level          |            |            |
|   |     technical rescue standards          |            |            |
|   |                                         |            |            |
|   | -   Team Leader or designee             |            |            |
|   |     participates in IC/UC planning      |            |            |
|   |     process                             |            |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Tactical plan, based on the       | **TARGET** | **ACTUAL** |
|   |     Incident Action Plan (IAP),         |            |            |
|   |     developed and implemented by        | **Within 2 | **     **  |
|   |     Federal, State, regional and/or     | hours of   |            |
|   |     local SAR**                         | ac         |            |
|   |                                         | tivation** |            |
+---+-----------------------------------------+------------+------------+
| 2 | Determine need for deployment of        | Time:      |            |
| . | additional SAR assets.                  |            |            |
| 2 |                                         |            |            |
|   | -   Additional SAR assistance requested | Task       |            |
|   |     through the chain of command        | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
| 2 | > Provide timely situational awareness  | Time:      |            |
| . | > and response information and          |            |            |
| 3 | > establish and maintain chronological  |            |            |
|   | > log of events in the field.           | Task       |            |
|   |                                         | Completed? |            |
|   | -   Team reporting requirements         |            |            |
|   |     established                         | Fully      |            |
|   |                                         | Partially  |            |
|   | -   Team action plan developed          | Not N/A    |            |
|   |     including situational and resource  |            |            |
|   |     status and contingency plans        |            |            |
|   |                                         |            |            |
|   | -   Establish documentation library     |            |            |
+---+-----------------------------------------+------------+------------+
| 2 | Document and collect SAR operations     | Time:      |            |
| . | information for use in after action     |            |            |
| 4 | review.                                 |            |            |
|   |                                         | Task       |            |
|   | -   Assessment information, including   | Completed? |            |
|   |     Hazard and Structural, obtained for |            |            |
|   |     SAR records                         | Fully      |            |
|   |                                         | Partially  |            |
|   | -   Technical documentation (e.g.,      | Not N/A    |            |
|   |     maps, blue prints, photographs,     |            |            |
|   |     video) developed and/or obtained    |            |            |
+---+-----------------------------------------+------------+------------+
| 2 | Develop SAR team                        | Time:      |            |
| . | reassignment/demobilization plan.       |            |            |
| 5 |                                         |            |            |
|   | -   Coordinate SAR                      | Task       |            |
|   |     reassignment/demobilization plan    | Completed? |            |
|   |     with IC/UC                          |            |            |
|   |                                         | Fully      |            |
|   | -   Physical/mental condition of SAR    | Partially  |            |
|   |     personnel and/or condition of       | Not N/A    |            |
|   |     remaining SAR equipment cache       |            |            |
|   |     considered for cycling of resources |            |            |
|   |     and/or demobilization               |            |            |
|   |                                         |            |            |
|   | -   Coordinate with other SAR functions |            |            |
|   |     to determine estimated time/money   |            |            |
|   |     required for personnel and          |            |            |
|   |     equipment rehabilitation            |            |            |
+---+-----------------------------------------+------------+------------+
| 2 |                                         | Time:      |            |
| . |                                         |            |            |
| 6 |                                         |            |            |
|   |                                         | Task       |            |
|   |                                         | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+

Activity 3: Provide Material and Other Support

**Activity Description:** Upon arriving on scene, provide, track, and
maintain equipment and supplies as well as support base of operations.

