Short Term Missions Emergency Policy
Contents
The Emergency Management System ......................................................................................................................... 2
Components ............................................................................................................................................................ 2
Purposes and Objectives ......................................................................................................................................... 2
Definitions .............................................................................................................................................................. 2
Types of Emergency Involved ................................................................................................................................ 2
The Emergency Management Team ............................................................................................................................ 2
Characteristics ........................................................................................................................................................ 2
Functions and General Responsibilities .................................................................................................................. 3
Team Positions (some functions may be combined) .............................................................................................. 3
General Guidelines ................................................................................................................................................. 3
Emergency Protocol................................................................................................................................................ 3
EMT Team Member, specific responsibilities ............................................................................................................. 4
Emergency Manager – ............................................................................................................................................ 4
Documentation Officer – ........................................................................................................................................ 5
The Logistics Officer – ........................................................................................................................................... 6
The Media Officer – ............................................................................................................................................... 6
The Financial Officer – ........................................................................................................................................... 6
The Negotiator – ..................................................................................................................................................... 6
Mission Team Leader(s), Specific Responsibilities .................................................................................................... 7
Emergency Policy ................................................................................................................................................... 7
EMT organization ................................................................................................................................................... 7
Partner with Emergency Manager .......................................................................................................................... 7
Emergency Reporting ............................................................................................................................................. 7
EMT Cooperation ................................................................................................................................................... 7
Policy on hand ........................................................................................................................................................ 7
Contingency Planning ............................................................................................................................................. 7
Emergency File Creation ........................................................................................................................................ 7
Items to review with Mission Team ....................................................................................................................... 7
Injuries and Medical Emergencies .......................................................................................................................... 8
Obtaining Medical Emergency Assistance ............................................................................................................. 8
Lost Passport and Emergency Resources ............................................................................................................... 8
Information Management ....................................................................................................................................... 9
Evacuation Guidelines ............................................................................................................................................ 9
Handling Natural Disasters ..................................................................................................................................... 9
Ransom/Extortion Demands ................................................................................................................................. 10
Detention .............................................................................................................................................................. 10
STM Crisis Policy draft, Page 1
Kidnapping ........................................................................................................................................................... 10
Blood Transfusion Policy ..................................................................................................................................... 11
When to contact the EMT .......................................................................................................................................... 11
Appendix A, Emergency Contact Form .................................................................................................................... 13
Appendix B, Emergency Report form ....................................................................................................................... 15
The Emergency Management System
Components
1. An Emergency Management Team (EMT) will be maintained, for the duration of any out of country mission trip
sponsored by New Life Christian Fellowship, to work emergency situations should they occur. EMT members will
work as a team and utilize their individual skills to the benefit of the team.
2. An Emergency Resolution Protocol formulated in this document will delineate the steps the team follows to
resolve an emergency situation.
Purposes and Objectives
1.
2.
3.
4.
Minimize the overall impact of the crisis on the church/organization
Provide the most effective and efficient response to the emergency
Centralize authority and responsibility
Provide structure and discipline to the emergency resolution effort
Definitions
Incident – an event of serious nature that deems reporting, but as yet no significant action is planned
Emergency – a sudden occurrence of a serious and urgent nature that demands immediate action
Crisis Situation – A protracted emergency that threatens the overall safety and security of the mission team,
organization, and/or personnel, and is likely to demand an abnormal commitment of resources for an extended
period of time requiring the activation of the Emergency Management Team
Types of Emergency Involved
Any emergency event can involve a number of the types listed.
1. Natural disaster
2. Medical emergency
3. Political events
4. Personnel events
The Emergency Management Team
Characteristics
1. A temporary task force consisting of as few members as possible responsible for handling emergencies from the
church base location in the USA.
2. The team will be the only persons at the church to work on the emergency.
3. The members should represent a variety of approaches and strategies to problem solving, but they must show a
united front in support of the EMT actions.
STM Crisis Policy draft, Page 2
Functions and General Responsibilities
1.
2.
3.
4.
Security and safety of all organizational personnel affected by the emergency.
Full assessment of the emergency, including developing and evaluating all relevant information.
Developing and implementing the emergency response plan.
All public information releases about the emergency are to be made by (or with the specific approval of) the
Emergency Management Team.
5. Maintaining a complete record, which is important for:
• Potential litigation
• Reporting to family members
6. Evaluating the emergency when closing the event.
Team Positions (some functions may be combined)
1. Emergency Manager - Overall responsibility for coordinating the emergency resolution process.
2. Documentation Officer - Able to handle large volumes of information systematically.
3. The Logistics Officer – Responsible for the planning, implementation and coordination of the details of the
emergency.
4. The Media Officer - Functions as the EMT contact to the media (serves the EMT, not the media), and functions
as New Life’s primary contact for keeping affected families informed and in the loop regarding any emergency
affecting their family, preferably this should be one of New Life’s staff pastors.
5. The Financial Officer – Responsible for handling any funds related to the emergency, this will typically be the
church finance manager who will serve on an as needed basis without special appointment per trip.
6. The Negotiator - Specialized role requiring a professional (typically a consultant) who has can carry on
negotiations under advisement.
Mission Team Leader(s) - In addition to the above identified team positions each New Life Christian Fellowship
sponsored out of country mission endeavor shall be led by its Mission Team Leader(s) with overall responsibility
for the mission team on field from departure to return.
General Guidelines
No document dealing with the subject of Emergency Protocol can ever cover every situation a team may encounter.
Important resources will be:
1. Prayer
2. The mission partner or national Christians living in the country.
3. The Emergency File with phone numbers and medical information for your team.
4. The Emergency Management Team responsible for the trip.
Emergency Protocol
Contingency planning is a major component of security and emergency management. Contingency plans assist not
only in responding to events that have occurred, but they also assist the organization in identifying and
implementing proactive steps that seek to reduce both the probability of unwanted events occurring and the
consequences and impact of those events should they in fact occur.
Risk assessments done by local entities will determine specific threats and situations requiring advance contingency
planning when such assessments are available.
In all emergencies, the team leader or participant may at some point call the EMT emergency contact for aid in
addressing the emergency. The contact person should be on call 24 hours a day while the team is away.
STM Crisis Policy draft, Page 3
Detailed documentation is extremely important. In all emergencies the team leader or designated assistant
should document the events by keeping a log of what happened, who is involved, dates, times, what was done, with
whom the team leader spoke and any other important information. An emergency report form, Appendix B this
document, has been provided for this situation.
EMT Team Member, specific responsibilities
Emergency Manager –





