OMB No. 1660-0118
Expiration Date: May 31, 2017
Paperwork Reduction Act Burden Disclosure Notice
FEMA Form 091-0-1
Public reporting burden for this form is estimated to average 40 per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the Form. This collection of information is required to obtain or retain benefits. You are not required to respond to this collection of information unless it displays a valid OMB control number near the title of the electronic collection instrument, or for on-line applications, on the first screen viewed by the respondents. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington, DC 20472-3100, Paperwork Reduction Project (1660-0118) NOTE: Do not send your completed form to this address.
[Exercise Name]
After-Action Report/Improvement Plan
[Date]
The After-Action Report/Improvement Plan (AAR/IP) aligns exercise objectives with preparedness doctrine to include the National Preparedness Goal and related frameworks and guidance. Exercise information required for preparedness reporting and trend analysis is included; users are encouraged to add additional sections as needed to support their own organizational needs.
Exercise Name |
[Insert the formal name of exercise, which should match the name in the document header] |
Exercise Dates |
[Indicate the start and end dates of the exercise] |
Scope |
This exercise is a [exercise type], planned for [exercise duration] at [exercise location]. Exercise play is limited to [exercise parameters]. |
Mission Area(s) |
[Prevention, Protection, Mitigation, Response, and/or Recovery] |
Core Capabilities |
[List the core capabilities being exercised] |
Objectives |
[List exercise objectives] |
Threat or Hazard |
[List the threat or hazard (e.g. natural/hurricane, technological/radiological release)] |
Scenario |
[Insert a brief overview of the exercise scenario, including scenario impacts (2-3 sentences)] |
Sponsor |
[Insert the name of the sponsor organization, as well as any grant programs being utilized, if applicable] |
Participating Organizations |
[Insert a brief summary of the total number of participants and participation level (i.e., Federal, State, local, Tribal, non-governmental organizations (NGOs), and/or international agencies). Consider including the full list of participating agencies in Appendix B. Delete Appendix B if not required.] |
Point of Contact |
[Insert the name, title, agency, address, phone number, and email address of the primary exercise POC (e.g., exercise director or exercise sponsor)] |
Aligning exercise objectives and core capabilities provides a consistent taxonomy for evaluation that transcends individual exercises to support preparedness reporting and trend analysis. Table 1 includes the exercise objectives, aligned core capabilities, and performance ratings for each core capability as observed during the exercise and determined by the evaluation team.
Objective |
Core Capability |
Performed without Challenges (P) |
Performed with Some Challenges (S) |
Performed with Major Challenges (M) |
Unable to be Performed (U) |
[Objective 1] |
[Core capability] |
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[Core capability] |
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[Objective 2] |
[Core capability] |
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[Objective 3] |
[Core capability] |
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Ratings Definitions:
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The following sections provide an overview of the performance related to each exercise objective and associated core capability, highlighting strengths and areas for improvement.
The strengths and areas for improvement for each core capability aligned to this objective are described in this section.
The [full or partial] capability level can be attributed to the following strengths:
Strength 1: [Observation statement]
Strength 2: [Observation statement]
Strength 3: [Observation statement]
The following areas require improvement to achieve the full capability level:
Area for Improvement 1: [Observation statement. This should clearly state the problem or gap; it should not include a recommendation or corrective action, as those will be documented in the Improvement Plan.]
Reference: [List any relevant plans, policies, procedures, regulations, or laws.]
Analysis: [Provide a root cause analysis or summary of why the full capability level was not achieved.]
Area for Improvement 2: [Observation statement]
Reference: [List any relevant plans, policies, procedures, regulations, or laws.]
Analysis: [Provide a root cause analysis or summary of why the full capability level was not achieved.]
The [full or partial] capability level can be attributed to the following strengths:
Strength 1: [Observation statement]
Strength 2: [Observation statement]
Strength 3: [Observation statement]
The following areas require improvement to achieve the full capability level:
Area for Improvement 1: [Observation statement. This should clearly state the problem or gap; it should not include a recommendation or corrective action, as those will be documented in the Improvement Plan.]
Reference: [List any relevant plans, policies, procedures, regulations, or laws.]
Analysis: [Provide a root cause analysis or summary of why the full capability level was not achieved.]
This IP has been developed specifically for [Organization or Jurisdiction] as a result of [Exercise Name] conducted on [date of exercise].
Core Capability |
Issue/Area for Improvement |
Corrective Action |
Capability Element1 |
Primary Responsible Organization |
Organization POC |
Start Date |
Completion Date |
Core Capability 1: [Capability Name] |
1. [Area for Improvement] |
[Corrective Action 1] |
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[Corrective Action 2] |
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[Corrective Action 3] |
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2. [Area for Improvement] |
[Corrective Action 1] |
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[Corrective Action 2] |
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Participating Organizations |
Federal |
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State |
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[Jurisdiction A] |
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[Jurisdiction B] |
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1 Capability Elements are: Planning, Organization, Equipment, Training, or Exercise.
FEMA Form 091-0-1
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | After-Action Report/Improvement Plan Template |
Author | HSEEP Support Team |
File Modified | 0000-00-00 |
File Created | 2021-01-24 |