After Action and Corrective Action Report Template

AFTER ACTION/CORRECTIVE ACTION REPORT

for response to __________________________________

(Fill in name of event)

(This AA/CA Report template can be used for a declared or non-declared event,

training, exercise, and/or planned event).

GENERAL INFORMATION

Name of Agency Text goes in text boxes below

Name of Agency

Type of Agency*

* City, County, Operational Area (OA),

State agency (State), Federal agency

(Fed), special district, Tribal Nation

Government, UASI City, non-

governmental or volunteer

organization, other (Select one)

OES Admin Region

(Coastal, Inland, or Southern)

Completed by

Position

Phone number and email address

Dates and Duration of event

(When your agency began and

ended response activities - using

mm/dd/yyyy)

Date report completed

Type of event*

*Table top, functional, full scale, actual

event, pre-identified planned event,

training, class room training (Select

one and enter the name of exercise or

event)

Hazard or Exercise Scenario*

*Avalanche, Civil Disorder, Dam

Failure, Drought, Earthquake, Fire

(structural), Fire (Woodland), Flood,

Landslide, Mudslide, Terrorism,

Tsunami, Winter Storm, Other

EXERCISE/TRAINING OVERVIEW

Mission

Brief overview of the event, major

strengths demonstrated during the

exercise, areas that require

improvement.

Event Overview

Describe the specific details of the

exercise, how event or exercise

was structured, how was event or

exercise carried out.

Hazard or Exercise Scenario*

*Avalanche, Civil Disorder, Dam

Failure, Drought, Earthquake, Fire

(structural), Fire (Woodland), Flood,

Landslide, Mudslide, Terrorism,

Tsunami, Winter Storm, Other

Total Participants

Number of agencies involved

Lead/Host Agency

SEMS/NIMS FUNCTION EVALUATION

MANAGEMENT (Public information, Safety, Liaison, etc.)

Satisfactory Needs

Improvement

Overall Assessment of Function (check

one)

If “needs improvement” please briefly describe improvements needed:

Planning

Training

Personnel

Equipment

Facilities

FIELD COMMAND (Use for assessment of field operations, if applicable)

Field Command Type (i.e. Fire, Law Enforcement, Shelter, etc.):

Satisfactory Needs

Improvement

Overall Assessment of Function (check

one)

If “needs improvement” please briefly describe improvements needed:

Planning

Training

Personnel

Equipment

Facilities

OPERATIONS (Law enforcement, fire/rescue, medical/health, etc.)

Satisfactory Needs

Improvement

Overall Assessment of Function (check

one)

If “needs improvement” please briefly describe improvements needed:

Planning

Training

Personnel

Equipment

Facilities

PLANNING/INTELLIGENCE (Situation analysis, documentation, GIS, etc.)

Satisfactory Needs

Improvement

Overall Assessment of Function (check

one)

If “needs improvement” please briefly describe improvements needed:

Planning

Training

Personnel

Equipment

Facilities

LOGISTICS (Services, support, facilities, etc.)

Satisfactory Needs

Improvement

Overall Assessment of Function (check

one)

If “needs improvement” please briefly describe improvements needed:

Planning

Training

Personnel

Equipment

Facilities

FINANCE/ADMINISTRATION (Purchasing, cost unit, etc.)

Satisfactory Needs

Improvement

Overall Assessment of Function (check

one)

If “needs improvement” please briefly describe improvements needed:

Planning

Training

Personnel

Equipment

Facilities

AFTER ACTION REPORT QUESTIONNAIRE

(The responses to these questions can be used for additional SEMS/NIMS evaluation)

Response/Performance Assessment

Questions

yes no

Comments

1. Were procedures established and in place for responding

to the disaster?

2. Were procedures used to organize initial and

ongoing response activities?

3. Was the ICS used to manage field response?

4. Was Unified Command considered or used?

5. Was your EOC and/or DOC activated?

6. Was the EOC and/or DOC organized

according to SEMS?

7. Were sub-functions in the EOC/DOC

assigned around the five SEMS functions?

8. Were response personnel in the EOC/DOC

trained for their assigned position?

9. Were action plans used in the EOC/DOC?

10. Were action planning processes used at the

field response level?

11. Was there coordination with volunteer

agencies such as the Red Cross?

12. Was an Operational Area EOC activated?

13. Was Mutual Aid requested?

14. Was Mutual Aid received?

15. Was Mutual Aid coordinated from the

EOC/DOC?

16. Was an inter-agency group established at

the EOC/DOC level? Were they involved with

the shift briefings?

17. Were communications established and

maintained between agencies?

18. Was the public alert and warning conducted

according to procedure?