Responsible for insuring EMT activation and follow-through activities until emergency resolution is
achieved.
Activates the EMT upon receipt of Crisis Situation, as defined above, messaged from the Short Term
Mission Team Leader(s), may be contacted by the team leader(s) with regards to an incident or emergency
as defined above and works with the team leaders to assess the need for EMT activation.
Activates the EMT by immediately contacting the Documentation, Logistics, and Media Officers to confer
upon next steps.
Remains directly contactable at all times for the duration of the short term mission trip being managed.
Responsible for working applicable steps of the Crisis Resolution Process.
Emergency Manager, Crisis Resolution Process
Step 1: Recognize and Acknowledge the Crisis
• Early detection of the crisis is critical for resolution
•
Plan for the realistic “worst case”
Step 2: Contain the Crisis
• Conduct an initial investigation
• Brainstorm - what else could go wrong and what are the chances it will?
•
Look for all possible secondary crises; any crisis can get worse without containment
Step 3:
•
•
•
Isolate the Crisis
Activate contingency plans
Communicate to the organization
Provide follow-up and reinforcement
Step 4: Assess the Crisis
• Who?
• What?
• When?
• Where?
• Why?
• How?
Step 5: Plan the Response
Once the background work is complete and EMT is in place a flexible plan can be developed.
The elements necessary in preparing a response are:
• Effective reporting of communications for EMT
• Continually reassess the crises situation(s) and make necessary modifications
• Identify the most pressing crisis of the moment - the pivotal crisis
• Develop an action plan
• Identify intended results
• Determine your media style (open, closed, reserved)
STM Crisis Policy draft, Page 4
Step 6: Implement the Plan
• Write out your plan and include a complete description of the situation
• List the specific steps that need to be taken along with specific assignments
•
Beware of independent actions
Step 7: Evaluate and Modify the Plan
• Continually reassess the crisis situation(s)
• Measure actions against intended results
• Modify the plan as necessary with notifications of these modifications
Step 8: Close the Crisis
This is an opportunity to learn through critical review for the next time, NOT a time to point fingers.
• Recall all resources
• DEBRIEF
• Identify “consequences”
• Plan follow-up actions – thank you’s, counseling, and training
Documentation Officer –

