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HomeMy WebLinkAbout10B - Employee Preparedness Plan MEETING DATE: AGENDA #: PREPARED BY: AGENDA ITEM: November 17,2008 108 Randy Hofstad, Lieutenant CONSIDER APPROVAL OF A RESOLUTION AUTHORIZING THE CITY TO ADOPT A NEW EMPLOYEE PREPAREDNESS AND RESPONSE PLAN. DISCUSSION: Introduction The Council is asked to consider approval of a new Employee Preparedness and Response Plan. The objective of this plan is to establish or enhance current procedures that will assist city employees and our customers in the event of an emergency. Historv Over the years, City departments had individual plans or policies in place to direct the response and identify the responsibilities of employees if confronted with an emergency situation. Because each department had its own plan to deal with an emergency, there was no continuity when it came to employees preparing for or responding to these situations. Employees were not familiar with how other departments were addressing emergencies. Furthermore, the current plans have not been updated since the completion of several new city buildings. Current Circumstances For the purposes of this report, emergency situations include incidents of an accidental, natural or criminal nature. When the need for a new plan was identified, the existing plans were compared to a model policy prepared by Lt. Hofstad and adapted to meet the City's needs. The plan was sent to and reviewed by department heads and their input has been included in the final version. It was designed to ensure the coordination of the various departments, but at the same time recognize the differences and unique needs among various City departments. The plan provides an updated emergency response that will assist our employees to be better prepared for preventing, preparing for and responding to emergency situations. The plan also provides an updated list of first aid equipment available at various locations throughout the city. If the plan is approved additional training will be provided to the employees. ISSUES: The plan sets forth procedures for the most likely manmade and natural emergencies the staff may face. A few of the situations addressed in the plan are: severe weather procedures, fire emergencies, medical procedures and physical or assaultive behavior. The plan recommends what to do and who to contact when a situation arises as well as key communications to assure all employees are aware of the situation. The emergency plan will be updated as appropriate over time. Periodically, training and review of the document, including desktop exercises will be www.cityofpriorlake.com Phone 952.447.9800 / Fax 952.447.4245 conducted to facilitate readiness in the event of an emergency. FINANCIAL IMPACT: If the Council approves the plan, I will be visiting each department's staff meeting to familiarize employees with the essential elements of the document. Consequently, staff time will be involved. In the event of an emergency situation, the plan could pay for itself by limiting confusion about addressing each incident and, in the process, avert injury to staff or the public and increase the likelihood that the emergency will be satisfactorily addressed. ALTERNATIVES: 1) Adopt the Resolution authorizing the new Employee Preparedness and Response Plan. 2) Deny approval and direct further action. RECOMMENDED MOTION: Alternative #1. Rev7t by: . { <~j~ Frank BOYIV jonager - RESOLUTION OS-xxx A RESOLUTION ADOPTING AN EMPLOYEE PREPAREDNESS AND RESPONSE PLAN Motion By: Second By: WHEREAS, One of the fundamental roles of government is to protect the public health, safety and welfare; and WHEREAS, Emergencies which can affect the public can be natural, accidental or criminal in nature; and WHEREAS, The public is best served when government has prepared itself to address emergencies; and WHEREAS, The Employee Preparedness and Response Plan sets forth procedures to address the most common types of emergencies. NOW THEREFORE, BE IT HEREBY RESOLVED BY THE CITY COUNCIL OF PRIOR LAKE, MINNESOTA as follows: 1. The recitals set forth above are incorporated herein. 2. The Prior Lake Employee Preparedness and Response Plan dated November 17,2008, is hereby approved. 