[Title of Incident]

After-Action Report/Improvement Plan (AAR/IP)

Incident Response Start & End Date: [January, XX, 20XX] -
[January, XX, 20XX]
Report Date: : [January, XX, 20XX]
ADMINISTRATIVE HANDLING INSTRUCTIONS
1. The title of this document is [TITLE OF INCIDENT] After Action Review/Improvement Plan
2. The information gathered in this report is sensitive and should be handled as such. This document
should be safeguarded, handled, transmitted, and stored in accordance with appropriate security
directives. Reproduction of this document, in whole or in part, without prior approval from Safety
University’s Legal Department is prohibited.
3. At a minimum, the attached materials will be disseminated only on a need-to-know basis and when
unattended, will be stored in a locked container or area offering sufficient protection against theft,
compromise, inadvertent access, and unauthorized disclosure.
Point of Contact:
[NAME OF POINT OF CONTACT]
[Title of Person Above]
Safety University
[PHYSICAL ADDRESS]
[PHONE NUMBER] (office)
[E-MAIL ADDRESS]

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After-Action Report/Improvement Plan Safety University
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EXECUTIVE SUMMARY
[TITLE OF INCIDENT] (Incident Summary)
Initially, the response was focused on the following objectives [EXAMPLE BELOW - ADJUST AS NEEDED]
 Maintain the safety of employees and the public.
 Maintain situational awareness through a systematic and planned process for tasking, collecting,
processing, analyzing, and disseminating information.
 Manage a coordinated integrated system response effort that reflects the composition of
incident command.
 Establish an incident management team that can meet the initial and long-term challenges
required for incident mitigation.
 Inform customers, stakeholders, and the regulators of response activities.
 Identify all appropriate organization mandates, practices, and protocols for inclusion in the
incident response effort.
 Evaluate all planned actions to determine potential impacts on social, political, and economic
entities.
 Establish internal resource request and external resource ordering procedures and adherence.
 Establish an incident documentation system.
 Establish an information transfer process to facilitate communications with stakeholders and
organizations.
The response phase of the operation was concluded on [INCIDENT RESPONSE END DATE]. Subsequently,
a long-term recovery phase began.

Response Strengths
The major strengths identified during this response are as follows:1
[LIST THE TOP 3 OR 4 STRENGTHS OF INCIDENT]

Response Areas for Improvement

The After Action Review Conference identified the following major improvement opportunities: 1
[LIST THE TOP 3 OR 4 AREAS FOR IMPROVEMENT]

Conclusion
[SUMMARIZE FACILITY’S RESPONSE, PROFESSIONALISM AND QUICK REACTION ALONG WITH ANY
THANKS TO EXTERNAL STAKEHOLDERS THAT PROVIDED ASSISTANCE]

1
A complete list of areas of improvement identified during the AAR conference can be found in Appendix A.

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INCIDENT OVERVIEW
Response Details
Incident Name: [TITLE OF INCIDENT]
Type of Incident: [DESCRIBE TYPE OF INCIDENT – BRIEF 1 SENTENCE]
Response Start Date/Time: [INCIDENT START DATE AND TIME]
Response End Date: [INCIDENT END DATE]
Duration of Response: [INSERT NUMBER OF DAYS] days – Initial/Emergency Response

Response Timeline
Date/Time Activity/Actions

Response Departments
 Department 1
 Department 2
 Department 3
 Department 4

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AFTER ACTION MEETING (AAM) AGENDA

[TITLE OF INCIDENT] Conference

Invitees
 [LIST INVITEE GROUPS/PERSONS/UNITS/DEPARTMENTS]

Agenda
[INSERT DATE & TIMES OF CONFERENCE]

Topics of discussion
1. Welcome and Introductions
2. Summary of Incident
3. Review collated individual feedback forms
4. Briefly review identified strengths
5. Discuss each section of areas of improvement
a. Communication
b. Resource and Assets
c. Safety and Security
d. Staff Roles and Responsibilities
e. Utility Systems
f. Customer Support Activities/Impacts
g. Patient Clinical and Support Care Activities
6. Identify key lessons learned
7. Create action items (improvement plan) with specific target dates
8. Assign action items to personnel and departments

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After-Action Report/Improvement Plan Safety University
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AAR MEETING GROUP PROCESS

Summary: The After Action Review conference was designed to engage attendees to discuss collated
feedback forms. The intent was to facilitate discussions during the conference that allows attendees to
collaborate on lessons learned within their areas of operation during the response.