Directly responsible for creation and maintenance of the Emergency File which shall contain the following
along with notation regarding any exceptions: (The Emergency File is considered confidential and shall be
kept under lock and key on premises of New Life Christian Fellowship accessible by the Documentation
Officer, the Emergency Manager, and New Life Senior Pastoral staff).
1. An up-to-date copy of the team list
2. Health and emergency information for all team members
4. Full travel itinerary including hotel/lodging and local in-country contact address and phone number
5. Copies of itineraries of all flights
6. The emergency phone number of the travel agent used for trip arrangements
7. The Emergency Contact Form, Appendix A of this document
8. A Minor Consent Form will be carried by the team leader for all participants under 18 years old on the first day
of the trip, who are not accompanied by parents or legal guardians.
Emergency File Additional Information for International Trips
1. Copies of first page of passport for each team member.
2. The emergency phone number and address for the nearest U.S. Embassy and Consulate, part of Contact Form,
appendix A this document.
3. Copies of international medical and evacuation insurance for each team member.

Responsible for working with the Emergency Manager in documenting the actions and activities of all
crisis activated EMT teams as well as general documentation of any incident or emergency calls received
from Short Term Mission Team Leader(s) and any actions associated with same.
STM Crisis Policy draft, Page 5

Responsible for follow up with Short Term Mission Leader(s) to insure necessary emergency report forms,
appendix B this document, have been completed and are then archived at New Life Christian Fellowship
offices.
The Logistics Officer –

Responsible on as needed basis to work with Emergency Manager in assessing need for emergency return
or evacuation of mission participants.
o Works directly with travel agents, airlines, insurance companies to coordinate emergency return
or evacuation.
o Works with U.S. State department coordinating lost/stolen passports, on hostage crisis and/or to
coordinate any necessary evacuations.
o Contacts available New Life associated nurse practitioners to assist in assessment of on field
illnesses/injuries and/or in-country offered treatments.
o Coordinates all other emergency related logistics as may be deemed necessary the EMT.
The Media Officer –



Responsible for all media contact, works with the Emergency Manager in speaking on behalf of the EMT,
refrains from responding to media informational requests that exceed the boundaries of EMT agreed upon
communications. Avoids all speculative statements to the media.
Responsible for immediate contact of crisis affected family members of trip participants directly after first
meeting with EMT and once specifics are known. May also contact family members based on and incident
or emergency which the Short Term Mission Team Leader(s) were able to handle on the field and of
which the Emergency Manager has been advised.
Responsible for keeping affected families in the loop and up to date on crisis handling progress and
resolutions.
The Financial Officer –



Typically the church finance manager.
Not an EMT decision-maker.
Procures and transmits church funds as directed by the EMT.
The Negotiator –



Carry on negotiations for the EMT under EMT advisement.
Consultants will not be decision-makers.
Frequently include:
• Hostage negotiators
• Crisis Management specialists
• Legal advisors
• Media relations specialists
Potential Negotiation Consultants:
Crisis Consulting International
9452 Telephone Road, #223
Ventura, CA 93004 U.S.A.
Tel (+) 805-642-2549
Fax (+) 805-987-5192
Email info@CriCon.org
STM Crisis Policy draft, Page 6
Mission Team Leader(s), Specific Responsibilities
Emergency Policy

Responsible for knowledge and application of this Short Term Missions Emergency Policy prior to the trip
and while on the field with their team.
EMT organization