+---+-----------------------------------------+------------+------------+
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| ) |                                         |            |            |
| * |                                         |            |            |
+===+=========================================+============+============+
|   | Tasks/*Observation Keys*                | Time of    |            |
|   |                                         | Ob         |            |
|   |                                         | servation/ |            |
|   |                                         | Task       |            |
|   |                                         | Completion |            |
+---+-----------------------------------------+------------+------------+
| 3 | Establish Base of Operations.           | Time:      |            |
| . |                                         |            |            |
| 1 | -   Logistics Chief or designee         |            |            |
|   |     coordinated with logistical         | Task       |            |
|   |     counterparts at assigned location   | Completed? |            |
|   |                                         |            |            |
|   | -   Transportation, communications,     | Fully      |            |
|   |     portable shelters, feeding units,   | Partially  |            |
|   |     and sanitation facilities for use   | Not N/A    |            |
|   |     by SAR task force provided and      |            |            |
|   |     maintained                          |            |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Time to establish Base of         | **TARGET** | **ACTUAL** |
|   |     Operation upon arrival at incident  |            |            |
|   |     scene**                             | **1 hour** | **     **  |
+---+-----------------------------------------+------------+------------+
| 3 | Maintain accountability of team         | Time:      |            |
| . | equipment/supplies.                     |            |            |
| 2 |                                         |            |            |
|   | -   Equipment and supplies issued       | Task       |            |
|   |                                         | Completed? |            |
|   | -   Request for additional              |            |            |
|   |     equipment/supplies fulfilled        | Fully      |            |
|   |                                         | Partially  |            |
|   | -   Equipment and supplies maintained   | Not N/A    |            |
|   |     and repaired                        |            |            |
+---+-----------------------------------------+------------+------------+
| 3 | Participate in SAR planning process and | Time:      |            |
| . | operational briefings.                  |            |            |
| 3 |                                         |            |            |
|   | -   Unit logs and other documentation   | Task       |            |
|   |     submitted, as required              | Completed? |            |
|   |                                         |            |            |
|   | -   Manager or designee participates in | Fully      |            |
|   |     planning meetings, as appropriate   | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
| 3 | Provide medical care for SAR personnel, | Time:      |            |
| . | including the K-9 first responders.     |            |            |
| 4 |                                         |            |            |
|   | -   Condition of personnel (and K-9)    | Task       |            |
|   |     assessed on regular basis           | Completed? |            |
|   |                                         |            |            |
|   | -   Medical care provided as needed     | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Number of times health of SAR     | **TARGET** | **ACTUAL** |
|   |     personnel monitored**               |            |            |
|   |                                         | **At least | **     **  |
|   |                                         | once per   |            |
|   |                                         | work       |            |
|   |                                         | cycle**    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Number of SAR personnel injured   | **TARGET** | **ACTUAL** |
|   |     during rescue efforts**             |            |            |
|   |                                         | **Less     | **     **  |
|   |                                         | than 1     |            |
|   |                                         | loss-time  |            |
|   |                                         | injury per |            |
|   |                                         | dep        |            |
|   |                                         | loyment.** |            |
+---+-----------------------------------------+------------+------------+
| 3 | **     **                               | Time:      |            |
| . |                                         |            |            |
| 5 |                                         |            |            |
|   |                                         | Task       |            |
|   |                                         | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+

Activity 4: Conduct SAR Reconnaissance

**Activity Description:** Once on-scene and equipped, provide rapid
assessment of assigned SAR work areas and recommend search
priorities/tactics to management.

