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UNITED NATIONS
NATIONS UNIES
DEPARTMENT OF SAFETY AND SECURITY
FACILITY SAFETY and SECURITY SURVEY
DUTY STATION INFORMATIONDuty Station Location City/Town Country Province/District: Security Levels at Duty Station ARMED CONFLICT TERRORISM CRIME CIVIL UNREST
HAZARDS
Risk Levels at the Duty StationSRA – Residual Risk for VBIED/ IED attacks: SRA – Highest Residual Risk Level:
SURVEY INFORMATIONRequesting Organization/Agency: Date of survey (dd/mm/yyyy): Agency Contact Person - Name: Contact details (phone, email): Survey conducted by: Name of Security Adviser/Officer:
Agency/ Organization: Contact details (phone, email):
Previous survey: Date (dd/mm/yyyy): Conducted by: (Name, Agency, contact details)
FACILITY INFORMATIONFacility Address / Name Street Address: Building Name: Location of Facility - (Coordinates of the Central Point in Decimal Degrees)
Latitude Longitude Attach Google Earth KML file
Ownership of Facility Owner /Landlord Name: Lessor: Lease expiry date (dd/mm/yyyy):
FACILITY OCCUPATIONUN TenantsOrganization: Building/Wing: Floor: Number of
StaffNumber of visitors (daily estimation)
Public Access
Number of internationally recruited UN staff: Number of locally recruited UN staff: Non-UN TenantsOrganization: Building/Wing: Floor: Number of
StaffNumber of visitors (daily estimation)
Public Access
Total Number of non-UN staff: Total Number of non-UN visitors per day (estimated):
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FACILITY TYPESi
ngle
Bu
ildin
g UN Compound with single building/building complex (UN occupants only) Single UN Building - detached (no adjacent buildings) Single UN Building – attached (at least attached at one side to an adjacent building) Mixed Use Single Building (with non-UN occupants)
Mul
tiple
Bu
ildin
gs
UN Compound Complex - multiple compounds with shared perimeter/multiple buildings
UN Compound - one perimeter with multiple buildings (UN- occupants only) Mixed Use Compound with multiple buildings (with non-UN occupants)
Number of buildings used by UN staff: (Only count distinct structures of relevant size and where UN staff is present – no sheds, guard sentries, and other small structures)Multiply INTERIOR FACILITY / BUILDING SECURITY page for every building in the compoundNumber of buildings used by non-UN occupants:
Spec
ial F
acilit
y Ty
pes
UN Mixed Use Compound office warehouse accommodation other use:
UN Accommodation Compound (no office or other use) Host Government Facility Warehouse/ Storage Facility Military Installation Hotel/ Hotel Compound
used as office space for UN staff used as accommodation for UN staff
Special Facility Uses Conference Facility UN managed facilities / Contractor managed conference services
UN conferences/events only/ Non-UN conferences/eventsNumber of Conference Rooms: Capacity of conference rooms:
Cashiers Office Location: Security Measures:
Central IT/ Server Room(s) Location: Access regulations: Security measures: Radio / Security Control Room Location: UN ECS Radio Room
Staff Welfare Facilities (such as Gym, Internet Café) Armoury Location: Number of Weapons: Type of Weapons:
Access regulations: Workshop (Tools) Location:
Access regulations: Medical Service/ Dispensary Location:
Access regulations: Restaurant/ Cafeteria Location:
Access regulations: Bank/ Credit Union for UN Staff/ Dependents ATM location:
Access regulations: Other Commercial Operation
Office Operations: Sector: Manufacturing: Sector: Services: Sector: Retail Shops Public Bank/Money Transfer Operation - with ATM Uncontrolled public access Presence of Hazardous Materials - Type:
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Map/Sketch of Facility and Surrounding Area ( ~ 100m)
Minimum stand-off distance:North: metre (m)East: metre (m)South: metre (m)West: metre (m)
Other Facility Features – Access: Number of Vehicle Access Points: Number of Pedestrian Access Points:
Helicopter Landing Pad – Number:
AirstripName: Location:
within UN compound/ fence in proximity – distance in meters:
Length in metres: Runway surface:
Size of Facility:Compound Surface total - Square Metres: Office surface - Square Metres: Other usable surface - Square Metres: Type: Total Length of compound perimeter:
Insert map/ sketch/ aerial image or Google Earth snapshot (need to be up to date)Annotate
