HomeMy WebLinkAbout46A-All Hazards Plan -test Copy
Policy & Procedure Page 1 of 15
Lexington Police
Department
Subject: All Hazards Plan (Incident Command System ICS)
Policy Number:
46A Accreditation Standards:
Reference: 11.4.5; 12.1.2; 46.1.1; 46.1.2; 46.1.3; 46.1.4;
46.1.5; 46.1.6; 46.1.7; 46.1.8; 46.1.9; 46.3.4 Effective Date:
3/11/13
New
Revised
Revision
Dates:
1/24/19
By Order of: Mark J. Corr, Chief of Police
GENERAL CONSIDERATIONS AND GUIDELINES
Members of the Lexington Police Department may be called upon at any time to
respond to major emergency situations or unusual incidents. This policy shall guide
the actions of members responding to the site of emergencies and unusual incidents
requiring more than routine police action, equipment and/or personnel.
Department responses to certain types of major incidents shall be subject to special
directives. Personnel involved in incidents for which there is a specific Department
policy shall follow the provisions of that policy.
Department members shall utilize the formal Incident Command System procedures
that are delineated in this policy for all serious incidents and unusual occurrences.
Certain incidents may shift to Unified Command if the situation involves other concerns.
Under Massachusetts law, the Fire Department Chief is the overall commander at any
natural or man-made disaster.
It is the policy of the Lexington Police Department to utilize a verbal action plan for all
unusual occurrences; however, a written action plan should be prepared for all large scale
incidents. These may include multi-jurisdictional, multidisciplinary (police, fire, etc.) and
or span multi-operational periods (i.e. 8 hours / 12 hours). W hen a serious incident or
unusual occurrence happens, it shall be the responsibility of the Commanding Officer to
notify the Chief of Police, Captain and the Captain of Operations. [46.1.5]
The Chief of Police is a member of the Senior Management Team (SMT) for the Town; the Chief is often
privy to events do to the nature of his duties before other members of the community. As a member of
SMT and in order to successfully complete his duties the Chief of Police or designee shall be notified by
the Commanding Officer of any critical incident within the Town of Lexington as soon as possible. These
incidents may involve situations that increase potential agency liability or may result in a heightened
community interest. Incidents which are minor in nature the Chief of Police or designee should be
notified through the use of an e-mail or at a later time. The following examples are included but not
limited to this list: incidents involving media coverage, officer injury, significant property damage or
injury caused by an officer, unattended deaths resulting in medical examiner involvement, major power
outages, large fires or significant water breaks. These notifications should be made as soon as possible.
The preferred method of afterhours contact should be by cell phone. There is an emergency notification
list located in the Combined Dispatch Center. [11.4.5]
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PROCEDURE
A. Definitions
1. Command: The Incident Commander (or Unified Command) and the Command
Staff positions.
2. Command Staff: Incident Command System (ICS) positions required to
support the command functions that are not specifically identified in the General
Staff functional elements: Safety Officer, Information Officer and Liaison Officer
3. General Staff: Incident management personnel (Section Chiefs) who represent
the major functional elements of the ICS: Operations, Planning, Logistics and
Finance/Administration.
4. Incident Command System (ICS): A National Incident Management System
(NIMS) approved management system designed to enable effective and
efficient incident management by integrating a combination of facilities,
equipment, personnel, procedures, and communications operating within a
common organized structure.
5. Incident Commander (IC): The person designated as being in charge of the
overall incident for an agency or jurisdiction.
6. Inner Perimeter: The immediate area of containment around an incident site.
7. Outer Perimeter: The peripheral control area surrounding the inner perimeter
that provides a safe zone for access to and from the inner perimeter, and defines
the limit of access by unauthorized persons.
8. Staging Area: Locations designated by the IC or Operations Section Chief
where resources are placed while awaiting a tactical assignment to the incident
site.
9. Unified Command: The command structure formed when ICs from some or all
of the responding agencies or jurisdictions operate together to manage an
incident.
10. Unity of Command: The principle that every individual has a designated
supervisor to whom they report at the incident scene.
11. Unusual Occurrences: Situations, generally of an emergency nature, that
results from disasters, both natural and man-made. (Examples at the local level
could include fatal or serious bodily injury car accidents, plane crashes, house
fires, etc.)