3. The staff is directed to familiarize employees with the plan. PASSED AND ADOPTED THIS 1ih DAY OF NOVEMBER 2008. YES NO I Hauqen I Erickson I Hedberg I LeMair I Millar Haugen Erickson Hedberg LeMair Millar Frank Boyles, City Manager www.cityofpriorlake.com Phone 952.447.9800 / Fax 952.447.4245 EMERGENCY OPERATIONS PLAN EMPLOYEE PREPAREDNESS AND RESPONSE PLAN CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESS/RESPONSE Table of Contents Purpose Responsibilities Emergency Reporting Guidelines General Evacuation Procedures Evacuation Assembly Areas Fire Emergencies Severe Weather Procedure Bomb Threat Armed Robbery Physical or Assaultive Behavior Power Outage Chemical Spill Emergency Medical Procedures Non-emergency Injuries Employees Working in the Field Transporting an Injured Employee by Ambulance Family Notification First Aid Kits Media Relations during a Crisis page 3 page 3 page 3 page 3 page 4 page 4 page 4 page 6 page 7 page 7 page 8 page 8 page 11 page 11 page 12 page 12 page 12 page 12 page 12 ATTACHMENTS . Emergency Contact List (page 14) . Bomb Threat Checklist (page 15) . Workplace Violence Report (page 16) 2 CITY OF PRIOR LAKE EMERGENCY OPERA nONS PLAN EMPLOYEE PREP AREDNESSIRESPONSE EMPLOYEE PREP AREDNESS/RESPONSE PLAN Purpose The importance of establishing emergency procedures has long been recognized. The objective of this policy is to protect City of Prior Lake employees and city customers by anticipating emergency situations. All employees must understand their responsibilities and those of their co- workers in the event of an emergency. Responsibilities Emergency Management Director · Evaluates incoming emergency-related information. · Determines the response plan of action and activates it. · Notifies and updates the City Manager and City Council on the status of the crisis. · Coordinates with other assisting emergency and rescue agencies. · Assists in determining when the resumption of normal activities can begin. · Review and update Emergency Plan annually. Employees · Report all incidents or conditions that pose a threat to life or property immediately. · Assist visitors that are in City buildings during an emergency. · Evacuate immediately to your designated assembly area during an emergency. · Know the Emergency Plan and follow it when necessary. Emergency Reporting Guidelines In the event of an emergency, call 911 immediately. When reporting an emergency, state your name, department, extension number, and your exact location. Report the emergency event as clearly and accurately as possible. Stay on the line until the dispatcher hangs up; do not hang up first. 3 CITY OF PRIOR LAKE EMERGENCY OPERA nONS PLAN EMPLOYEE PREP AREDNESS/RESPONSE General Evacuation Procedures During an evacuation of any city building, all City of Prior Lake employees must assist members of the public, visitors, and contractors from the premises. Upon notification that an evacuation is in progress, all employees and visitors will immediately use the nearest available exit and proceed to their designated evacuation area. Supervisors and/or Department Heads are responsible to take a roll call. The names of any persons that may still be in the building should be reported to the Public Safety (Police or Fire) personnel. Visitors will remain with the staffmember(s) they are seeing and their names will be reported to the Public Safety personnel. Evacuation Assembly Areas Building Assembly Area . Police Department Parking Lot . Police Department Parking Lot . Employee Parking Lot . Employee Parking Lot . Parking Lot I. North Parking Lot I. Employee Parking Lot I. Employee Parking Lot City Hall Police Department Fire Station # I I Fire Station #2 I Park Buildings I Library/Senior Center Public Works Building Water Treatment Facility Fire Emergencies In the event of a fire, all employees and visitors will immediately use the nearest available exit and proceed to their designated evacuation assembly area. Supervisors and/or Department Heads are responsible to take a roll call. The names of any persons that may still be in the building should be reported to the Fire Chief or designee. Visitors will remain with the staffmember(s) they are seeing and their names will be reported to the Fire Chief or designee. Unless employees are specifically trained on fire extinguisher use, they must evacuate the building immediately. 4 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREPAREDNESSIRESPONSE If you discover smoke or fire: 1. Alert employees and visitors in the building that they must evacuate immediately to the designated assembly area. Activate the fire alarm system, if the building is so equipped. If possible, use the paging system to announce, "May I have your attention. Please exit the building in a safe and calm manner. This is not a drill." Repeat message two times. 2. Call 911. 3. Evacuate to your designated assembly area. Severe Weather Procedure In the event of severe weather, including a tornado, all employees and visitors must move to a safe area. . If inside a building, move to an interior room, preferably on the lowest level of the building. . If driving in a vehicle during a tornado, get out of your vehicle immediately and seek a safe structure or lie down in a low area with your hands covering the back of your head and neck. As soon as possible following severe weather, employees must check in with their supervisor when it is safe to do so. I Buildin~ I City Hall I Police Department I Fire Station # 1 I Fire Station #2 I Park Buildings I Library/Senior Center I Public Works Building I Water Treatment Facility I Parks Shelter Area . Lower Level, Interior Hallway . Northwest Comer of Garage . Interior Hallway . Interior Hallway . Bathrooms I. Interior Hallway I. Interior Hallway I. Interior Hallway I. Concession Stand or nearest structure City Hall, Police Department, Public Works, Library The receptionist will notify employees and visitors that a severe weather or tornado warning has been issued. The receptionist will make the following announcement, "A (tornado warning or severe weather warning) has been issued. Please proceed quickly and calmly to (Building specific assigned shelter area listed in table above). This is not a drill." 5 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESS/RESPONSE Repeat message three times. Supervisors and/or Department Heads are responsible to take a roll call. The names of any persons that may be missing should be reported to the Public Safety Personnel on scene. Visitors will remain with the staffmember(s) they are seeing and their names will be reported to the Public Safety Personnel. Recreation The Recreation Supervisor or Playground Managers are responsible for monitoring the weather alert radio. They will than notify their Playground Leaders. The beaches are equipped with there own weather alert radios, and will be monitored by the on-duty lifeguard. The on-duty lifeguard will clear the water and beach area if tornados or severe weather approach. They will make an announcement "May I have your attention please. This is an emergency announcement. Severe weather is affecting our area. We request you to move quickly and calmly out ofthe water and off the beach to a safe location." If available, a television or radio should be turned on for local weather updates. The recreation weather hot line will be updated. Thunderstorm watch: The Playground Leader announces, "May I have your attention please. There is a severe thunderstorm watch in effect for the metropolitan area. At this time, the storm is in (location) and the storm is expected to arrive at . Be alert for further information." The Recreation Supervisor cancels the program or moves the program to an adjacent building. The recreation weather hot line will be updated. Tornado watch: The Playground Leader announces, "May I have your attention please. There is a tornado watch in effect for the metropolitan area. Caution is advised. Be alert for further information." The Recreation Supervisor cancels the program or moves the program to an adjacent building. The recreation weather hot line will be updated. Tornado warnin!! or severe weather: The Recreation Supervisor cancels the program or moves the program to an adjacent building. The Playground Leader announces, "May I have your attention please. This is an emergency announcement. Severe weather is affecting our area. We request you to move quickly and calmly to the shelter". Staff will call parents to pick up their children. If there is not time to contact the parents, staff will remain with the children in the shelter or safe area in the park. The Playground Leader is responsible to take a roll call. The names of any persons that may be missing should be reported to the Recreation Supervisor or Public Safety Personnel on scene. The recreation weather hot line will be updated. Public Works and Parks It is the Utilities Supervisor and Parks Supervisor's responsibility to contact employees working outside the maintenance building and advise them of severe weather approaching. The employees will be instructed on the safest procedures based on their existing policy. 6 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESSIRESPONSE Bomb Threat If you have received a call from an individual making a bomb threat, it is important to get as much information as possible. If possible, notifY another employee that a bomb threat is being made and direct them to call 911 immediately. · Be calm and courteous. Listen to the caller and do not interrupt them. If your phone is equipped, record the call by pushing the "2-Way Record" button on your phone. · Keep the caller talking by asking questions, such as: · What kind of bomb or device is it? . What does it look like? . What will cause it to explode? . Did you place the bomb? Why? . How many did you place? · When will the bomb(s) go off? . How much time remains until the bomb( s) goes off? . Where is the bomb(s) located? . What is your name? Quick action is required after a bomb threat is made. Take the following steps immediately after hanging up with the caller: . Alert the nearest supervisor. . The supervisor should alert employees and visitors in the building that they must evacuate immediately to the designated assembly area. If possible, use the paging system to announce, "May I have your attention. Please exit the building in a safe and calm manner. This is not a drill." Repeat message three times. . Complete the Bomb Threat Checklist and forward to the first police officer on the scene. (See Attachment 1) Letters or packages containing a bomb may include the following characteristics: . Foreign mail, airmail, and/or special delivery. . Restrictive markings, such as "confidential," "personal," etc. . Excessive postage. · Hand written or poorly typed address. . Incorrect titles. . Titles but no names. . Misspellings of common words. . Oily stains or discoloration. . No return address. 