Host county protection measures/ checkpoints/ enforced security zone Access/ egress points for pedestrians at perimeter/ buildings (where applicable) Access/ egress points for vehicles at perimeter/ building (where applicable) Entry points for Utilities: electric grid and primary transfer station, water main, sewage system, gas main Location of gas and fuel tanks/ hazardous material storage within facility and within immediate surroundings Vehicle parking lots/ facilities Helicopter landing pads
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PERIMETER SECURITY (please duplicate page if there are different perimeter security systems)attach sketches/photographs of systems/equipment at the end of the document Type of Perimeter
No physical definition of perimeter Partial physical definition of perimeter Entire perimeter defined with fence/wall Minimal demarcation(low wall/ fence) High chain link wire fence (min 180 cm) Steel mesh fence Multiple Fence System Mud/ clay-brick wall Masonry wall with plaster overlay Concrete wall Blast protection wall
Perimeter Wall/Fence Anchoring: Steel poles in dirt/ gravel Wall in dirt/ gravel Steel poles/ bollards/ wall with concrete
anchoring – depth: centimetre (cm)Vehicle Intrusion Prevention
None Unanchored Barriers Anchored Barriers Barriers interlinked (steel cable) Hesco type systems Landscaping / natural barriers
Person Intrusion Prevention None Razor wire or other trespass protection Electrified fence (or barrier mounted on wall) Non-climbable fence design
Perimeter fence/wall measurementsHeight centimetre (cm)Width centimetre (cm)Measurements of fence poles - structural round/square tube: Square tubing: millimetre (mm)Round tubing/ diameter: millimetre (mm)
Perimeter Blast Protection: Hesco Concrete T-wall Reinforced concrete blast wall
Electric Grid Connection Overhead/ Air Underground
Perimeter Clear Zone:Exterior: metre (m)Interior: metre (m)
Access Point Bars/Physical Barrier
CCTV Alarm
Perimeter climb/ jump access from adjacent structures (incl. vehicles)Roof access from adjac nt
buildingsUnderground/Tunnel/Sewer
Insert photograph of exterior
Deficiencies 1)2)Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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VEHICLE ACCESS GATES – (please duplicate page for additional gates)attach all sketches/photographs of systems/equipment at the end of the documentGate System
Gate crash rated and certifiedType: Single Swing gate
Double Swing gate Cantilever/Sliding gate Double Gate/ Sluice System
Gate measurements:Height centimetre (cm)Width centimetre (cm)Gate material: Full Metal Frame and Body
Metal Frame and Mesh Metal frame/Wood body Wood
Measurements of gate frame:Square tubing: millimetre (mm)Round tubing/diameter: millimetre (mm)Gate Anchoring (Perimeter Wall/Fence):
Wood Masonry Metal Frame Concrete Concrete with Metal Frame
Hinges: Number (per gate wing): Bolt size: millimetre (mm)
Exterior / Interior Removable / Fixed pin/welded
Ground fixture/boltsAnchoring ground material:
Dirt Tiles/Asphalt Concrete Metal tube in concrete
Number of Anchoring points: Anchoring Depth: centimetre (cm)Bolt diameter: millimetre (mm)Gate and Barrier System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
Maintenance Contract in effect and in compliance with
maintenance schedule Maintenance of systems deficient
(add shortcomings under deficiencies below)
Insert frontal view photograph of gate from interior
Anti-Ram Devices/Barriers Approach Road Speed Reduction Location of System:
Outside perimeter Inside perimeterManufacturer: Model:
Rated: Anti-ram standard/certification for vehicle:weight kilogram (kg) speed kilometres per hour (km/h)
Not rated / UnknownBarrier Type: Drop arm Other:
Swing arm Delta Bollards Tire deflation device
Construction Material: Reinforced Concrete Steel Wood/Plastic Other:
Barrier System Operation/Controls At the site of the barrier – Manually/ Non-programmable At the site of the barrier – Programmable Remotely - Programmable
Speed Control/Reduction Straight line approach to Access Gate Bumps and/or Chicanes to reduce speed Gate Crash Protection with Wall/Jersey Barrier or Vehicle Trap (with
90º (degree) forced turn) Deficiencies 1)2)Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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VEHICLE ACCESS CONTROL / SCREENING and PARKING(please duplicate page for each additional access point)attach sketches/photographs of systems/equipment at the end of the documentScreening Operation Features
