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October 2003
DHHS (NIOSH) Publication Number 2004-101

Safety Checklist Program for Schools

Emergency Action Plan (Template)

School Checklists logo

DISCLAIMER:

Some of the additional resources listed below were provided by other organizations; they are intended to supplement the occupational safety and health information in this product. NIOSH is not responsible for the contents or accuracy of material obtained from these organizations. Furthermore, mention of any company or product does not constitute endorsement by NIOSH. In addition, citations to Web sites do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Also, NIOSH is not responsible for the content of these Web sites.

Telephone Bomb Threat Checklist

INSTRUCTIONS: BE CALM, BE COURTEOUS. LISTEN. DO NOT INTERRUPT THE CALLER.
YOUR NAME: __________________________ TIME: _____________ DATE: ________________
CALLER'S IDENTITY SEX:
Male _____ Female ____ Adult ____ Juvenile ____ APPROXIMATE AGE: _____

ORIGIN OF CALL: Local __________ Long Distance ___________ Telephone Booth __________


VOICE CHARACTERISTICS

SPEECH

LANGUAGE
___ Loud ___ Soft ___ Fast ___ Slow ___ Excellent ___ Good
___ High Pitch ___ Deep ___ Distinct ___ Distorted ___ Fair ___ Poor
___ Raspy ___ Pleasant ___ Stutter ___ Nasal ___ Foul
___ Intoxicated ____________
Other
___ Slurred ____________
Other
  __________
Other

ACCENT

MANNER

BACKGROUND NOISES
___ Local ___ Not Local ___ Calm ___ Angry ___ Factory ___ Trains
___ Foreign ___ Region ___ Rational ___ Irrational ___ Machines ___ Animals
___ Race   ___ Coherent ___ Incoherent ___ Music ___ Quiet
    ___ Deliberate ___ Emotional ___ Office ___ Voices
    ___ Righteous ___ Laughing ___ Machines ___ Airplanes
        ___ Street ___ Party
        ___ Traffic ___ Atmosphere
           
BOMB FACTS
 

PRETEND DIFFICULTY HEARING - KEEP CALLER TALKING - IF CALLER SEEMS AGREEABLE TO FURTHER CONVERSATION, ASK QUESTIONS LIKE:

When will it go off? Certain Hour?
Time Remaining?
Where is it located? Building Area?
What kind of bomb?
What kind of package?
How do you know so much about the bomb?
What is your name and address?

If building is occupied, inform caller that detonation could cause injury or death.

Activate malicious call trace: Hang up phone and do not answer another line. Choose same line and dial *57 (if your phone system has this capability). Listen for the confirmation announcement and hang up.

Call Security at __________ and relay information about call.

Did the caller appear familiar with plant or building (by his/her description of the bomb location)? Write out the message in its entirety and any other comments on a separate sheet of paper and attach to this checklist.

Notify your supervisor immediately.

 
Contact Us:
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Rd. Atlanta, GA 30333, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO