Emergency Action Plan for

[INSERT FACILITY NAME HERE]

Currency Date: _______________

This emergency action plan describes the actions employees should take in case of fire or other emergency situations. This plan is required for all employers by OSHA (29 CFR 1910.38) and the Ho-Chunk Nation (6 HCC § 8-9, 4c(1).

I. PURPOSE

It is the policy of the Ho-Chunk Nation to take every possible action to comply with all emergency regulations and protect employees in emergency situations.

The purpose of this Emergency Action Plan (EAP) is to establish procedures for safely and effectively managing an emergency event for [INSERT FACILITY NAME]. All employees, supervisors and managers are expected to follow the procedures outlined in this plan to ensure that employees, patrons and visitors are protected from further harm during an emergency situation.

II. EMERGENCY PLANNING COORDINATOR

_____________________________________ (name of person or title) is responsible for making sure this emergency action plan is kept up to date, practiced, and reviewed periodically.

[INSERT CONTACT INFORMATION HERE:]

III. AUTHORITIES

The following individuals/positions have the authority to carry out specific sections of this plan, including the ordering of evacuations, shelter-in-place or other functions as deemed necessary:

Name/Title Contact Information (including after-hours)[Executive Director][Facility Manager][Division Directors][Supervisory Personnel][Facility Security/Maintenance (if applicable)]Ho-Chunk Nation Police Department Emergency: 9-1-1

Non-emergency: (715) 284-2658 or (800) 434-4070Ho-Chunk Nation Emergency Management Work: (715) 284-5877 x1153

Cell: (715) 213-2356[Ho-Chunk Nation Office of the President]

IV. REPORTING PROCEDURES

A. Internal Notification Procedures

In the event of emergency situations, internal notifications will be made to all affected employees, patrons and visitors by means of [INSERT NOTIFICATION SYSTEMS HERE].

Methods include but are not limited to: manual pull box alarms, public address systems, radio or telephones. If phones are used as a primary means of reporting, telephone numbers shall be conspicuously posted nearby.

B. External Notification Procedures

Report fire or other emergencies immediately, first to your supervisor, then to the appropriate emergency response agency listed below. When warranted, call 9-1-1 (9-911 if on a Nation phone). Be prepared to provide the responders or Dispatch Center with the nature and location of the emergency. The facility address is:

[Enter facility name][Enter facility address][Enter major cross streets][Enter facility phone number]

Response Organization Contact Information

[Local Police Department/County Sheriff] Emergency: 9-1-1Non-emergency:

[Ho-Chunk Nation Police Department (trust lands)*] Emergency: 9-1-1Non-emergency: (715) 284-2658 or (800) 434-4070

[Emergency Medical Services/EMS] Emergency: 9-1-1Non-emergency:

[Local Fire Department] Emergency: 9-1-1Non-emergency

[Local Hospital(s)] Emergency: 9-1-1Non-emergency

[Electrical Provider] Business hours:After-hours/emergency:

[Natural Gas/LP Provider] Business hours:After-hours/emergency:

[Telephone/Internet Provider] Business hours:After-hours/emergency:

[Water Utility Provider] Business hours:After-hours/emergency:

Ho-Chunk Nation Emergency Management Work: (715) 284-5877 x1153Cell: (715) 213-2356

Ho-Chunk Nation Public Relations Officer, Office of the President

Work: (800) 726-7509, x1255Cell:

[Other (list)]*In applicable counties, Ho-Chunk Nation Police is dispatched through the County Dispatch Center.

1. Media Relations Policy

Per the Ho-Chunk Nation Employment Relations Act (ERA) Chapter 5, Section 30. e.7., “an employee may not present himself or herself as a representative of the Nation, or communicate with the news media on behalf of the Ho-Chunk Nation unless authorized or directed in writing by the Ho-Chunk Nation or its delegated representative(s).”

The Public Relations Officer shall serve as the primary contact for all media relations for the government sector. The Public Relations Specialist shall serve as second in

command. In the absence of both public relations officials, the Executive Administrative Officer will serve as spokesperson. All may be reached at 1-800-726-7509 Ext. 1255.

V. EMERGENCY PROCEDURES

A. Alarm System

The alarm system shall provide warning for necessary emergency action. The alarm shall be capable of being perceived above ambient noise or light levels of noise. The alarms used for different actions should be distinctive and might include horn blasts, sirens, or even public address systems.