7 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESSIRESPONSE . Excessive weight. . Rigid envelope. . Lopsided or uneven envelope. . Protruding wires or tinfoil. . Excessive securing material, such as masking tape, string, etc. . Visual distractions. If you receive a suspicious letter or package, take the following steps: . Do not handle the letter or package. . Evacuate the area. . Call 911. Armed Robbery Robbery in progress . Remain calm and avoid any action that might incite the robber to act violently. The robber may be nervous. Further excitement by the employee can cause the robber to panic and harm the employee or bystanders. . Obey the robber's instructions. . Activate the alarm system (if available) at a safe time, such as when the robber is leaving. Do not let the robber see the alarm being activated-it may incite the robber to violence. After the robbery Immediately after the robbery, ensure that no employees have been injured. Once that has been established follow these steps. . Call 911 as soon as possible when safe to do so. . Close and secure the area until the police arrive. . Preserve any notes that the robber may have written by touching them as little as possible. . Notify a supervisor immediately. . If practical, fill out work Place Violence Report and submit it to the Police Officer on scene. (See Attachment 2) 8 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESS/RESPONSE Physical or Assaultive Behavior Although similar in nature to other threats, physical confrontation can be an immediate danger to the employee or others. If you are involved in a potentially assaultive confrontation, follow these procedures: · Remain calm. Your reaction to the situation can provoke the perpetrator. · Listen to all demands. Don't disagree or attempt to reason with them. · Do as requested. If you have access to something the perpetrator demands, move slowly and keep your hands visible to them at all times. If you witness a hostile confrontation: · Do not get involved unless you can do so safely. . Call 911 or activate the silent alarm system if available in the area where the incident occurred. . Fill out Work Place Violence Report and submit it to the Police Officer on scene. (See Attachment 2) Power Outage Any nwnber of natural or man-made disasters can cause loss of power. The Fire Stations, Police Department, Public Works Building and Water Treatment Facility are all equipped with emergency power generators. In addition, generators may be brought to other facilities that have lost power. To minimize the effects of a power failure: . Unplug or turn off electrical equipment that was in use when the power went off. . If you are advised to leave your area, follow the general evacuation procedures and wait at your designated evacuation assembly area for further instructions. Chemical Spill The clean up of chemical spills will be limited to staff trained and equipped to carry out this function. Prior Lake employees will not handle chemical spills that could be life threatening or that are explosion hazards. The response to a specific spill depends on the amount and type of material spilled. Specific procedures are summarized below: For cleanup of all spills, employees are required to wear waterproof, washable boots, and eye protection. Chemical-protective gloves must be used if skin contact may occur. Find the material of concern. Then go to the section (on next page), corresponding to the letter in the "Spill Actions" column. 9 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESSIRESPONSE Material Ma.ior Hazard Spill Actions Acids (ferrous chloride) corrOSIve D Antifreeze poisonous if swallowed B Chlorine toxic, corrosive gas J Combustible liquids combustible B Compressed gas: inert gases pressure I (Argon, CO2, Stargon) Compressed gas: oxygen or flammable, pressure H acetylene cylinders Dry materials I E Fertilizer /respiratory and skin irritation E Flammable liquid I fire A Fluorescent bulbs Imercury emissions E Fluorosilicic acid corrOSIve D Gasoline and diesel fuel highly flammable A Herbicide environmental hazard; may be F combustible. Hydraulic fluid Ilow hazard; combustible; slippery B Lead acid batteries lead and/or acid contamination; acid D bums LP tanks I fire, pressure H Motor oil Ilow hazard; combustible; slippery B Paints (oil based) I flammable A Paints (water based) I irritant G Parts cleaner/petroleum naphtha I flammable A Phosphate I irritation E Root destroyer environmental hazard; may be F combustible Rubberized crack filler (asphalt) I combustible B Tack coat (cutback asphalt) I flammable A Tires can catch fire (but not readily); C harmful fumes and difficult to suppress fire if ignited 10 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREPAREDNESSIRESPONSE Actions to Take A. Flammable liauids 1) Eliminate sources of ignition. 