Provides sufficient advance notification to New Life Pastoral staff and Global Outreach team such that a
competent EMT can be organized for their trip.
Partner with Emergency Manager and Documentation Officer


Partners with the EMT Emergency Manager to review general understanding of emergency policy, affirm
contacts, and complete any necessary contingency planning.
Partners with EMT Documentation Officer to complete Emergency Contact Form, Appendix A of this
document.
Emergency Reporting

Completes emergency report form, Appendix B of this document, in the event of an: incident, emergency,
or crisis situation as identified earlier in this document.
EMT Cooperation

Cooperates fully with the EMT on an as needed basis.
Policy on hand

Carries a copy of this policy while out of country on Short Term Mission trip.
Contingency Planning

Travel to some areas where there is a potential for known conflict, persecution of Christians or conditions
that may be different than expected by your team may warrant some forethought. Examples:
o If your team will be housed or working in separate locations, it may be wise to identify at least
two locations to be utilized as predetermined rendezvous points in the event of a natural disaster,
political unrest, or as a go to meeting place if separated from each other.
o Some foreign hotels may ask for and expect to retain your passports, research the validity of such
requests ahead of time and/or ask your mission host for assistance, it is not favorable to surrender
passports at any time.
o Hotel accommodations, know who is in what room, check for adequate fire escapes and make
sure you team knows what to do in the event of a fire or other emergency.
Emergency File Creation

The Team Leader shall work with the EMT Documentation Officer to create the Emergency File, as
defined under Documentation Officer specific responsibilities, and shall carry a copy of the Emergency
File at all times while the team is on location.
Items to review with Mission Team

Team leader will insure that all Team Member have reviewed the following guidelines:
If an emergency develops, the team will follow the guidelines listed:
1. Whatever action is taken the TEAM STAYS TOGETHER. There is no room for individual action.
2. Listen to the nationals in case of an emergency. Follow their instructions, especially in the case of
bites/snakes/local animals, etc.
3. Make contact with the local mission partner or the local national Christians for assistance in assessing the
situation and making further contingency plans.
4. Only the designated emergency personnel of the church responsible for the trip should be contacted. TEAM
MEMBERS ARE NOT TO CONTACT FAMILY OR FRIENDS AT HOME. ALL COMMUNICATIONS WITH
FAMILIES WILL BE MAINTAINED BY CRISIS TEAM PERSONNEL.
5. A decision for further steps to be taken should be made in conjunction with the team leader, the local national
leaders and the Emergency Management Team.
STM Crisis Policy draft, Page 7
Injuries and Medical Emergencies
 Team Leader and Team handling of Injuries and Medical Emergencies
Team members will carry all necessary insurance cards and information regarding Medical Evacuation insurance
and their own personal health insurance coverage and provide a copy to their team leader who will provide a copy
of their own to another team member for safe keeping.
In the event of medical emergency or injury
1. Stabilize the patient on site if possible. Be very careful in case there are any neck or back injuries. Stop any
bleeding if you can.
2. Clear any crowd away from the injured person.
3. Stay with the person who has been injured. If you need to make phone calls to seek medical help, assign
someone on the team to stay by the person.
4. Get help in determining the medical problem and gather any resources (medications, emergency health
information).
5. The team leader should document the date and time of all events, phone calls, and actions you and other
involved parties took. Write down what was done and all actions taken by medical personnel and what resulted
from those actions. Include the names of the persons with whom the leader spoke.
6. If it is a situation where the leader needs to call the designated emergency contact for assistance, the immediate
medical needs of the individual(s) should be meet first.
Obtaining Medical Emergency Assistance
 Team Leader obtaining Medical Emergency Assistance, (may need to contact the EMT
to assist and should at least contact the EMT to inform)
Contact the insurance company and/or travel agent you used to purchase medical emergency insurance.
Hospitalization
In the event of hospitalization of a team member
1. Document how the incident is handled. Make a log of all actions and phone calls including the dates, times,
what you did and with whom you spoke.
2. If it is necessary for the individual to go to the hospital, try to take a translator to the hospital with you.
3. Make medical personnel aware of patient’s allergic reactions to medicines and use the information supplied on
the Health and Emergency Information Form.
4. Notify the designated emergency contact. The emergency contact person will notify the relatives of the team
member and the nearest US Embassy or Consulate if necessary.
Lost Passport and Emergency Resources
 Team Leader, Lost Passport and Emergency Resources
For passports lost or stolen overseas, please contact the nearest U.S. Embassy or Consulate. Team members will
also carry a copy of this first page in a safe location separate from their passport. The team leader will also have a
copy for each member in leader copy of the Emergency File and provide a copy of their own to another team
member for safe keeping.
CONTACT OVERSEAS CITIZENS SERVICES:
From within the U.S. 1-888-407-4747
From outside the U.S. 1-202-501-4444
STM Crisis Policy draft, Page 8
Emergency Resources

