FEMA Form 091-0, HSEEP After Action (AAR) and Improvement Plan (IP)

New FEMA Form 091-0.pdf

FEMA Preparedness Grants: Port Security Grant Program (PSGP)

FEMA Form 091-0, HSEEP After Action (AAR) and Improvement Plan (IP)

OMB: 1660-0114

Document [pdf]
Download: pdf | pdf
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 online 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,
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.

FEMA Form 091-0-1

After-Action Report/
Improvement Plan (AAR/IP)

[Exercise Name]
[Exercise Name Continued]

EXERCISE OVERVIEW
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
Mission Area(s)
Core
Capabilities

This exercise is a [exercise type], planned for [exercise duration] at [exercise
location]. Exercise play is limited to [exercise parameters].
[Prevention, Protection, Mitigation, Response, and/or Recovery]
[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)]

Exercise Overview

1

[Sponsor Organization]

[PROTECTIVE MARKING, AS APPROPRIATE]
Homeland Security Exercise and Evaluation Program (HSEEP)

After-Action Report/
Improvement Plan (AAR/IP)

[Exercise Name]
[Exercise Name Continued]

ANALYSIS OF CORE CAPABILITIES
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
[Objective 1]

Core Capability

Performed
without
Challenges
(P)

Performed
with Some
Challenges
(S)

Performed
with Major
Challenges
(M)

Unable to
be
Performed
(U)

[Core capability]
[Core capability]

[Objective 2]

[Core capability]

[Objective 3]

[Core capability]

Ratings Definitions:
 Performed without Challenges (P): The targets and critical tasks associated with the core capability were
completed in a manner that achieved the objective(s) and did not negatively impact the performance of other
activities. Performance of this activity did not contribute to additional health and/or safety risks for the public or
for emergency workers, and it was conducted in accordance with applicable plans, policies, procedures,
regulations, and laws.
 Performed with Some Challenges (S): The targets and critical tasks associated with the core capability were
completed in a manner that achieved the objective(s) and did not negatively impact the performance of other
activities. Performance of this activity did not contribute to additional health and/or safety risks for the public or
for emergency workers, and it was conducted in accordance with applicable plans, policies, procedures,
regulations, and laws. However, opportunities to enhance effectiveness and/or efficiency were identified.
 Performed with Major Challenges (M): The targets and critical tasks associated with the core capability were
completed in a manner that achieved the objective(s), but some or all of the following were observed:
demonstrated performance had a negative impact on the performance of other activities; contributed to
additional health and/or safety risks for the public or for emergency workers; and/or was not conducted in
accordance with applicable plans, policies, procedures, regulations, and laws.
 Unable to be Performed (U): The targets and critical tasks associated with the core capability were not
performed in a manner that achieved the objective(s).

Table 1. Summary of Core Capability Performance

The following sections provide an overview of the performance related to each exercise
objective and associated core capability, highlighting strengths and areas for improvement.

Analysis of Core Capabilities

2

[Sponsor Organization]

[PROTECTIVE MARKING, AS APPROPRIATE]
Homeland Security Exercise and Evaluation Program (HSEEP)

After-Action Report/
Improvement Plan (AAR/IP)

[Exercise Name]
[Exercise Name Continued]

[Objective 1]
The strengths and areas for improvement for each core capability aligned to this objective are
described in this section.

[Core Capability 1]
Strengths
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]
Areas for Improvement
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.]

[Core Capability 2]
Strengths
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]
Areas for Improvement
The following areas require improvement to achieve the full capability level:

Analysis of Core Capabilities

3

[Sponsor Organization]

[PROTECTIVE MARKING, AS APPROPRIATE]
Homeland Security Exercise and Evaluation Program (HSEEP)

After-Action Report/
Improvement Plan (AAR/IP)

[Exercise Name]
[Exercise Name Continued]

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.]

Analysis of Core Capabilities

4

[Sponsor Organization]

[PROTECTIVE MARKING, AS APPROPRIATE]
Homeland Security Exercise and Evaluation Program (HSEEP)

After-Action Report/
Improvement Plan (AAR/IP)

[Exercise Name]
[Exercise Name Continued]

APPENDIX A: IMPROVEMENT PLAN
This IP has been developed specifically for [Organization or Jurisdiction] as a result of [Exercise Name] conducted on [date of
exercise].

Core Capability
Core Capability
1: [Capability
Name]

Issue/Area for
Improvement
1. [Area for
Improvement]

Capability
1
Element

Primary
Responsible
Organization

Organization
POC

Start Date

Completion
Date

[Corrective Action 1]
[Corrective Action 2]
[Corrective Action 3]

2. [Area for
Improvement]

1

Corrective Action

[Corrective Action 1]
[Corrective Action 2]

Capability Elements are: Planning, Organization, Equipment, Training, or Exercise.

Appendix A: Improvement Plan

A-1
[PROTECTIVE MARKING, AS APPROPRIATE]
Homeland Security Exercise and Evaluation Program (HSEEP)

[Sponsor Organization]

After-Action Report/
Improvement Plan (AAR/IP)

[Exercise Name]
[Exercise Name Continued]

APPENDIX B: EXERCISE PARTICIPANTS
Participating Organizations
Federal

State

[Jurisdiction A]

[Jurisdiction B]

Appendix B: Exercise Participants

B-1

[Sponsor Organization]

[PROTECTIVE MARKING, AS APPROPRIATE]
Homeland Security Exercise and Evaluation Program (HSEEP)


File Typeapplication/pdf
File TitleAfter-Action Report/Improvement Plan Template
AuthorHSEEP Support Team
File Modified2014-11-21
File Created2014-11-21

© 2024 OMB.report | Privacy Policy