**Customize this template based on objectives to meet exercise needs**

[EXERCISE NAME]

[EXERCISE DATE]

Environmental Health

Discussion-Based Exercise Evaluation Guide (EEG) Analysis Form

Evaluator Name:

Phone/E-Mail:

Environmental Health
Relevant Exercise Objectives
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Develop and Maintain Plans, Procedures, Programs, and Systems: General Environmental Health

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Provide environmental health input to the development of plans or the jurisdictional planning process (evaluation and revision).
[Name, Pg/Sec#] / Develop plans and protocols for coordinating the environmental health function into response activities (evaluation and revision).
[Name, Pg/Sec#] / Identify the appropriate environmental health official(s) and ensure their inclusion in the Incident Command staff.
[Name, Pg/Sec#] / Identify an environmental health coordination unit,and develop a mechanism for itsinclusion in the appropriate coordination organization (e.g., Incident Command Post [ICP], Emergency Operations Center [EOC], Joint Field Office [JFO]).
[Name, Pg/Sec#] / Integrate and supervise a plan for environmental monitoring.
[Name, Pg/Sec#] / Develop capacity for the personnel and resources necessary to create and maintain geocoded databases of key environmental health infrastructure and to effectively share information during emergency responses.
[Name, Pg/Sec#] / Develop a plan to coordinate the various elements of environmental health among the Federal, State, and local response.
[Name, Pg/Sec#] / Identify appropriate, needed expertise for all aspects of environmental health response.
[Name, Pg/Sec#] / Develop inputs into the crisis and emergency risk communication (CERC) plan.
[Name, Pg/Sec#] / Coordinate to ensure interoperable and redundant communication equipment.
[Name, Pg/Sec#] / Coordinate environmental health efforts (e.g., response work, database management of environmental sample results, interpretation of results, risk communication).
[Name, Pg/Sec#] / Coordinate with appropriate agencies for analysis and database management of environmental samples and for interpretation of results and risk communication.
[Name, Pg/Sec#] / Coordinate with public and private laboratories to ensure redundancies of capability.
[Name, Pg/Sec#] / Resolve confidentiality issues for sharing of information from laboratory results.
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed After Action Report [AAR] input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Potable Water Supplies

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Develop and maintain all-hazards emergency response procedures and protocols for assessment of public water utility, alternate water supplies (hauled water, bulk water, bottled water), unregulated systems (individual wells), and temporary or mobile treatment systems (reverse osmosis purification unit, portable onsite treatment).
[Name, Pg/Sec#] / Develop standard operating procedures (SOPs) for prioritizing the provision of potable water to affected populations and key facilities.
[Name, Pg/Sec#] / Develop an environmental health strike team of appropriately trained personnel to ensure safety and integrity of the potable water supply and delivery system.
[Name, Pg/Sec#] / Develop emergency guidelines and operation criteria for limited operations (“boil water” or “do not drink” order) and plan for dissemination to public and policyholders in cooperation with water utilities.
[Name, Pg/Sec#] / Develop and maintain intrastate mutual aid agreements with water providers and relevant health and environment entities for assistance in disaster response/emergency events (e.g., Water/Wastewater Agency Response Network [WARN], mutual aid).
[Name, Pg/Sec#] / Develop and maintain interstate agreements with water providers and relevant health and environment entities for assistance in disaster response/emergency events(e.g., Emergency Management Assistance Compact [EMAC]).
[Name, Pg/Sec#] / Develop and maintain a geocoded database of all Safe Drinking Water Act (SDWA) drinking water facilities.
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed AAR input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Food Supplies

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Develop capacity for the personnel and resources necessary to create and maintain a geocoded database of the food supply and delivery system.
[Name, Pg/Sec#] / Ensure the existence of memorandums of understanding (MOUs) or other contractual agreements needed to share resources such as food inspection personnel, equipment, and databases.
[Name, Pg/Sec#] / Address mechanisms to recommend the closing of facilities or operations, and address noncompliance with recommendations in environmental health plans.
[Name, Pg/Sec#] / Address mechanisms to reopen food supply and delivery operations and facilities in environmental health plans.
[Name, Pg/Sec#] / Conduct hazard needs assessment and staffing surge requirements in the area of food supply and delivery.
[Name, Pg/Sec#] / Develop an environmental health strike team of appropriately trained personnel to ensure safety and integrity of the food supply and delivery system.
[Name, Pg/Sec#] / Develop materials and personnel to conduct just-in-time training for food protection.
[Name, Pg/Sec#] / Coordinate with public and private laboratories to develop plans for the lab testing necessary to ensure safety of the food supply and delivery system.
[Name, Pg/Sec#] / Ensure that environmental continuity of operations (COOP) planning addresses personnel and resources necessary to ensure the safety of the food supply and delivery system and mechanisms to prioritize response actions.
[Name, Pg/Sec#] / Develop capacity for rapid communications and data sharing (including geocoded data) during an emergency response.
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed AAR input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Wastewater Management

