APPENDIX A: EMERGENCY RESPONSE AND CONTINGENCY PLAN TEMPLATE

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APPENDIX A: EMERGENCY RESPONSE AND CONTINGENCY PLAN TEMPLATE This template is designed to be a starting point to aid you in preparing your own plan. Please modify to suit the needs of your water supply system (e.g. add or delete emergency contacts as you see fit). Name of Water Supply System: Mailing Address: Phone Number(s): Date prepared: EMERGENCY CONTACT INFORMATION Name Phone Number(s) Email Fax Operator (primary): Primary: Operator: Primary: Owner (responsible): Primary: Other owner(s): Primary: Primary: Health Authority Contacts Drinking Water Officer/ Environmental Health Officer: Public Health Engineer: Office: Office: Medical Health Officer: Office: After hours health authority emergency contact:

Name Phone Number(s) Email Fax Government Agencies Local Government Emergency Program Coordinator (Municipality): Local Government Emergency Program Coordinator (Regional District): Emergency Management BC Emergency Coordination Centre: Emergency Management BC Regional Office: 1 800 663-3456 250 371-5240 250 371-5246 Central Region 1255-D - Dalhousie Drive Kamloops, B.C. V2C 5Z5 Ministry of Environment: Ministry of Forests, Lands, & Natural Resource Operations: Ministry of Transportation: Media Laboratories Bacteriological: Address: Chemical: Address:

Name Phone Number(s) Email Fax Emergency Departments Police / RCMP: Fire Department: Ambulance: Hospital: Health Centre: Repair Services Utility: Electrician: Plumber: Bulk water hauler / alternative water supplier: Excavator: Water Well Drilling Contractor: Pump Installer: Computer support:

Name Phone Number(s) Email Fax Equipment Supplier(s) Water Treatment Supplier: Other Local Water Supply System(s) In the case of emergency contacts, provide as many forms of communication to each contact as possible (including: primary, secondary and after hours phone numbers). The Emergency Contact Information must be reviewed on an annual basis to ensure the contact information is up to date. Forward any changes to your local Drinking Water Officer or delegate. Date Reviewed Completed by Forwarded to Drinking Water Officer

APPENDIX B: POSSIBLE EMERGENCIES WITH PLANNED RESPONSES This provides examples of common possible emergencies and sample responses. You may need to modify the list and/or the responses (including example actions) to ensure it suits the needs of your system. For example, the type of response, the contact list and the order of response will vary, depending on the size of your system, the type of source you use, and other factors. Use the list of possible emergencies that you created to fill in the blanks under other. Use the blank templates at the end of the appendix to develop your own emergency responses. You should work with your Drinking Water Officer to make sure you are on the right track. EXAMPLES OF POSSIBLE EMERGENCIES SOURCE(S) / INTAKE(S) Contamination of source (chemical) Loss of source Flood conditions Turbidity (no example response) DISTRIBUTION SYSTEM Broken water main Backflow or Back Siphonage Blocked / faulty valve (no example response) Contaminated Reservoir (no example response) TREATMENT / PUMP HOUSE Pump failure Chlorine gas leaks (no example response) Chlorinator failure Disinfection system failure (UV, filters, etc.) Power failure OTHER Spills of disinfected water into fish-bearing streams (no example response) Earthquake (no example response) Fire (no example response) Unacceptable Water Sample (Total Coliform or E. coli bacteria)

EXAMPLES OF PLANNED RESPONSES GENERAL EMERGENCY SHUT-DOWN AND START-UP PROCEDURES SHUT-DOWN PROCEDURE In case of any emergency in which the water is not safe for consumption or general use: 1. Issue a Boil Water Notice, Do Not Consume or Do Not Use Notice. 2. Shut off water supply (if necessary). 3. will contact the drinking water officer or other health authority contact(s) (as per specified emergency procedures). 4. will notify affected water users (as per the communication protocols). 5. will notify appropriate government agencies (as per specified emergency procedures). 6. will post warning signs in public spaces and other necessary locations. 7. will coordinate repairs. 8. will arrange for alternate source of safe drinking water. START-UP PROCEDURE 1. Identify and correct the source of contamination. 2. The entire system should be flushed and disinfected (as per attached procedures). 3. Send water sample(s) to the appropriate approved lab for testing. For bacteriological contamination, two or three consecutive sampling results must be negative. 4. Contact the drinking water officer or delegate for approval to resume normal operations of the water supply system (e.g., lifting the Boil Water Notice).