Roundtable Discussion – By Response Phase

Process Phases: The group will walk through three distinct phases of the response pooling ideas
into specific timeframes.

Ensure the following areas are addressed in all phases (as applicable):
 Communication internally and with external entities such regulators, vendors/contractors,
police, fire, public health officials, other healthcare organizations, etc.
 Management of Resources and assets, including equipment, supplies, personal protective
equipment, and transportation.
 Management of Safety and Security
 Management of Staff roles and responsibilities
 Management of Utility systems
 Management of Customer Support impacts
 Management of Patient clinical and support care activities

Phase 1: Initial Stand Up/Mobilization

(Initial Response to Formation of IC/Unified Command)
 Initial Recognition, Notification and Activation – What went well that should be
shared as a best practice? (using Round Table Discussion Process)
 Initial Recognition, Notification and Activation – What would we like to improve
upon? (using Round Table Discussion Process)
Phase 2: Operations/Incident Management
(On-going Response to Completion of IC/Unified Command)
 On-going Response, Actions & Communication – What went well that should be
shared as a best practice? (using Round Table Discussion Process)
 On-going Response, Actions & Communication – What would we like to improve
upon? (using Round Table Discussion Process)
Phase 3: Demobilization/Recovery
(End of On-going Response to Completion of Demobilization)
 Transition to Recovery Phase & Demobilization – What went well that should be
shared as a best practice?
 Transition to Recovery Phase & Demobilization – What would we like to improve
upon?
Debrief Follow-up Actions: Upon completion of the conference an after action report of the
meeting will be created capturing items identified by the group. Action items will be identified
and communicated through affiliate/organization representatives.

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After-Action Report/Improvement Plan Safety University
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APPENDIX A: IMPROVEMENT PLAN (IP)

Improvement planning focuses on concrete, measurable steps that result in enhanced response capabilities. This IP is developed specifically for
Safety University as a result of the [TITLE OF INCIDENT] that occurred [INCIDENT RESPONSE START DATE].
Issue Number: 01
ISSUE:
[Describe the issue that request corrective action] EXAMPLE: Contact information in Facility’s Mass Notification System contained outdated
or incorrect information.]
CORRECTIVE ACTION TAKEN:
 [Describe the corrective action recommendation] EXAMPLE: Deploy educational materials relating to updating HR Information
Management System contact information to be used in staff meetings and daily huddles.
 Execute a “station” at annual skills fair to engage all attendees to update contact information.
 Develop a process to sustain biannual staff contact information updates.].
PRIMARY RESPONSIBLE DEPARTMENT: [Department Name]
DEPARTMENT POC: [Specific Person Name]
START DATE: [Start Date] ESTIMATED COMPLETION DATE: [Estimated Deadline Date]

Issue Number: 02
ISSUE:

CORRECTIVE ACTION TAKEN:

PRIMARY RESPONSIBLE DEPARTMENT:

DEPARTMENT POC:
START DATE: ESTIMATED COMPLETION DATE:

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After-Action Report/Improvement Plan Safety University
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Issue Number: 03
ISSUE:

CORRECTIVE ACTION TAKEN:

PRIMARY RESPONSIBLE DEPARTMENT:

DEPARTMENT POC:
START DATE: ESTIMATED COMPLETION DATE:

Issue Number: 04
ISSUE:

CORRECTIVE ACTION TAKEN:

PRIMARY RESPONSIBLE DEPARTMENT:

DEPARTMENT POC:
START DATE: ESTIMATED COMPLETION DATE:

Add additional issues tables as necessary

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After-Action Report/Improvement Plan Safety University
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APPENDIX B: LESSONS LEARNED

A lesson learned is positive or negative knowledge or understanding gained by experience. The lessons
learned below will be used to identify improvement strategies to strengthen the organization’s
resiliency program.
Note: a lesson learned can be a strength or weakness.

 [List all noted lessons learned] EXAMPLE: “Wet” (inked) signatures are currently required for all
requisitions. A digital signature system is being considered a replacement to paper signatures.

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APPENDIX C: RESPONDER FEEDBACK

Individual feedback forms were sent out to all persons Safety University personnel and others for
feedback. After collating feedback forms, review comments and develop common themes based on
each phase described below.

Phase 1: Initial Stand Up

Things that went well


Areas for Improvement



Phase 2: Operations
Things that went well


Areas for Improvement



Phase 3: Demobilization
Things that went well


Areas for Improvement



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