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Develop and maintain all-hazard emergency response plans, procedures, and programs for the collection, treatment, and disposal of wastewater (liquid waste and sewage) during emergency events, includingpublic wastewater utility, alternative wastewater(portable toilets, temporary lagoons, waste hauling), unregulated systems (individual septic tanks), and land applications.
[Name, Pg/Sec#] / Develop and maintain all-hazards emergency response procedures and protocols for assessment of the following types of facilities: public wastewater utility, alternative wastewater (portable toilets, temporary lagoons, waste hauling), unregulated systems (individual septic tanks), and land applications.
[Name, Pg/Sec#] / Develop SOPs for prioritization of collection, treatment, and disposal of wastewater (liquid waste and sewage) for affected populations and priority facilities (e.g., shelters, hospitals).
[Name, Pg/Sec#] / Develop and maintain intrastate mutual aid agreements with wastewater collection, treatment, and disposal organizations and relevant health and environment entities for assistance in disaster response/emergency events (e.g., WARN, mutual aid).
[Name, Pg/Sec#] / Develop an environmental health strike team of appropriately trained personnel to ensure safety and integrity of wastewater systems.
[Name, Pg/Sec#] / Develop and maintain interstate agreements with wastewater collection, treatment, and disposal organizations and relevant health and environment entities for assistance in disaster response/emergency events (e.g., EMAC).
[Name, Pg/Sec#] / Develop and maintain a geocoded database of all wastewater facilities (e.g., treatment plants, lift stations).
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed AAR input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Vector Surveillance

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Develop plans, procedures, and programs for vector control.
[Name, Pg/Sec#] / Develop plans for assessing local vector control infrastructure before an event and how it has been damaged during the event.
[Name, Pg/Sec#] / Develop plans to assist local vector control entities while they rebuild capabilities.
[Name, Pg/Sec#] / Develop disease-specific emergency response plans for vector control, including insect, arthropod, and rodent vectors.
[Name, Pg/Sec#] / Compile and review existing emergency vector control guidelines, including surveillance and control of insect, arthropod, and rodent vectors.
[Name, Pg/Sec#] / Develop new emergency vector control guidelines (where none exist) that include surveillance and control of insect, arthropod, and rodent vectors.
[Name, Pg/Sec#] / Develop communications plan for vector control, including control measures for the public and public agencies.
[Name, Pg/Sec#] / Develop, at the local level, the capability to create a geocoded database of all geographic locations assessed for vectors, including locations that were treated (e.g., larvicides, spraying).
[Name, Pg/Sec#] / Develop an environmental health strike team of appropriately trained personnel to perform vector control operations.
[Name, Pg/Sec#] / Assemble an assessment and inventory of current capacity, both public and private, to perform vector control.
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed AAR input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Building Environment

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Develop plans, procedures, and protocols for providing environmental health support during reentry operations.
[Name, Pg/Sec#] / Develop procedures and guidelines for building reentry.
[Name, Pg/Sec#] / Assess power supply and generators for priority structures, and identify alternative power sources.
[Name, Pg/Sec#] / Develop a plan with checklist for evaluating reentry and reoccupancy of facilities (e.g., homes, educational, institution and healthcare facilities) that establishes evaluation process, assessment criteria, and indicators of safe reoccupation.
[Name, Pg/Sec#] / Develop a communications plan for safety and environmental hazards associated with reentry and reoccupation of homes and facilities.
[Name, Pg/Sec#] / Develop and implement a monitoring system to determine status of rehabilitation efforts and health and safety issues associated with reentry and reoccupancy.
[Name, Pg/Sec#] / Develop capacity to assess community structures and determine safe operations.
[Name, Pg/Sec#] / Develop an environmental health strike team of appropriately trained personnel to ensure safety of building environments.
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed AAR input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Outdoor Environment

