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CRISIS MANAGEMENT <NAME EVENT> STATUS REPORT & FORECAST

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Incident Date & Time: 6/21/2010 4:29 PM Affected OPCO/Facility/Department: OPCO/Facility Contact:

Office Phone: Mobile:

Date/Time of Initial Report: Updated as of Date/Time:

SITUATION UPDATE Business Interruption

DESCRIPTION / NATURE OF CASUALTIES Injured (# and employee, contractor general public):

Yes

Fatalities(# and employee, contractor general public):

No

Describe interruption, expected duration and continuity measures:

Missing (# and employee, contractor general public):

Media/Public Concern Yes

No

Provide additional details:

Additional Information :

DESCRIPTION / STATUS OF INCIDENT OR ISSUE (All known facts about the incident or issue. This information may be organized by site if more than one operating company/facility is affected.)

SUMMARY OF RESPONSE ACTIVITIES Response Underway Is the Incident Command Team engaged:

Yes

No

Is the Emergency Management Team engaged:

Yes

No

(Description of response actions to date)

Planned Response Actions (Description of planned actions)


EXTERNAL NOTIFICATIONS Agency

Contacted By

Date/Time

Name of Agency Contact

Actions/Next Steps

BUSINESS IMPACT SUMMARY Customer Demand Status

Product Demand Status

Continuity Options

CONSEQUENCE FORECAST Summary of Anticipated//Forecasted Business / Operational Impacts: (Include environmental, safety and security)

Summary of Anticipated/Forecasted Customer Impacts

Summary of Anticipated/Forecasted Legal, Financial and/or Reputational Impacts

Summary of Anticipated/Forecasted Vendor or Supplier Impacts


Crisis Mangement