Form FEMA Form 142-1-3 FEMA Form 142-1-3 Pine Bluff Site Survey

DEPARTMM OF HOMELAND SECURCIY
FEDERAL EMERGENCY MANAGEMENTAGENCY
PINE BLUFF SITE SURVEY

OMB.Control No. 16660057
Ewplres April 30,2008

CSEPP Public Affairs IPTQuestionnaire
PAPERWORK BURDEN DISCLOSURENOTICE
Public repaning burden for thls brm is estimated to awrage 2 5 houn per response. The burden estlrnate Includes the tlrne for rwlewing instwtlons,
searching exlsting data sources gathering and malntalning the data needed and completlng and submitting this form. You are not required to respond to
thb coii@don of informatton unless It dhplays a valtd OM8 cantfol number. Send c
m regarding the accuracy of the burden a t m a t e and any
suggMiorufor rcdudng the burden to: Information C n U e c t i i Managemenf Dcpartmrat d t + m w h d Secudty. Federal Emergenry Management Agency,
SOU C Street, SW, Washington, DL 20472, and Papewark Reduction Pmject (166(MO57). Note: Do not rend your cornplatadform to thls mddrur.

General Introduction. ..

SI.

Hello, this is (FIRST AVD LAST NAME) of CR Dynamics, working with the Federal

Emergency Management Agency on behalf of your local emergency preparedness
providers. We are not selling anything. We are conducting a survey among people living
near the Pine Bluff Arsenal. This survey has been approved by the Office of
Management and Budget (OMB)and bas an estimated response time of 10 to 15 minutes.
Your participation is strictly voluntary. Do you have a few minutes to answer a few
questions'?

S2.

IF YES: Are you 1 8 years of age or older?

S3.

IF YES: Start Survey. IF NOT:Is there someone else I can talk to who is 18 years of
age or older? IF UNAVAILABLE SCHEDULE CALLBACK AND TERMINATE.

S4.

What county do you live in? (VERIFY NAME OF COUNTY PROVIDED BY FITS
CODE)

Arkansas
Cleveland
Dallas
Grant

Jefferson
Lincoln
Lonoke
Pulaski
Saline
None of the above counties TERMINATE CALL

S5.

What city. town, or community do you live in or closest to?

IF RESPONSE IS NOT ON THE COUNTY LIST, READ THE LIST
Arkansas County

PAZ
1.
2.
3.

Goldrnan
Humphrey

Vallier

Outside PAZ.. .......................Terminate call
4.
FEMA Form 142-1-3

Almyra

5.
6.
7.
8.
9.
10.
11.

Bayou Meto
Casscoe
De Witt
Gillett
Hagler
Lodge Corner
Stuttgart

Cleveland County

PAZ

201.
202.
203.
204.
205.
206.
207.
208.
209.
210.
21 1.
212.
213.

Canoe Landing
Calmer
Eunice
Friendship
Gum Springs
Kedron
Kingsland
Mount Zion
Oak Grove
Rison
Staves
Toledo
White Oak Bluff

Outside PAZ. ........................Terminate call
214. Mount Elba
2 15. New Edinburg
216. Rowel1
217. Rye

Dallas County
pAz
301. Bunn
302. Carthage
303. Cooney
304. Farindale
305. Tulip
Outside PAZ. ........................Terminate call
306. Dalark
307. Fairview
308. Fordyce
309. Holly Springs
310. Ivan
31 1. Manning
3 12. Ouachita
3 13. Princeton

314.
3 15.
316.
317.

Ramsey
Sparkman
Wave
Willow

Grant County
40 1.
402.
403.
404.
405.
406.
407.

Center Grove
Clear Lake
Ebb

Junet
Orion
Prague
Walnut Ridge

Belfast
Brush Creek
Buie
Cane Creek
Crossroads
Deek Creek
Dogwood
Fenter
Grapevine
Lamont
Leola
Lenham
Poyen
Prattsville
Sheridan
Stabtown
Summerville Ford
Thiel
Tull

Jefferson County

IRZ

501.
502.
503.
504.
505.
506.

