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Emergency Management Plan University of North Texas Health Science Center

September 2011

UNTHSC Emergency Management Plan

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Table of Contents Letter of Promulgation ............................................................................................................................ iii Approval ....................................................................................................................................................... v Table of Contents ....................................................................................................................................... vii Introduction ................................................................................................................................................. 1 Legal authorities ..................................................................................................................................... 4 Situation Statement ............................................................................................................................... 5 Planning Assumptions ..................................................................................................................... 10 Actions by Phase of Emergency Management ........................................................................... 11 Threat Levels .............................................................................................................................................. 12 Emergency Organization ...................................................................................................................... 14 Campus Safety Groups ............................................................................................................................... 18 Plan Activation ........................................................................................................................................... 19 Local, State, and Federal Assistance .................................................................................................. 20 Administrative Policies .......................................................................................................................... 22 Emergency Functions ............................................................................................................................... 25 Appendix A: Record of Changes ............................................................................................................ 46 Appendix B: Glossary ................................................................................................................................. 48 Appendix C: Acronyms .......................................................................................................................... 50 Appendix D: Distribution ........................................................................................................................ 52 Appendix E: NIMS Adoption Letter .................................................................................................... 54 Appendix F: NIMS Summary .................................................................................................................. 56 Appendix G: NIMS Training .................................................................................................................. 60 Appendix H: Summary of Agreements and Contracts ............................................................. 62 Appendix I: Lines of Succession .......................................................................................................... 64 Appendix J: Emergency Management Advisory Committee .................................................... 67


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Introduction General The University of North Texas Health Science Center (UNTHSC) is located in Tarrant County in Fort Worth, Texas (population 746,000) adjacent to the Fort Worth Cultural District at the intersection of Camp Bowie Blvd. and Montgomery Street. The 33.5-‐acre campus contains 24 buildings in which teaching, research, ambulatory care and administrative activities take place. Approximately 1,761 students are currently enrolled in courses of study and there are approximately 1,775 faculty and staff. The Cultural District, immediately south of the campus, contains a number of museums and performance venues. A private urban village development project is underway to the east of the campus. Private residential property is located immediately west of the campus and to the north is a mixed business and residential area. There are places of worship, child daycare and public school facilities within one mile of the campus. The campus is situated one mile north of Interstate 30 and 0.95 miles north of the Trinity River. The campus is situated on a hill with city streets running through the campus. UNTHSC is committed to providing a safe environment for its community to learn, work, and grow together. A comprehensive program of emergency management has been undertaken to build, sustain, and improve UNTHSC’s capability to cope with hazardous events that pose, or have the potential to pose, a threat to campus inhabitants, infrastructure, and systems. Purpose The UNTHSC Emergency Management Plan (UNTHSC EMP) outlines the Health Science Center’s approach to emergency operations, providing a flexible framework within which UNTHSC staff, external agencies, and other organizations will work together to mitigate against, prepare for, respond to, and recover from emergencies. It broadly defines the policies, organizational arrangements, and tasks that UNTHSC will use to respond to emergency situations. The UNTHSC EMP provides strategic direction to emergency response by outlining the common tasks that departments, agencies, and organizations will carry out during emergency operations. Supporting plans and protocols supplement the UNTHSC EMP and describe how tasks in the EMP will be accomplished. Objective UNTHSC’s primary objectives during an emergency are to:

• Protect and save lives • Protect property and critical infrastructure • Maintain or quickly resume normal operations

Scope The UNTHSC EMP addresses emergencies that may affect the UNTHSC campus in Fort Worth, Texas and its remote ambulatory care clinics and administrative offices situated in Tarrant County.


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Development and Review The UNTHSC EMP was developed through the joint efforts of the Emergency Operations Team, various administrative departments within the UNTHSC community, and local stakeholders, including the City of Fort Worth. It is to be considered a living document subject to review and updates based on lessons learned from planned tests and incidents that occur on campus. The Emergency Management Advisory Committee (EMAC) will coordinate an annual review of the UNTHSC EMP. A record of changes can be found in Appendix A: Record of Changes. Distribution The Vice President for Operations or designee is responsible for distributing the UNTHSC EMP. In general, hard copies of the UNTHSC EMP will be provided to the individuals, departments, agencies, and organizations tasked in this document. A distribution list can be found in Appendix D: Distribution. Additionally, the UNTHSC EMP will be made available for download on the UNTHSC emergency management website http://emergency.unthsc.edu. Training and Education All Health Science Center staff with a role in emergency response and recovery are required to participate in and complete training in various courses as specified in Appendix G: NIMS Training. Various campus departments and organizations, including the Safety Office and the UNTHSC Police Department, utilize outreach programs to train and educate all members of the campus community, providing them with the knowledge needed to respond appropriately to various types of hazards. Additionally, the Safety Office is responsible for annually publicizing emergency response and evacuation procedures to the campus community. Tests UNTHSC will conduct tests, including drills as well as tabletop, functional, and/or full-‐scale exercises, at least once annually to evaluate the efficacy of emergency response and evacuation procedures. Tests may be announced or unannounced in advance to the campus community. Safety Office staff will document each test, including at a minimum a description of the test, the date and time, and whether it was announced or unannounced. Post Incident Review Following the conclusion of any test or emergency for which the campus Threat Level was raised to ‘Yellow’ or ‘Red’, a post incident review will be conducted to identify strengths and deficiencies in the response. The review will be facilitated by Safety Office staff and will include both written and verbal input from all participants involved in the test or emergency. An improvement plan will be developed based on the deficiencies identified, and an individual, department, or agency will be assigned responsibility for correcting the deficiency by the determined due date.


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Safety and Security Audit At least once every three years, the UNTHSC Compliance Office will conduct a safety and security audit of the Health Science Center as required by state legislation. To the extent possible, UNTHSC will follow audit procedures developed by the Texas Division of Emergency Management (TDEM). The results of the safety and security audit will be reported to the UNTHSC Board of Regents and TDEM. National Incident Management System In keeping with best practices, the National Incident Management System has been adopted as the standard for incident management at UNTHSC, and the concepts, principles, and procedures found therein are incorporated into this document. A description of the National Incident Management System can be found in Appendix F: NIMS Summary. Note For situations involving imminent threat of death, serious bodily injury, or significant property damage, and notwithstanding any other provision of this plan, the Chief of Police or his/her designee is authorized to take such action(s) as he/she deems appropriate to respond to, eliminate and/or mitigate any emergency event in which circumstances indicate that an imminent threat of death, serious bodily injury, and/or significant damage to property is likely to occur absent immediate response. This includes, but is not limited to, deploying institutional or other resources, activation of established mutual aid agreements and protocols, and emergency notification as may be deemed necessary and appropriate. The Chief of Police or his/her designee will notify the EOC Leader as soon as he/she is reasonably able to do so.


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Legal authorities General The authority for this UNTHSC EMP is derived from a variety of sources, including Federal, state, and local laws as well as various Health Science Center policies. The following list presents the core statutes, ordinances, and policies which guide emergency planning at UNTHSC. Federal Robert T. Stafford Disaster Relief & Emergency Assistance Act, (as amended), 42 U.S.C. 5121 Emergency Planning and Community Right-‐To-‐Know Act, 42 U.S.C. Chapter 116 Emergency Management and Assistance, 44 CFR Hazardous Waste Operations & Emergency Response, 29 CFR 1910.120 Homeland Security Presidential Directive 5 (Management of Domestic Incidents) Homeland Security Presidential Directive 8 (National Preparedness) National Response Framework Higher Education Opportunity Act, 34 CFR 668.46 State Government Code, Chapter 418 (Emergency Management) Government Code, Chapter 421 (Homeland Security) Government Code, Chapter 433 (State of Emergency) Government Code, Chapter 791 (Inter-‐local Cooperation Contracts) Government Code, Chapter 79 (Liability of Persons Assisting in Hazardous of Dangerous Situations) Health and Safety Code, Chapter 778 (Emergency Management Assistance Compact) Administrative Code, Title 37, Part 1, Chapter 7 (Division of Emergency Management) Education Code 51 (Provisions Generally Applicable to Higher Education)


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Situation Statement General A hazard is a potentially harmful or dangerous event, which, through its interaction with social and/or physical systems, can create an emergency, necessitating responsive actions be taken to save lives, protect property and critical infrastructure, and maintain normal operations. Because of its geographic location, population concentration, proximity to major transportation hubs, and other risk factors, UNTHSC is exposed to many hazards, all of which have the potential for causing casualties, damaging or destroying buildings and other critical infrastructure, and negatively impacting operations, the reputation, and mental state of the Health Science Center. Hazard Vulnerability Assessment In conjunction with the development of the EMP, an assessment was performed to determine the risk of various hazards to which the Health Science Center may be exposed. Hazards were analyzed and ranked in terms of their likelihood of occurrence and estimated impact on safety, facilities, and the institution. The highest ranking hazards provide the basis for future preparedness efforts, including plans, training, and testing. Table 1: Hazard Matrix provides a summary of the hazard vulnerability assessment. Assessment Definitions Hazards described in the Hazard Matrix were assessed according to the following definitions. Consideration was given to prior events at the Health Science Center, similar events at other Universities, and any changes or trends that could affect the frequency or impact in the future.

Probability Likelihood of Occurrence Estimate of the likelihood this event will occur in next 25 years.