Death of an American citizen abroad

Arrest/detention of an American citizen abroad

Sending Money

Help for American Victims of Crime Overseas

American citizens missing abroad


Abduction of a child abroad
Lost and Stolen U.S. Passports Abroad
Information Management
 Team Leader, Information Management
It is the intention of this policy that information flow during a crisis be carefully and strictly directed and
controlled. Incoming information such as background information, suggestions about resources and assistance,
ideas for resolution, need to be received by the Emergency Management Team. Outgoing information must be
monitored and controlled to prevent the release of confidential information, to prevent exacerbation of the situation
or the creation of secondary emergencies and to control the spread of rumors.
All information, intelligence, ideas, and suggestions, etc. relating to an emergency should be directed to the
Emergency Management Team at the earliest possible time. Any person with such information, or with suggestions
for the Emergency Management Team, shall forward the information or suggestions immediately to the EMT.
In addition, during an emergency all information released, and all public statements about the emergency will be
made by (or with the specific approval of) the Emergency Management Team. No member of the organization
outside the EMT is authorized to make any statement that relates in any way to an ongoing emergency. This
includes statements to internal constituencies (other members, families, etc.) as well as external constituencies (the
media, extended family, home churches, government agencies, etc.). This relates to all communication, including
social media.
Evacuation Guidelines
 Team Leader, Evacuation Guidelines
If a decision must be made regarding evacuation, the team leader should be under the advisement of the mission
partner/nationals they are serving. Experience has demonstrated that those on the field and close to the situation
will have perspectives that tend to prioritize different factors than those in leadership roles and more geographically
removed from the events. In some cases, those closest to the scene will have access to the best information to
support an evacuation decision; however, in other cases this information will be denied to them and will only be
available to those more removed from the event.
If communication is possible, contact the designated emergency contact.
If communication is not functioning or unavailable, evacuation is mandatory under the following conditions:
Team member’s lives are threatened or in danger.
The U.S. Embassy is calling for American citizens to depart.
A natural disaster has occurred which puts the team members’ health or safety at risk.
Handling Natural Disasters
 Team Leader handling of: Natural Disasters, Political Unrest
If, for any reason, your team is divided into two or more groups, they should be advised to contact you first. If that
is not possible and the team is separated, members should proceed to predetermined rendezvous points identified
upon arrival in the country (embassy, consulate, hotel, post office, school, etc.). Avoid public demonstrations, and
never attempt to photograph them.
If the phone lines are up or cell phones are available, team members may contact the designated emergency contact
to advise them of their location and make arrangements to meet up with the group. As team members call in, the
STM Crisis Policy draft, Page 9
designated emergency contact person provides the location of other team members and the location of a designated
rendezvous point.
The designated emergency contact person contacts the State Department and the U.S. Embassy for assistance and
informs the Emergency Management Team of the situation.
Ransom/Extortion Demands
 Team Leader handling of: Ransom/Extortion demands
It shall be the policy of New Life Christian Fellowship that the church will not pay ransom or extortion. Team
Leader will contact the EMT in the event of exorbitant extortion or any ransom demands. The EMT will then
involve any appropriate State Department and/or Crisis Consultants.
For events involving pay on the spot demands by local police or officials the team leader shall use their judgement
to avoid payment of bribes or evident extortion.
Detention
 Team Leader handling of: Detention Governmental and Non-governmental
Mission participants must not sign anything they cannot read!
Regardless of how well you speak the language, continue to speak in English and ask for an interpreter.
If you are going to be detained for a period of time, ask for an embassy representative.