Hardin
Jefferson
Pastoria
Redfield
White Hall
Wright

507.

Altheimer

pAz

Comerstone
Ferda
Gethsemane
Lake Dick
Ladd
Moscow
Pinebergen
Pine Bluff
Rob Roy
Sherrill
Sulphur Springs
Swan Lake
Sweden
Tamo
Tucker
Wabbaseka
Watson Chapel
Outside PAZ.. .......................Terminate call
525. Hannaberry
526. Reydell
527. Farrelly Lake

Lincoln County
pAz
601. Crigler
602. Glendale
603. Grady
604. Meroney
605. Nebo
606. Palmyra
607. Star City
608. Tarry
609. Whitefield
6 10. Yorktown
Outside PAZ. ........................Terminate call
61 1. Avery
612. Branchville
613. Cades
614. Calhoun
615. Comerville
616. FlY-nn
617. Garnett
6 18. Garrett Bridge
619. Gould
620. Little Gamett

62 1.
622.
623.
624.

Rose Hill
Sarassa
Tyro
Varner

Lonoke County

PAZ
701.
702.
703.
704.
705.
706,
707.
708.
709.
710.
7 11.
712.
713.
714.
7 15.

Allport
Bayou Meto
Bevis Corner
Blakemore
Coy
Culler
England
Humnoke
Keo
Lonoke
Parkers Corner
Pettus
Seaton
Toltec
Tomberlin

Outside PAZ.. .............. .........Terminate call
716. Austin
717. Butlerville
718. Cabot
719. Carlisle
720. Ward

Pulaski County

PAZ
801. Bredlow Corner
802. College Station
803. Estes
804. Hensley
805. Higginswitch
806. Iron Springs
807. Landmark
808. Parkers
809. Rottaken
810. Scott
811. Sweet Home
812. Tafion
813. Wampoo
814. Woodson
8 15. Woodyardville

8 16.

Wrightsville

Outside PAZ.. .......................Terminate call
8 17. Alexander
818. Cammack Village
819. Ferndale
820. Gibson
821. Gravel Ridge
822. Jacksonville
823. Little Rock
824. Mabelvale
825. Marche
826. Maumelle
827. McAlmont
828. North Little Rock
829. Pinnacle
830. Roland
831. Shenvood
832. Sylvan Hills

Saline County

pAz
90 1.
902.
903.
904.
905.
906.
907.
908.
909.
910.
9 11.

Alexander
Bauxite
Benton
Bryant
East End
Haskell
Sardis
Shannon Hills
Shaw
Traskwood
Vimy Ridge

Outside PAZ.. .......................Terminate call
9 12. Owensville
913. Paron
914. Salem

MAIN SURVEY
1.

Are you aware of the chemical agents at the Pine Bluff Arsenal?
1.
2.

2.

Yes
No

How concerned are you about the following?
"Please choose the one that most closely reflects your opinion."

A. Chemical emergency at the Pine Bluff Arsenal
1.
Very concerned
2.
Somewhat concerned
3.
Not very concerned
4.
Not concerned at all
B. Tornado
1.
2.
3.
4.

Very concerned
Somewhat concerned
Not very concerned
Not concerned at all

C. Flood
1.
2.
3.
4.

Very concerned
Somewhat concerned
Not very concerned
Not concerned at all

D. Earthquake
1.
Very concerned
2.
Somewhat concerned
3.
Not very concerned
4.
Not concerned at all
3.

Do you or your family have an emergency plan to deal with the following?
A. Natural disasters
1.
Yes
2.
No

B. Chemical emergency at the Pine Bluff Arsenal
1.
Yes
2.
No
4.

Please answer yes or no to the following questions:

A.
B.
C.
D.
E.
F.
5.

6.

Are you familiar with the names of the major roads and highways in your area?
In the event of an emergency, do you have a family meeting place?
Do you have an out-of-area telephone contact?
Do you have a shelter-in-place kit with duct tape, plastic, and instructions?
Do you have a disaster supply kit (emergency supplies such as: food, water, first
aid kit, flashlight, battery-operated radio, etc.)?
Is the gas tank of your car at least % full at all times?

