The Emergency Services and the County and Borough Councils have a duty to respond in the event of an emergency affecting their areas of responsibility. Parish Councils have no such statutory duty but are encouraged to develop an emergency plan for use when assistance from the Emergency Services and other responders is delayed, e.g. if the village were to be isolated by another "great storm" together with loss of power. It is probable that main communication routes and larger centres of population would receive priority from the emergency services and the village would have to fend for itself for perhaps two or three days.
Churt Parish Council intends to develop such an emergency plan, the aim of which will be to: - establish a local emergency structure

- identify local skills and resources which could be called upon if needed

- identify vulnerable residents who might need special help.

It is hoped that those who are able to do so will volunteer to participate in the plan should the occasion arise. A questionnaire will shortly be delivered to every house and organisation/business in the village. It would be very much appreciated if recipients would take the trouble to return it completed to the Parish Clerk.

To return this questionnaire by post please highlight the form and print it. When completed please post it to

The Parish Clerk,

Highbank

Hale House Lane

Churt

GU10 2JG

To send the questionnaire back electronically it must be COPIED TO A WORD DOCUMENT and when completed, that document sent as an email attachment to churt_pc@btinternet.com

CHURT PARISH COUNCIL

EMERGENCY PLAN QUESTIONNAIRE

Skills	Delete as required
1. Are you a trained:
- doctor	Yes	No
- nurse	Yes	No
- midwife	Yes	No
- first-aider	Yes	No
- construction worker	Yes	No
- electrician	Yes	No
- plumber	Yes	No
- carpenter	Yes	No
- heating engineer	Yes	No
- telephone engineer	Yes	No
- tree surgeon	Yes	No
- forestry worker	Yes	No
- rescuer	Yes	No
- HGV driver	Yes	No
- other, please specify	Yes	No

2. If appropriate, is your registration current?	Yes	No

3. Would you be prepared to act as a Village Emergency Warden? This would entail:
- being a link in the emergency call out arrangements	Yes	No
- taking a turn on duty in the Village Emergency Control Centre when activated	Yes	No

Resources
4. Do you own, and would you be prepared in an emergency,
- to operate yourself	Yes	No
- permit others to operate	Yes	No
- farm tractor	Yes	No
- garden tractor	Yes	No
- attachments for the above (blade, bucket, etc) please specify	Yes	No
- other four wheel drive vehicle	Yes	No
- winch fitted to the above	Yes	No
- towing hitch fitted to the above	Yes	No
- trailer for the above	Yes	No
- tipping trailer for the above	Yes	No
- people carrier	Yes	No
- auxiliary generator fuelled by diesel, petrol (Please specify fuel type)	Yes	No
- auxiliary pump fuelled by diesel, petrol, electricity (Please specify fuel type)	Yes	No
- portable or space heaters fuelled by bottled gas, diesel, petrol, electricity (Please specify fuel type)	Yes	No
- portable toilet	Yes	No
- power tools (chainsaw, angle grinder) etc (please specify)	Yes	No
- hand winch	Yes	No
- ladders	Yes	No
- ropes	Yes	No
- amateur radio equipment	Yes	No
- portable non-mains water supply	Yes	No

Vulnerability
5. Might someone in your household find it difficult to cope in an emergency, e.g. if there were extended loss of power for heating or cooking.	Yes	No

6. Would someone in your household
- need medical supplies or equipment	Yes	No
- need a carer to help them	Yes	No
If the answer to questions five or six is "yes" please give, in confidence, the name, address and contact number at the bottom of this sheet.

Your Name:- ______________________________________________________

Tel No:___________________________________________________________

Mobile Tel No._____________________________________________________

email address______________________________________________________

Home Address:- ___________________________________________________

________________________________________________________________

Vulnerable person details:-

CHURT