+---+-----------------------------------------+------------+------------+
| T |                                         |            |            |
| a |                                         |            |            |
| s |                                         |            |            |
| k |                                         |            |            |
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| O |                                         |            |            |
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| d |                                         |            |            |
| * |                                         |            |            |
| ( |                                         |            |            |
| c |                                         |            |            |
| h |                                         |            |            |
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| d |                                         |            |            |
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| n |                                         |            |            |
| d |                                         |            |            |
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| r |                                         |            |            |
| o |                                         |            |            |
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| m |                                         |            |            |
| e |                                         |            |            |
| n |                                         |            |            |
| t |                                         |            |            |
| s |                                         |            |            |
| ) |                                         |            |            |
| * |                                         |            |            |
+===+=========================================+============+============+
|   | Tasks/*Observation Keys*                | Time of    |            |
|   |                                         | Ob         |            |
|   |                                         | servation/ |            |
|   |                                         | Task       |            |
|   |                                         | Completion |            |
+---+-----------------------------------------+------------+------------+
| 4 | Assess incident site to determine       | Time:      |            |
| . | search and rescue course of action.     |            |            |
| 1 |                                         |            |            |
|   | -   Strategy for building               | Task       |            |
|   |     identification developed (e.g.,     | Completed? |            |
|   |     street numbers, GPS, unique         |            |            |
|   |     features)                           | Fully      |            |
|   |                                         | Partially  |            |
|   | -   Type of building occupancy and      | Not N/A    |            |
|   |     potential for trapped victims       |            |            |
|   |     identified                          |            |            |
|   |                                         |            |            |
|   | -   Structure triage of condition of    |            |            |
|   |     void(s) and time required to access |            |            |
|   |     victims estimated                   |            |            |
|   |                                         |            |            |
|   | -   Risks of secondary collapse         |            |            |
|   |     evaluated (low to high probability) |            |            |
|   |                                         |            |            |
|   | -   Structures with highest potential   |            |            |
|   |     for viable rescue opportunities     |            |            |
|   |     identified                          |            |            |
|   |                                         |            |            |
|   | -   Potential heavy machinery support   |            |            |
|   |     requirements identified             |            |            |
+---+-----------------------------------------+------------+------------+
| 4 | Assess the incident site for Hazardous  | Time:      |            |
| . | Materials (HAZMAT) or other             |            |            |
| 2 | environmental conditions.               |            |            |
|   |                                         | Task       |            |
|   | -   Environmental, chemical, biological | Completed? |            |
|   |     and/or radiological hazards (e.g.,  |            |            |
|   |     chemical spills, flammable          | Fully      |            |
|   |     materials, radioactive material)    | Partially  |            |
|   |     identified                          | Not N/A    |            |
|   |                                         |            |            |
|   | -   Hazard zones conspicuously cordoned |            |            |
|   |     off and marked                      |            |            |
+---+-----------------------------------------+------------+------------+
| 4 | Develop map of search area to be used   | Time:      |            |
| . | in SAR tactical operations.             |            |            |
| 3 |                                         |            |            |
|   | -   Area of highest interest market,    | Task       |            |
|   |     hazards and significant issues      | Completed? |            |
|   |     indicated                           |            |            |
|   |                                         | Fully      |            |
|   | -   Locations of medical and evacuation | Partially  |            |
|   |     assets and responder support        | Not N/A    |            |
|   |     activities identified               |            |            |
|   |                                         |            |            |
|   | -   Search zones are identified and     |            |            |
|   |     clearly labeled                     |            |            |
+---+-----------------------------------------+------------+------------+
| 4 | Communicate findings and recommend      | Time:      |            |
| . | priorities to Team Management.          |            |            |
| 4 |                                         |            |            |
|   | -   Prioritize sites and recommend      | Task       |            |
|   |     tactical approach for search and    | Completed? |            |
|   |     rescue                              |            |            |
|   |                                         | Fully      |            |
|   | -   List hazards and other significant  | Partially  |            |
|   |     issues potentially affecting SAR    | Not N/A    |            |
|   |     operations                          |            |            |
|   |                                         |            |            |
|   | -   Identify any additional resource    |            |            |
|   |     requirements needed to address      |            |            |
|   |     issues (e.g., heavy equipment,      |            |            |
|   |     steel beams)                        |            |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Reconnaissance team provides team | **TARGET** | **ACTUAL** |
|   |     management recommendation on search |            |            |
|   |     plan and priorities**               | **Within 1 | **     **  |
|   |                                         | hour**     |            |
+---+-----------------------------------------+------------+------------+
| 4 | **     **                               | Time:      |            |
| . |                                         |            |            |
| 5 |                                         |            |            |
|   |                                         | Task       |            |
|   |                                         | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+

Activity 5: Search

**Activity Description:** Upon being assigned search sector, begin
search operations utilizing canine, physical and technical (e.g.,
electronic, robotic) search techniques.