How would you know if there were a chemical emergency at the Pine Bluff Arsenal?
(DON'T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE
RESPONSES)
1.
2.
3.
4.
5.
6.
7.

AM/FM radio
FamilyIFriend
Loudspeaker/Bullhorn
Siren
Television
Tone alert radio (TAR)
Route alerting

97.
99.

Other (PLEASE SPECIFY)
Don't know

What actions would you take if you found out there was a chemical emergency at the
Pine Bluff Arsenal? (DON'T READ, CATEGORIZE RESPONSES AS FOLLOWS,
ACCEPT MULTIPLE RESPONSES)
WAIT AND ASK: Are there any other actions you would take?
1.
Await or listen for instructions
2.
Call 91 1
3.
Check wind direction
4.
Contact familylfriends
5.
Evacuate
6.
FindIGather family
Go to work (Arsenal, hospital, fire dept, police)
7.
Listen to tone alert radio
8.
9.
Shelter in place
Turn
on/Listen to AMIFM radio
10.
11.
Turn on/Watch television
----------97.
Other (PLEASE SPECIFY)
98.
Nothing
99.
Don't know

If a chemical accident occurred at the Pine Bluff Arsenal, where would you get additional
instructions on how to protect yourself and your family when you hear the warning
signals? (DON'T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT
MULTIPLE RESPONSES)
WAIT AND ASK: Anywhere else?
AM/FM radio
Calendar
Call 91 1
County sheriff
FamilyBriends
Fire department
Internet
Local emergency management agency (EMA)
Loudspeaker/Bullhom
Newspaper
Packagekit on preparedness
Pamphlet
Pine Bluff Arsenal
Police, local or state
Route alerting
Siren
Television
Tone alert radio (TAR)
97.
98.
99.

Other (PLEASE SPECIFY)
Nowhere
Don't know

8.

If you were instructed to evacuate, what actions would you take? (DOIY7TREAD,
CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
WAIT AND ASK: Are there any other actions you would take to evacuate?
Await instructions1Listen for help
Check wind direction
Contact family members before leaving
Follow instructions/Do what told
Follow the evacuation route
Get/Check calendar
Get/Check preparedness kitlpacketlpamphlet
Get kids from schoolIGo to school for kids
Get personal items (pack clothes, food, water, gas)
Go to work (Arsenal, hospital, fire dept, police)
Leave home or workplace1Get out of towrdGet in car and go
Listen to TVIradiolTone Alert Radio for correct evacuation route
Listen to TVIradiolTone Alert Radio for location of receptiordassistance center
Listen to TVIradiolTone Alert Radio (general)
Locate/collect pets
Tell neighbors and others to evacuate
Turn off heatingair conditioning systems
Turn on TVIradiolTone Alert Radio (general)
Wait for family members before 1eavingGather family
Would not evacuate
----------97.
Other (PLEASE SPECIFY)
98.
Nothing
99.
Don't know

9.

If you were instructed to shelter in place, what actions would you take? (DON'T READ,
CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
WAIT AND ASK: Are there any other actions you would take to shelter-in-place?
Close doors and windows
Close or cover heatindair conditioning vents
Contact family
Emergency planRamily emergency plan
Evacuate
FindGather family
Follow or listen for instructions
Get foodwater supply
Go insidelstay inside
Go into shelter room of your home/workplace
Get supplies (clothes/cell phone/book/candles/games/medicine/flashlight,ect)
Go to work (Arsenal, hospital, fire dept, police)
Hysterical/Panic/Die
Kneelpray
Listen to radio/TV for further instructions
Locate/collect pets
Lock doors and windows
Seal doors and windows of shelter room
Take radio/TV into shelter room
Turn off heatindair conditioning systems
Use emergency kit
Use shelter-in-place kit
----------97.
Other (PLEASE SPECIFY)
98.
Nothing
99.
Don't know

10.

How would you know it would be safe to stop sheltering-in-place? (DON'T READ,
CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
AMEM radio
1.
2.
Chemical Stockpile Emergency Preparedness Program (CSEPP) Office
FamilyRelative
3.
4.
Fire department
5.
FriendINeighbor
6.
Local emergency management agency (EMA)
Loudspeaker/Bullhom
7.
8.
Pine Bluff Arsenal
9.
Police
10.
Route alerting
11.
Siren
Sheriffs department
12.
13.
Telephone or cell phone
14.
Television
15.
Tone alert radio (TAR)
16.
Work
----------97.
Other (PLEASE SPECIFY)
99.
Don't know

11.

How confident are you that you know how to shelter in place in the event of a chemical
emergency? (READ 1-4)

IF THE RESPONDENT SAYS "DON'T K N O W SAY: "Please choose the one that
most closely reflects your opinion."
1.
2.
3.
4.

Very confident
Somewhat confident
Not very confident
Not confident at all

IRZ ONLY
Do you have a Tone Alert Radio (TAR)?
12.
1.
Yes GOTO13
2.
No
GOTO14
IRZ ONLY
13.
Is your Tone Alert Radio (TAR) plugged in? (DON'T READ, CATEGORIZE
RESPONSE AS FOLLOWS)
1.
Yes
2.
No
3.
Other (PLEASE SPECIFY)
4.
Don't know

14.

Do you have children in a local school in grades K-12?

1.
2.
9.

Yes
No
NAIrefused

GO TO 15
GO TO 19
GO TO 19

RESPONDENTS WITH CHILDREN IN 4 1 4 ANSWER QUESTIONS 15-18

15.

Are you familiar with the emergency plan at your child(ren)'s school(s)?

1.
2.
16.

Yes
No

How confident are you that your childchildren would be safe in the care of their
school(s) in the event of a chemical emergency at the Pine Bluff Arsenal? (READ 1-4)
IF THE RESPONDENT SAYS "DON'T K N O W SAY: "Please choose the one that
most closely reflects your opinion."

1.
2.
3.
4.
17.

Very confident
Somewhat confident
Not very confident
Not confident at all

In the event of a chemical emergency at the Pine Bluff Arsenal, how likely are you to go
to the school to get your childchildren?
"Please choose the one that most closely reflects your opinion." (READ 1-4)

1.
2.
3.
4.
17b.

Very likely
Somewhat likely
Somewhat unlikely
Very unlikely

GO TO 17b
GO TO 17b
GO TO 18b
GO TO 18b

Would you pick up your children immediately or when notified that it is safe to do so?

1.
2.

Immediately
GO TO 18 and SKIP 18b
When notified it is safe GO TO 18 and SKIP 18b

18.

Why do you say that? (DON'T READ, CATEGORIZE RESPONSES AS FOLLOWS,
ACCEPT MULTIPLE RESPONSES)
IF RESPONDENT SAYS "THEY" OR "THEM CLARIFY: "Who do you mean by
theylthem?"
Likely to pick up child(ren)
Child(ren) are safer with me
1.
2.
Don't trust the school
Don't want to place self or others at risk
3.
Livelwork close to or at the school
4.
I want my child(ren) with me so we can leave the area
5.
I want my child(ren) with me (general)
6.
Make sure my child(ren) are safe
7.
8.
Protect my child(ren)
9.
School is not prepared
School has a plan/School is safe
10.
Want to wait until it is safe
11.
-----------

97.
99.
18b.

Other (PLEASE SPECIFY)
Don't knowRefused

Why do you say you are unlikely to get your childlchildren from school? (DON'T
READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE
RESPONSES)
IF RESPONDENT SAYS "THEY" OR "THEM CLARIFY: "Who do you mean by
theylthem?"
Unlikely to pick up child(ren)
Child drives himselfherself to school
1.
2.
I'll be at work
My child(ren) islare safer at the school
3.
My child(ren) would be evacuated/bused elsewhere
4.
Not able to get child(ren) even if I tried
5.
School has a plan/School is safe
6.
School is too far away
7.
Told not to try to get themlTold not to go to school
8.
9.
Trust the school
Want to wait until it is safe
10.
-----------

97.
99.