B. Emergency Escape Procedures and Routes

Emergency escape routes shall be assigned to each person and an emergency escape route chart is posted on a wall near each room’s exit. Department supervisors are to ensure all employees within their department are familiar with this plan.

C. Employee Accountability Procedures after Evacuations

When an evacuation signal is given, each employee will evacuate along the primary or alternate exit route. Assist all patrons or visitors in evacuating the facility with you.

Once evacuated, all employees will then proceed to a previously designated accounting area for an additional head count by their supervisor. Supervisors will then report their department’s status to the facility manager or individual in charge. No one is to re-enter the building for any reason until the Fire Department or other responsible entity has notified us the building is safe for re-entry.

D. Fire Extinguishers

Fire extinguishers should be located strategically throughout facilities to provide trained employees access near identified hazards. Locations of portable extinguishers should be marked on the facility map contained in [Appendix A].

(Specify whether or not employees are expected to use fire extinguishers prior to evacuating. Use of fire extinguishers requires additional training and procedures. In most cases employees are at less risk if they do not use fire extinguishers. Each organization and/or facility must determine its own policy regarding fire extinguisher use.)

1. Fire Emergency Procedures

a. Remove anyone in immediate danger.

b. Once an employee is alerted to the fire danger, he/she will go to the nearest exit, activate the fire alarm (if present), exit the building according to the emergency action plan, and proceed directly to the designated assembly point.

c. Confine the fire to the room/area by closing the door to the area where the fire is located and by ensuring all doors leading to the main hallways are closed.

d. Attempt to extinguish the fire only if you have received training on the use of portable fire extinguishers, the fire is in its beginning stage, and it can be extinguished safely.

e. Disabled and non-ambulatory personnel should request assistance from those nearest to them, or contact those who have received special training on emergency assistance. Notify responding fire department or security of personnel trapped who may need assistance to evacuate.

E. Rescue and Medical Duties

It may become necessary in an emergency to rescue personnel and perform some specified medical duties, including first-aid treatment. All employees assigned to perform such duties will have been properly trained and equipped to carry out their assigned responsibilities properly and safely.

(Most small businesses rely on local resources such as hospitals or fire departments to provide rescue and medical services. Where that is the case, list those resources. If employees have such duties, include a list of these individuals and the training they have received.)

Name Location Assignment Special Assignment Training Provided

F. Utility Shutoff Procedures

Certain emergency situations may necessitate the disconnection of utilities from the facility to prevent further damage or risk. It is imperative that there are designated employees who are knowledgeable of the location of utility shutoffs and the procedures to turn them off.

Turn off utilities if you suspect the service is damaged, or if instructed by emergency responders. Utilities should be disconnected in the order shown below.

1. Electrical

Electrical service is disconnected to a facility at electrical panel(s). Examples of these disconnects are shown below:

To disconnect electrical service:

a. Locate the facility’s main electrical panel or panels.

b. Open the panel (if necessary). Circuit breaker-type panels will have a panel door; knife-switches will have a lever outside of the panel.

c. Pull down the main electrical disconnect, either inside the panel or on the knife switch.

To restore service:

a. Turn off all circuits within the panel BEFORE restoring main power. This will prevent an electrical surge which could damage individual electrical devices or the service itself.

b. Restore the electrical service in the reverse manner of how it was disconnected.

c. Turn on individual circuits one at a time.

If electrical service does not return after performing these steps, contact your electrical provider using the contact information contained in Section IV, A of this EAP.

2. Gas Service (Natural Gas/LP)

There are different shut-off procedures for different gas meter configurations. It is important to contact your natural gas/LP provider for guidance. A typical residential and small commercial natural gas meter is shown below on the LEFT. Specific tools are required to shut this service off.

If you smell gas or hear a hissing sound, open a window or windows and evacuate the premises immediately.

To disconnect:

a. Turn the valve (outlined in RED on the picture above) clockwise using the needed tool to disconnect the gas supply.

b. Contact the natural gas/LP provider immediately following disconnect, using the contact information contained in Section IV, A of this EAP.

NOTE: Natural gas/LP supplies cannot be restored by facility personnel. A qualified professional must turn the service back on.