1. Not applicable (will not occur) 2. Doubtful (not likely) 3. Possible (could occur) 4. Probable (very likely to occur) 5. Inevitable (will occur)

Human Impact Estimated Impact on Health and Safety Estimate of the number of injuries and deaths that could result from this event.

1. None 2. Few minor injuries 3. Multiple minor injuries or possible major injury 4. Multiple major injuries or possible death 5. Multiple deaths and major injuries


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Facilities Impact Damage to Facilities Estimate of the extent of damage to campus-‐wide facilities.

1. Little or no damage 2. Mild damage to several areas of a building(s) 3. Moderate damage to multiple areas of a building(s) 4. Severe damage to multiple areas of a building(s) 5. Extensive damage to most areas of a building(s)

Cost to Repair Estimate of the total cost to repair or replace all damaged facilities.

1. Less than $100 thousand 2. Between $100 thousand and $1 million 3. Between $1 million and $5 million 4. Between $5 million and $50 million 5. More than $50 million

Institutional Impact Interruption to Teaching and Research Estimate of the duration of interruption to teaching and research activities, and business operations.

1. Hours 2. Days 3. Weeks 4. Months 5. Year or longer

Damage to Reputation Estimate of the negative impact this event would have on campus reputation or public image in the long term?

1. None 2. Minor 3. Moderate 4. Significant 5. Severe

Damage to Mental State of Community Estimate of the impact this event would have on the mental state of the community.

1. None 2. Minor 3. Moderate 4. Significant 5. Severe


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Hazard Definitions For the purposes of this hazard vulnerability assessment, identified hazards were defined as follows. Natural

Flooding – An accumulation of water on land as a result of heavy rainfall or utility failure. Winter Weather – The occurrence of ice, snow, and/or extreme cold as a result of a winter storm. Tornado/High Wind – A destructive wind event which often coincides with a strong thunderstorm. In addition to tornadoes, other examples include downbursts and gustnadoes. Earthquake – A geological event caused by a sudden release of energy in the Earth’s crust, causing the ground to shake. Lightning – Powerful atmospheric bursts of electricity that are typically accompanied by severe thunderstorms. Hail – Lumps of ice that can develop inside of a severe thunderstorm and fall to the earth as precipitation. Wildfire – An uncontrolled fire in combustible vegetation that occurs in the countryside or wilderness area and may be caused by natural occurrences, such as lightning, or by the actions of humans.

Technological Minor Fire – A fire which has the potential to cause limited damage to campus property and poses little or no threat to life. Major Fire – A fire which has the potential to cause major damage to campus property and injure or kill occupants. Explosion – An extreme and forceful release of energy, which may be accompanied by extreme heat, gaseous vapors, and/or shrapnel. Hazardous Material Spill – A release of toxic substances, such as chemical, biological, or radiological substances, which are hazardous to the health of the community. Major Transportation Disruption – A disruption to the normal flow of traffic on or near the UNTHSC campus that adversely affects campus operations. Aviation Incident– The unintended presence of aircraft on campus, including crashes and unscheduled landings. Structural Collapse – The failure of load-‐bearing elements of a structure, causing


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the collapse of part or all of that structure. Telephone/Telecom Unavailability – An occurrence in which campus telecommunications services and/or devices have been rendered inoperable. IT Unavailability – An occurrence in which campus data communications services and/or devices have been rendered inoperable. Campus-‐wide Utility Unavailability – An occurrence in which one or more utility services, such as water, gas, and electricity, have been rendered inoperable.

Security

Campus Violence – An individual(s) who uses deadly force to kill or cause serious, life-‐threatening bodily injury to multiple victims. An example is an active shooter. Civil Disorder – A group of people, peaceful or non-‐peaceful, who seek to disrupt the functions of an organization or society with the goal of protesting or attempting to spread a particular message, idea, or ideology. Bomb Threat – A threat, usually verbal or written, to detonate an explosive or incendiary device to cause property damage, death, or injuries, regardless of whether or not such a device actually exists. Hostage Situation – A situation in which an individual or group forcibly holds a person(s) against their will, often threatening harm against the hostages, themselves, or others if demands are not met. Major Crimes Against Property – Those crimes committed against property, which affect or have the potential to affect continued operation of the facility(s), including large-‐scale vandalism and theft of high value items.

Medical

Food-‐borne Illness – Illnesses resulting from the consumption of contaminated food that have the potential to spread quickly across the community. Communicable Disease – Diseases transmitted through contact with contaminated people, animals, or surfaces that have the potential to spread quickly across the community.


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Table I. Hazard Matrix (updated September 21, 2011)


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Planning Assumptions General Emergency planning requires a commonly accepted set of assumed operational conditions that provide a foundation for establishing protocols and procedures. The following assumptions provide the basis for emergency planning at UNTHSC. Assumptions All emergencies are unique occurrences. Damage may cause injuries, death, and displacement of people. Major roads, overpasses, bridges, and local streets may be damaged. Conditions may be unsafe to travel off campus, and people may become stranded at the Health Science Center. Special populations on campus, including children, those with disabilities, and non-‐fluent speakers of English, will require specialized attention in the event of an emergency. UNTHSC departments will largely provide the same type of services during an emergency as those that are provided on a daily basis but in a limited capacity. Various departments may be asked to expand the services they provide and/or perform functions that they do not ordinarily perform. Due to the unique demands of a given emergency, any employee’s presence may be required on campus at any time. As such, employees may be given little notice to report to work. Emergency conditions that affect campus may affect the surrounding community, including the City of Fort Worth and Tarrant County. Regional and local services, including those provided by the City of Fort Worth may be unavailable for some period of time. Critical lifeline utilities and services may be interrupted, including water delivery, electrical power, natural gas, telephone communications, microwave and repeater-‐based radio systems, cellular telephones, and information systems. Normal suppliers may not be able to deliver materials or services.


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Actions by Phase of Emergency Management General Emergency management is the managerial function charged with creating the framework within which communities reduce vulnerability to hazards and cope with disasters. The standard practice is to view emergency management activities in terms of four phases: preparedness, response, recovery, and mitigation. The UNTHSC EMP addresses the activities that UNTHSC will undertake during all four phases of emergency management. Preparedness Preparedness activities are the actions taken in advance of an emergency to ensure effective response and recovery. The preparedness activities undertaken by UNTHSC include:

• Emergency planning, including maintaining this plan • Conducting or arranging appropriate training for emergency responders, EOC Team

members, and other appropriate UNTHSC staff • Identifying and acquiring emergency equipment and facilities • Conducting periodic tests to evaluate our plans and training • Performing post-‐incident review of operations following any test or emergency

Response Response refers to those actions taken immediately before and during an emergency to save lives and protect property. Response activities include warning, emergency medical services, firefighting, law enforcement operations, evacuation, shelter and mass care, emergency public information, search and rescue, as well as other associated functions. Recovery Recovery refers to the actions and implementation of programs needed to help individuals and the campus community return to normal after an emergency. Recovery involves both short-‐term and long-‐term efforts. Short-‐term operations seek to restore vital services to the campus and provide for the basic needs of the community. Long-‐term recovery focuses on restoring the campus to its normal operating state. Examples of recovery programs include restoration of Health Science Center services, debris removal, restoration of utilities, mental health services and grief counseling, and reconstruction of damaged roads and buildings. Mitigation Hazard mitigation is sustained action taken to reduce or eliminate the risk to human life and property from hazards. Mitigation should be a pre-‐disaster activity, although mitigation may also occur in the aftermath of an emergency situation with the intent of avoiding repetition of the situation. Mitigation planning involves identifying hazards and risk, assessing the level of risk the community is willing to live with, and determining and implementing protective actions to reduce or eliminate risk the community is not willing to deal with. Typically, these actions are summarized in a hazard mitigation action plan which guides mitigation projects and future development within the community.


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Threat Levels General UNTHSC classifies emergencies using a three-‐level system, according to an increasing threat to safety, facilities and infrastructure, and operations on campus. The Threat Level will be determined by the EOC Leader who, in consultation with the UNTHSC Police Department (UNTHSCPD), UNTHSC Safety Office staff, or other appropriate campus entities, will consider whether the situation requires a high level of coordination to save lives, protect facilities and critical infrastructure, and/or maintain/resume normal operations. Levels can be distinguished by the level of coordination among campus departments and external organizations and agencies that is required to effectively manage the event. During response activities, the Threat Level may be adjusted as needed, reflecting an increased or lessened need for coordination. Note that on-‐scene emergency response activities will occur regardless of whether the threat level is changed to ‘Yellow’ or ‘Red’. Green No activation of the EOC On a daily basis, the campus Threat Level is at ‘Green’. Minor incidents may occur but response services (e.g., police, fire, etc.) are able to deal with them without activation of the EOC. Incidents may result in minor injury to members of the campus community and minor damage to Health Science Center facilities, and will likely affect only a localized segment of campus. Examples may include a minor building fire, power outage, or localized flooding of a building. Possible actions include:

• Response agency or appropriate department manages incident • Various elements of UNTHSC community may become involved as necessary • UNTHSC personnel will continue to monitor for changing conditions

Yellow Partial activation of EOC Level ‘Yellow’ emergencies are those in which emergency conditions may be present, and some level of coordination is necessary to effectively manage the event. The emergency may result in injury to members of the campus community and/or minor to major damage to Health Science Center facilities. A level ‘Yellow’ emergency may affect one or more areas of the Health Science Center campus. Examples may include significant flooding on campus, confirmed spread of communicable disease on campus. Possible actions include:

• Part or all of EOC Team report to campus Emergency Operations Center as determined by the EOC Leader

• Emergency notification sent • Situation reports developed by EOC Team and disseminated daily or as needed • Health Science Center resources made available as necessary to manage the incident • Health Science Center activities continue to the extent that they do not conflict with

response operations • Request made for external assistance from local, state, and/or federal authorities


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Red Full activation of EOC Level ‘Red’ emergencies are those in which major emergency conditions are present. A high level of coordination is required to effectively manage the event. A level ‘Red’ emergency may result in mass casualties, major damage to several Health Science Center facilities and infrastructure, and significant disruptions to normal campus operations. The incident will likely not be localized to a single area and may affect the entire University. Examples may include tornadic activity on campus, an active shooter situation, or major hazardous materials spill on or near campus. Possible actions include:

• All EOC Team members report to Emergency Operations Center • Emergency notification sent • Situation reports developed by EOC Team and disseminated daily or as needed • Health Science Center resources made available to manage the incident • Postponement or cancellation of UNTHSC classes, programs, and/or activities • Request made for external assistance from local, state, and/or federal authorities


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Emergency Organization General To ensure efficient and effective response to and recovery from emergencies, UNTHSC builds on existing organizational structures by further defining the roles, responsibilities, and reporting relationships that the Health Science Center will utilize during emergencies. The emergency organization at UNTHSC is portrayed in Figure 1 Emergency Organization.