19. Was public safety and disaster information

coordinated with the media through the JIC?

20. Were risk and safety concern addressed?

21. Did event use ESFs effectively and did ESF

have clear understanding of local capability?

22. Was communications inter-operability an

issue?

Additional Questions

20. What response actions were taken by your agency? Include such things as mutual

aid, number of personnel, equipment and other resources. Note: Provide statistics on

number of personnel and number/type of equipment used during this event. Describe

response activities in some detail.

______________________________________________________________________

_______________________________________

21. As you responded, was there any part of SEMS/NIMS that did not work for your

agency? If so, how would (did) you change the system to meet your needs?

______________________________________________________________________

______________________________________________

22. As a result of your response, did you identify changes needed in your plans or

procedures? Please provide a brief explanation.

______________________________________________________________________

______________________________________________

23. As a result of your response, please identify any specific areas needing training and

guidance that are not covered in the current SEMS Approved Course of Instruction or

SEMS Guidelines.

______________________________________________________________________

______________________________________________

24. If applicable, what recovery activities have you conducted to date? Include such

things as damage assessment surveys, hazard mitigation efforts, reconstruction

activities, and claims filed.

______________________________________________________________________

______________________________________________

NARRATIVE

Use this section for additional comments.

______________________________________________________________________

______________________________________________

POTENTIAL CORRECTIVE ACTIONS

Identify issues, recommended solutions to those issues, and agencies that might be

involved in implementing these recommendations. Address any problems noted in the

SEMS/NIMS Function Evaluation. Also indicate whether issues are an internal agency

specific or have broader implications for emergency management (Code I= Internal; R

=Regional, for example, OES Mutual Aid Region, Administrative Regions, geographic

regions, S=Statewide implications)

Code

Issues or Problem

Statement

Recommended

Solution

Agency(s)/Departments

to be involved

OES - EMAC/SEMS After Action Survey

NOTE: Please complete the following section ONLY if you were involved with EMAC related

activities.

Did you complete and submit the on-line EMAC After Action Survey form?

________________________________________________________________

Have you taken an EMAC training class in the last 24 months?

________________________________________________________________

Please indicate your work location(s) (State / County / City / Physical Address):

________________________________________________________________

Please list the time frame from your dates of service (Example: 09/15/05 to 10/31/05):

________________________________________________________________

Please indicate what discipline your deployment is considered (please specify):

________________________________________________________________

Please describe your assignment(s):

________________________________________________________________

Questions:

You may answer the following questions with a “yes” or “no” answer but if there were

issues or problems, please identify them along with recommended solutions, and

agencies that might be involved in implementing these recommendations.

Questions Issues or Problem

Statement

Recommended

Solution

Agency(s) /

Departments

to be involved

1 Were you familiar

with EMAC

processes and

procedures prior to

your deployment?

2 Was this your first

deployment

outside of

California?

3 Where your travel

arrangements

made for you? If

yes, by whom?

4 Were you fully

briefed on your

assignment prior to

deployment?

5 Were deployment

conditions (living

conditions and work

environment)

adequately

described to you?

6 Were mobilization

instructions clear?

7 Were you provided

the necessary tools

(pager, cell phone,

computer, etc.)

needed to complete

your assignment?

8 Were you briefed

and given

instructions upon

arrival?

9 Did you report

regularly to a

Questions Issues or Problem

Statement

Recommended

Solution

Agency(s) /

Departments

to be involved

supervisor during

deployment? If yes,

how often?

10 Were your mission

assignment and

tasks made clear?

11 Was the chain of

command clear?

12 Did you encounter

any barriers or

obstacles while

deployed? If yes,

identify.

13 Did you have

communications

while in the field?

14 Were you

adequately

debriefed after

completion of your

assignment?

15 Since your return

home, have you

identified or

experienced any

symptoms you feel

might require

“Critical Stress

Management” (i.e.,

Debriefing)?

Please identify any additional issues or problems below:

Issues or Problem Statement Recommended Solution Agency(s) /

Department

s to be

involved

Additional Questions

Identify the areas where EMAC needs improvement (check all that apply):

o ?Executing Deployment

o ?Command and Control

o ?Logistics

o ?Field Operations

o ?Mobilization and Demobilization

Comments:

______________________________________________________________________

________________________________________

Identify the areas where EMAC worked well:

______________________________________________________________________

________________________________________

Identify which EMAC resource needs improvement (check all that apply):

o ?EMAC Education

o ?EMAC Training

o ?Electronic REQ-A forms

o ?Resource Typing

o ?Resource Descriptions

o ?Broadcast Notifications

Fillable Printable After Action and Corrective Action Report Template

Fillable Printable After Action and Corrective Action Report Template