B. Critical Incident Policies
1. The following are examples of potential critical incidents and policies which
should be referred to in such cases.
a. Acts of Terrorism, Department policy 46F
b. Bomb Threats, Department policy 46G
c. Civil Disturbances, Department policy 46B
d. Hostage/barricaded person situations, Department policy 46C
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e. House Parties, Department policy 46G
f. Mass Arrests, Department policy 46B
g. Natural and Man-Made Disasters, Department policy 46B
h. Pandemics, Department Policy 46B
i. Strikes and Labor Disputes, Department policy 46D
2. When responding to a critical incident the All Hazards Plan should be
followed.[46.1.2]. The plan will follow standard Incident Command Systems
(ICS) protocols, which include functional provisions for: command [46.1.3],
operations [46.1.4], planning [46.1.5], logistics [46.1.6] and
finance/administration [46.1.7] in this policy. [46.1.2]
C. Emergency Response Coordination
1. In accordance with Massachusetts Law and Massachusetts Executive
Orders every city and town in Massachusetts is required to establish an
emergency management program and to appoint an official (typically
known as the Emergency Management Director (EMD) to organize and
administer this program. The Lexington Fire Chief is the Emergency
Management Director for the Town of Lexington.
2. The Senior Management Team (SMT) which is comprised of Department
Heads for the Town of Lexington shall meet when a significant event
occurs, which significantly impacts the town. See the Community
Emergency Management Plan (CEMP) for additional information.
3. The Chief of Police is the Police Departments representative for SMT, in
his absence the department will follow the chain of Command outlined in
Department policy 12A-Command, Authority, Succession and
Protocols. [12.1.2]
4. The Captain of Operations shall be the Emergency Response Coordinator
(ERC), who shall be responsible for the management of the planning
functions for the Police Department’s response to critical incidents.
[46.1.1]
5. The Emergency Response Coordinator (ERC) shall be responsible for
ensuring that:
a. Written plans are prepared for responding to major emergency
situations or unusual occurrences.
b. Emergency operations plans are will be accessible to all command
personnel in the Commanding Officer’s Office.
c. Emergency management and operations plans are reviewed and
updated at least annually, and
e. Department equipment designated for use in unusual incidents is
inspected quarterly by the appropriate Quartermasters, including the
Police Mechanic for operational readiness. [46.1.8]
f. The Community Emergency Management Plan (CEMP) is reviewed
annually and kept current. [46.1.1]
Note: The Community Emergency Managements Plan (CEMP) is
located in the Captain of Operations Office.
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D. Incident Command System (ICS)
1. The Incident Command System is designed to produce effective and
efficient incident management through the integration of facilities,
equipment, personnel, procedures and communications operating within
a common organized structure.
2. Generally, the ICS organization is comprised of the following functions
and/or positions:
a. Incident Commander
b. Command Staff
c. General Staff/Sections.
3. At smaller incidents, the Incident Commander may perform all of the
needed functions him/herself. At complex incidents, the Incident
Commander will appoint personnel to General Staff and Command Staff
positions as necessary.
E. Command Modes
1. The command function may be conducted in two ways: a single Incident
Commander or Unified Command.
2. When an incident does not involve jurisdictional or functional overlap (i.e.
the incident involves Department response only), a single IC will be
designated with overall management responsibility.
3. Incidents that become multi-jurisdictional or involve multiple agencies
within the same jurisdiction, a Unified Command (UC) may be required
to replace the IC.
F. Incident Commander (IC)
1. The Incident Commander has the following responsibilities:
a. Develop incident objectives on which subsequent planning will be
developed,
b. Oversee the development and implementation of an Incident Action
Plan (IAP), and
c. Approve requests pertaining to the ordering of incident resources.
2. To facilitate the management of a large-scale incident, the IC may
delegate authority for performing certain functions to others, as required.
The IC will base the decision to expand or contract the ICS organization
on three priorities:
a. Life Safety: the IC’s first priority is always the safety of emergency
responders and the public,
b. Incident Stability: the IC is responsible for determining a strategy
that will minimize the effect the incident may have on the
surrounding area, and maximize the response effort while using
resources effectively, and
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c. Property Conservation: the IC is responsible for minimizing
damage to property while achieving the incident objectives.
3. The IC is also responsible for performing any Command Staff and General
Staff functions that are not assigned and staffed.
G. Unified Command (UC)
1. The purpose of UC is to manage a multi-agency incident under a single,
collaborative approach, which includes:
a. A common organizational structure,
b. A single incident command post,
c. A unified planning process, and
d. Unified resource management.
2. Under UC, all agencies with jurisdictional authority or functional
responsibility for any or all aspects of an incident, and those able to
provide specific resource support, participate in the UC structure. The
composition of the UC team will depend on the location and the type of
incident.
3. Individuals designated by their organization to the UC jointly determine
objectives, strategies, plans and priorities, and work together to execute
integrated incident operations.
4. Department members who are performing IC duties at an incident that
meets the above criteria shall consider the creation of a UC whenever
appropriate.
H. Command Staff
1. Command Staff positions are established to assign responsibility for key
activities not specifically identified in the General Staff functional
elements.
2. The Command Staff positions are:
a. SAFETY OFFICER: The Safety Officer monitors incident operations
and advises the IC on all matters relating to operational safety,
including the health and safety of emergency response personnel.
b. INFORMATION OFFICER: The Information Officer is responsible
for interfacing with the public, media and/or other agencies with
incident-related information requirements.
c. LIAISON OFFICER: The Liaison Officer is the point of contact for
representatives of other government agencies, non-governmental
organizations, and/or private entities.
3. Assistants can be assigned for Command Staff positions as required.
I. General Staff
1. The General Staff includes incident management personnel who represent
the major functional elements of the ICS.
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2. The General Staff positions report to the IC, who serves in the Command
function, and are:
a. Operations Section
b. Planning Section
c. Logistics Section, and
d. Finance and Administration Section.
3. Deputy Section Chiefs may be assigned for General Staff positions as
needed.
J. Command Functions [46.1.3(a)]
1. The first officer to arrive on-scene will assume the duties of the Incident
Commander and will remain so until properly relieved by a superior
officer. The incident Commander shall activate the incident command
system.
2. The IC shall ensure that all appropriate command functions are
completed, either in person or through appointed Command Staff or
General Staff.
K. Personnel Safety [46.1.3(g)]
The Command Section is responsible for supervising the safety of all involved
personnel. In incidents where the IC cannot personally oversee safety issues,
he/she will designate a Safety Officer.
L. Command Post [46.1.3(b)]
1. The Command Section will establish a Command Post. Initially, the
Command Post may be a cruiser or other emergency vehicle, or a
designated location within or adjacent to the incident site. The
Department's Mobile Command Post may be assigned to the scene of any
emergency incident requiring its resources, at the discretion of the Shift
Supervisor.
2. Once a Command Post is established, its location should be communicated
to all appropriate personnel.
3. The Command Post should:
a. Be established away from the general noise and confusion
associated with the incident; when appropriate, it may be located
within view of the incident scene,
b. Be positioned outside of the inner perimeter, but within the outer
perimeter to provide security and controlled access,
c. Have the ability to expand as necessary, and
d. Be easily identified by the use of a flag, placard or other highly
visible means, such as a blue flashing police lights.
4. In cases where there are joint operations with other agencies, a
consolidated command post will be established with all responding
agencies.
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5. The command post will be deactivated when all operational phases cease
and/or the incident is terminated.
M. Mobilizations [46.1.3(c)]
1. If on-duty Department staff resources are inadequate to meet the incident’s
operational needs, the Command Section is responsible for the
mobilization of additional Department personnel.
2. In such cases, the IC will request that the Shift Supervisor initiate a call-
out and/or mobilization of additional Departmental personnel.
N. Outside Agencies [46.1.3(d)]
1. In the event that there are insufficient local resources to properly handle an
incident, appropriate outside agencies should be contacted for assistance.
2. In incidents where the assistance of neighboring law enforcement agencies
is required to meet an incident’s operational needs, the IC may request
that the Shift Supervisor seek the appropriate mutual aid.
3. For large-scale incidents, the Chief of Police may request state or federal
assistance. Under the provisions of MGL c.38, the Governor has the
authority to deploy the National Guard to assist state and local authorities
in the protection of life and property.
4. During certain types of incidents (e.g. acts of terrorism), the Chief of Police
or his/her designee may also request federal law enforcement assistance.
O. Staging Areas [46.1.3(e)]
1. The Command Section will identify locations for the staging of incoming
personnel and/or equipment. Locations should be large enough to contain
personnel and equipment awaiting assignment.
P. Public Information [46.1.3(f)]
1. The release of information relative to ongoing emergencies is particularly
sensitive and important. The ultimate responsibility for the dissemination
of public information rests with IC. Depending on the size of the incident,
whenever possible, the IC will coordinate the release and distribution of
information with the Department’s Public Information Officer (PIO).
2. Information should be updated as often as practicable, as this will minimize
the opportunity for rumors or misinformation to develop. See Department
policy 54A-Public Information and the News Media.
Q. After Action Report [46.1.3(h)]
1. As soon as practicable after a major incident, the IC shall coordinate the
preparation of an after-action report concerning all Department activities.
The report will include any applicable ICS forms created during the
incident, budgetary impacts, copies of any related reports issued by
Department units (i.e. SWAT), and recommendations concerning the
handling of similar problems in the future.
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2. The Captain of Operations will review the after-action report and forward
it to the Chief of Police.
R. Operations Section [46.1.4]
1. The Operations Section is responsible for the direct management of all
incident-related operational activities and for establishing tactical
objectives for each operational period.
S. Establishing Perimeters [46.1.4(a)]
1. Controlling access to an incident scene is a key function and must be
based on the unique aspects associated with each incident. When
necessary, the Operations Section shall establish and maintain working
perimeters to contain an incident and will allocate an area for tactical
deployment. Perimeters must be placed at a distance that ensures
personnel safety and allows for the appropriate deployment of resources.
2. In ongoing emergency situations it is essential that the free flow of
necessary equipment and personnel be maintained, and that
unnecessary personnel and vehicles be kept out of the immediate area
of operations. The outer perimeter establishes a zone of exclusion for
civilians and must be kept secure until the IC declares the
incident/response properly terminated.
3. Unless directed otherwise, officers assigned to perimeter control should
adhere to the following guidelines:
a. The IC, after consultation with the command representatives from
the other responding agencies, will specify what emergency
personnel and/or equipment should be allowed to pass through
the perimeter lines
b. Other emergency equipment arriving at the outer perimeter will be
directed to an appropriate staging area to await orders
c. Privately owned vehicles will not be permitted access through the
outer perimeter lines unless carrying required equipment and
cleared by the IC.
4. Parking on approach roadways should be discouraged. If allowed, it must
be maintained in an orderly manner to ensure that it does not hinder the
access or egress of emergency equipment.
T. Maintaining Command Post and Scene Security [46.1.4(c)]
1. Scene and Command Post security are functions of the IC or Operations
Section. Perimeter security should be maintained at all times and access
to the Command Post must be strictly controlled.
2. A Command Post security detail should verify the identification of persons
requesting access to the Command Post, allowing passage only to
essential personnel.
3. During incidents with potentially dangerous persons, officers assigned to
perimeter control should be notified, via radio, of the presence of plain-
clothes officers so as to avoid their being mistaken for a suspect.
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U. Detainees/Mass Arrests [46.1.2] [46.1.4(d)]
1. The threat of imminent violence, or violations of criminal law by members
of an unruly or volatile crowd, may require the restraint of persons,
including arrests.
2. If an arrest is made in a situation involving an unruly or large crowd:
a. Arrestees should be removed from the scene of the disturbance
as soon as possible,
b. Documentation (business card, etc.) providing the name of the
arresting officer and the criminal charges should be placed
somewhere on the arrestee, and
c. If possible, a photograph of the arresting officer with his/her
prisoner should be taken for accurate identification.
Note: The above are included to consider circumstances such as
an arresting officer who is in tactical gear and turns to continue to
deal with a crowd after making the arrest, with other officers
transporting the prisoner.
3. Unless emergency circumstances require otherwise, the transportation,
processing and confinement of any detainee held in conjunction with an
emergency situation shall be conducted in accordance with Department
policies and procedures.
V. Evacuations [46.1.4(b)]
1. The evacuation of an area may be necessary if conditions create a safety
threat to local residents or property. An agency representative from the
area to be evacuated should coordinate evacuation activities.
2. When an evacuation is deemed necessary, the Operations Section will
be responsible for carrying out this task. Particular attention should be
given to evacuating civilian personnel from inside the perimeter area. The
Operations Section may enlist the help of the media through the
Information Officer during large scale or pre-incident (such as a hurricane
threat) evacuations.
4. In some instances, it may be safer to advise civilians to remain in their
houses and Shelter in Place rather than evacuate an area. This may be
effective in areas where a dangerous individual is eluding capture.
W. Traffic [46.1.4(e)]
1. Traffic direction and control is a responsibility of the Operations Section.
Officers directing and controlling traffic should:
a. Maintain perimeter security
b. Keep roadways/intersections clear for emergency vehicles, and
c. Prevent unnecessary traffic from entering the affected area.
2. Whenever practicable, the media should be utilized to publish alternate
routes and inform the public of possible traffic delays.
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X. Follow-up Investigations [46.1.4(f)]
1. The IC (or Operations Section, if activated) is responsible for ensuring
that any necessary post-incident investigations are conducted.
2. Such investigations may be required to identify the cause/responsibility for
the incident and enable the filing of criminal charges, when appropriate.
Y. Planning Section [46.1.5(a)]
The Planning Section is responsible for the collection, evaluation and
dissemination of incident situation information and intelligence to the IC. The
Planning Section is also responsible for preparing status reports, displaying
situation information, maintaining status of resources assigned to the incident,
and developing and documenting the Incident Action Plan based on guidance
from the IC.
Z. Intelligence [46.1.5(b)]
1. The Planning Section is responsible for gathering and disseminating
information about the incident. Information obtained will be used to
formulate and update the Incident Action Plan (IAP).
2. If intelligence indicates an existing or anticipated change in conditions,
the IAP must be modified accordingly to ensure that operations are
conducted in a safe and appropriate manner.
3. The Planning Section shall ensure that the updated plans are distributed
to all affected officers.
AA. Incident Action Plans (IAP)
1. The IAP contains the objectives reflecting the overall incident strategy
and specific tactical actions, and supporting information for the next
operational period. For simple incidents, the IAP may be verbally
transmitted. For complex incidents, the IAP will be a written document.
2. When written, the plan may have a number of attachments, including
incident objectives, organization assignment list, division assignments,
incident radio communication plan, medical plan, traffic plan, safety plan,
and fire, weather, and incident maps.
3. The incident action planning process includes the following steps:
Step Action
1 Understand applicable Departmental policies and directives.
2 Assess the incident situation.
3 Establish the incident objectives.
4 Select an appropriate strategy or strategies to achieve the objectives.
5 Perform tactical direction (apply tactics appropriate to the strategy, assign the
right resources, and monitor their performance).
6 Provide necessary follow-up (change strategy or tactics as needed, add or
subtract resources, etc.).
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4. IAPs are always based on incident needs and the ICS organization. They
must be flexible and constantly reevaluated, and should be based on an
operational period of no more than 24 hours.
BB. Demobilization [46.1.5(c)]
1. Planning for demobilization occurs prior to the end of the incident. The
Planning Section is responsible for creating a Demobilization Plan that
includes specific instructions for all personnel and resources that will be
demobilized. Once the Demobilization Plan is approved, it will be
distributed as necessary.
2. The Demobilization Plan will include procedures to:
a. Account for all officers engaged in the incident
b. Disengage officers as appropriate, and
c. Assign officers or other personnel, as needed, to remain in the area
of incident to ensure that it is protected.
3. Post-occurrence procedures will include:
a. Deactivating the command post
b. Ensuring that all Department equipment is collected and returned
c. Conducting tactical debriefing of the incident, when appropriate,
and
d. Notifying the Peer Support Team of the incident, and providing
appropriate stress counseling to all involved police personnel.
CC. Logistics Section [46.1.6]
1. The Logistics Section is responsible for all support requirements needed
to facilitate effective and efficient incident management, including the
ordering of resources from off-incident locations.
2. The Logistics Section also provides facilities, transportation, supplies,
equipment maintenance, food service, accommodations and medical
services for incident personnel.
DD. Communications [46.1.6(a)]
1. During a declared emergency event, the Department will activate the
communications area in the Emergency Operations Center located at the
Department of Public Works. Emergency communications will be
coordinated with Dispatch personnel.
2. Due to the volume of radio traffic associated with a large-scale emergency
event, the Incident Commander may have assigned personnel utilize
alternate radio channels.
3. The IC may also utilize other communications resources, such as
Department-issued cellular phones and mobile data terminals, as
necessary.