Other (PLEASE SPECIFY)
Don't know1Refused

ALL RESPONDEIYTS
When was the last time you heard, saw, or read any information about how to prepare for
19.
a chemical emergency? (READ 1-4)
1.
2.
3.
4.
5.
6.
7.

20.

Within the last week
Within the last month
Within the last year
More than a year
(DON'T READ) Never
GO TO 22
(DON'T READ) Don't recall receiving CSEPP information GO TO 22
(DON'T READ) Have received CSEPP information but don't recall when it was
received GO TO 20

How have you received information about how to prepare for a chemical emergency?
(CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
WAIT AND ASK: How else have you received information?
AMIFM radio
Billboard
Calendar
Community eventlFair1Booth
Informational packagekit
Informational pamphletlflyer
IntemetJComputer
Magazine
Mail
Newspaper
ReaderboardJHighway message board
School
SiredLoudspeaker drillsltesting
SpeakerISpeech
Television
Tone alert radio
Video
Word-of-mouth
WorWTraininglMilitary
97.
99.

Other (PLEASE SPECIFY)
Don't know

21.

What do you recall from what you heard, saw, or read? (DON'T READ, CATEGORIZE
RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
WAIT AND ASK: Anything else?
Already know the message
Be alert
Be prepared
Calendar
Chemical agentslgases
DrillsITests
Evacuation plan
Evacuation directions
Evacuation route
Evacuation zones
Follow instructions
FoodIWater storage
General instructions or information on what's best to do
Get emergency supplies ready (flashlight, candles, batteries, etc.)
Listen to Tone Alert Radio(TAR)/ Siren
Protective gear (masks, clothing)
School's plan for an emergency
Shelter in place
Shelter-in-place kit
Sirens make different soundsltones
96.
97.
98.
99.

Don't remember
Other (PLEASE SPECIFY)
Nothing
Don't know

ALL RESPONDENTS
How confident are you that the public will be notified quickly in case of a chemical
22.
emergency at the Pine Bluff Arsenal? (READ 1-4)

IF THE RESPONDENT SAYS "DON'T K N O W SAY: "Please choose the one that
most closely reflects your opinion."
1.
2.
3.
4.

Very confident
Somewhat confident
Not very confident
Not confident at all

23.

Why do you say that you are confidentlnot confident? (DON'T READ, CATEGORIZE
RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
IF RESPONDENT SAYS "THEY" OR "THEM" CLARIFY: "Who do you mean by
theylthem?"

Confident
1.
Alert system is good
Always been told when something happens
2.
Arsenal does a lot of drillsltests
3.
4.
Arsenal is prepared
Arsenal has kept the public informed
5.
Arsenal would try to contain the accident before alerting the public
6.
Arsenal would take a chemical release seriously
7.
8.
I trust the Arsenal
I trust the local government officials and/or first responders
9.
I worklworked at the Arsenal
10.
11.
Local media would let us know
Local government officials and/or first responders will alert us
12.
Local government officials would try to contain the accident before alerting the
13.
public
14.
Someone I know workslworked at the Arsenal
Not confident
Alert system does not work or is inadequate
15.
16.
Arsenal is not prepared
17.
Arsenal would try to cover up a chemical release
18.
Cannot hearlunderstand the sirens
19.
Community or public is not very well informed
20.
I do not trust the Arsenal
I don't trust the local government officials
21.
Not enough time to alert everyone
22.
23.
Local government officials are not prepared
24.
Local government officials would try to cover up a chemical release
25.
There have been incidents before and we were no't told
97.
99.

Other (PLEASE SPECIFY)
Don't know

24.

Please tell me if you agree or disagree with the following statement:
"I am able to protect myself and my family in the event of a chemical emergency?"
"Please choose the one that most closely reflects your opinion." (READ 1-4)
1.
2.
3.
4.

25.

How would you prefer to receive emergency preparedness information? (ACCEPT
MLTLTIPLE RESPONSES, READ 1-6,6-1)
1.
2.
3.
4.
5.
6.
7.

