[insertfacilitynamelogo]-vancouvercoastalhealth（70页）.docVIP

[Insert Facility Name Logo] Emergency Response Plan [Address] [Created on] FORWARD The following is intended as an emergency preparedness resource to lead a residential care facility planning team through a process of developing a comprehensive program. This template, provided in word format, is intended to be a skeleton template for drafting a residential facility emergency plan. If you have an existing plan, elements of the template can be used to supplement that document. [Instructions and locations where your facility information should be inserted] within the plan are illustrated by brackets and italicized text and should be deleted after completion. TABLE OF CONTENTS INTRODUCTION 5 Purpose Scope 5 Objectives 5 Authority and Legislative Requirements 6 Distribution Amendments 7 SITE DESCRIPTION 8 Facility Location 8 Facility Construction 8 Facility Residents 8 Facility Utilities 9 Facility Services 10 Floor Plan 12 EMERGENCY PREPAREDNESS 13 Mitigation 14 Hazard Risk Vulnerability Analysis 14 Site Hazard Assessment 15 Communications 17 Organize and Equip 21 Food Water 21 RESPONSE PROCEDURES 23 Emergency Colour Codes 23 General Response Procedures 23 Code White – Aggression 24 Code Black – Bomb Threat 26 Code Blue – Cardiac Arrest or Medical Emergency 28 Code Orange – Disaster – Mass Casualty 29 Code Green – Evacuation 31 Code Red – Fire 33 Code Brown – Hazardous Materials Spill 34 Code Yellow – Missing Patient 35 Code Grey – Utility Outage 37 Electricity Gas 37 Gas Leak 37 Power Outage 38 Water Sewer Lines Outage 38 Sanitation 38 Controlled Access 39 Earthquake 40 Relocation Reception 41 Facility Transfer Agreement 43 Shelter in Place 45 RECOVERY 46 APPENDIX A 48 ROLES RESPONSIBILITIES 48 RESPONSE ORGANIZATION 50 Levels of Response Coordination 50 Site Response 51 Incident Command System 51 Basic Principles of ICS 52 BCERMS Response Goals (priority order) 52 Incident Command 54 Incident Command Post 56 Incident Command Forms