Manual search Vehicle Recognition System K9 Dog Unit Explosives Detection Equipment
Type Handheld mirrors in use Adequate lighting
Distance between vehicle search area and building: metre (m)
Screening staff building / guard booth with certified ballistic Resistance. Level
Number of screening personnel (security officers/guards) per access point:
System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
Maintenance Contract in effect and in compliance with
maintenance schedule Maintenance of systems deficient
(add shortcomings under deficiencies below)
Description of Access Point(s) and Screening Operation:
Vehicle Parking Parking inside Perimeter (total capacity )
No parking permitted UN official vehicles only UN official and staff vehicles Non-UN vehicles/visitors permitted
Type of Parking: On road/ road-side surface parking (capacity ) Dedicated surface parking lots (capacity ) Underground Parking
below building structures (capacity ) not below office building structures (capacity )
Dedicated parking facility/building (capacity ) attached to office buildings (capacity ) unattached to office buildings (capacity )
Parking outside Perimeter (total capacity )If parking is outside facility, distance from compound perimeter: metres (m) Outside Perimeter parking lot space (capacity )
Parking permitted at perimeter wall/ fence - (capacity )
Deficiencies 1)2)Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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PEDESTRIAN ACCESS CONTROL / SCREENING (please duplicate page for additional access points)attach sketches/photographs of systems/equipment at the end of the documentAccess Point Security Measures
None Double Door/ Sluice system Turnstile Reinforced doors Metal bars Bullet resistant glass Blast resistant glass
Screening Equipment X-ray machine - Model:
Max size of parcel: x centimetre (cm) Walkthrough metal detectors Hand-held metal detectors
Explosive & Bio/Chemical/Radiological(CBR)Detection None K9 Dog Unit Explosives or CBR Detection System
air sampling wipe sampling walk-through system
Manufacturer: Model: ID and Key ControlIDs authorised by: ID Machine controlled IDs issued by: Location: Blank/ unissued ID cards controlled by: Blank/ unissued ID cards located at:
IDs have serial numbersSpecial Badges for: Contractors / VIPs / INGO/ NGOs / Government Officials
Staff Dependents Keys authorized and issued by: Master keys authorized for: System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
Maintenance Contract in effect and in compliance with maintenance
schedule Maintenance of systems deficient
(add shortcomings under deficiencies below)
Description of Screening Operation:
Access Control -ProceduresScreening Strictness:
no search random visitors all visitors contractors (e.g. cleaning crews, workmen); random staff all staff
Authentication/ Authorisation Method: Personal Recognition (through guard/ security officer) Combination/Code (Keypad Panel) Automated Biometric Recognition System (finger print / iris
or retina) ID Card Reader / Electronic Access Control Reader Door Key System
Checkpoint Location Gate/exterior Reception/Interior
Access Control TechnologySystem Operation/ Readers/ Controls
Locally – Manually/ Non-programmable Locally – Programmable Remotely – Programmable/ Networked
Doors/Turnstiles electric strike plate electronic/ hydraulic lock magnetic lock system
Deficiencies 1)2)Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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DELIVERIES, MAIL & SHIPMENTS OPERATION/SCREENINGattach all sketches/ photographs of systems/ equipment at the end of the documentEntry Point for Deliveries/Mail:
Exterior of Facility – specific delivery building/port Partitioned building at the outer perimeter boundary of facility Interior of facility
Screening Equipment X-ray machine
Model:Max size of parcel: x centimetre (cm)Explosive & Bio/Chemical/Radiological(CBR)Detection
None K9 Dog Unit Explosives or CBR Detection System
air sampling wipe sampling walk-through system
Hazardous material containment system none yes, System Type: Manufacturer:
System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
Maintenance Contract in effect and in compliance with maintenance