Team leaders should have the embassy phone numbers for the countries they will be travelling to and through.
Kidnapping
 Team Leader handling of: Kidnapping
In cases of kidnapping or hostage taking, their safe return should be a priority of the church.
In the event of kidnapping the Team Leader or a team member should:
1. Notify and request advice from the mission partner.
2. Contact the nearest U.S. Embassy or consulate.
3. Notify the designated emergency contact person. The Emergency Management Team would then be
activated.
4. Document steps taken to address the problem. Make a log of all actions and phone calls including the
dates, times, what you did and with whom you spoke.
A member of the Emergency Management Team will follow up with the U.S. State Department Overseas Citizens
Services and the U.S. Embassy or consulate in the host country to be sure the following information has been
provided:
Caller's full name, address, phone number and relationship
Name of the Person abroad
Date and place of birth
Passport number
Last known address and phone number; itinerary
Reason for their travel/residence abroad (business, tourism, etc.)
Date of last contact
Other points of contact abroad (friends, business associates, hotel, etc.)
The Emergency Management Team would then be responsible for contacting the relative or emergency contact
person listed on the Health and Emergency Information Form to inform them of the situation.
The Emergency Management Team will document all that occurs as much as possible.
The Emergency Management Team will handle any inquiries from the media.
STM Crisis Policy draft, Page 10
Hostage negotiation consultation and assistance is available through the non-profit organization, Crisis Consulting
International, which provides support to international Christian organizations:
Crisis Consulting International
9452 Telephone Road, #223
Ventura, CA 93004
U.S.A.
Tel (+) 805-642-2549
Fax (+) 805-987-5192
Email info@CriCon.org
Blood Transfusion Policy
 Team Leader handling of: Blood Transfusion Policy
The following information related to blood transfusions is one the team leader and affected team members should
consider as potential best pre-determined course of action should the need arise.
Each participant shall identify his or her blood type on the application form.
In the case of the need for a blood transfusion on the field, the following priority list for donors will be followed:
1.
2.
3.
4.
5.
6.
An adult leader from the team
An adult leader from another church team
The mission partner
A participant from the team
A participant from another church team
A blood bank in-country where blood testing can be verified
If a transfusion cannot be done under these priorities, an emergency flight home or the nearest U. S. medical facility
should be attempted. If a minor needs the transfusion, every attempt will be made to contact the parents or
guardian but the final decision rests with the team leader. Any expenses incurred, above and beyond insurance
coverage, will be the responsibility of either the individual or his/her parents.
When to contact the EMT
Short Term Mission Team Leader(s) shall follow the fore mentioned definitions of: incident, emergency, and crisis
in determining when to contact the Emergency Manager for advice or EMT activation.
Incident – an event of serious nature that deems reporting, but as yet no significant action is planned. In the case of
an incident the Team Leader shall complete a copy of the emergency report form, appendix B of this document.
Presuming that the ‘incident’ has been or can be handled on the field there is no need to contact the Emergency
Manager, however the Team Leader always has the option of doing so. The completed emergency report form shall
be discussed with the Emergency Manager and Documentation, Media, Officers upon return with any follow up
communications to families being handled by the Media Officer.
 Example, minor team members discovered in drug use during the trip, warrants documentation and
discussion with the parents after the trip.
 Example, illness or injury that does not warrant more than immediate emergency care with such care being
available and resulting in the ill or injured team member being able to remain with the team.
Emergency – a sudden occurrence of a serious and urgent nature that demands immediate action. In the case of an
emergency the Team Leader(s) shall take action as noted in specific areas of this document above and shall
complete a copy of the emergency report form, appendix B of this document after the emergency is passed.
