EM W04
WELFARE/CD CENTRE REPORT
(see over for instructions)
Date:
Time:
Report No:
To:
Welfare Manager, Emergency Operations Centre
From:
Centre Supervisor:
Centre Location:
Number of evacuees currently at centre
Number of additional evacuees expected
Number of welfare staff at the centre :
Council Welfare team
Work & Income
Housing NZ
Child Youth Family
Salvation Army
Red Cross
Citizens Advice
Victim Support
Other
Welfare sections established:
 Accommodation
 Communications
(tick appropriate boxes)
 Animal Welfare
 First Aid
 Clothing
 Financial
 Catering
 Information
Services
 Reception
 Registration
Services operating in the centre :
 Power
Other checks:
 Social Services
(tick appropriate boxes)
 Water
 Phones
 Toilets
(tick appropriate boxes)
 Building safety checklist completed
 Health & Safety maintained
Resources Required / Other information
(see over page for details)
Action Taken:
Time:
Welfare/CD Centre Report Instructions
The report is a summary of the events, actions and requirements of the welfare/CD centre at a specified
time and is prepared for transmission to the Welfare Manager at the Emergency Operations Centre, as
necessary (approx 2 hourly) or as requested.
DATE
date the report is written
TIME
time the report is written
REPORT NUMBER
number of this report, numbered sequentially
CENTRE SUPERVISOR
name of Centre Supervisor
CENTRE LOCATION
name & location of the welfare centre
NO OF EVACUEES
CURRENTLY AT CENTRE
The total number of evacuees only. Can count from the number of
names on each registration form, or keep a running talley
NUMBER OF ADDITIONAL
Are further evacuees expected - how many
EVACUEES EXPECTED
THE CENTRE
The number of personnel working at the centre – list the number of
personnel from each organisation beside the relevant organisation
name
WELFARE SECTIONS
Tick the box of the sections that have been established
NO OF WELFARE STAFF AT
ESTABLISHED
SERVICES OPERATING
Tick the services that are working okay – make a comment where not
if appropriate
OTHER CHECKS
Tick if appropriate or make comment
RESOURCES REQUIRED
Current and future predictions for:

Catering and drink supplies

First aid supplies

Clothing, blankets, personal items

Transport for homeless to accommodation

Other miscellaneous supplies

Need for additional staffing, numbers offering to volunteer,
donated items/money donated
OTHER INFORMATION






Any immediate threats – water, power lines, wind gusts, damage
to building etc
Access – building accessible or not, okay access for evacuees,
disabled etc
Include the number of casualties, fatalities
Report if coping or require assistance, what type
Number of people moved on to accommodation/still remaining in
centre
Damage to the local area, emergency centre (eg:
damage/aftershock damage), surrounding area