This Continuity Evaluation Checklist Plan Template was designed to assist you in the development of your Disaster Recovery Plan. This Continuity Evaluation Checklist Plan Template was developed using the following resources. You are free to edit the Continuity Evaluation Checklist Plan Template as you see fit.
- California Preservation Program. Disaster Plan Template, 2005. http://calpreservation.org/disasters/index.html
- Council of Superior Court Clerks of Georgia, Disaster Preparedness and Recovery Plan, 2008.
- Fortson, Judith. Disaster Planning and Recovery: A How-To-Do-It Manual for Librarians and Archivists. New York: Neal-Schuman, 1992.
- Jones, Virginia A. and Kris E. Keyes. Emergency Management for Records and Information Programs. Prairie Village, KS: ARMA, 2001.
You can download this Continuity Evaluation Checklist Plan Template for free using the links below:
Microsoft Word 97-2003: Click Here
Microsoft Word 2010: Click Here
Adobe PDF: Click Here
Continuity Evaluation Checklist Plan
Agency/Department Name:
Instructions: This evaluation checklist should be used to determine whether all the continuity program elements are addressed in the departmental Continuity Plan (or other related planning documents). Review the planning elements on the left and record in the right column the plan name (if content is addressed in another plan), date of plan, and page references for where the information can be found. An effective continuity program is implemented through its related continuity plans and procedures and an operational capability to support those plans and procedures. Continuity planning is an effort to document the existence of, and ensure the capability to continue essential functions during a wide range of potential emergencies
Planning Element
Program Plans and Procedures (Program Management)
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Essential Functions
[Capability Description: Essential Functions are those organizational functions that must be continued under any and all circumstances. These functions are derived from the organizations overall functions and missions and, when identified, should be prioritized to ensure the most critical functions are appropriately emphasized. Essential Functions are those functions that enable organizations to provide vital services, exercise civil authority, maintain the safety and well-being of the general populace, and sustain the industrial/economic base in an emergency.]
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Lines of Succession/Delegation of Authority
[Capability Description: Each organizational element is required to establish, promulgate, and maintain lines of succession to key positions. These lines of succession should be of sufficient depth to ensure the organization’s ability to manage and direct its essential functions and operations. Delegations of authority specify who is authorized to act on behalf of the Agency head or other officials for specified purposes. Generally, pre-determined delegations of authority will take effect when normal channels of direction are disrupted and terminate when those channels have been re-established. Delegations of authority at the headquarters, regional, field, satellite, and other levels and agency locations, as appropriate, are included in the applicable continuity implementation plans.]
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Continuity Facilities
[Capability Description: Continuity Facilities are locations where leadership and staff may operate during a continuity event. Leadership and staff may be co-located in one facility or dispersed through many locations, connected virtually through communications systems. Facilities must be able to provide survivable protection and enable continued, endurable operations. Physical dispersion should allow for easy transfer of function responsibility in the event of a problem in one location.]
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Continuity Communications
[Capability Description: The success of continuity programs is dependent on the availability to provide intra- and interagency connectivity. An agency’s ability to execute its essential functions at its HQ and at its alternate or other continuity facilities depends upon the availability of effective communications systems. If this section is already addressed in the organization’s Disaster Recovery Plan (formerly known as Operational Recovery Plan), indicate this in the column on the right.]
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Human Capital
[Capability Description: In a continuity event, continuity personnel and other special categories of employees will be activated by an agency to perform their assigned response duties. An agency must ensure that its human capital strategies for all personnel are adaptable to changing circumstances and a variety of emergencies, and that these strategies and procedures are regularly reviewed and updated, as appropriate.] |
Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Vital Records Management
[Capability Description: Each department and agency continuity program, plan, and procedures should account for the identification and protection of those vital records and mission critical systems and databases that are necessary to perform essential functions and reconstitute normal operations after the emergency ceases. Agencies should pre-position, and update on a regular basis, duplicate records and databases or back-up electronic media. The agency’s Vital Records Management Program must be reviewed periodically and updated accordingly. If this section is already addressed in the organization’s Disaster Recovery Plan (formerly known as Operational Recovery Plan), indicate this in the column on the right.]
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Tests, Training, and Exercises
[Capability Description: An effective Test, Training and Exercise Program is necessary to assist agencies to prepare and validate their organization’s continuity capabilities and program. Training familiarizes continuity personnel with their roles and responsibilities in support of the performance of an agency’s essential functions during a continuity event. Tests and exercises serve to assess, validate, or identify for subsequent correction, all components of continuity plans, policies, procedures, systems and facilities used in response to a continuity event. Periodic testing also ensures that equipment and procedures are kept in a constant state of readiness.]
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Devolution
[Capability Description: Devolution planning supports overall continuity planning and addresses catastrophes and other all-hazards emergencies that render an agency’s leadership and key staff unavailable to or incapable of performing its essential functions from either the agency’s primary or alternate facilities. Devolution planning also addresses notice and no notice events. A continuity plan’s devolution option should be developed so that it addresses how an agency will identify and transfer its essential functions and/or leadership authorities away from the primary facility or facilities, and to a location that offers a safe and secure environment in which essential functions can continue to be performed. The devolution option may be used when the agency’s alternate facility is not available.]
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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Reconstitution Operations
[Capability Description: Agencies must identify and outline a plan to return to normal operations once agency heads or their successors determine that reconstitution operations for resuming normal business operations can be initiated.]
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Yes – Element is Addressed in Plan
[Reference page number and name of plan where the info can be found] |
No – Element Not Completely Addressed in Plan | Corrective Actions (If Answered No) – Strategy for Addressing Planning Gaps |
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I hereby certify that:
- A Continuity Planning Program exists (which includes all the department’s continuity planning documents, processes, and procedures) and that this program contains the key elements as listed in the checklist above;
- A program is in place to ensure the confidentiality of the sensitive material in the documents and only persons authorized because of their operational functions will have access to sensitive portions of the document; and,
- A maintenance cycle and protocol has been established to address any gaps identified on the checklist above and, per Executive Order S-04-06, to ensure the regular update of the Continuity Plan and related documents.
COOP/COG PLAN COORDINATOR
Date: Phone Number:
AGENCY/DEPARTMENT DIRECTOR
Date:
AGENCY NAME
DEPARTMENT NAME