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Conduct research, and establish healthrisk-based tolerance thresholds for key contaminants, including updating existing methods and developing new ones (where none exist).
[Name, Pg/Sec#] / Identify susceptible and vulnerable populations.
[Name, Pg/Sec#] / Develop and maintain a geocoded database of potential hazards (e.g., refineries, chemical plants, mines, medical waste depositories).
[Name, Pg/Sec#] / Inventory monitoring and sampling capabilities.
[Name, Pg/Sec#] / Develop an all-hazards communications plan.
[Name, Pg/Sec#] / Develop MOUs between and among public and private laboratories to provide redundant capabilities.
[Name, Pg/Sec#] / Conduct geocoded baseline monitoring for all environmental media.
[Name, Pg/Sec#] / Conduct environmental vulnerability assessments.
[Name, Pg/Sec#] / Develop an environmental health strike team of appropriately trained personnel to ensure safety of outdoor environments.
[Name, Pg/Sec#] / Coordinate with appropriate remediation teams for all contingencies.
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed AAR input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Support for Mass Care

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Develop plans, procedures, and programs for environmental health support of mass care and sheltering facilities.
[Name, Pg/Sec#] / Develop mass care and sheltering guidelines that include safety, food, air, water, wastewater sanitation, and solid and biomedical waste requirements for all mass care facilities, including shelters, housing, ice/food distribution, feeding sites, and other care facilities.
[Name, Pg/Sec#] / Develop mass care and sheltering guidelines that include food safety and sanitation requirements.
[Name, Pg/Sec#] / Develop shelter guidelines that include requirements for provision of safe drinking water from all sources and that include recommendations for alternate sources.
[Name, Pg/Sec#] / Develop shelter guidelines that include requirements for sanitation and number of portable toilets (e.g., toilets, portable toilets, hand-washing facilities).
[Name, Pg/Sec#] / Identify sources and prearrange for delivery and emptying of toilets, portable toilets, and hand-washing facilities.
[Name, Pg/Sec#] / Provide input into plans, procedures, and protocols to ensure individual and gross decontamination of persons and pets before admittance to shelters and other mass care facilities, medical and alternate care facilities, reception centers, animal shelters, and other places as needed.
[Name, Pg/Sec#] / Conduct building/facility inspections in advance to identify food/sanitation capability and suitability of structures identified as mass care and shelter facilities (e.g., housing, shelters, feeding and care facilities).
[Name, Pg/Sec#] / Develop a geocoded database of all predesignated mass care and shelter operations.
[Name, Pg/Sec#] / Update a geocoded database of all mass care and shelter operations.
[Name, Pg/Sec#] / In coordination with mass care and shelter operations, ensure that the field communication plan includes environmental health personnel.
[Name, Pg/Sec#] / Develop an environmental health strike team of appropriately trained personnel to ensure environmental health support to mass care and shelter response.
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed AAR input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Support for Solid Waste/Debris Disposal

Plan Reference / Task / Task Discussed / Not Discussed
[Name, Pg/Sec#] / Develop plans, procedures, programs, and guidance for environmental health support of waste management and debris removal.
[Name, Pg/Sec#] / Develop and provide technical inputs for waste management and debris removal guidelines.
[Name, Pg/Sec#] / Participate in the emergency response planning process for managing the type and quantities of waste generated by the incident and cleanup efforts.
[Name, Pg/Sec#] / Participate in the emergency response planning process for the safe removal and disposition of waste and debris.
[Name, Pg/Sec#] / Participate in the development of communication plans, procedures, and guidance for waste management and debris removal.
[Name, Pg/Sec#] / Develop a geocoded database of all waste management facilities.
[Name, Pg/Sec#] / Develop an environmental health strike team of appropriately trained personnel to ensure safety of solid waste/debris disposal.
Task Analysis
Are personnel identified to perform these tasks?
______
______
Are personnel trained to perform these tasks?
______
______
Are personnel equipped to perform these tasks? If so, how will resources be obtained?
______
______
What key decisions would need to be made? Who would make them?
______
______
Activity Analysis / Yes / No
Did discussions validate the plan?
Were participants knowledgeable of plan elements?
Did participants adequately address how to accomplish this activity?
Observations (Each bullet will need a completed AAR input form.)
Strengths
Areas for Improvement
Root Cause
Root Cause
Root Cause
Additional Observations:

Develop and Maintain Plans, Procedures, Programs, and Systems: Support for Hazardous Waste Response