2) Ventilate - open doors. 3) Use sorbents (floor dry, rags) to contain and soak up the spill. 4) First priority: prevent material from getting into drains or onto permeable surfaces (such as asphalt). 5) Do not use metal tools for cleanup, unless they are specially designed as non-sparking . 6) Put used sorbents in closed, DOT-approved drum for disposal as hazardous waste (unless the sorbents are designed to be wrung out and reused). B. Combustible liauids (oil. antifreeze. asohalt) 1) Control any sources of ignition (e.g., no lit cigarettes near spill). 2) Use sorbents suitable for material (floor dry, rags) to contain and soak up the spill. 3) Prevent material from getting into drains or onto permeable surfaces (such as asphalt). 4) Put used sorbents in closed, DOT-approved drum for disposal as regulated waste (unless the sorbents are designed to be wrung out and reused). C. Tires. solid waste 1) Pick up and store for disposal. 2) Keep away from sources of ignition. 3) Store covered or minimize storage time, to prevent rainwater accumulation (mosquito breeding ground). D. Acids 1) If any skin or clothing contact occurs, immediately remove contaminated clothing and flush skin with large amounts of water. 2) Collect any leaking or spilled liquid in a sealable non-reactive container (fluorosilicic acid will react with glass or stoneware). 3) Absorb any liquid with an inert absorbent. Put that into a closed plastic or iron container for disposal. 4) Prevent material from getting into drains. 5) Place batteries in leak proof container, such as a tub. Use gloves when handling batteries 6) Wash area with large amounts of water. 11 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESS/RESPONSE E. Drv materials such as fertilizer and broken fluorescent bulbs I) Prevent material from being tracked around. 2) Carefully sweep and scoop up all loose material. Wear eye and skin protection; try to avoid creating dust. 3) Reuse spilled material if possible. If not possible, put waste material in a leak-proof bag or drum for disposal. 4) Use a damp rag or towel to wipe area. 5) Ventilate area well. F. Herbicides I) Dike any drains; prevent it from getting into the sewer. 2) Control any sources of ignition (e.g., no lit cigarettes near spill). 3) Stop the spill, if possible (consider pumping the herbicide into another clean drum. Make sure the receiving drum gets labeled). 4) Use sorbents (such as Sor-Tex Socks™. If the herbicide can be mixed with water, use a sorbent designed to pick up water-based liquids. Do not use one meant only for oils). 5) Dispose of sorbent as hazardous waste. G. Water-based oroducts 1) Prevent material from getting into drains. 2) Stop leak if possible. 3) Soak up liquid with disposable sorbents (rags). 4) Dispose of sorbent as industrial waste. H. Flammable !lases 1) Eliminate ALL ignition sources. 2) All equipment used to handle these must be grounded or non-sparking. 3) Stop leak if you can do so safely. 4) If possible, turn leaking cylinders so that no gas or liquid escapes. 5) Isolate area until gas has dispersed. 6) If possible, move cylinder out of doors to bleed off. 7) Do not open powered garage doors or turn on ventilation system, as those can spark. Do open any walk doors. 8) Tag cylinder as faulty, once gas has bled off. I. Nonflammable !lases (ar!lon. carbon dioxide) I) Ventilate area (open doors, turn on exhaust fans. 2) Stop leak if you can do so safety. 3) If you cannot stop the leak, move the cylinder out of doors. 4) Tag cylinder as faulty, once gas has bled off. 12 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESSIRESPONSE J. Chlorine 1) Stay upwind. 2) Evacuate area for at least 200 feet in all directions. 3) Call 911 immediately. Notify them that you have a chlorine spill. 4) Call your supervisor. 5) Wait upwind, at least 0.2 miles from the leak, for the emergency responders. Emergency Medical Procedures The following procedures should be followed in the event of a serious injury that requires emergency treatment. . Dispatch someone to call 911 for emergency services. . Provide First Aid if trained. . Do not move the individual unless appropriate and/or necessary. . Cover the individual to keep warm and make as comfortable as possible. . Comfort individual by assuring that help is on the way. . Notify the employee's supervisor. . The supervisor must complete the First Reoort of Iniurv and the Suoervisor's Reoort of Accident. The completed reports must be forwarded to their supervisor within 24 hours. The supervisor is responsible for submitting the forms to the appropriate individuals. Non-emergency Injuries The following procedures should be followed in the event of an