Risk Assessment and Emergency Preparedness Program

Risk Assessment and Emergency Preparedness Program
The application form is divided into a narrative and a general information section. Responses to the questions in the narrative section can be provided either within the form or on a separate sheet; you will have the opportunity to upload separate documents at the end of this form. In the general information section, check off all applicable answers to each question. If a question is not relevant to your organization, please leave blank.

CCAHA is available to assist you in completing the application form. Please contact the Preservation Services Office for assistance or additional information, (215)-545-0613 or pso@ccaha.org.

This program is funded by the National Endowment for the Humanities.

Section I - Program Description

This program is open to institutions with humanities collections that are available to the public on a regularly scheduled basis located anywhere in the United States. Through funding from the NEH, CCAHA is able to offer a limited number of subsidized assessments/plans for a total of just $500 each.
Participation in this program requires a two-year commitment. In the first year, the institution will be assigned an assessor, who will work with the institution over the course of the program. The assessor will require access to institutional policies, procedures, plans, and other information. During the first year, the assessor will schedule a time to visit the institution and conduct a risk assessment. The risk assessment will identify natural and man-made emergencies that may threaten the collections and outline strategies for mitigation. During the on-site consultation, the assessor will review and examine the institution’s environment, history, location, structural needs and concerns, pest control, fire protection, security procedures, local resources, and training requirements. Insurance considerations, collections documentation, and collections salvage priorities are also addressed. The written report provides observations, recommendations, and resources to serve as a guide in the development of a comprehensive emergency preparedness and response plan for the institution. 

In the second year, the assessor will then work with the institution to develop an Emergency Preparedness and Response Plan for their collections. The emergency plan will include information on essential contacts, emergency response and recovery vendors, emergency communication, insurance, and salvage priorities for the collections. CCAHA staff will be available as a resource and to review the completed plan.

Section II - Application Narrative
Describe the historical significance or uniqueness of your collection.
Briefly describe past and any current emergency planning efforts at your institution. If applicable, comment on any previous disasters at your institution and how they impacted the organization.
Explain why entering a program to write a risk assessment and develop an emergency plan is appropriate for your institution at this time. Please include the names and titles of staff to be involved in the assessment and planning process.
How do you foresee a risk assessment and emergency plan impacting your organization in the long-term?

Section III - General Information

A. Staffing and Collection Use
Total Number of Staff:
Please attach a list of staff including titles to the end of this application.
Full-time Staff
Part-time Staff
Total Number of Volunteers
Volunteer Hours per Week
Who is responsible for the preservation of the collections?
Please attach staff member's job description to the end of this application.
Is your institution open to the public?

YesNo
If yes, what are your hours?
Number of researchers per year:
Who are the primary users of the collection?

Section III - General

B. Surveys and Policies
The institution has received a previous survey or assessment of:
If any of these boxes are checked, please list the surveyor name and date of any surveys or assessments. Additionally, please list any other surveys and assessments your institution has received.
The institution has received financial support for:
If any of these boxes are checked, please list the amount, funder, and date of support. Additionally, list any other financial support the institution has received.

Section III - General

B. Surveys and Policies
The organization has the following policies (indicate year written for any that apply):

Section III - General

C. Collections
What year was the collection established?
Collection Materials date fromyear toyear .
Please indicate which of the following materials are contained in the collection and the approximate size of the collection.

Section III - General

C. Collections
What percentage of the collection is:
Accessioned   e.g., 50%   %
Inventoried   e.g., 50%   %
Catalogued   e.g., 50%   %
Processed (ie. archival materials with finding aids)   e.g., 50%   %
The most important part/s of the collections is/are:
In how many buildings are the collections stored?
Have any of the buildings received historic registration?

YesNo
If yes, note type of registration:
Where are collections housed?

BasementGround FloorFirst FloorSecond FloorAtticOther

Supplementary Documents
Please upload copies of the following:
- proof of tax-exempt status
- most recent annual financial statement
- list of board members
- staff list
- written policy statements
- summary of preservation needs assessment and/or similar survey(s) (if relevant)
- any relevant background information, such as brochures, survey summaries, etc.
Cancelof

This application was completed by:*

First NameLast Name
Title*
Date*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Executive Director Signature:*

Powered by Jotform SignClear
Please use your mouse to sign in the box.
Date*

MonthDayYear
Date
Chair of the Board signature*

Powered by Jotform SignClear
Please use your mouse to sign in the box.
Date*

MonthDayYear
Date
Note: If the Chair of the Board is not the appropriate title designation, please have the highest-ranking official at your organization sign in this location.
Should be Empty:

Risk Assessment and Emergency Preparedness Program

Section I - Program Description

Section II - Application Narrative

Section III - General Information

Section III - General

Section III - General

Section III - General

Section III - General

Supplementary Documents