schedule Maintenance of systems deficient
(add shortcomings under “Deficiencies” below)
Description of Deliveries and Mail screening procedures:
Insert photograph of screening area / operation / equipment
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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FACILITY LIGHTINGattach sketches/ photographs of systems/ equipment at the end of the documentLightingType of lamps: Power supply: Local Grid Facility back up power supplyNumber of lamps: perimeter building exteriors(s)
lights are directed to the exteriorLighting coverage:
Outer parking area Inner parking area Vehicle access and screening areas Pedestrian access point Fire and Earthquake assembly points Approach road to access points Building access points and emergency exits Roads/ walkways in the compound Specific points of risk (cashiers, armouries, pharmacies, ATMs etc.) All CCTV-surveyed areas Perimeter walls/ fence and standoff area Other:
System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
Maintenance Contract in effect and in compliance with
maintenance schedule Maintenance of systems deficient
(add shortcomings under “Deficiencies” below)
Insert sketch with lighting locations here
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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CLOSED CIRCUIT TV (CCTV)attach all sketches/ photographs of systems/ equipment at the end of the documentCCTV System DetailsManufacturer: Model: Number of Cameras
fixed PTZ(Pan, Tilt, Zoom) interior exterior night video infrared day/ night cameras cameras with lighting
Video recording: digital video storage/ tape storage continuous recording motion capture
Frames per second: Recording capacity: Days Hours Location of recording device within building:
Back-up storage of CCTV footage:
CCTV Monitoring Not monitored During office hours During night hours 24/7 System accessible
remotely via InternetVideo monitored by:
UN guards Security company
on UN contract Staff of building
management company
CCTV CoveragePerimeter
partial coverage full coverage
RoofApproach Roads Elevators Vehicle Access Gates FoyersPedestrian Access Gates Low WindowsReception Exterior DoorsPublic areas Utilities Intakes/Vents
(Water Main/ Sewer/ Electric Grid Connection) System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
Maintenance Contract in effect and in compliance with
maintenance schedule Maintenance of systems deficient
(add all shortcomings under “Deficiencies” below)
Insert sketch with CCTV positions here -Indicate coverage areas of cameras.
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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ALARM & PUBLIC ADDRESS SYSTEMSattach all sketches/ photographs of systems/ equipment at the end of the document
Alarm Systems Perimeter Intrusion Detection System
Type of sensors: Building Intrusion Detection System (IDS)
Type of sensors: Accessible remotely via internet or telephone
CoveragePerimeter partial coverage / full coverage
Exterior Doors Low Windows Roof Sensitive areas: (e.g. cashier): Utilities Intakes/Vents (Water Main/Sewer/Electric Grid
Connection) Duress Alarm buttons
Access control guard post – vehicle Access control guard post - pedestrian Receptionist Head of Office Cashier
Alarm Response ArrangementsAlarm connection to
Police/ Host Government Security Forces to UN control room to Private Security Firm
Other: What is the expected response? (manpower/equipment) When? (expected delay) Effectiveness Assessment: Public Address System
None Partial – building interiors Partial – foyers/meeting rooms Entire facility Remotely addressable (via phone line / radio) Pre-recorded/scripted Messages Live voice announcements
Insert photos and/ or sketch with system functions/ equipment (attach additional sketch/ photographs as
necessary)
System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
Maintenance Contract in effect and in compliance with maintenance
schedule Maintenance of systems deficient
(add all shortcomings under “Deficiencies” below)
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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INTERIOR FACILITY / BUILDING SECURITY (duplicate page for additional buildings)attach all sketches/ photographs of systems/ equipment at the end of the document
