EMERGENCY PREPAREDNESS PLAN Dam Name: Dam File #: Owner’s Name: Alternate Contact: Stream Name: Dam Location: Latitude: Date: Water Licence #: Phone #: Phone #: Reservoir Name: Longitude: Map Sheet No.: ACCESS TO DAM: (describe road access to dam from nearest centre, attach map to this Plan, include alternate routes, include phone # for local helicopter company) Local Helicopter Company: Phone #: EMERGENCY ASSESSMENT: (list of local personnel/others qualified to make a emergency dam safety assessment (i.e., trained staff, local Professional Engineering Consultant etc.)) Name Title Work & Home Phone #: EMERGENCY ACTIONS: (list phone #’s (work & home) of local contractors/equipment operators, local material suppliers and District Highways Office (access to equipment) etc.) Contractor’s Name: Work & Home Phone #: Supplier’s Name: Work & Home Phone #: Page 1 of 2 DOWNSTREAM NOTIFICATION: (list all downstream people/business which may be affected by potential flood water) i.e. Utilities (oil, gas, etc.), Railways, Hydro, Municipalities, Regional Districts. Please provide an appropriately scaled map with dam and downstream sites that might be impacted. Name Location Phone # OFFICIAL CONTACTS: EMERGENCY MANAGEMENT BC (EMBC) – Phone #: 1-800-663-3456 24-hour Emergency Co-ordination Centre - Emergency Contact Local Authority (Municipality, etc.): Local Police/RCMP Office: Local Radio Station(s): Local Highways Office: Local Highway Contractor: Phone #: Phone #: Phone #: Phone #: Phone #: Regional Dam Safety Officer: Phone #: Home #: Phone #: Home #: Phone #: Home #: Water Management Branch (alternate): Regional EMBC Officer: EPP Revision Date: Revision #: Page 2 of 2