Attached is the Shelter-In-Place (SIP) Planning Checklist
developed by CHA. The tool includes a decision-making algorithm
for SIP and evacuation activation.
The Checklist and decision tree may be used to assist hospitals
with developing, reviewing or updating their plans. Updated
hospital evacuation plans and shelter in place protocols that
document a hospital’s critical decision making processes are a
Hospital Preparedness Program (HPP) Year 7 requirement.
The document was developed as a tool to help hospitals ensure
that elements listed have been addressed in their plans,
policies and procedures.
The “Reference” column is to allow each hospital to note where in
their documentation each item is addressed. The decision tree is
to allow you to consider the critical decision making factors.
This is a Tool for the hospital, and is not for submission to the
It is important to note that there are a number of situations or
events that may require or lead a hospital to decide to shelter
in place and, therefore, to plan in advance for those situations.
Please also note that your plan should include what happens to
those “locked out” when you are “locked down” (identify a
sheltering site(s) outside of locked-down facilities). Also note
that SIP differs depending on the type of event.