injury that requires medical treatment. . The injured employee should notify his or her supervisor immediately. . The supervisor should complete a first report of injury for the injured employee . The employee should complete a first report of injury when able to do so. Employees Working in the Field In the event of a medical emergency, employees that are working in the field should call 911 immediately if they have access to a telephone or cellular phone. For those employees that only have radios, they must call in for help and ask for 911 to be dispatched. Transporting an Injured Employee by Ambulance If an ambulance is dispatched, the injured employee should be transported by the ambulance unless otherwise directed by the paramedics. 13 CITY OF PRIOR LAKE EMERGENCY OPERA nONS PLAN EMPLOYEE PREPAREDNESSIRESPONSE Family Notification If an employee is seriously injured, the employee's supervisor is responsible for notifying the employee's family. First Aid Kits Employees are responsible for knowing the location of first aid kits and Automated External Defibrillators (AEDs). First aid kits and AEDs shall be kept complete and will be maintained by each department or division. First aid kits should be checked and restocked at least monthly. AEDs should be checked monthly Building I City Hall I Police Department I Fire Station # 1 I Fire Station #2 I Park Buildings I Library/Senior Center I Public Works Building I Water Treatment Facility First Aid Kit Location . Lunchroom . Copy Room . Trucks . Trucks . Pavilions . Club Prior . Hall by locker rooms . Office Media Relations during a Crisis Automatic External Defibrillator Location . First Floor Hallway . Squads . Trucks . Trucks . . Center Entrance . . In the event of a crisis situation, the City Manager, Police Chief, Fire Chief, Mayor, and/or their Designee are the only officials authorized to serve as spokespersons for the City of Prior Lake. In some situations, the City Manager may designate another City staff member to serve as spokesperson. City staff that is involved in or aware of a developing crisis situation should immediately contact their department head, who will then contact the City Manager. The City Manager or one of his/her support personnel will notify the Mayor and City Council. Internal notification will include the name and phone number of the City spokesperson, if other than the City Manager, so that staff may refer any media inquiries to the spokesperson. News releases and fact sheets pertaining to any crisis situation will be distributed to the news media, Mayor, City Council, and to City departments and divisions. 14 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESS/RESPONSE Emergency Contact List Ambulance: 911 Fire: 911 Police: 911 Minnesota Duty Officer: (651) 649-5451 Minnesota Pollution Control Agency 24-hour emergency number: (651) 296-8100 Poison Control Center: (651) 221-3999 15 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREP AREDNESSIRESPONSE ATTACHMENT I City of Prior lake Bomb Threat Checklist for Telephone Threats Exact message received Name of employee receiving bomb threat call Date Time Caller's identity o Male o Female 0 Adult o Juvenile approximate age Origin of call (if you can tell or ask) o Local o Long distance 0 Telephone booth 0 Internal (inside building) Vocal characteristics Speech 0 Loud 0 Soft 0 Fast D High pitch D Deep D Distinct 0 Raspy 0 Pleasant 0 Stutter 0 Intoxicated 0 Other 0 Slow Language Accent 0 Excellent 0 Good 0 Local D Fair 0 Poor 0 Foreign 0 Foul 0 Other 0 Not local Manner Background noises 0 Calm 0 Angry 0 Machinery 0 Rational 0 Irrational 0 Chaotic 0 Coherent 0 Incoherent 0 Music 0 Emotional 0 Office machine 0 Voices 0 Distorted D Nasal 0 Lisp 0 Slurred 0 Regional D Other o Trains o Animals o Quiet o Street 16 CITY OF PRIOR LAKE EMERGENCY OPERATIONS PLAN EMPLOYEE PREPAREDNESSIRESPONSE ATTACHMENT 2 City of Prior lake Workplace Violence Report Date Name of reporting person Department Incident description (be specific) Date Time Witnesses Location of incident Suspect Employee Dyes o no Subject description Hair Height Male Eyes Weight Female Distinguishing marks Clothing description Weapon involved 0 yes If yes, describe the weapon o no 17 CITY OF PRIOR LAKE EMERGENCY OPERA nONS PLAN EMPLOYEE PREPAREDNESSIRESPONSE Vehicle involved 0 yes 0 no If yes, describe Make Model Color Body style Year Damage or rust Any passengers? Direction of travel Was anyone injured 0 yes 0 no If yes, list people injured and known extent of injuries Describe the incident (be specific and detailed in your description; use additional sheets if necessary) Was the incident reported to the Police 0 yes 0 no Report to (Supervisor) Department Recommendations (if any) Reporter signature Received by Routed to 0 Administration 0 Police 0 Department Head 0 Other This reDort will reauire some action. A follow UD reDort will detail recommendations and actions taken in this case. 18