Figure 1: Sample Page from an Evaluation
Module
| Question |
Response |
C11. Did someone take charge of this zone? |
Y / N / U |
| C12. If someone took charge
of this zone, how many minutes after the drill activities in this zone began
did this person take charge? (Check one) |
O < 10 min |
| O 10-29 min |
| O 30-59 min |
| O 1-2 hrs |
| O > 2 hrs |
| O NA |
C13. If someone took charge of this zone,
was it the officially designated person? |
Y / N / U / NA |
C14. How was the person in
charge of the zone identified? (Check all that apply) |
a. [ ] Arm band
b. [ ] Hat
c. [ ] Name tag
d. [ ] Verbal statement
e. [ ] Vest
f. [ ] Not identified
g. [ ] Other physical identification (specify): ______________________________________ |
C15. Were the following drill
participants identifiable? |
a. Drill evaluators |
Y / N / U / NA |
| b. Drill organizers |
Y / N / U / NA |
| c. Media |
Y / N / U / NA |
| d. Medical personnel |
Y / N / U / NA |
| e. Mock victims |
Y / N / U / NA |
| f. Observers |
Y / N / U / NA |
| g. Security |
Y / N / U / NA |
| Question |
Response |
IC1. Who first took charge
of this zone? (name and title) |
______________________________________
______________________________________ |
| IC2. How many minutes after
the drill activities in this zone began did the officially designated incident commander arrive? (Check one) |
O < 10 min |
| O 10-29 min |
| O 30-59 min |
| O 1-2 hrs |
| O > 2 hrs |
| O Never arrived |
IC3. Were other members of the incident
command center easily identifiable? |
Y / N / U |
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