Figure 1. Emergency Organization

Policy Group The Policy Group is composed of the President, who is the chief official at the UNTHSC campus, and the Executive Team. The Policy Group provides strategic direction for UNTHSC and communicates directly with the EOC Leader. The line of succession for the President is specified in Appendix I: Lines of Succession.

Preparedness phase responsibilities: • Has ultimate responsibility for the safety of the campus community

Response and recovery phase responsibilities:

• Has ultimate responsibility for the effective and efficient management of an incident

• Makes determination regarding suspension of UNTHSC operations • Authorizes emergency expenditures • Informs Chancellor and Board of Regents of emergency situations


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EOC Leader The EOC Leader is a designee of the President. He/she communicates directly with the Policy Group during an emergency. For this reason, the EOC Leader should be an executive. The EOC Leader also communicates with the Incident Commander and provides leadership to the EOC Team. The line of succession for the EOC Leader is specified in Appendix I: Lines of Succession.

Preparedness phase responsibilities: • Co-‐chairs Emergency Management Advisory Committee • Provides guidance to the emergency management program


• Determines when to raise and lower the campus Threat Level • Directs Health Science Center-‐wide response and recovery activities • Has decision making authority, regarding the allocation of campus resources

during an emergency, through authority delegated by the President • Provides recommendations to the Policy Group regarding suspension of

UNTHSC operations EOC Team The EOC Team is led by the EOC Leader and staffed by various senior administrators on campus. It conducts operations from within an Emergency Operations Center. EOC Team members represent the emergency functions that will need to be accomplished during an emergency. EOC Team membership is specified in Appendix I: Lines of Succession. Various subject matter experts may be called upon to join the EOC Team as needed during an incident to serve specific purposes.

Preparedness phase responsibilities: • Receives training to enable the successful completion of responsibilities • Participates in emergency tests


• Supports the Incident Commander through allocation of campus resources, documentation of the incident, and maintenance of situational awareness

• Coordinates with other regional emergency operation centers, including the City of Fort Worth, Tarrant County, and Disaster District Committee

• Prepares public information to be disseminated to internal and external stakeholders

• Sends emergency notification to campus community in coordination with Incident Commander

• Coordinates with external stakeholders and partner agencies • Coordinates with campus departments • Provides guidance and support for the implementation of departmental

continuity plans UNTHSC Departments For the purposes of this plan, the term UNTHSC Departments encompasses all departments and other organizational units (e.g., programs, centers, institutes, etc.) at UNTHSC. During


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emergency operations, department heads will retain administrative control over their unit, personnel, equipment, and overall operation. Department heads will be succeeded in accordance with departmental guidelines.

Preparedness phase responsibilities: • Undertake continuity planning to enable operations to be maintained or resumed as

quickly as possible following an emergency • Develop plans, policies, and procedures to assist in the completion of tasks as

described in this plan • Maintain an inventory of all departmental assets, including all emergency contracts

entered into with private enterprises • Receive training to enable the successful completion of responsibilities • Participate in emergency tests


• Continue to provide services during an emergency to the extent possible • Support the EOC and the Incident Commander • Provide situation reports to the EOC as requested • Maintain accurate records of the use of all personnel, equipment, and supplies

during an emergency in accordance with the ‘Administrative Policies’ set forth in this plan

Incident Commander The first responder to arrive at the scene of an incident will establish Incident Command and will assume the position of Incident Commander. As an incident continues and escalates, the position of Incident Commander may be transferred to more experienced personnel. Assignment of this position will be dictated by the unique characteristics of the situation and will typically include representation from the City of Fort Worth Fire Department and/or the UNTHSC Police Department. If the emergency situation is outside the purview of either of these departments, the EOC Leader will appoint an Incident Commander for the emergency. In most cases, Incident Command will communicate directly with the EOC Leader. In situations where non-‐UNT personnel have assumed Incident Command, UNTHSCPD may serve as a proxy for Incident Command in interactions with the EOC Leader. Depending on the situation, the Incident Commander may conduct operations from an on-‐scene Incident Command Post, the campus Emergency Operations Center, or other location to be determined. Various functions of the Incident Command System may be split between the campus EOC and the on scene incident command post. The Incident Command System is described in Appendix F: NIMS Summary.

Response and recovery phase responsibilities: • Identifies the nature of the incident, the exact location, and the severity • Isolates the scene by establishing a perimeter • Develops an Incident Action Plan


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• Directs and controls on-‐scene response and manages resources committed there

• Warns the population in the area of the incident, providing emergency instructions to them

• Determines and implements protective measures (e.g., evacuation or shelter-‐in-‐place) for the population in the immediate area and for emergency responders at the scene

• Implements traffic control arrangements in and around the scene • Documents major activities of response personnel and man-‐hours spent on the

response • Briefs in-‐coming Incident Commander if transfer of command occurs • Establishes Unified Command when necessary • Requests activation of EOC when necessary

When EOC is activated:

• Provide the EOC with an initial situation report • Keep the EOC informed of the current situation through situation reports • Request additional resources from the EOC, as needed • Provide additional information to the Public Information Officer for media

release preparation


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Campus Safety Groups General In addition to the emergency organization described in previous pages, UNTHSC utilizes a number of groups to support campus safety efforts. The committees and teams described below serve unique purposes and each represents a wide swath of the campus community. Emergency Management Advisory Committee The Emergency Management Advisory Committee is charged with reviewing and evaluating emergency planning documents, including the UNTHSC EMP. The committee helps shape emergency planning efforts by providing feedback on initiatives undertaken by the Safety Office and by the EOC Team. The committee recommends planning documents to the President for approval. The membership of the committee is presented in Appendix J: Emergency Management Advisory Committee. Safety Committee The charge of the safety committee is to take a broad perspective and input from diverse groups to advise the President on safety matters. Radiation Safety Committee The institutional radiation safety committee oversees the safe use of radioactive materials and radiation producing devices at the Health Science Center in accordance with the institutional radioactive materials license and X-‐ray registration. The day-‐to-‐day operations of these programs are delegated to the radiation safety officer named on the license and registration. Institutional Biosafety Committee (IBC) The IBC oversees work with recombinant molecules, genetically modified organisms and microbiological safety in research laboratories of the Health Science Center. The day-‐to-‐day operations of the biosafety program are delegated to the Biosafety Officer. Infection Control Committee The Infection Control Committee oversees infection control issues related to clinical practice operations, and becomes involved when there are communicable disease incidents on campus. The day-‐to-‐day operation of the infection control program is delegated to the Infection Control Coordinator. Campus Security Report Team The Campus Security Report Team prepares the annually produced Campus Security Report required by The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act. This report includes information regarding Health Science Center safety and security policies, statistics, and educational efforts and programs designed to address campus safety, including a statement of current campus policies regarding emergency response and evacuation procedures.


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Plan Activation General In most cases, the UNTHSC Police Department (UNTPD) serves as the initial point of contact for reporting emergency situations and as the central point of communication during the response and resolution of an emergency. All reports of emergencies affecting the UNTHSC campus that are received by the City of Fort Worth dispatch are immediately relayed to UNTPD. In some cases, reports of non-‐security related emergencies may initially be received by other UNTHSC departments, such as outbreaks of contagious diseases, utility outages, and severe weather events. Activation When UNTHSCPD or other UNTHSC department receives an initial report of an event that is imminent or occurring on or near campus which threatens life, critical infrastructure, and/or normal campus operations, the affected department(s) will confirm the report and initiate any necessary response actions. If the affected department(s) determines that the event will require additional coordination across multiple departments, agencies, or other organizations, the departmental leadership will contact the EOC Leader. Upon discussing the situation with the affected department, the EOC Leader will consider whether the event will require a high level of coordination. If so, he/she may raise the campus Threat Level to ‘Yellow’ or ‘Red’ and initiate any of the following actions:

• Notify the President of the situation • Notify the Chancellor of the situation • Issuance of emergency notification messages as appropriate • Instruct appropriate members of the EOC Team to report to the emergency operations

center • Notify other appropriate departments of the situation •

If a decision is made for the campus Threat Level to remain at ‘Green’, affected UNTHSC departments will continue to monitor the situation for developments which may require an escalation to level ‘Yellow’ or ‘Red’. Deactivation When the EOC Leader determines that a high level of coordination is no longer needed, the campus Threat Level will return to ‘Green’, EOC Team members may return to their normal status, and the Emergency Operations Center will return to daily operating status. Note, however, that while the on-‐scene incident command operation is normally deactivated once the need for response has ended, continued activation of the EOC may be necessary to coordinate recovery activities. In recovery, the Emergency Operations Center may compile damage assessments, assess long term needs, manage donations, monitor the restoration of utilities, oversee access to damaged areas, and other tasks.