+---+-----------------------------------------+------------+------------+
| T |                                         |            |            |
| a |                                         |            |            |
| s |                                         |            |            |
| k |                                         |            |            |
| s |                                         |            |            |
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| r |                                         |            |            |
| v |                                         |            |            |
| e |                                         |            |            |
| d |                                         |            |            |
| * |                                         |            |            |
| ( |                                         |            |            |
| c |                                         |            |            |
| h |                                         |            |            |
| e |                                         |            |            |
| c |                                         |            |            |
| k |                                         |            |            |
| t |                                         |            |            |
| h |                                         |            |            |
| o |                                         |            |            |
| s |                                         |            |            |
| e |                                         |            |            |
| t |                                         |            |            |
| h |                                         |            |            |
| a |                                         |            |            |
| t |                                         |            |            |
| w |                                         |            |            |
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| r |                                         |            |            |
| e |                                         |            |            |
| o |                                         |            |            |
| b |                                         |            |            |
| s |                                         |            |            |
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| r |                                         |            |            |
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| e |                                         |            |            |
| d |                                         |            |            |
| a |                                         |            |            |
| n |                                         |            |            |
| d |                                         |            |            |
| p |                                         |            |            |
| r |                                         |            |            |
| o |                                         |            |            |
| v |                                         |            |            |
| i |                                         |            |            |
| d |                                         |            |            |
| e |                                         |            |            |
| c |                                         |            |            |
| o |                                         |            |            |
| m |                                         |            |            |
| m |                                         |            |            |
| e |                                         |            |            |
| n |                                         |            |            |
| t |                                         |            |            |
| s |                                         |            |            |
| ) |                                         |            |            |
| * |                                         |            |            |
+===+=========================================+============+============+
|   | Tasks/*Observation Keys*                | Time of    |            |
|   |                                         | Ob         |            |
|   |                                         | servation/ |            |
|   |                                         | Task       |            |
|   |                                         | Completion |            |
+---+-----------------------------------------+------------+------------+
| 5 | > Search for trapped victims using      | Time:      |            |
| . | > canine, physical, and technological   |            |            |
| 1 | > search capabilities.                  |            |            |
|   |                                         | Task       |            |
|   | -   Entry and exit points stabilized    | Completed? |            |
|   |     and supported for SAR operations    |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Time needed to begin organized    | **TARGET** | **ACTUAL** |
|   |     search of an area affected by a     |            |            |
|   |     large-scale emergency**             | **Within   | **     **  |
|   |                                         | 30 minutes |            |
|   |                                         | of         |            |
|   |                                         | approved   |            |
|   |                                         | search     |            |
|   |                                         | plan**     |            |
+---+-----------------------------------------+------------+------------+
| 5 | > Identify and record potential/actual  | Time:      |            |
| . | > victim locations (alive and dead).    |            |            |
| 2 |                                         |            |            |
|   | -   Medical/extrication rescue level of | Task       |            |
|   |     effort estimated                    | Completed? |            |
|   |                                         |            |            |
|   | -   Additional equipment/supplies       | Fully      |            |
|   |     requested from logistics, as needed | Partially  |            |
|   |                                         | Not N/A    |            |
|   | -   Additional personnel requested from |            |            |
|   |     planning, as needed                 |            |            |
+---+-----------------------------------------+------------+------------+
| 5 | > Maintain accountability for search    | Time:      |            |
| . | > personnel, equipment, and supplies.   |            |            |
| 3 |                                         |            |            |
|   | -   System implemented to track         | Task       |            |
|   |     location and condition of personnel | Completed? |            |
|   |     equipment and supplies              |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
| 5 | > Report progress of search efforts on  | Time:      |            |
| . | > a regular basis to SAR lead.          |            |            |
| 4 |                                         |            |            |
|   | -   Unit logs and other documentation   | Task       |            |
|   |     developed and submitted as required | Completed? |            |
|   |                                         |            |            |
|   | -   Provide input on revising or        | Fully      |            |
|   |     updating search plan or priorities, | Partially  |            |
|   |     as appropriate                      | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Time interval between check-ins   | **TARGET** | **ACTUAL** |
|   |     with SAR lead to provide            |            |            |
|   |     situational updates or receive new  | **Every    | **     **  |
|   |     direction**                         | hour, or   |            |
|   |                                         | as         |            |
|   |                                         | e          |            |
|   |                                         | stablished |            |
|   |                                         | by SAR     |            |
|   |                                         | lead**     |            |
+---+-----------------------------------------+------------+------------+
| 5 | **     **                               | Time:      |            |
| . |                                         |            |            |
| 5 |                                         |            |            |
|   |                                         | Task       |            |
|   |                                         | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+