EE. Transportation [46.1.6(b)]
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1. When the transportation of personnel or equipment to or from the site of
an emergency is required, the Logistics Section will consider all sources of
transportation. Depending on the circumstances of the event, modes of
transportation that may be utilized include: Department vehicles, Town-
owned vehicles, and personal vehicles.
FF. Medical Support [46.1.6(c)]
1. The Logistics Section will ensure that appropriate medical support is
available for all emergency services personnel at the incident scene.
Medical support will also be provided for any civilian victims suffering
from physical injury.
2. Medical support should include EMS/ambulance services through the fire
department, and providing notice to area hospitals of the need for
standby staff in the emergency room.
GG. Supplies & Equipment Needs [46.1.6(d) (e)]
1. If the IC determines the need for personnel or units with specialized training
at an incident, the Logistics Section will make arrangements for the
deployment of said personnel. See Department policy 46B – Special
Operations for specialized unit resources.
2. The Chief of Police, as Emergency Management Director, has the authority
to determine the availability of Town-owned equipment and to recall such
equipment for use in emergency events as necessary.
3. The Incident Commander shall have the authority to recall and utilize all
Department resources required for an emergency incident, including any
Department vehicle.
4. If an incident requires the acquisition of supplies to maintain operations, or
specialized equipment is needed for police response, the Logistics Section
will make every effort to obtain that equipment.
HH. Finance & Administration Section [46.1.7]
1. The Finance and Administration Section is established when incident
management activities require finance and other administrative support.
2. Finance and Administration Section activities will include:
a. Recording personnel time [46.1.7(a)]
b. Procuring additional resources [46.1.7(b)]
c. Recording expenses [46.1.7(c)]
d. Documenting injuries and liability issues [46.1.7(d)]
II. Section Sub-Units
Sections may be divided as necessary into the following subgroups:
1. Branches: An organizational level having functional or geographic
responsibility for major parts of incident operations
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2. Divisions: The organizational level having responsibility for operations
within a defined geographic area
3. Groups: The organizational level having responsibility for a specified
functional assignment at an incident
4. Single resources: An individual, piece of equipment and its personnel,
or a team of individuals with an identified supervisor that can be used at
an incident
5. Strike Teams: A group of resources of the same size and type
6. Task Forces: A combination of different single resources assembled for
a particular operational need, with common communications and leader,
and
7. Units: The organizational element having functional responsibility for
specific incident planning, logistics, or finance/administration activity.
JJ. Equipment Readiness [46.1.8]
1. It is the responsibility of each Departmental unit or person to which property
is assigned to maintain any issued and stored Department property in a
state of operational readiness.
2. The Department Quartermaster, will conduct a documented quarterly
inspection for operational readiness of equipment under his/her oversight
and designated for use in support of this plan.
3. Completed inspection reports will be submitted to the Emergency Response
Coordinator. The reports shall be maintained in the Captain of Operation’s
office.
KK. Disturbances
1. MGL c.40 s.98 gives police officers the authority to suppress and prevent
all disturbances and disorder, disperse any assembly of three or more
persons, and enter any building to suppress a riot or breach of the peace
therein.
2. Officers assigned to a disturbance/crowd control will:
a. Use only the amount of force reasonably necessary to obtain control,
to protect themselves, other officers, or bystanders from physical
injury or to make arrests
b. Maintain a professional demeanor
c. Be vigorous and decisive when action is required
d. Act as a coordinated unit
e. Keep emotional and agitated persons in the crowd separated, if
possible, and
f. Keep counter-demonstrations from forming.
3. No attempt shall be made to accomplish a police objective without
sufficient resources on scene. A crowd should be broken up from its outer
edges and permitted to disperse as individuals or small groups. A
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sufficient number of avenues of dispersal will be provided whenever
possible.
LL. Accessibility
1. Copies of all policies, plans and procedures that relate to special situations
or unusual occurrences will be accessible in the Co.’s Office.
2. It is the responsibility of all supervisors to be familiar with all written plans
and procedures for emergency situations and unusual incidents.
MM. Training [46.1.9] [46.3.4]
1. All affected personnel (full time sworn officers) will receive documented
annual training on this All Hazards Plan. This training will take place
annually department wide in the early spring.
Operational Readiness Equipment-Quarterly Inspection [46.1.8]
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Performed By: ____________________________________________________________________
Date Amount Item(s) Expire Re-issue
NOTES: