Attached are a CHA Shelter-In-Place (SIP) Planning Checklist tool
and a decision-making algorithm for SIP and evacuation
activation. The Checklist and decision tree are to assist
hospitals with developing and/or reviewing and updating their
plans. Updated hospital evacuation plans and shelter in place
protocols documenting a hospital’s critical decision making
processes are a Hospital Preparedness Program (HPP) Year 7
The document is not intended to suggest that your plans be
reorganized to conform to the Checklist, but is provided as a
tool to help you ensure that the elements listed have been
addressed in your 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.