Activity 6: Extricate

**Activity Description:** Upon notification of location of potential
victim, perform extrication.

+---+-----------------------------------------+------------+------------+
| T |                                         |            |            |
| a |                                         |            |            |
| s |                                         |            |            |
| k |                                         |            |            |
| s |                                         |            |            |
| O |                                         |            |            |
| b |                                         |            |            |
| s |                                         |            |            |
| e |                                         |            |            |
| r |                                         |            |            |
| v |                                         |            |            |
| e |                                         |            |            |
| d |                                         |            |            |
| * |                                         |            |            |
| ( |                                         |            |            |
| c |                                         |            |            |
| h |                                         |            |            |
| e |                                         |            |            |
| c |                                         |            |            |
| k |                                         |            |            |
| t |                                         |            |            |
| h |                                         |            |            |
| o |                                         |            |            |
| s |                                         |            |            |
| e |                                         |            |            |
| t |                                         |            |            |
| h |                                         |            |            |
| a |                                         |            |            |
| t |                                         |            |            |
| w |                                         |            |            |
| e |                                         |            |            |
| r |                                         |            |            |
| e |                                         |            |            |
| o |                                         |            |            |
| b |                                         |            |            |
| s |                                         |            |            |
| e |                                         |            |            |
| r |                                         |            |            |
| v |                                         |            |            |
| e |                                         |            |            |
| d |                                         |            |            |
| a |                                         |            |            |
| n |                                         |            |            |
| d |                                         |            |            |
| p |                                         |            |            |
| r |                                         |            |            |
| o |                                         |            |            |
| v |                                         |            |            |
| i |                                         |            |            |
| d |                                         |            |            |
| e |                                         |            |            |
| c |                                         |            |            |
| o |                                         |            |            |
| m |                                         |            |            |
| m |                                         |            |            |
| e |                                         |            |            |
| n |                                         |            |            |
| t |                                         |            |            |
| s |                                         |            |            |
| ) |                                         |            |            |
| * |                                         |            |            |
+===+=========================================+============+============+
|   | Tasks/*Observation Keys*                | Time of    |            |
|   |                                         | Ob         |            |
|   |                                         | servation/ |            |
|   |                                         | Task       |            |
|   |                                         | Completion |            |
+---+-----------------------------------------+------------+------------+
| 6 | > Coordinate extrication strategy with  | Time:      |            |
| . | > medical personnel.                    |            |            |
| 1 |                                         |            |            |
|   | -   Estimate of extrication conditions  | Task       |            |
|   |     received from search operations     | Completed? |            |
|   |                                         |            |            |
|   | -   Best route of ingress to victim     | Fully      |            |
|   |     location determined                 | Partially  |            |
|   |                                         | Not N/A    |            |
|   | -   Equipment/supplies for extrication  |            |            |
|   |     obtained from Logistics             |            |            |
+---+-----------------------------------------+------------+------------+
| 6 | > Extricate trapped victims.            | Time:      |            |
| . |                                         |            |            |
| 2 | -   Area surrounding victim stabilized  |            |            |
|   |     and supported                       | Task       |            |
|   |                                         | Completed? |            |
|   | -   Access to victim accomplished       |            |            |
|   |                                         | Fully      |            |
|   | -   Assist with patient packaging for   | Partially  |            |
|   |     extrication and transport           | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Percentage of viable victims      | **TARGET** | **ACTUAL** |
|   |     extricated from heavy construction  |            |            |
|   |     at the incident site**              | *          | **     **  |
|   |                                         | *50-100%** |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Percentage of viable victims      | **TARGET** | **ACTUAL** |
|   |     extricated from light construction  |            |            |
|   |     at the incident site**              | **100%**   | **     **  |
+---+-----------------------------------------+------------+------------+
|   | -   **SAR Teams gain physical access    | **TARGET** | **ACTUAL** |
|   |     for rescue, in accordance with      |            |            |
|   |     standard operating procedures       | **Within 6 | **     **  |
|   |     (SOPs), to void spaces in heavy     | hour**     |            |
|   |     construction**                      |            |            |
+---+-----------------------------------------+------------+------------+
|   | -   **SAR Teams gain physical access    | **TARGET** | **ACTUAL** |
|   |     for rescue, in accordance with      |            |            |
|   |     SOPs, to void spaces in light       | **Within 1 | **     **  |
|   |     construction**                      | hours**    |            |
+---+-----------------------------------------+------------+------------+
| 6 | > Maintain accountability of            | Time:      |            |
| . | > extrication personnel, equipment, and |            |            |
| 3 | > supplies.                             |            |            |
|   |                                         | Task       |            |
|   | -   System implemented to track         | Completed? |            |
|   |     location and condition of           |            |            |
|   |     personnel, equipment, and supplies  | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
| 6 |                                         | Time:      |            |
| . |                                         |            |            |
| 4 |                                         |            |            |
|   |                                         | Task       |            |
|   |                                         | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+

