APHIS 7093 Contingency Planning Program

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is 0579-0479. The time required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
ANIMAL CARE

OMB Approved
0579-0479, Exp. XX/XXXX

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CONTINGENCY PLANNING PROGRAM

INSTRUCTIONS: This optional form or an equivalent format may be used to meet the requirement for a written Contingency Plan. This form may be used as a guideline for developing and writing a Contingency Plan. Pages or
blocks which do not apply to the facility should be marked N/A. If the space provided is not adequate for a specific topic, additional sheets may be added. Ensure the additional sheets include Section and Item Numbers.
For more information, see 7 U.S.C. 2131-2159; 7 CFR 2.22, 2.80, and 371.7.

SECTION I. ESTABLISHMENT OF CONTINGENCY PLANNING PROGRAM
1. LICENSEE/REGISTRANT NAME

6. SITE NUMBER

2. BUSINESS NAME

3. USDA LICENSE/REGISTRATION NUMBER

7. HOME TELEPHONE

4. STREET MAILING ADDRESS

8. BUSINESS TELEPHONE

5. CITY, STATE, AND ZIP CODE

9. EMAIL ADDRESS

SECTION III. IMPORTANT CONTACT INFORMATION
1. ATTENDING VETERINARIAN

10. POWER COMPANY

2. USDA INSPECTOR

11. GAS COMPANY

3. EMERGENCY MANAGEMENT AGENCY

12. WATER COMPANY

4. ANIMAL POISON CONTROL CENTER

13.

5. ANIMAL EVACUATION SITE

14.

6. FIRE DEPARTMENT

15.

7. POLICE DEPARTMENT

16.

8. HOSPITAL

17.

9. POISON CONTROL CENTER

18.

APHIS FORM 7093
MAY 2021

SECTION II. MAINTENANCE OF PROGRAM
Facilities must develop, document, and follow a contingency plan to provide for the
humane handling, treatment, transportation, housing, and care of their animals in the
event of an emergency or disaster. Make sure your contingency planning addresses the
basics by completing this optional form.
The process of contingency planning is more important than an actual plan, especially if
the plan is never revisited. Review your plan once a year, at minimum. Practice your
plan through drills with employees. Use the reviews as an opportunity to improve your
plan (e.g., add new triggers you had not thought of before, update contact information for
all employees, add backup sources for feed, assess your training). Make sure your
contingency plans as well as all annual review documentation are available to USDA
upon request.
For more tips on planning, visit
https://www.aphis.usda.gov/aphis/ourfocus/emergencyresponse/sa_animal_welfare
I have read and completed this Contingency Planning Program and understand my
responsibilities.
Licensee / Registrant ____________________________ Date __________________

IN THIS SPACE LIST THE DATES AND INITIAL WHEN YOU REVIEWED AND CONDUCTED
DRILLS ON THIS PLAN. ADD MORE PAGES AS NEEDED.

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SECTION IV. SITUATIONS THAT WOULD TRIGGER YOUR CONTINGENCY PLAN
(Add more pages as needed.)

What are common risks to your animals? What types of
hazards have you experienced in the past at your facility?
Here are some examples.
Electrical outages
Faulty HVAC systems
Fires
Animal escapes
Feed and water supply disruptions
Road closures
Natural disasters such as

Other situations:

List other hazards and provide details below.

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SECTION V.
SPECIFIC TASKS TO PREVENT AND RESPOND TO
POTENTIAL HAZARDS LISTED IN SECTION IV

SECTION VI.
RESPONSIBLE PERSON
FOR THE TASK

SECTION VII.
DETAILS NEEDED TO PERFORM THE TASK
(Consider physical materials, other resources, and training)

(Examples of tasks required in emergency situations: Animal evacuation to temporary
housing; shelter-in-place; provide backup sources of food and water; provide backup methods
of sanitation, ventilation, bedding; provide backup veterinary care and medications; contact
local emergency management, public safety and/or law enforcement; contact all employees;
contact your USDA Inspector; contact your Attending Veterinarian; establish Safety Leader)
(Example only)
Use back-up animal feed
(Example only)
Contact all employees in emergency situation

Animal Husbandry Manager
Cell 111-111-1111
Staff Manager
Cell 222-222-2222

Plan for 2 alternate feed sources at all times, keep 7 days' emergency feed on hand in Storeroom 1, use and replace
emergency feed stock monthly to prevent spoilage; train staff on monthly stock rotation
Maintain a way to contact employees when they are both on-site and off-site; keep contact list updated; perform drills to
ensure all employees are trained