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Safety Checklist Program for Schools

October 2003
DHHS (NIOSH) Publication Number 2004-101

Emergency Action Plan (Template)

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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:
  • Page last reviewed: June 6, 2014
  • Page last updated: June 6, 2014
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