Activity 7: Provide Medical Treatment

**Activity Description:** Upon access to trapped victim, medically
stabilize and care for victim until extrication and transfer to more
definitive medical care.

+---+-----------------------------------------+--------------------------+
| T |                                         |                          |
| a |                                         |                          |
| s |                                         |                          |
| k |                                         |                          |
| s |                                         |                          |
| O |                                         |                          |
| b |                                         |                          |
| s |                                         |                          |
| e |                                         |                          |
| r |                                         |                          |
| v |                                         |                          |
| e |                                         |                          |
| d |                                         |                          |
| * |                                         |                          |
| ( |                                         |                          |
| c |                                         |                          |
| h |                                         |                          |
| e |                                         |                          |
| c |                                         |                          |
| k |                                         |                          |
| t |                                         |                          |
| h |                                         |                          |
| o |                                         |                          |
| s |                                         |                          |
| e |                                         |                          |
| t |                                         |                          |
| h |                                         |                          |
| a |                                         |                          |
| t |                                         |                          |
| w |                                         |                          |
| e |                                         |                          |
| r |                                         |                          |
| e |                                         |                          |
| o |                                         |                          |
| b |                                         |                          |
| s |                                         |                          |
| e |                                         |                          |
| r |                                         |                          |
| v |                                         |                          |
| e |                                         |                          |
| d |                                         |                          |
| a |                                         |                          |
| n |                                         |                          |
| d |                                         |                          |
| p |                                         |                          |
| r |                                         |                          |
| o |                                         |                          |
| v |                                         |                          |
| i |                                         |                          |
| d |                                         |                          |
| e |                                         |                          |
| c |                                         |                          |
| o |                                         |                          |
| m |                                         |                          |
| m |                                         |                          |
| e |                                         |                          |
| n |                                         |                          |
| t |                                         |                          |
| s |                                         |                          |
| ) |                                         |                          |
| * |                                         |                          |
+===+=========================================+==========================+
|   | Tasks/*Observation Keys*                | Time of Observation/     |
|   |                                         | Task Completion          |
+---+-----------------------------------------+--------------------------+
| 7 | Medically stabilize trapped victims     | Time:                    |
| . | according to Task Force Operations      |                          |
| 1 | Manual and Medical                      | Task Completed?          |
|   |                                         |                          |
|   | Protocols.                              | Fully Partially Not N/A  |
|   |                                         |                          |
|   | -   Condition of victim assessed and    |                          |
|   |     appropriate care administered       |                          |
|   |                                         |                          |
|   | -   Patient condition reevaluated at    |                          |
|   |     frequent intervals                  |                          |
+---+-----------------------------------------+--------------------------+
| 7 | Ensure victims are medically stabilized | Time:                    |
| . | according to Task Force Operations      |                          |
| 2 | Manual and Medical                      | Task Completed?          |
|   |                                         |                          |
|   | Protocols throughout packaging and      | Fully Partially Not N/A  |
|   | extrication.                            |                          |
|   |                                         |                          |
|   | -   Condition of victim assessed and    |                          |
|   |     appropriate care administered       |                          |
|   |                                         |                          |
|   | -   Patient condition reevaluated at    |                          |
|   |     frequent intervals, as extrication  |                          |
|   |     efforts provide increased patient   |                          |
|   |     access                              |                          |
+---+-----------------------------------------+--------------------------+
| 7 | Transfer victims to more definitive     | Time:                    |
| . | medical care.                           |                          |
| 3 |                                         | Task Completed?          |
|   | -   Victims packaged for transport      |                          |
|   |                                         | Fully Partially Not N/A  |
|   | -   Appropriate forms completed for     |                          |
|   |     patient transfer                    |                          |
+---+-----------------------------------------+--------------------------+
| 7 | Maintain accountability of medical      | Time:                    |
| . | personnel, equipment, and supplies.     |                          |
| 4 |                                         | Task Completed?          |
|   | -   System implemented to track         |                          |
|   |     location and condition of           | Fully Partially Not N/A  |
|   |     personnel, equipment, and supplies  |                          |
+---+-----------------------------------------+--------------------------+
| 7 |                                         | Time:                    |
| . |                                         |                          |
| 5 |                                         | Task Completed?          |
|   |                                         |                          |
|   |                                         | Fully Partially Not N/A  |
+---+-----------------------------------------+--------------------------+

Activity 8: Demobilize/Redeploy SAR

**Activity Description:** Upon completion of assigned mission, disengage
from incident site and either redeploy or demobilize.

+---+-----------------------------------------+------------+------------+
| T |                                         |            |            |
| a |                                         |            |            |
| s |                                         |            |            |
| k |                                         |            |            |
| s |                                         |            |            |
| O |                                         |            |            |
| b |                                         |            |            |
| s |                                         |            |            |
| e |                                         |            |            |
| r |                                         |            |            |
| v |                                         |            |            |
| e |                                         |            |            |
| d |                                         |            |            |
| * |                                         |            |            |
| ( |                                         |            |            |
| c |                                         |            |            |
| h |                                         |            |            |
| e |                                         |            |            |
| c |                                         |            |            |
| k |                                         |            |            |
| t |                                         |            |            |
| h |                                         |            |            |
| o |                                         |            |            |
| s |                                         |            |            |
| e |                                         |            |            |
| t |                                         |            |            |
| h |                                         |            |            |
| a |                                         |            |            |
| t |                                         |            |            |
| w |                                         |            |            |
| e |                                         |            |            |
| r |                                         |            |            |
| e |                                         |            |            |
| o |                                         |            |            |
| b |                                         |            |            |
| s |                                         |            |            |
| e |                                         |            |            |
| r |                                         |            |            |
| v |                                         |            |            |
| e |                                         |            |            |
| d |                                         |            |            |
| a |                                         |            |            |
| n |                                         |            |            |
| d |                                         |            |            |
| p |                                         |            |            |
| r |                                         |            |            |
| o |                                         |            |            |
| v |                                         |            |            |
| i |                                         |            |            |
| d |                                         |            |            |
| e |                                         |            |            |
| c |                                         |            |            |
| o |                                         |            |            |
| m |                                         |            |            |
| m |                                         |            |            |
| e |                                         |            |            |
| n |                                         |            |            |
| t |                                         |            |            |
| s |                                         |            |            |
| ) |                                         |            |            |
| * |                                         |            |            |
+===+=========================================+============+============+
|   | Tasks/*Observation Keys*                | Time of    |            |
|   |                                         | Ob         |            |
|   |                                         | servation/ |            |
|   |                                         | Task       |            |
|   |                                         | Completion |            |
+---+-----------------------------------------+------------+------------+
| 8 | Repackage equipment cache.              | Time:      |            |
| . |                                         |            |            |
| 1 | -   All elements of cache               |            |            |
|   |     re-inventoried and packaged for     | Task       |            |
|   |     transport                           | Completed? |            |
|   |                                         |            |            |
|   | -   Items expended, lost, damaged, or   | Fully      |            |
|   |     intentionally left for local        | Partially  |            |
|   |     jurisdiction must be identified and | Not N/A    |            |
|   |     appropriate logistical supporting   |            |            |
|   |     paperwork completed and approved    |            |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Equipment cache re-inventoried    | **TARGET** | **ACTUAL** |
|   |     and packaged for transport**        |            |            |
|   |                                         | **Within   | **     **  |
|   |                                         | 12 hours   |            |
|   |                                         | of         |            |
|   |                                         | demo       |            |
|   |                                         | bilization |            |
|   |                                         | orders**   |            |
+---+-----------------------------------------+------------+------------+
| 8 | Demobilize Base of Operations.          | Time:      |            |
| . |                                         |            |            |
| 2 | -   Sanitation precautions must be      |            |            |
|   |     taken to return area to same (or    | Task       |            |
|   |     better) conditions as upon approval | Completed? |            |
|   |                                         |            |            |
|   | -   Trash (especially medical waste)    | Fully      |            |
|   |     should be disposed of appropriately | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
|   | -   **Base of Operations returned to    | **TARGET** | **ACTUAL** |
|   |     original conditions**               |            |            |
|   |                                         | **Within   | **     **  |
|   |                                         | 12 hours   |            |
|   |                                         | of         |            |
|   |                                         | demo       |            |
|   |                                         | bilization |            |
|   |                                         | orders**   |            |
+---+-----------------------------------------+------------+------------+
| 8 | Arrange transportation for personnel    | Time:      |            |
| . | and equipment.                          |            |            |
| 3 |                                         |            |            |
|   | -   Personnel returned to point of      | Task       |            |
|   |     origin                              | Completed? |            |
|   |                                         |            |            |
|   | -   Equipment escorted to appropriate   | Fully      |            |
|   |     rehab facility                      | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+
| 8 | Debrief SAR capability personnel.       | Time:      |            |
| . |                                         |            |            |
| 4 | -   Issues and accomplishments of SAR   |            |            |
|   |     mission documented                  | Task       |            |
|   |                                         | Completed? |            |
|   | -   Incident Stress Management          |            |            |
|   |     discussed                           | Fully      |            |
|   |                                         | Partially  |            |
|   | -   Plan described for returning team   | Not N/A    |            |
|   |     to state of readiness               |            |            |
+---+-----------------------------------------+------------+------------+
| 8 |                                         | Time:      |            |
| . |                                         |            |            |
| 5 |                                         |            |            |
|   |                                         | Task       |            |
|   |                                         | Completed? |            |
|   |                                         |            |            |
|   |                                         | Fully      |            |
|   |                                         | Partially  |            |
|   |                                         | Not N/A    |            |
+---+-----------------------------------------+------------+------------+

**Exercise Evaluation Guide Analysis Sheets**

The purpose of this section is to provide a narrative of what was
observed by the evaluator/evaluation team for inclusion within the draft
After Action Report/Improvement Plan. This section includes a
chronological summary of what occurred during the exercise for the
observed activities. This section also requests the evaluator provide
key observations (strengths or areas for improvement) to provide
feedback to the exercise participants to support sharing of lessons
learned and best practices as well as identification of corrective
actions to improve overall preparedness.

+---+---------------------------------------------------------------------+---+
|   | **Observations Summary**                                            |   |
|   |                                                                     |   |
|   | Write a general chronological narrative of responder actions based  |   |
|   | on your observations during the exercise. Provide an overview of    |   |
|   | what you witnessed and, specifically, discuss how this particular   |   |
|   | Capability was carried out during the exercise, referencing         |   |
|   | specific Tasks where applicable. The narrative provided will be     |   |
|   | used in developing the exercise After-Action Report                 |   |
|   | (AAR)/Improvement Plan (IP).                                        |   |
|   |                                                                     |   |
|   | +----------------------------------------------------------------+  |   |
|   | | *\[Insert text electronically or on separate pages\]*          |  |   |
|   | |                                                                |  |   |
|   | |                                                                |  |   |
|   | +----------------------------------------------------------------+  |   |
+---+---------------------------------------------------------------------+---+
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+---+---------------------------------------------------------------------+---+