3. Water

Water supplies may have multiple shutoff points, depending on the size and layout of the facility. Tools may be required to shut off water service, depending on the type of disconnect device. If tools are required, locate them in the immediate vicinity of the shutoff point.

Shutoff valves could be gate valves (L) or ball valves (R). Examples are shown below:

To disconnect/reconnect:

a. Turn gate valve clockwise, or turn ball valve lever until it is perpendicular (T) with the supply line (picture above on the R is disconnected).

b. To reconnect, slowly turn the gate valve counter-clockwise, or move the ball valve until it is parallel (=) with the supply line.

G. Severe Weather/Tornado

Facilities should ensure there are multiple methods of getting severe weather notifications. There are many commercially available sources for weather information, and various apps and programs can be found.

NOAA All-Hazards Weather Radios are the preferred method of receiving emergency alerts from the National Weather Service. These are available in retail settings and can be purchased for less than $30.

Tornado or Severe Thunderstorm Watches are issued when conditions are favorable for the development of severe weather within the watch area. When a WATCH has been issued, begin the process of preparing for a shelter-in-place, including locating your refuge location, and determining if any employees, patrons or visitors require additional assistance in getting to their shelter location.

When a TORNADO WARNING is issued, it means that a tornado or a weather cell capable of producing a tornado has been spotted or detected in the immediate vicinity. SEEK SHELTER IMMEDIATELY. All employees should stay in the tornado refuge area until given the all clear sign.

The designated tornado refuge area(s) for this facility is/are [INSERT LOCATION HERE].

NOTE: Basements are the safest location for shelter-in-place. If basements are not available, choose interior rooms on the lowest floor of the facility, away from windows and hazardous substances, such as cleaning chemicals.

H. Hazardous Materials

1. A hazardous material is a substance which presents a physical or health hazard. A health hazard refers to a substance for which there is significant evidence that health effects may occur for exposed employees.

2. A Safety Data Sheet (SDS) is required for all hazardous substances in use within Ho-Chunk Nation facilities. Employees shall be provided with training on the safe use of all chemicals they will be exposed to.

3. In the event of a hazardous materials emergency:

a. Evacuate the area, securing access to the area when possible.

b. If evacuation is necessary, contact the appropriate authority via 9-1-1 or other non-emergency number. Provide as much information as possible to the operator and refer to the SDS.

c. If evacuation is not necessary, and cleanup can be done locally, clean up and dispose of the spill using personal protective equipment (PPE) and disposal methods outlined in the SDS.

4. The list of chemicals regularly used in this facility is contained in a binder located [enter location of SDS binder].

I. Bomb Threats

1. If you receive a bomb threat or discover a possible bomb or suspicious object, immediately notify your supervisor and contact the appropriate law enforcement entity (local Police Department/Sheriff’s Department, or Tribal Police Department if on trust lands).

2. In the event of a bomb threat by telephone:

a. Notify another employee and convey the nature of the call. Have them make the above notifications.

b. Get as much information as possible from the caller. Refer to the ATF Bomb Threat Checklist, located in Appendix B.

3. For bomb threats by mail or for suspicious objects discovered (Refer to USPS Suspicious Mail Alert, located in Appendix C):

a. Do not handle the letter, envelope, or package any further.

b. Isolate it immediately by keeping others away.

c. Don’t open, smell or taste.

d. Close any open doors or interior windows.

e. Immediately notify your supervisor and appropriate law enforcement (local Police Department/Sheriff’s Department, or Tribal Police Department if on trust lands).

i. When you call 9-1-1 or law enforcement non-emergency number:

1) Give your name, phone number and location (facility and room number, if one is available).

2) Describe the suspicious package.

3) Explain what is suspicious about it.

4) Tell them if anyone has any symptoms or signs of exposure.

5) Give the operator or dispatcher your call-back telephone number and keep the line open, so that authorities and responders can reach you.

f. Evacuate the immediate area if instructed to do so.

g. If you suspect it is a bomb:

i. DO NOT CHANGE OR TOUCH ANYTHING, including using the phone, turning lights, computers, etc. on or off. Leave everything as is!

ii. Verbally notify others in the area of the situation.

iii. Evacuate to an established safe perimeter outside of the facility, which may be up to 500 feet or more from the facility.

iv. Do not use any electrical device within 500 feet of the suspicious device, including cell phones, blackberries or two-way radios.

