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UNITED NATIONS NATIONS UNIES DEPARTMENT OF SAFETY AND SECURITY FACILITY SAFETY and SECURITY SURVEY 1 of 39

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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):      

1 of 22

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:      

2 of 22

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

3 of 22

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)

4 of 22

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)

5 of 22

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)

6 of 22

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)

7 of 22

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)

8 of 22

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)

9 of 22

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)

10 of 22

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)

11 of 22

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)

12 of 22

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)

13 of 22

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)

14 of 22

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)

15 of 22

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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Duplicate this page for additional Photos

Photo of…

Insert additional photos

Photo of…

Insert additional photos

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