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Safety Checklist Program for Schools

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October 2003
DHHS (NIOSH) Publication Number 2004-101

Emergency Action Plan (Template)

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Telephone Bomb Threat Checklist

Telephone Bomb Threat Checklist
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
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.