Loading…

Schedule 1 - Alert Criteria

Criteria for Filing

 Criteria for Filing
EMERGENCY ALERT
File within 1 Hour

If any box 1-8 on the right is checked, this form must be filed within 1 hour of the incident; check Emergency Alert (for the Alert Status) on Line A below.







NORMAL REPORT
File within 6 Hours

If any box 9-12 on the right is checked AND none of the boxes 1-8 are checked, this form must be filed within 6 hours of the incident; check Normal Report (for the Alert Status) on Line A below.



SYSTEM REPORT
File within 1 Business Day

If any box 13-24 on the right is checked AND none of the boxes 1-12 are checked, this form must be filed by the later of 24 hours after the recognition of the incident OR by the end of the next business day. Note: 4:00pm local time will be considered the end of the business day. Check System Report (for the Alert Status) on Line A below.











If significant changes have occurred after filing the initial report, re-file the form with the changes and check Update (for the Alert Status) on Line A below.

The form must be re-filed within 72 hours of the incident with the latest information and Final (Alert Status) checked on Line A below, unless updated

Organization Filing

 Status A.    Alert Status Informational tooltip  
 Organization Filing Informational tooltip


C.    Address of Principal Business Office








Incident and Disturbance Data

Incident and Disturbance Data
D.    Geographic Area(s) Affected(County, State)  Informational tooltip
  

* Incident hours & minutes should be entered in military time, e.g. 19:12 Informational tooltip
Informational tooltip
G.   Did the incident/disturbance originate in your system/area? (check one) Informational tooltip

Informational tooltip

Zero
Unknown

Informational tooltip

Zero
Unknown

J.    Cause. Check if known or suspected Informational tooltip










 characters remaining

K.    Impact. Check all that apply Informational tooltip











 characters remaining

L.    Action Taken. Check all that apply Informational tooltip






 characters remaining