Cook Medical Center

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Emergency Operations Plans

• Does your department have a departmental disaster plan

  Yes

  No

  N/A

• When was it updated?

  Yes

  No

  N/A

• Does it contain a evacuation plan for your department / building

  Yes

  No

  N/A

NIMS / ICS

• Have you ever taken ICS / NIMS<br>

  Yes

  No

  N/A

• What section does your department report to in the ICS structure?

  Yes

  No

  N/A

• What does the incident commander do?

  Yes

  No

  N/A

Codes

• What is a code gray?

  Yes

  No

  N/A

• What is a code silver?

  Yes

  No

  N/A

• What is your departments response to a code silver?

  Yes

  No

  N/A

Radios

• Do you have a weather radio?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Do you have a portable walkie talkie radio?

  Yes

  No

  N/A

• Do you know how to use it?

  Yes

  No

  N/A

Score in %

• Score=

  Yes

  No

  N/A

• Add signature

  Sign