Type of Building/Wall Construction Dry wall / Plaster wall / Plastic prefab Wood Construction Masonry Concrete Steel Container
Building Shell Enhancements: Interior Retrofit – type: Exterior Hesco reinforcement T-walls/concrete double wall
Physical Security of Access Points: Windows/DoorsShatter/Blast Resistance:
Blast/ Shatter Resistant Glass, Rating: Bullet resistant Glass, Rating: Laminated (burglar/ storm proof) Glass, Rating: Shatter Resistant Film (SRF) applied at date
Manufacturer: Type: Thickness: microns
Fragmentation retention curtains:Manufacturer: Type:
Frame catcher system:Manufacturer: Type: Burglar Bars
Steel bars on ground floor until floor Hinges for outward opening non-removable/welded in
placeExterior Doors
Solid core/Metal Sheet Pick-resistant locks Lock strike shield Magnetic lock Hydraulic/ electric lock Hinges for outward opening non-removable (welded in
place or fixed with bolts)
Compounds containing multiple buildings only:UN agencies using this building: Total number of UN staff working in this building: Usage of this building: Office Accommodation
Other:
Vehicle Stand-off from Buildings (if parking is permitted in the interior of compound)
None Enforced stand-off around buildings
minimum: metre (m)Obstacles/Barricades:
Unanchored Barriers Anchored Barriers Barriers interlinked (steel cable) Hesco type systems Landscaping / natural barriers
Overhead Protection Measures None Reinforced Concrete Ceilings ( top floor vacated) Sand-bags (roof/top floor) Overhead Mortar/Artillery Shell Protection: Not rated/certified – construction details: Rated/certified:
certified >80 millimetre (mm) mortar certified >80-120 millimetre (mm) mortar certified > 120 millimetre (mm) mortar certified – other:
Clear Zones/Access to Building no shrubbery/if yes, distance from building(s)
meters no trees/if yes, distance from building(s) metersTerraces, Balconies, Arcs and overhangs secured Tools and ladders which can be used for access or force
entry through windows and doors are locked
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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FIRE DETECTION, WARNING AND SUPPRESSION SYSTEMSattach all sketches/ photographs of systems/ equipment at the end of the document
Fire Detection Smoke Detectors Heat Detectors Automatic fire detection, alarm system
addressable (individual detectors are shown on an alarm panel)
conventional/ not addressable Partial facility coverage Emergency escape stairs covered Full facility coverage
Number of detectors (total):
Fire Alarm/Warning Alarm stations/buttons Sirens Emergency intercom system (between control room and
building floors) Public address system Remote notification system to fire department
Fire Suppression Stand-pipe system (series of pipes throughout buildings
with connectors for trained occupant or fire department use) Fire hoses for occupant use
partial facility coverage full facility coverage
Fire extinguishers Types of extinguishers:
partial facility coverage full facility coverage
Number of extinguishers (total): Sprinkler system
Type: Manufacturer: Model: Suppressant used:
Water supply: dedicated tank/ pressure system, normal water main
Building areas partitioned with fire rated doors
Operational RequirementsFire escape routes: Routes and Exits marked
No blockages Emergency lighting Width of escape routes according to national standards Facility is inspected/certified by fire department Local fire department is equipped to reach and respond to
all locations in the facility Fire Wardens appointed Fire safety and evacuation plan in place, last update:
Fire drill every 6 months Assembly points established and marked Emergency procedures and routes displayed Measures to secure/back-up IT data and sensitive
documents
Potential fire hazards in the facility Fuel , Type: Kitchen/canteen Operation Chemicals - Type: Other:
System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
Maintenance Contract in effect and in compliance with maintenance
schedule Maintenance of systems deficient
(add all shortcomings under “Deficiencies” below)
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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UTILITIES – ELECTRICITY SUPPLY, WATER INTAKE, FUEL STORAGE, HEATING, VENTILATION, AIR CONDITION (HVAC) – BACKUP SYSTEMSattach all sketches/photographs of systems/equipment at the end of the documentHVAC System
None Room Heating Room Air-conditioning Central Heating Central Air-conditioning
Manufacturer: Model: Chemical, Biological and Radiological (CBR)
Detection SystemHeating Source
Oil Gas Electric Solar heated water Communal heat
Potable Water Supply Communal water main connection Water delivery by local supplier Water storage tank at facility
Water processing system Filter system
Model: Manufacturer: Desalination system Sensors for chemical hazards Sensors for bio hazards
Electricity Supply Surge Protection installed Local Grid Connection Provider: Generator Power Supply
Model: Fuel: kVA output: Solar W ind Power Supply:
Manufacturer/Model: kVA output:
Emergency Electricity Supply None Emergency Generator
Manufacturer/ Model: Fuel: kVA output: Operation: manual / automatic
Battery / Solar / Wind Power Emergency Supply: with converter to high voltage
Manufacturer/ Model: kVA output: Operation: manual / automatic
Areas served by Emergency Electricity Supply:
Full back upGeneral office
equipment Radio Communications System Security control centre/
Radio room Telephone System PBX Fire Alarm System VSAT IT server room and
hubs Intrusion Alarm System CCTV SystemElectronic Access Control systemPerimeter lighting
full partial emergency lighting
Building interior Lighting full partial emergency lighting
Building exterior lighting ElevatorsLighting at pedestrian access control point
Lighting at vehicle access control point
Fuel Storage in/at Facility None Building Interior Underground Open air outside on adjacent plot – distance to
perimeter: metres (m)
Fuels Gas (capacity ) Petrol – pump station (capacity ) Diesel – pump station(capacity ) Heating Oil (capacity ) Coal Wood
Security/ Safety Measures for Electric/ HVAC/ Water Supply and Fuel Storage Systems:
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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SAFE ROOM/AREA attach sketches/photographs of systems/equipment at the end of the documentLocation
Basement – cellar Ground floor Above ground floor – 5th floor > 5 floor
Size m², Max. Capacity: personsFood/Water stored for days
Ventilation Exterior safe ductWall - Reinforcements
Plastic/sheetrock/wood Masonry < 20 centimetres (cm) Masonry > 20 centimetres (cm) Masonry with reinforcement retrofit Concrete < 15 centimetres (cm) Concrete > 15 centimetres (cm)
Safe Haven Door/GateMaterial: Wood Steel sheet
Steel bars Steel bars concrete anchoring – depth: centimetres (cm)Hinges: Number: Bolt size: millimetres (mm)
external / internal / coveredGround anchoring/boltsAnchoring ground material:
Tiles/Asphalt / Concrete Metal tube and concrete
Number of Anchoring points/bolts: Anchoring Depth: centimetres (cm)Bolt diameter: millimetres (mm)Side anchoring/bolts
Steel frameSteel tube/ frame in masonry in concreteNumber of Anchoring points: Anchoring Depth: centimetres (cm)Bolt diameter: millimetres (mm)Estimated delay of Forced Entry for Perpetrators:
without tools: minutes with mechanical tools minutes with power tools minutes
Insert sketch of Safe Room and adjacent spaces
Communications Equipment:
External antenna for radio system Usable signal strength for radio Usable signal strength for mobile phone External antenna for satellite phone
System Functionality/MaintenanceFunction: Equipment and systems were
fully functional at the time of the survey partially functional at the time of the survey
(add shortcomings under “Deficiencies” below)Maintenance
Contract in effect and in compliance with maintenance schedule
Maintenance of systems deficient(add shortcomings under “Deficiencies” below)
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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MEDICAL / EMERGENCY RESPONSEattach all sketches/ photographs of systems/ equipment at the end of the documentUN Medical Response Capacity
UN Medical Dispensary within facility UN Physician present at facility UN PKO Military Hospital - Level Trauma Bag available at facility Medical or Trauma bag trained staff at facility Other Types of Medical Support:
Host Country Response Capacity Emergency Medical/ Ambulance Services - Estimated
Response time: Estimated Number of Ambulances at Duty Station:
Police/ Security Forces - Estimated Response time:
Fire Rescue Services – Estimated Response time: Search and Rescue Equipment –
Details:
Other Response Capacity at Duty Station/in Country (as per Security Plan)
International Forces In extremis extraction/rescue agreement in place
Description of expected support:
NGO medical support/hospital Search and Rescue Equipment
Estimated Response time: Other support arrangements:
Effectiveness of Emergency Response Plan for Mass Casualty Incidents:
Hospitals at Duty StationName Address Distance to UN
and Expected Response time
Intensive Care Unitcapacity (beds)
Level (I-IV)
Contractual arrangements
meters minutes
yes, description:
meters minutes
yes, description:
meters minutes
yes, description:
meters minutes
yes, description:
Hospitals outside Duty StationName Country/City ICU capacity
(beds) Level (I-IV)
Trans-port time (hours)
Means of Transport (ambulance/aircraft type + transport capacity; medical standard)
Provider of Transport
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
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SECURITY GUARDS /STATIC AND PATROL OPERATIONattach a map of guard positions/ patrols+ photographs of systems/ equipment at the end of the documentDescription of Security Guard Operation/ Supervision:
Guard Force Status/ Capacity
Officer/ Guard Deployment Numbers
Firearms Type of Equipment/ WeaponsDay/ Office hours
Night/ After Office hours
No Security Guard Force NA NA NA NA Local Facility Owner Provided Guard Force Local UN Contracted Guard Force Company International Private Company Guard Force UN Guard Force
Guard Force Communications Arrangements No radios Radios for internal Guard Force use only, or
communication channel(s) to: UN Security Guard force company Police
Guard Force Operation static only patrolling only static and patrolling
Security of Guard Positions/ Sentries:
Guard Force Training Fire Safety Training Medical Response (Triage) (EMT) Training Incident Response Training
Specialist Training: (e.g. Investigation) Use of force training (UN Use of Force Policy/
National Laws) UN standard weapons training Non-UN weapons training Vehicle / person / x-ray screening training
Firearms Training / Certification every months
Guard Force SOPs Incident Response Evacuation Screening/ Search Procedures Fire Prevention and Response Procedures Medical Response/ Mass Casualty Post Instructions/ Orders Use and storage of Weapons Specialist Equipment Access control (Authorization/ Authentication) Turnstile operation Communications Protocol – internal Communications Protocol – external Mission Tracking (if not done by radio operators)
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
HOST COUNTRY PROTECTION MEASURESattach a map of static positions/checkpoints and patrols at the end of the document
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Description of Host Country Security and Protection Measures:
Host Country Static Security at UN Facility
Number of Personnel Deployed
Locations/ Firearms / Type of Equipment/ WeaponsDay Night None NA NA NA Military
Police
Other:
Host Country Area Security Measures
Deployment
Locations / Specific Arrangements Communications ArrangementsDay Night
None / Unknown NA NA NA NA Military Patrols None Radio
Phone Police Patrols None Radio
Phone Counter surveillance
operation None Radio Phone
Plain clothes officer patrols None Radio Phone
Check-points None Radio Phone
Stand-off zone enforced with physical barriers/ checkpoints
Chemical, Biological and Radiological (CBR) Detection Systems deployed in vicinity of the UN facility
Other measures: Distance from Perimeter:
Deficiencies 1)2)
Deficiencies
Recommendations / MOSS Requirements1)2)
Deficiencies
(add to summary at the end of the survey)
Summary of Recommendations/ MOSS Implementation Status
Recommendation/Requirement
MOSS Requirement Action Required/Status Responsible
Agency/PersonDate of latest
update
1
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Map of city/town with location of UN building(s) annotated (UN buildings, Police, military and security services, hospitals, other important locations)
Insert map/sketch/areal image or Google Earth snapshot (need to be up to date)
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BUILDING FLOOR PLAN(S)Emergency Exits - number:
Elevators - number:
StaircasesInterior-number: Exterior-number:
Width of staircase(s): centimetre (cm)
Insert floor plan here
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