J. Active Shooter Situations

An Active Shooter is an individual engaged in killing or attempting to kill people in a confined and populated area; in most cases, active shooter use firearm(s) and there is no pattern or method to their selection of victims.

Active shooter situations are unpredictable and evolve quickly. Typically, the immediate deployment of law enforcement is required to stop the shooting and mitigate harm to victims.

Because active shooter situations are often over within 10 to 15 minutes, before law enforcement arrives on the scene, individuals must be prepared both mentally and physically to deal with an active shooter situation.

Basic practices for coping with an active shooter situation:

Be aware of your environment and any possible dangers.

Take note of the two nearest exits in any facility you visit.

If you are in an office, stay there and secure the door.

If you are in a hallway, get into a room and secure the door.

As a last resort, attempt to take the active shooter down. When the shooter is at close range and you cannot flee, your chance of survival is much greater if you try to incapacitate him/her.

How to Respond When an Active Shooter is in Your Vicinity:

Quickly determine the most reasonable way to protect your own life. Remember that customers and clients are likely to follow the lead of employees and managers during an active shooter situation.

1. Evacuate

If there is an accessible escape path, attempt to evacuate the premises. Be sure to:a. Have an escape route and plan in mind.b. Evacuate regardless of whether others agree to follow.c. Leave your belongings behind.

d. Help others escape, if possible.

e. Prevent individuals from entering an area where the active shooter may be.

f. Keep your hands visible.

g. Follow the instructions of any police officers.

h. Do not attempt to move wounded people.

i. Call 9-1-1 when you are safe.

2. Hide Out

If evacuation is not possible, find a place to hide where the active shooter is less likely to find you.

Your hiding place should:a. Be out of the shooter’s view.b. Provide protection if shots are fired in your direction (i.e., an office with a closed and

locked door).c. Not trap you or restrict your options for movement.

To prevent an active shooter from entering your hiding place:a. Lock the door.b. Barricade the door with heavy furniture.

If the active shooter is nearby:a. Lock the door.b. Silence your cell phone and/or pager.c. Turn off any source of noise (i.e., radios, televisions).

d. Hide behind large items (i.e., cabinets, desks)

e. Remain quiet.

If evacuation and hiding out are not possible:a. Remain calm.b. Dial 9-1-1, if possible, to alert police to the active shooter’s location.c. If you cannot speak, leave the line open and allow the dispatcher to listen.

3. Take action against the active shooter.

As a last resort, and only when your life is in imminent danger, attempt to disrupt and/or incapacitate the active shooter by:

a. Acting as aggressively as possible against him/her.

b. Throwing items and improvising weapons.

c. Yelling.

d. Committing to your actions.

K. Specialized Training

The following personnel have been trained to assist in various emergency operations. This may involve specialized training, such as the operation of stair chairs or other equipment.

Name Title Special Assignment

Specialized training is provided for employees when:

1. The plan is initiated.

2. Responsibilities or equipment change.

3. New employees are hired.

4. Annually.

(Describe how employees will be trained on the content of this plan and how to respond in an emergency. Describe how emergency procedures will be practiced. Employees should be retrained at least annually.)

VI. EMPLOYEE TRAINING

Training is provided to employees:

1. When the plan is initiated2. When employee’s required actions and responsibilities change3. When there are any changes to the plan4. Initially for new employees5. Refresher training annually

Items reviewed during training:

Emergency escape procedures Escape route assignments Fire extinguisher locations and training Procedures to account for employees Major workplace fire hazards Employee training programs Fire prevention practices Means of reporting fire and other emergencies Alarm system/s Proper housekeeping Emergency action plan availability Severe Weather Procedures Medical Emergencies Any other emergency procedures needed for this facility (bomb threat, workplace

violence, active shooter, etc).

Emergency drills for fire, evacuation, tornado, medical, etc., will be conducted annually, at a minimum. Everyone is expected to participate to ensure they know exactly what to do should an emergency situation arise.

Appendix A:Facility Drawing, including exit routes

Appendix B:ATF Bomb Threat Checklist

Appendix C:USPS Suspicious Mail Alert