26.

Agree strongly
Agree somewhat
Disagree somewhat
Disagree strongly

AMIFM radio
Calendar
Direct mail
Internet
Newspaper
Television
(DON'T READ) Other (PLEASE SPECIFY)

Which emergency planning sub-zone do you live in? (DON'T READ, CATEGORIZE
RESPONSE AS FOLLOWS)

IF RESPONDENT SAYS "IRZ"OR " P A T ASK: Which sub-zone within the IRZIPAZ
do you live in?
IF RESPONDENT DOES NOT UNDERSTAND THE QUESTION CLARIFY: During a
chemical emergency at the Pine Bluff Arsenal, emergency instructions will be given for
each emergency planning sub-zone.

97.
99.
27.

Other (PLEASE SPECIFY)
Don't know

Have you read the emergency preparedness information in the annual Arkansas
emergency preparedness calendar?

IF RESPONDENT ANSWERS " N O THEN CLARIFY: "Have you received a
calendar?"
1.
2.
3.
28.

Yes GOTO28
No, received a calendar but did not read it GO TO 29
No, have not received a calendar GO TO 29

Do you feel like the information in the calendar helped you to become more prepared for
a possible chemical emergency?

1.
2.

Yes
No

To conclude, I have a few questions for statistical purposes.
29.

What is your approximate age, please? (READ 1-7)
18-29
30-34
35-44
45-54
55-59
60-64
65+
(DON'T READ) Refused

30.

Gender (BY OBSERVATION)
1.
2.

Male
Female

3 1.

Are you of Hispanic or Latino origin?
1.
Yes GOTO32
2.
No
9.
Don't knowRefused

3 1b.

What is your race? Please select one or more. Are you.. .. (READ LIST; ACCEPT
MULTIPLE RESPONSES)
1.
2.
4.
5.
6.
8.
9.

White
Black or African American
Asian
Native Hawaiian or other Pacific Islander
American Indian or Alaskan Native
Other (PLEASE SPECIFY)
(DON'T READ) Don't knowlrefused

32.

How long have you lived in the area? (READ 1-5)
1.
2.
3.
4.
5.
9.

5 years or less
6-10years
11-15 years
16-20 years
More than 20 years
(DON'T READ) Don't knowlrefused

33.

What is the highest level of education you have completed? (READ 1-8)
Some high school or less
1.
2.
High school graduate
3.
Vocational or technical school
4.
Some college
5.
College graduate
6.
Some graduate work
7.
Master's degree
8.
Doctorate degree
----------(DON'T READ) Other (PLEASE SPECIFY)
97.
99.
(DON'T READ) Refused

34.

Which of the following best describes your family's income? (READ 1-6)
1.
Under $15,000
2.
$15,000 - <$25,000
3.
$25,000 - <$35,000
4.
$35,000 - <$50,000
5.
$50,000 - $75,000
6.
Over $75,000
9.
(DON'T READ) Refused

35.

Do you have access to the Internet?
1.
2.

36.

Yes.. .......... Give internet address at the end of the survey
No.. ... ........ Don't give internet address at the end of the survey

Are you, or any member of your household, a member of the local emergency
management or first responder community (fire, police, etc.)?
1.
2.

Yes
No

37.

Are you, or any member of your household, employed by the Pine Bluff Arsenal or a
contractor of the Arsenal?
1.
2.
3.

38.

Yes, Pine Bluff Arsenal
Yes, Contractor of Pine Bluff Arsenal
No

ZIP code (recorded by CATI)

Thanks for your time--we really appreciate it. Would you like a phone number to call in case
you have more questions about the Pine Bluff Arsenal or the Chemical Stockpile Emergency
Preparedness Program?
IF YES:
Please call the Public Information Officer at the Arkansas Department of Emergency
Management at (501) 730-9750.
IF Q35= YES THEN GIVE THE RESPONDENT THE WEB SITE ADDRESS:
If you are interested in information on the Internet, please go to www.arkansascsepp.com.
ALL RESPONDENTS
Thanks again!