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Fillable Printable After Action and Corrective Action Report Template

Fillable Printable After Action and Corrective Action Report Template

After Action and Corrective Action Report Template

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
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