DISASTER PLAN WORKBOOK

Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 6 Chapter 7
Table of Contents Appendices Index

APPENDICES

APPENDIX A:
DAMAGE EVALUATION FORM

Use this form as a master; make copies of this form for use. A separate form should be filled out for each floor affected.

This form must be filled out during initial damage assessment by the Disaster Preparedness Committee and _______________. A completed copy of this form must be sent to _______________.

  1. Date:
  2. Floor/Department:
  3. Type of damage (water, fire, etc):


  4. Type of material damaged (books, photographs, etc):


  5. Extent of damage (how many volumes, reels, linear feet etc):


  6. Environmental conditions (dampness, heat, etc):


  7. Condition of surrounding area (wet carpets, wet walls, broken files, etc):


  8. Form prepared by:____________________



POST DISASTER REPORT FORM

Use this form as a master; make copies of this form for use. A completed copy of this form must be sent to ____________________.

  1. Date of disaster:
  2. Floor/Department:
  3. Type of disaster:
  4. Source of problem:
    Water:

    Fire:

  5. Area(s) affected:
  6. Approximate number of items involved:
  7. Types of materials affected and amounts of each:
  8. Recovery options used: (List approximate number of items treated by each method below)
  9. Personnel involved:

  10. Notes(use reverse if necessary):

Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 6 Chapter 7
Table of Contents Appendices Index
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