NIOSH Safety Checklist Program for Schools

Emergency Action Plan (template)

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Telephone Bomb Threat Checklist

INSTRUCTIONS: BE CALM, BE COURTEOUS. LISTEN. DO NOT INTERRUPT THE CALLER.
YOUR NAME: __________________________ TIME: _____________ DATE: ________________
CALLER'S IDENTITY SEX:
Male _____ Female ____ Adult ____ Juvenile ____ APPROXIMATE AGE: _____
ORIGIN OF CALL: Local __________ Long Distance ___________ Telephone Booth __________
VOICE CHARACTERISTICS		SPEECH		LANGUAGE
___ Loud	___ Soft	___ Fast	___ Slow	___ Excellent	___ Good
___ High Pitch	___ Deep	___ Distinct	___ Distorted	___ Fair	___ Poor
___ Raspy	___ Pleasant	___ Stutter	___ Nasal	___ Foul
___ Intoxicated	____________ Other	___ Slurred	____________ Other		__________ Other
ACCENT		MANNER		BACKGROUND NOISES
___ Local	___ Not Local	___ Calm	___ Angry	___ Factory	___ Trains
___ Foreign	___ Region	___ Rational	___ Irrational	___ Machines	___ Animals
___ Race		___ Coherent	___ Incoherent	___ Music	___ Quiet
		___ Deliberate	___ Emotional	___ Office	___ Voices
		___ Righteous	___ Laughing	___ Machines	___ Airplanes
				___ Street	___ Party
				___ Traffic	___ Atmosphere

BOMB FACTS

PRETEND DIFFICULTY HEARING - KEEP CALLER TALKING - IF CALLER SEEMS AGREEABLE TO FURTHER CONVERSATION, ASK QUESTIONS LIKE:

When will it go off? Certain Hour?
Time Remaining?
Where is it located? Building Area?
What kind of bomb?
What kind of package?
How do you know so much about the bomb?
What is your name and address?

If building is occupied, inform caller that detonation could cause injury or death.

Activate malicious call trace: Hang up phone and do not answer another line. Choose same line and dial *57 (if your phone system has this capability). Listen for the confirmation announcement and hang up.

Call Security at __________ and relay information about call.

Did the caller appear familiar with plant or building (by his/her description of the bomb location)? Write out the message in its entirety and any other comments on a separate sheet of paper and attach to this checklist.

Notify your supervisor immediately.