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  | ![]() DOE-HDBK-5504-95 
Source 
Applicability & 
Reference 
Plan Element 
Plan Reference 
DOE 5000.3B 
11.c.(4); 
d. Notification Format and Content. The format and 
_______________ 
EMG-N 
content of the initial notification and follow-up 
D.2.e 
messages should be prearranged and standardized in 
each emergency plan. 
EMG-F/C 
(1) 
Copies of prearranged notification messages and 
_______________ 
5.1 
message forms should be included in the plan or 
implementing procedures. 
EMG-N 
(2) 
Identically formatted "fill-in-the-blank" and 
_______________ 
D.2.e.(1); 
"checkbox" forms should be used by both the 
EMG-FE E.1.b(1) 
site or facility and the receiving offsite agency. 
40 CFR 
(3) 
The following information should be included in 
_______________ 
262.34(d)(5), 
offsite notifications: 
264.56(d), 
(a) Location (site/facility/building) of the 
355.40(b)(2)(vii); 
incident, and name, organization, location, 
EMG-N 
D.2.e.(2); 
and telephone number of the caller. 
EMG-PA 
(b) Brief description of the event, with date, 
C.7.a,b 
time, and time zone. 
(c) Emergency classification level and time of 
declaration. 
(d) Whether a release is in progress. 
(e) Recommended protective actions with 
timing considerations, if applicable. 
(f)  Name and quantity of material(s) involved, 
to the extent known. 
(g) Type of actual/projected release and 
duration (source term or release 
characterization). 
(h) Meteorological conditions (e.g., wind 
speed, wind direction, stability class, 
(1) Actual or projected impacts at a critical 
location (e.g., the site boundary, municipal 
jurisdiction, reservoir) relevant to the 
organization receiving the notification. 
(j)  Emergency response actions under way. 
(k) The extent of injuries, if any. 
(l)  Requests for needed support by offsite 
organizations. 
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