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Local, State, and Federal Assistance General Some emergencies may be of such an extent that UNTHSC’s own resources are inadequate to meet the demands of response and recovery activities. In such situations, UNTHSC will request emergency assistance from outside jurisdictions, agencies, and organizations. All external assistance furnished to the Health Science Center is intended to supplement Health Science Center resources and not substitute for such resources, which include mutual aid resources, equipment purchases or leases, or resources covered by emergency service contracts. Channels for requesting emergency assistance are portrayed in Figure 2 Emergency Assistance. Local Assistance Requests for resources from the on-‐scene Incident Commander will be routed to the UNTHSC Emergency Operations Center, the City of Fort Worth, or Tarrant County, depending on the situation. These groups will generally work together to resolve resource requests. UNTHSC must request assistance from the City and County before requesting aid from the State. The City or County Emergency Management Offices will facilitate the process of requesting aid from neighboring jurisdictions. State Assistance Requests for State assistance will be made to the Disaster District Committee (DDC) Chairperson who is the Department of Public Safety (DPS) Captain located at the district office in Hurst, Texas. State emergency assistance to local governments begins at the DDC level, and the key person to validate a request for, obtain, and provide that state assistance and support is the DDC Chairperson. The DDC Chairperson has the authority to utilize all state resources within the district to respond to a request for assistance, with the exception of the National Guard. Use of National Guard resources requires the approval of the Governor. The Disaster District staff will forward requests for assistance that cannot be satisfied within the District to the State Operations Center (SOC) in Austin, Texas. The District Coordinator will facilitate the process of requesting aid from the State. Federal Assistance If resources required to control an emergency situation are not available within the State, the Governor may request assistance from other states pursuant to a number of interstate compacts or from the federal government through the Federal Emergency Management Agency. For major emergencies and disasters for which a Presidential declaration has been issued, federal agencies may be mobilized to provide assistance to states and local governments. The National Response Framework describes the policies, planning assumptions, concept of operations, and responsibilities of designated federal agencies for various response and recovery functions. FEMA has the primary responsibility for coordinating federal disaster assistance. No direct


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federal disaster assistance is authorized prior to a Presidential emergency or disaster declaration, but FEMA has limited authority to stage initial response resources near the disaster site and activate command and control structures prior to a declaration. The Department of Defense has the authority to commit its resources to save lives prior to an emergency or disaster declaration.

Figure 2. Emergency Assistance


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Administrative Policies General The following sets forth general policies to ensure effective responses, timely resumption of campus operations, and efficient reimbursement of allowable expenses from state and federal authorities. Reporting Requirements

Hazardous Materials Spill Report If UNTHSC is responsible for a release of hazardous materials of a type or quantity that must be reported to state and federal agencies, the department or agency responsible for the spill shall make the required report in coordination with Risk Management Services. Departmental plans, policies, and procedures should specify the procedures for producing such reports. If the party responsible for a reportable spill cannot be located, the Safety Office will ensure that the required report(s) are made. Emergency Report If an on-‐going incident appears likely to worsen and it is anticipated that the Health Science Center will require assistance from neighboring jurisdictions and/or the state, the EOC will contact the District Coordinator. Situation Report During any occurrence for which the campus Threat Level is raised to ‘Yellow’ or ‘Red’, an initial situation report should be prepared by the EOC and distributed to the Policy Group and other appropriate members of the campus leadership. Subsequent reports will be prepared and disseminated as needed. Additionally, various campus departments may be asked to prepare and submit situation reports to the EOC when the campus Threat Level is elevated.

Agreements and Contracts Should Health Science Center resources prove to be inadequate during an emergency, requests will be made for assistance from neighboring jurisdictions, agencies, and private industry in accordance with existing mutual-‐aid agreements, contracts, and those agreements and contracts entered into during the emergency. Such assistance may include equipment, personnel, services, or supplies. When developing agreements and contracts, the following guidelines should be adhered to:

• All agreements should be in writing • Agreements and contracts should identify the local officials authorized to request

assistance pursuant to those documents • Advice offered by Office of General Council will be an integral component of any mutual

aid agreements The agreements and contracts pertinent to emergency management that UNTHSC is party to are summarized in Appendix H: Summary of Agreements and Contracts.


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Funding for Emergency Response During the preparedness phase, the UNTHSC Police Department and emergency management staff coordinate with appropriate campus entities to acquire resources for preventing emergencies, such as security equipment, and resources for responding to emergencies, such as communications equipment. During the response to and recovery from an emergency, UNTHSC departments are expected, to the extent possible given the unique circumstances of a given emergency, to continue providing services and are responsible for the associated costs of doing so. As noted below, departments must keep detailed records of all costs incurred during an emergency. Resource needs for response and recovery activities that a department cannot meet on its own should be directed to the EOC. The EOC Leader, in coordination with the Policy Group, will determine available funding for making additional emergency expenditures. Record Keeping Each UNTHSC department is responsible for establishing the administrative controls necessary to manage the expenditure of funds and to provide reasonable accountability and justification for expenditures made to support emergency operations. This shall be done in accordance with established Health Science Center fiscal policies and standard cost accounting procedures.

Activity Logs The Incident Commander and the EOC will maintain accurate logs recording key response activities, including:

• Activation or deactivation of emergency facilities • Emergency notifications to other local governments and to state and federal

agencies • Significant changes in the emergency situation • Major commitments of resources or requests for additional resources from

external sources • Issuance of protective action recommendations to the public • Number of injuries and/or casualties • Containment or termination of the incident

Emergency Costs All departments will maintain records summarizing the use of personnel, equipment, and supplies during the response to day-‐to-‐day incidents to obtain an estimate of annual emergency response costs that can be used in preparing future department or agency budgets. For emergencies, all departments participating in the emergency response shall maintain detailed records of costs for emergency operations to include:

• Personnel (especially overtime costs) • Equipment operations • Leased or rented equipment


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• Contract services to support emergency operations • Specialized supplies expended for emergency operations

These records may be used to recover costs from the responsible party or insurers or as a basis for requesting financial assistance for certain allowable response and recovery costs from the state and/or federal government. Preservation of Records In order to continue normal Health Science Center operations following an emergency, vital records must be protected. All UNTHSC departments are required to undertake departmental continuity planning. This is described in more detail in the ‘Continuity Planning’ emergency function of this plan.


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Emergency Functions General During most emergencies, certain functions will need to be carried out to support the University’s response. Emergency functions will be carried out using a team approach. This section outlines some of the general responsibilities of departments and external agencies for the completion of emergency functions. The UNTHSC EMP is based upon the concept that the emergency functions that must be performed by UNTHSC departments generally parallel some of their normal day-‐to-‐day functions. To the extent possible, the same personnel and material resources used for day-‐to-‐day activities will be employed during emergency situations. Units that have been assigned responsibility for performing an emergency function must develop or participate in the development of any plans, policies, and procedures necessary to support the completion of the stated capability. Any plans, policies, or procedures that are produced will be held, maintained, and updated by the responsible department and a copy will be provided to emergency management staff (with the exception of UNTHSC Police Department General Orders which will be maintained internally by that department). Format The pages that follow are descriptions of the emergency functions that UNTHSC will perform during emergency response. The key terms used in each function are defined as follows:

General defines the function and describes assumptions about the operational capabilities of involved departments. Coordinating Departments/Agencies describes the primary UNTHSC departments and external agencies that are involved in carrying out the function. Tasks describes the primary tasks to be carried out by coordinating departments and agencies. Supporting Plans, Policies, and Procedures lists the documents that UNTHSC uses to implement the tasks that will be carried out

Emergency Function: Warning

General During or immediately prior to an emergency situation it may, depending on the unique characteristics of the emergency, be necessary to send emergency notification to the campus community, providing guidance on the appropriate actions that recipients should take in response. When an Authorized Official2 receives an initial report of an imminent or already occurring situation that poses an immediate threat to life, safety, or security on 2Authorized Officials, including titles and responsibilities, are described in depth in the Emergency Notification Protocol.


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campus, he/she will seek additional information to confirm the report. Following confirmation, the Authorized Official will determine the appropriate message content, providing at a minimum the nature of the threat, the location of the threat, and actions that should be taken by affected or potentially affected populations. Based on the nature of the threat, the Authorized Official will determine the segment(s) of the campus community to receive emergency notification and the appropriate tools to communicate that threat. The Authorized Official will then approve the issuance of notification and either issue the notification message or contact a trained user of the notification system to issue the message.

The City of Fort Worth may utilize its own warning systems (e.g., outdoor warning sirens and/or Nixle messages (http://www.nixle.com), free, but sign-‐up is required) as needed to warn members of the Fort Worth community, which includes the UNTHSC campus. Coordinating Departments/Agencies UNTHSC Police Department Marketing and Communications Safety Office

Tasks

• Confirm that there is a significant emergency or dangerous situation • Develop the content of emergency notification messages • Determine the appropriate segment(s) of the campus community to receive

warning • Disseminate emergency notification messages • Provide updates to the campus community as needed • Notify appropriate members of the UNTHSC campus leadership • Periodically test emergency notification systems

Supporting Plans, Policies, and Procedures

• Emergency Notification Protocol


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Emergency Function: Public Information

General Regular updates of emergency response activities will be provided to internal and external stakeholders during emergency response operations. Groups requiring information may include students, faculty, staff, parents, and the media. If the EOC is activated, a member of URCM will report to the Emergency Operations Center and serve as the Public Information Officer for the emergency. From that location, the Public Information Officer will coordinate with the Emergency Operations Center and the Incident Commander to develop and disseminate public information messages to all internal and external stakeholders. Depending on the need, a number of vehicles may be used to disseminate information. Certain methods will require a number of departments to work together to ensure their success, such as the use of call centers, certain websites, media center, etc. Coordinating Departments/Agencies Marketing and Communications Tasks

• Gather and disseminate emergency public information • Hold news briefings and issue news releases as needed • Establish and supervise a public information center when needed for the

dissemination of information and coordination of timely news releases to the media

• Coordinate between the news media and agencies having emergency functions

• Establish and maintain a system for handling public inquiries as appropriate • Secure printed and photographic documentation of the situation for Health

Science Center records, internal communication, and dissemination to the public

• Coordinate public information activities with regional partners, including the City of Fort Worth and Tarrant County

Supporting Plans, Policies, and Procedures Marketing and Communications Communication Plan


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Emergency Function: Communications General Various types of communications links will be relied upon to transmit data and other forms of information during an emergency. However, emergencies may render these links unavailable for a period of time. If this occurs, it will become necessary to temporarily use other forms of communication and simultaneously coordinate efforts to restore the links. In the event of a failure of UNT’s communication systems, Information Technology Services (ITS) may collaborate with external parties to determine if a third-‐party system is available and configurable to work within UNTHSC’s existing communications infrastructure. Coordinating Departments/Agencies Information Technology Services UNTHSC Police Department Tasks

• Establish and maintain communication links with area response organizations during an event

• Identify the communications systems available within the local area and determine the connectivity of those systems

• Develop plans and procedures for coordinated use of the various communications systems available to the Health Science Center during emergencies, including telecom and datacom capabilities

• Recover campus telecommunications and data communications capabilities if disrupted

• Assist with activation of emergency operations center through supporting technologies, including telecommunications and data communications capabilities

• Maintain information technology security of core enterprise business functions Supporting Plans, Policies, and Procedures Information Technology Disaster Recovery Plan UNTHSC Police Department General Orders


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Emergency Function: Emergency Operations Center General During emergency situations which require a high level of coordination, it may be necessary to activate the EOC to manage the campus response. The EOC will be activated at a level (Yellow or Red) necessary to carry out the tasks that must be performed. The EOC Team members will report to and work in an established Emergency Operations Center. The primary campus Emergency Operations Center (EOC) will be located in the Police Department Building, conference room. The backup location is in the Gibson D. Lewis Library, room 116A. The EOC Team will be led by the EOC Leader. Emergency functions will be carried out through the collaborative interaction of EOC Team members from within the Emergency Operations Center. The EOC will coordinate with and support campus departments, both making and receiving requests for various resources and services. The EOC will also coordinate with and support the Incident Commander. The Incident Commander will send information to the EOC as well as make various resource requests, which the EOC will attempt to fill. When resource requests received from campus departments or the Incident Commander cannot be filled through available campus resources, the EOC will coordinate with agencies and organizations outside the Health Science Center to make the necessary acquisitions. Coordinating Departments/Agencies EOC Team Tasks

• Convert the designated facility space into an operational Emergency Operations Center

• Monitor potential threats • Support on-‐scene response operations • Maintain situational awareness of event • Analyze problems and formulate options for solving them • Receive, compile, and display data on the emergency situation and resource

status and commitments as a basis for planning • Establish policies and priorities for the use of resources • Maintain coordination with regional emergency operations centers • Gather, evaluate, and disseminate information to the public • Prepare and disseminate periodic reports • Request external assistance when necessary from other jurisdictions, volunteer

organizations, businesses, or the State as needed Supporting Plans, Policies, and Procedures None


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Emergency Function: Evacuation General During an emergency situation, circumstances may necessitate that a building, segment of campus, or the entirety of campus be evacuated in order to protect the lives of campus occupants. All occupants of campus property are expected to evacuate when instructed to do so by emergency personnel, including UNTHSCPD, Safety Office, City of Fort Worth Fire Department or City of Fort Worth Police Department. Building occupants will require guidance from emergency responders on the proper actions to take and when it is safe, if at all, to re-‐enter. Coordinating Departments/Agencies UNTHSC Police Department Safety Office City of Fort Worth Fire Department City of Fort Worth Police Department Tasks

• Order, when necessary, the evacuation of specific buildings, segments of campus, or the entire campus

• Coordinate campus evacuation, when necessary, including route selection and determination of traffic control requirements

• Utilize building specific evacuation plans, including identifying evacuation routes and designating congregating locations for building occupants

• Perform evacuation planning for special needs facilities and populations Supporting Plans, Policies, and Procedures None


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Emergency Function: Shelter and Mass Care General Following an emergency, the need may arise for UNTHSC to provide basic medical care to various populations including citizens of the City of Fort Worth, or evacuees from disasters affecting other areas of the country (e.g., evacuees of hurricanes affecting the Gulf Coast). Additionally, UNTHSC may be called upon to support data infrastructure at nearby large venues used by other organizations for shelters.

Efforts to provide these services to large numbers of people will require a high level of coordination from a diverse range of departments and agencies. Coordinating Departments/Agencies UNT Health Information Technology Services UNT Police Department Safety Office Facilities Management Office of Student Affairs Fort Worth Emergency Management, Tarrant County Public Health, Tarrant County Emergency Management Tasks

• Coordinate with all involved UNTHSC departments, relief agencies, and volunteer groups

• Coordinate with Fort Worth Emergency Management and Tarrant County Public Health to support shelter operations in Tarrant County

Supporting Plans, Policies, and Procedures North Texas Hurricane Evacuation Shelter Operations Plan


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Emergency Function: Medical Care and Mental Health General Some emergencies will result in the need for medical care and/or mental health services to be provided to affected populations. UNT Health and The Student Assistance Program (SAP) are equipped to provide basic health care services to enrolled students including acute care for accidental injuries, basic diagnostic x-‐rays, and psychological services. During a mass casualty incident, UNT Health will provide care to ambulatory patients including students. UNTHSC relies on the City of Fort Worth Fire Department to provide emergency medical services to the campus community.

Mental health services, including grief counseling, will be provided to UNTHSC students through the joint efforts of UNT Health and the SAP. The Tarrant County Public Health Department assists the UNTHSC campus by providing health and medical advice and assistance during emergency situations, when requested. This may include conducting epidemiological and disease investigation surveillance as appropriate and coordinating and conducting Point of Dispensing Sites throughout Tarrant County. Coordinating Departments/Agencies UNT Health Student Assistance Program Human Resources Safety Office City of Fort Worth Fire Department Tarrant County Public Health Department Texas Department of State Health Services Tasks

• Coordinate emergency medical services when necessary • Triage victims at the site of a mass casualty incident • Coordinate the provision of mental health services, including grief counseling • Coordinate the collection, identification, and interment of deceased victims • Coordinate with Tarrant County Health Department and Texas Department of

State Health Services for management of public health concerns

Supporting Plans, Policies, and Procedures Fort Worth Emergency Plan Health and Medical Annex


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Emergency Function: Law Enforcement General Most emergency situations involve a law enforcement component. The UNTHSC Police Department is the primary provider of law enforcement services to the UNTHSC campus. UNTHSCPD has a mutual aid agreement with local law enforcement for the investigation of alleged criminal offenses and maintains liaison with state and federal law enforcement agencies in support of campus security and safety efforts. Coordinating Departments/Agencies UNT Police Department Tasks

• Maintain law and order • Respond to emergencies which pose a threat to the health and safety of the

campus community • Perform traffic control for evacuations and other appropriate situations • Control access to damaged areas to protect public health and safety and

deter theft • Provide security for emergency meeting locations, including the campus

Emergency Operations • Center, Incident Command Post, media briefing locations, temporary call

centers, and shelters • Request additional resources from neighboring law enforcement

jurisdictions, including the City of Fort Worth Police Department as needed pursuant to inter-‐local agreements

Supporting Plans, Policies, and Procedures UNTHSC Police Department General Orders


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Emergency Function: Fire General Any fire may result an emergency situation. However, the need for fire control may be caused by or exacerbated by other emergencies that are occurring simultaneously or have already impacted the area. UNTHSC is not equipped to provide fire services related to emergency response. The City of Fort Worth Fire Department provides fire services to the UNTHSC campus, including fire suppression, hazardous materials response, emergency medical services, and search and rescue. A variety of campus departments are capable of supplementing fire response efforts. The Safety Office and Facilities Management will provide building specific information to the City of Fort Worth Fire Department, including the presence of hazardous materials, as needed. The Safety Office will also investigate and collect data on the cause of fires at the UNTHSC campus and report fires to the State Fire Marshall’s office. Facilities Management will maintain all fire systems equipment, including sprinklers, alarms, and extinguishers. Facilities Management will also provide building specific information, such as building schematics, to the City of Fort Worth Fire Department as requested. The UNTHSC Police Department will assist the City of Fort Worth Fire Department in determining appropriate protective actions and will provide perimeter access control and security around the site. All occupants of campus property are expected to evacuate when instructed to do so by emergency personnel, including UNTHSC Police Department, Safety Office, or City of Fort Worth Fire Department. Building occupants will require guidance from emergency responders on the proper actions to take and when it is safe, if at all, to re-‐enter. Coordinating Departments/Agencies Safety Office, Facilities Management UNTHSC Police Department City of Fort Worth Fire Department Tasks • Determine appropriate protective actions to ensure public safety in the immediate

vicinity of a threat, including evacuation • Assess threats and determine appropriate actions for emergency responders,

including requirements for personal protective equipment • Control access and provide security around the incident site • Contain, control, and extinguish fires on the UNTHSC campus

Supporting Plans, Policies, and Procedures City of Fort Worth Emergency Management Plan


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Emergency Function: Search and Rescue General Certain types of emergencies, such as tornados, floods, earthquakes, and explosions, may subject campus buildings to severe structural damage and could result in injured people trapped in the damaged and/or collapsed structures. A trained, equipped, and organized rescue service will provide the capability to conduct methodical search and rescue operations, shore up and stabilize weakened structures, release trapped persons, and locate any missing and dead. UNTHSC is not equipped to perform search and rescue operations. UNTHSC depends on the City of Fort Worth to perform search and rescue in campus buildings. A variety of campus departments are capable of supplementing search and rescue efforts. The Safety Office will provide building specific information, such as the presence of hazardous materials and building schematics, to the City of Fort Worth Fire Department as requested. Facilities Management will also provide personnel assistance and equipment support as requested. The UNTHSC Police Department will assist the City of Fort Worth Fire Department in determining appropriate protective actions and will provide perimeter access control and security around the site. Coordinating Departments/Agencies Safety Office Facilities Management UNTHSC Police Department City of Fort Worth Fire Department Tasks

• Determine appropriate protective actions to ensure public safety in the immediate vicinity of a threat, including evacuation

• Coordinate and conduct search and rescue activities on the UNTHSC campus • Identify requirements for specialized resources to support rescue operations • Coordinate external technical assistance and equipment support for search and

rescue operations

Supporting Plans, Policies, and Procedures City of Fort Worth Emergency Management Plan


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Emergency Function: Facility Maintenance General UNTHSC maintains a variety of facilities, including classroom, ambulatory care, research and administration buildings. Emergency events may cause damage to campus roads and/or facilities and may render utilities in these facilities unavailable. UNTHSC facilities are maintained by Facilities Management. UNTHSC buys electricity by contract from available suppliers. The City of Fort Worth provides water and waste water removal to the UNTHSC campus. Natural gas is supplied to the UNTHSC campus by a commercial provider under contract. During and/or following an emergency which has or threatens to disrupt service, Facilities Management will coordinate with the City of Fort Worth and commercial providers to ensure continuity of service. Coordinating Departments/Agencies Facilities Management Tasks

• Provide temporary repair of damaged facilities • Provide for the restoration of building systems • Coordinate inspections of facilities • Coordinate the restoration of utility service to facilities • Provide specialized equipment to support emergency operations as

requested • Coordinate the restoration of damaged Health Science Center roads • Supply emergency generators with fuel to ensure continued operation of

critical data and voice communication services Supporting Plans, Policies, and Procedures None


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Emergency Function: Chemical Response General Hazardous chemicals are those chemicals, chemical mixtures, and other chemical products determined by the Occupational Safety and Health Administration (OSHA) and the Environmental Protection Agency (EPA) regulations to pose a health hazard. An accidental chemical release could pose a threat to the local population or environment. An incident may be caused by or occur during another emergency, such as flooding, a major fire, or a tornado. Response to chemical incidents on the UNTHSC campus will be handled jointly by several UNTHSC departments and external agencies. Typically, UNTHSC will respond to, treat, and remove chemical spills that are less than 5 gallons of a liquid, 5 pounds of a solid, or gases that will require scrubbing. UNTHSC relies on the City of Fort Worth Fire Department to respond to chemical spills that have exceeded UNTHSC’s capacity to manage effectively. When the City of Fort Worth Fire Department has responded to a chemical spill, the Safety Office will support response efforts by providing technical expertise as needed. The UNTHSC Police Department will assist by performing perimeter access control when necessary based on recommendations provided by the Safety Office and/or the City of Fort Worth Fire Department. Coordinating Departments/Agencies Safety Office UNTHSC Police Department City of Fort Worth Fire Department Tasks

• Respond to, treat, and remove spills • Establish incident response functional areas (e.g., hot zone, cold zone, etc.) • Determine areas at risk and areas for which protective actions may be

implemented • Determine and implement personal protective equipment requirements for

response personnel • Determine when affected areas are safe for re-‐entry and occupancy • Submit required incident reports, including reporting to the TCEQ those

chemical spills that enter storm sewers and/or pass the threshold established by the EPA

Supporting Plans, Policies, and Procedures Chemical Hygiene Plan City of Fort Worth Emergency Management Plan


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Emergency Function: Biological Response General Biological hazards are those viruses, bacteria, parasites and macromolecules that can cause illness or death in people, animals, or plants. Biological agents can be spread through the air, through water, contact with contaminated surfaces or in food. An accidental biological release could pose a threat to the local population or environment. An incident may be caused by or occur during another emergency, such as flooding, a major fire, or a tornado. For research activities, UNTHSC has appointed a Responsible Official and communicated this information to The Centers for Disease Control and Prevention (CDC). The Responsible Official serves as the point of contact with the CDC. The institution has appointed a biosafety officer and an Institutional Biosafety Committee (IBC). The Responsible Official and the biosafety officer are members of the Office of Research and delegate the day-‐to-‐day operations of the biosafety program to the biosafety officer. For ambulatory care settings, UNTHSC has appointed an Infection Control Committee and one member serves as the clinical infection control coordinator. The UNTHSC Police Department will assist by performing perimeter access control when necessary based on recommendations provided by the biosafety Officer, clinical infection control coordinator or the head of the Safety Office. UNTHSCPD will notify the designated Responsible Official of incidents which fall within the purview of the Responsible Official. Coordinating Departments/Agencies UNT Health Office of Research Safety Office UNTHSC Police Department Tasks

• Maintain inventory of emergency response equipment and report to CDC • Respond to requests to remove biological materials • Neutralize biological materials according to appropriate procedures for agent, if

necessary • Dispose of biological materials • Determine when affected areas may be safe for re-‐entry • Submit required incident reports to CDC • Notify the Responsible Official of incidents which fall within the purview of his

responsibility Supporting Plans, Policies, and Procedures Biosafety Manual Laboratory-‐specific biosafety plans for work at BSL-‐2 and BSL-‐2+ UNT Health infection control policies


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Emergency Function: Radiological Response General Radiological materials are hazardous materials that are subject to a number of specific state and federal laws and regulations that control the handling and use of such materials. While a nuclear attack against the United States is considered highly unlikely and the deliberate release of radioactive materials by criminals or terrorists in the local area is possible but considered unlikely, UNTHSC is susceptible to accidents involving radioactive materials and may experience radiological emergency situations. The Texas Department of State Health Services (TDSHS) has named two Radiation Safety Officers (RSO) for UNTHSC to serve as the point of contact for reporting radiological hazard information. The RSO who supports the biomedical research activities is a member of the Safety Office. The RSO who supports the nuclear medicine activity of UNT Health is a physician in UNT Health. The City of Fort Worth Fire Department will respond to radiological incidents with appropriate response and detection equipment when requested by UNTHSC personnel, and will request assistance from neighboring jurisdictions as necessary. The UNTHSC Police Department will assist by performing perimeter access control when necessary based on recommendations provided by the Safety Office. UNTHSCPD will notify the designated Radiation Safety Officers of incidents that fall within the purview of thier responsibility. Coordinating Departments/Agencies Safety Office UNT Health UNTHSC Police Department City of Fort Worth Fire Department Texas Department of State Health Services Tasks

• Maintain inventory of radiological equipment • Ensure response personnel have current training in radiological

monitoring, containment, and decontamination • Respond to radiological incidents involving radiological materials • Determine areas at risk and areas for which protective actions may be

implemented • Determine when affected areas may be safe for re-‐entry • Submit required incident reports to Texas DSHS

Supporting Plans, Policies, and Procedures Radiation Safety Manual (research) Human Use SOPs for Nuclear Medicine City of Fort Worth Emergency Management Plan


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Emergency Function: Resource Management General Effective resource management is required in all types of emergency situations – from incidents handled by one or two emergency departments, to emergencies that require a response by multiple departments and agencies, to catastrophic incidents that require extensive resource assistance from the state and/or federal government for recovery. For some emergency situations, available Health Science Center resources will be insufficient for the tasks that may have to be performed. Therefore, other resources may have to be diverted from their day-‐to-‐day usage to emergency response. Additionally, we may have to request resources from other jurisdictions or the state and it may be necessary to rent or lease additional equipment and purchase supplies in an expedient manner. Difficulty may be encountered in attempting to locate and procure resources. As a result, it is necessary to establish processes and procedures to ensure departments are able to provide the necessary logistical and resource support to the Health Science Center response. Additionally, in order to make the most efficient use of the resources UNTHSC has at its disposal, it is necessary to establish a means of managing and tracking the use of resources during emergencies. Coordinating Departments/Agencies Business Service Center (BSC) Community Engagement Finance Facilities Management Student Affairs Tasks

• Identify resource needs and relay them to the appropriate department • Establish staging areas for resources if required • Establish emergency purchasing procedures and coordinate emergency

procurements • Develop a comprehensive list of available campus assets and resources,

including personnel, supplies, and equipment • Maintain a list of suppliers for supplies and equipment needed immediately in

the aftermath of an emergency • Track the use of resources during an emergency in accordance with the policy

on record keeping as set forth in this plan • Manage a program of donation solicitation and volunteer recruitment and

management Supporting Plans, Policies, and Procedures

None


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Emergency Function: Continuity Planning

General All emergencies have the potential to render campus resources unavailable, including, but not limited to, telecommunications, data communications, buildings, and/or utilities. These disruptions would be detrimental to campus operations, such as education, research, security, and administrative functions. Continuity planning enables departments and other units to continue performing mission critical functions during an emergency and to quickly resume functions that have been disrupted. Each campus department or unit will identify key aspects of their operation, develop strategies for coping with events when they occur, and undertake preparations in advance. Emergency management staff in the Safety Office will manage the continuity planning program, assisting UNTHSC departments with the development, testing, and improvement of their continuity plans. Coordinating Departments/Agencies Safety Office Information Technology Services Finance Tasks

• Develop departmental continuity plans • Test and implement changes to departmental continuity plans • Coordinate the implementation of departmental continuity plans during an

emergency • Manage the technological aspects of the continuity planning program

Supporting Plans, Policies, and Procedures None


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Emergency Function: Recovery

General UNTHSC is at risk from a number of hazards that have the potential for causing extensive damage to property and other physical and social systems. Almost immediately following the impact of an emergency, it will be necessary for UNTHSC to begin undertaking recovery activities. As noted in the ‘Actions by Phase of Emergency Management’ section of this plan, recovery encompasses those activities necessary to return the community to normal following an emergency. Various types of state and federal assistance are available to UNTHSC in the form of operational support and financial reimbursement. In order to capitalize on available opportunities for assistance, UNTHSC will need to collect, compile, and assess information on damage estimates, financial impact, resource usage, and continuing resource needs. Damage assessment and other recovery operations may commence while some emergency response activities are still underway. Coordinating Department/Agencies BSC Facilities Management Finance Human Resources Safety Office Tasks

• Compile and assess information on resource usage from campus departments • Request, when necessary, state or federal assistance and coordinate with state

and federal agencies to carry out authorized recovery programs • Compile and assess information on the needs of disaster victims and formulate

programs to meet those needs • Compile and assess damage to UNTHSC property and provide the City of Fort

Worth and Tarrant County with the appropriate damage assessment reports and documentation

• Coordinate damage assessment efforts with state and federal damage assessment personnel who may be dispatched to assist

• Coordinate the removal of debris with appropriate contractors, City of Fort Worth officials, and other campus departments

• Maintain continuity of payroll processing services • Utilize consulting teams to assist affected departments determine and meet

staffing needs Supporting Plans, Policies, and Procedures None


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Emergency Function: Legal

General Legal issues requiring timely resolution may arise during preparedness, response, recovery, and/or mitigation activities and will require timely advice from legal professionals regarding the legality of proposed measures. Additionally, implementation of measures to protect public health and safety and preserve property during emergency recovery and mitigation activities generally require issuance of appropriate legal documents. These should be prepared by competent legal service professionals. Coordinating Departments/Agencies Office of General Counsel Tasks

• Brief campus officials on possible liabilities arising from emergency operations, procedures for invoking the emergency powers of System officials, and the required legal documents relating to emergency powers

• Prepare templates of necessary legal documents for use in emergency situations • Review applicable laws, regulations, executive orders, and declarations • Review mutual aid agreements submitted to the Health Science Center for

approval and prepare mutual aid agreements to be submitted to other jurisdictions for approval

• Advise campus officials on legal implications of various response and recovery activities

Supporting Plans, Policies, and Procedures

None


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Appendices


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Appendix A: Record of Changes Date Change Entered By Sections(s) Revised September 21, 2011 October 19, 2011

James Sims, Ph.D. James Sims, Ph.D.

All sections of this plan were revised Added Promulgation Letter (iii), Approval (v) and NIMS adoption letter Appendix E (p. 56)


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Appendix B: Glossary Disaster District Committee – Texas’ regional emergency management organizations that serve as the initial source of state emergency assistance for local governments and agencies, including universities. A Chairman, who is the local Texas Highway Patrol commander, directs each District. Disaster District Committees, consisting of state agencies and volunteer groups that have resources within the District’s area of responsibility, assist the Disaster District Chair in identifying, mobilizing, and deploying personnel, equipment, supplies, and technical support to respond to requests for emergency assistance from local governments and state agencies. Emergency – Any situation which requires highly-‐coordinated responsive actions to protect and save lives, protect critical infrastructure, and enable normal operations to be maintained or resumed as quickly as possible. Full-‐scale exercises – A multi-‐agency, multi-‐jurisdictional activity involving actual deployment of resources in a coordinated response as if a real incident had occurred. Characteristics of a full-‐scale exercise include mobilized units, personnel, and equipment acting in a stressful, realistic environment with scripted exercise scenarios. Functional exercises – A single or multi-‐agency activity designed to evaluate capabilities and multiple functions using a simulated response. Characteristics of a functional include simulated deployment of resources and personnel, rapid problem solving, and a highly stressful environment. Incident Action Plan – A verbal plan, written plan, or combination of both, that is updated throughout the incident and reflects the overall incident strategy, tactics, risk management, and member safety that are developed by the incident commander. Incident Command System – A management system designed to enable effective and efficient incident management by integrating a combination of facilities, equipment, personnel, procedures, and communications operating within a common organizational structure. Joint Information Center – A central point of contact for all news media near the scene of a large-‐scale disaster. News media representatives are kept informed of activities and events by public information officials who represent all participating Federal, State, and local agencies that are collocated at the JIC. Mutual-‐aid Agreement – A written agreement between agencies, organizations, and/or jurisdictions that they will assist one another on request by furnishing personnel, equipment, and/or expertise in a specified manner. District Coordinator – A member of the state of Texas emergency management organization who works closely with a given Disaster District Committee to facilitate the fulfillment of emergency resource requests from local governments and agencies, including universities.

Situational Awareness – Information gathered from a variety of sources that, when


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communicated to emergency managers and decision makers, can form the basis for incident management decision making. Situation Report – A brief report which summarizes confirmed information and details related to an incident. Contents often include background information on the incident; actions taken to date; and the current status or prognosis of the incident. Table top exercises – An activity that involves key personnel discussing simulated scenarios in an informal setting. Test – Regularly scheduled drills, exercises, and appropriate follow-‐through activities, designed for assessment and evaluation of emergency plans and capabilities. Each test must:

• Be scheduled. This means actual emergency situations or false emergency alarms do not serve as a test of the institution’s procedures.

• Contain drills. A drill is an activity that tests a single procedural operation (e.g., a test of initiating the emergency notification system or evacuating a building).

• Contain exercises. An exercise is a test involving coordination efforts (e.g., a test of the coordination of campus leadership and/or emergency responders).

• Contain follow-‐through activities. A follow-‐through activity is an activity designed to review the test (e.g., a survey or interview to obtain feedback from participants).

• Be designed for assessment of emergency plans and capabilities. This means tests should have measurable goals (e.g., each participant will understand his or her roles and responsibilities)

• Be designed for evaluation of emergency plans and capabilities. Tests should be designed in such a way so that using the assessments, it can be judged whether or not the test met its goals (e.g., the evacuation process accounted for/did not account for the diverse needs of all members of the campus community).


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Appendix C: Acronyms BSC Business Service Center CDC Centers for Disease Control and Prevention DPS Department of Public Safety DDC Disaster District Committee EMAC Emergency Management Advisory Committee EMP Emergency Management Plan EOC Emergency Operations Center EPA Environmental Protection Agency FEMA Federal Emergency Management Agency IBC Institutional Biosafety Committee ITS Information Technology Services NIMS National Incident Management System NGO Nongovernmental organizations OSHA Occupational Safety and Health Administration OGC Office of General Counsel RSO Radiation Safety Officer SOC State Operations Center DSHS Texas Department of State Health Services TDEM Texas Division of Emergency Management UNTHSC University of North Texas Health Science Center UNTHSCPD University of North Texas Health Science Center Police Department


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Appendix D: Distribution

General Hard copies of the UNTHSC EMP will be provided to Health Science Center and non-‐Health Science Center personnel who have a key role in the planning for and management of emergency situations. Health Science Center Personnel The following Health Science Center personnel will receive one hard copy of the UNTHSC EMP:

• The office of each member of the Executive Team • Each member of the Emergency Management Advisory Committee • Each member of the EOC Team

Non-‐Health Science Center Personnel The following non-‐Health Science Center personnel will receive one hard copy of the UNTHSC EMP:

• City of Fort Worth Emergency Management Coordinator • Tarrant County Emergency Preparedness Coordinator • Texas Division of Emergency Management District Coordinator


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Appendix E: NIMS Adoption Letter


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Appendix F: NIMS Summary General On February 28, 2003, the U.S. President issued Homeland Security Presidential Directive 5 (HSPD–5), “Management of Domestic Incidents,” which directed the Secretary of Homeland Security to develop and administer a National Incident Management System (NIMS). This system provides a consistent nationwide template to enable governments, nongovernmental organizations (NGOs), and institutions of higher education to work together. This consistency provides the foundation for utilization of NIMS for all incidents, ranging from daily occurrences to incidents requiring a coordinated Federal response.

As previously noted, UNTHSC has adopted NIMS as the standard for incident management and will adhere to the concepts, principles, and procedures included therein. NIMS Components NIMS is composed of five major components. Each of the components works together in a flexible, systematic manner to provide the framework for incident management. Preparedness Effective emergency management and incident response activities begin with a host of preparedness activities conducted on an ongoing basis, designed to prepare decision-‐makers, first responders, and citizens in advance of an emergency. Communications and Information Management Emergency management and incident response activities rely on communications and information systems that provide a common operating picture to all command and coordination sites. NIMS describes the requirements necessary for a standardized framework for communications and emphasizes the need for a common operating picture. Resource Management Resources are needed to support critical incident objectives. The flow of resources must be fluid and adaptable to the requirements of the incident. NIMS establishes a resource management process. Command and Management The Command and Management component of NIMS is designed to enable effective and efficient incident management and coordination by providing a flexible, standardized incident management structure. Ongoing Management and Maintenance The NIMS Integration Center provides strategic direction and oversight in support of routine review and continual refinement of both the system and its components over the long term. Incident Command System


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One of the organizational structures described in ‘Command and Management’ is the Incident Command System. This system works equally well for small incidents and large-‐scale emergency situations. The system has built-‐in flexibility to grow or shrink depending on current needs. It is a standardized system, so personnel from a variety of agencies and geographic locations can be rapidly incorporated into a common management structure. The system can be used to manage emergency incidents or non-‐emergency events, such as sporting events and celebrations. The generic positions in the Incident Command System are portrayed in Figure 3 Incident Command System and described below. Only those positions necessary to manage the incident will be filled at the discretion of the Incident Commander. Various positions and functions in this system may be split between the on-‐scene Incident Command Post and the EOC.

Figure 3 Incident Command System

The Incident Commander is responsible for management of the incident and sets incident objectives and priorities. The Public Information Officer collects and disseminates information to the general public. The Safety Officer works with the Incident Commander to ensure the safety of responders.


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The Liaison Officer coordinates the actions of cooperating organizations. The Operations Section conducts tactical operations to carry out the Incident Action Plan. It also develops the tactical objectives and organization and directs resources on-‐scene. The Planning Section develops the Incident Action Plan to accomplish established objectives; collects and evaluates incident-‐related information; and maintains the status of all resources. The Logistics Section acquires resources and all other services needed to support management of the incident. The Finance/Administrative Section monitors costs related to the incident and performs accounting, procurement, and time recording. Unified Command Unified Command is a variant of the Incident Command System used when there is more than one agency or jurisdiction with responsibility for an incident or when personnel and equipment from a number of different agencies or jurisdictions are responding to it. This might occur when the incident site crosses jurisdictional boundaries. The UNTHSC Police Department and City of Fort Worth Fire Department commonly form ‘Unified Command’ to manage incidents on the UNTHSC campus. The major change from a normal Incident Command System structure is at the top of the organization. In Unified Command, senior representatives of each agency or jurisdiction responding to an incident collectively agree on objectives, priorities, and an overall strategy or strategies to accomplish objectives; approve a coordinated Incident Action Plan; and designate an Operations Section Chief. The Operations Section Chief is responsible for managing available resources to achieve objectives. Agency and jurisdictional resources remain under the administrative control of their agencies or jurisdictions, but respond to mission assignments and direction provided by the Operations Section Chief based on the requirements of the Incident Action Plan.


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Appendix G: NIMS Training General All staff with a role in emergency response and recovery are required to undergo training in the National Incident Management System to better enable them to integrate with on-‐scene emergency responders. Some training courses will be provided by emergency management staff, and others will be available online. Department directors or other unit leaders, in consultation with emergency management staff, will determine training requirements for staff. Training Requirements Training requirements are determined by the EOC Team organizational structure. Table 2: NIMS Training Matrix provides a summary of the training requirements for UNTHSC staff. Courses beginning with an ‘IS’ prefix are available at the FEMA Independent Study website. Courses beginning with an ‘ICS’ prefix will take place in a classroom setting, and emergency management staff will provide additional information regarding course availability to staff members who are required to participate. Table 2: NIMS Training Matrix

*General Personnel are individuals tasked with carrying out activities associated with a specific emergency function. This group does not typically operate within the EOC. Course Description IS-‐100.HE: Introduction to the Incident Command System for Higher Education – Introduction to the standardized, on-‐scene, and all-‐hazards organizational structure of the Incident Command System. IS-‐200.B: Incident Command System for Single Resources – Introduction on how to operate efficiently during an event within the Incident Command System. ICS-‐300: Intermediate ICS for Expanding Incidents – Advanced application of ICS that expands upon information covered in IS-‐100.HE and IS-‐200.B.


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ICS-‐400: Advanced ICS Command – Advanced application of ICS that expands upon information covered in ICS-‐300. IS-‐700.A: National Incident Management System – Introduction and overview to the systematic approach taken at all levels of government to prepare, mitigate, respond, and recover from complex incidents. IS-‐800.B: National Response Framework – Introduction to the concepts and principles of how the United States conducts an all-‐hazards emergency response. IS-‐701: Multiagency Coordination System – Introduction on how multiple agencies work together within the National Incident Management System. IS-‐702: Public Information Systems – Introduction to effective public information and the mechanisms available to organize, integrate, and coordinate information. IS-‐703: Resource Management – Introduction to systems used for inventorying, requesting, tracking, and dispatching resources within the National Incident Management System. IS-‐704: Communications and Information Management – Introduction to establishing and maintaining a common operating picture, which leads to effective communication and information management.


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Appendix H: Summary of Agreements and Contracts General The following is a summary of the agreements and contracts UNTHSC has entered into with external entities, including public, private, and non-‐profit organizations to provide equipment, personnel, supplies, or services during an emergency. Mutual Aid Agreements Description Summary of Provisions

Interlocal Agreement for Mutual Aid Law Enforcement

Officials Authorized to Implement

UNTHSC Chief Law Enforcement Officer or designee

Costs Responding parties waive the right to reimbursement by requesting aid from the other party

Copies Held By UNTHSC Police Department/City of Fort Worth Contracts A number of UNTHSC departments have entered into contracts with third-‐party entities to perform services, such as restoration services, debris removal, grief counseling, and hazardous material removal. These contracts are maintained by the department that is responsible for the service provided, and may be activated by the leadership in that department. Costs vary by contract. The department holds copies of contracts responsible for the service.


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Appendix I: Lines of Succession General Because of the unpredictable nature of emergencies, one or more members of the campus leadership may be unavailable during the immediate response. It is necessary to ensure that alternates have been pre-‐designated to fill key positions in the emergency organization so that response activities may proceed unhindered. Below is the line of succession for key positions in the emergency organization. President

1. President 2. Executive Vice President Clinical Affairs/President UNT Health 3. Provost and Executive Vice President for Academic Affairs 4. Vice President for Finance & CFO 5. Senior Vice President for Community Engagement 6. Vice President for Marketing and Communications 7. Vice Provost for Academic Affairs & Development 8. Vice President for Strategy & Measurement 9. Vice President for Human Capital Management 10. Vice President for Operations 11. Senior Associate General Counsel 12. Chief of Police

Supporting Roles to the President Succession, Current Incumbents

LEADER 1

Primary Secondary Tertiary Updated Jennifer Trevino Gayanne

Clemens Lori Fielding 17 Jul 2011

2 Robert Adams John Harman Jan Jowitt 3 Glenn Dillon Richard Kurz J.K. Viswanatha 22 July 2011 4 Jeff Scarpelli Kim Schaade -‐ 15 Jul 2011 5 Jean Tips Gary Grant Randy McGuffee 17 Jul 2011 6 Dana Russell Randy Sachs Nichole Lyons 25 July 2011 7 Lynley Dungan Anthony Tissera Bob Woelfel 14 July 2011 8 Douglas Mains Jeanie Foster -‐ 9 TBA Cassandara

Molavrh Marco Mendoza 16 Jul 2011

10 Jason Hartley Randall Christopher

Seth Willmoth 15 Jul 2011

11 Nancy Footer Renaldo Stowers Jenny Urquhart 21 July 2011 12 Laurie Crain Randy Rogers -‐ 19 July 2011


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EOC Leader Succession 1. Vice President for Operations 2. Vice President for Student Affairs 3. Executive Director of Facilities Management

EOC Team The EOC Team is composed of senior administrators or their designee from the following divisions, departments, and units:

• Facilities Management • Finance • Information Technology Services • Marketing and Communications • Office of General Counsel • Office of Research • Office of Student Affairs • Operations • Safety Office • UNT Health • UNTHSC Police Department


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Appendix J: Emergency Management Advisory Committee General The Emergency Management Advisory Committee (EMAC) is composed of senior administrators or their designee from the divisions, departments, or units listed below. The EMAC is co-‐chaired by the Vice President for Operations and the Chief of Staff in the Office of the President. Membership

• Facilities Management • Faculty Senate • Information Technology Services • Faculty research scientist • Finance • Human Capital Management • Marketing and Communications • Office of General Counsel • Office of the Provost • Office of the President • Office of Student Affairs • Operations • Safety Office • UNT Health • UNTHSC Police Department • UNT Emergency Management Coordinator


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Attachments


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