Presuming that the ‘emergency’ has been or can be handled on the field there is no need to contact the Emergency
Manager, however the Team Leader always has the option of doing so for advice or assistance. The completed
STM Crisis Policy draft, Page 11
emergency report form shall be discussed with the Emergency Manager and Documentation, Media, Officers upon
return with any follow up communications to families being handled by the Media Officer.
 Example, illness or injury resulting in hospitalization, or use of injected pain control or intravenous
intervention, setting and immobilization of bones, or any life threatening illness/injury. Though these may
be handled on the field without intervention by the EMT contacting the Emergency Manager is required to
rally prayer support, determine any individual evacuation plan, and keep affected families in the loop.
Crisis Situation – A protracted emergency that threatens the overall safety and security of the mission team,
organization, and/or personnel, and is likely to demand an abnormal commitment of resources for an extended
period of time requiring the activation of the Emergency Management Team. In such case the Team Leader(s) shall
always contact the Emergency Manager.
STM Crisis Policy draft, Page 12
Appendix A, Emergency Contact Form
(To be completed in collaboration between the Documentation Officer and the Short Term Mission Team Leader(s)
prior to the trip. Any areas of exception with this form require notation explaining the nature of the exception.)
Mission Trip
Location, full address of mission partner:
Dates:
Hotels or Lodging to be used in country with address and phone as dialed from USA:
Anticipated work locations in country:
Team Leader
Name:
Stateside Phone#:
Mission Field Phone, number as dialed from USA:
Email:
Documentation Officer
Name:
Phone#:
Email:
List of subordinate Mission Team Leaders if any
Name(s):
Stateside Phone#(s):
Mission Field Phone(s) if activated, number as dialed from USA:
Email addresses:
EMT, Emergency Manager
Name:
Phone# as dialed in USA:
Phone# as dialed from Country:
Email:
In Country Mission Partner
Name:
Phone# as dialed in country:
Phone# as dialed from USA:
Email:
Emergency (Mission Field) Contact Person, if different from Team Leader must be fluent in English
Name:
Position with regards to this trip:
Reason this is a different person than Team Leader:
Phone# as dialed from USA:
Email:
Member(s) of New Life who speak the host country language fluently who are not on the trip, for use by the
Emergency Manager
Name(s):
Phone#(s):
Email:
Travel agent (if any)
Name or Agency:
Contact person:
Phone#:
Email:
US Consulate nearest to Mission Partner location
Address:
Phone# as dialed from USA:
Email:
Hospital Facilities nearest to Mission Partner location
Address:
Phone# as dialed from USA:
STM Crisis Policy draft, Page 13
Email:
Other information deemed pertinent:
STM Crisis Policy draft, Page 14
Appendix B, Emergency Report form
(To be completed by the Short Term Mission Team Leader(s) for incidents, emergencies, and crisis situations and
provided to the Documentation Officer upon completion of the trip. Full documentation of events serious enough to
warrant use of this form is very important, please be complete.)
Short-Term Mission Emergency/Crisis On-Field Report
Mission Trip Location_______________________________________
Team Leader(s) _____________________________________________
Date & Time of Crisis________________________________________
(What) is the Nature of the Emergency/Crisis?
Please check one below:
___ Accident
____Medical
____ Political (including terrorism)
___ Violence/crime ___ Natural disaster ____ Personal
___Other (specify) ____________________________
Briefly describe the emergency/crisis situation and tell where it occurred.
List the full name of each team member involved.
List any injuries to any team members
What is your source of assistance?
_____ Missionaries
_____ Embassy or Consulate
_____ Nationals
_____ Professionals
_____ Other (specify) __________________________________
If other than Team Leader(s), who is the Crisis Manager on the Field?
Name: ________________________________________________
Phone number: _________________________________________
Position or Title: ________________________________________
Please keep a log of all phone calls made (Use additional paper if necessary)
Date
Time
Phone Number and to whom you Spoke
Nature of conversation
STM Crisis Policy draft, Page 15
Please keep a log of actions taken (Use additional paper if necessary)
Date
Time
Include the names of individuals List any actions carried out
with whom you spoke or who provided assistance
STM Crisis Policy draft, Page 16