I. Incident /Drill Summary:

II. Critical Elements Review
Management of Event Notification/Internal &External Communications

Was Internal Communication System Effective?

Was External Communication Effective?

Were External Communications Established With Community Partners?

III. Management of Safety and Security

Were Adequate Internal Safety and Security Measures Utilized During The Event?

Was There Adequate External Safety and Security Support From Community Partners?

IV. Management of Resources and Assets

Were There Adequate Supplies and Staff Members Available To Handle The Incident? Critical and Non-Critical?

V. Management of Patients and Support Care Activities

Was The Management Of Patients Clinical and Support Care Adequate ?

VI. Management Of Utilities

Were Utilities Adequate During This Event?

VII. Management Of Staff Responsibilty

Did Staff Members Understand Their Roles and Responsibilities?

VIIII. Action Plan For Improvement

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.