CHEMICAL CONTAMINATION OF SOURCE: SPILL, VEHICLE ACCIDENT, ETC. Shut down pump. Notify health authority. Notify all users. Contact government agencies (see below) for advice and assistance. Contact local media for public service announcement (where all customers cannot be notified by phone). Arrange alternate source if necessary i.e., bottled water, bulk hauler and storage tank. Drinking water officer Local government s emergency program coordinator Emergency Management BC Police Ministry of Forests, Lands and Natural Resource Operations Department of Fisheries Others as necessary, depending on severity. LOSS OF SOURCE: INTAKE DAMAGED, CREEK DRIED UP, ETC. Ensure pump is shut off (to protect pump). Notify all users. Contact government agencies (see below) for advice and assistance. Arrange alternate source (e.g., bottled water, bulk hauler and storage tank) Drinking water officer Local government s emergency program coordinator Ministry of Forests, Lands and Natural Resource Operations Others as necessary, depending on severity (possibly, the Fire Department).

FLOOD CONDITIONS Notify all users regarding the potential for water contamination, loss of pump, power, etc. Users should be advised to store some drinking water in advance, and to boil any suspect water for two minutes or disinfect with chlorine when flood conditions exist. Phone government contacts (see below). Contact local media for public service announcement (where all customers cannot be notified by phone). Arrange alternate source if possible i.e., bottled water, bulk hauler, storage tank. Drinking water officer Local government s emergency program coordinator Emergency Management BC Ministry of Forests, Lands and Natural Resource Operations PUMP FAILURE Notify all users of interruption of service. Call for repairs: pump manufacturer. Advise drinking water officer (if interruption not short-term). Arrange alternate source if necessary (e.g., bottled water, bulk hauler, etc.). CONTACT Drinking water officer CHLORINATOR FAILURE Advise local health authority. Notify all users to boil water for two minutes or take other disinfection procedures in accordance with recommendation of local health officials. Arrange chlorinator repairs. Drinking water officer Chlorinator manufacturer

DISINFECTION SYSTEM FAILURE (ULTRAVIOLET LAMP, FILTRATION SYSTEM, OZONE ETC.) Advise local health authority. Notify all users to boil water for two minutes or take other disinfection procedures in accordance with recommendation of local health officials. Arrange disinfection system repairs. Drinking water officer Disinfection system manufacturer POWER FAILURE Call BC Hydro. Start back-up generator. Notify all users about interruption of service if back up not capable of maintaining supply. Advise drinking water officer. Arrange alternate source if necessary (e.g., bottled water, bulk hauler, etc.). CONTACT Drinking water officer BC Hydro BROKEN WATER MAIN Reduce pressure (but maintain enough pressure to prevent backflow at least 20 psi/140 kpa). Call for repairs (e.g., plumber, excavator). Notify all users of interruption of service. Advise local drinking water officer Arrange alternate source if necessary (e.g., bottled water, bulk hauler, etc.). CONTACT Drinking water officer BACKFLOW OR BACK SIPHONAGE Advise Medical Health Officer at local health authority. Notify users to boil water for two minutes or take other disinfection procedures in accordance with recommendation of local health officials. Purge and disinfect lines as directed, after corrections have been made. CONTACT Drinking water officer

TEMPLATE FOR PLANNED RESPONSES Fill in the following blank template with your planned responses to the list of possible emergencies that you listed under other. Make more copies of this page as necessary. EMERGENCY: UNACCEPTABLE BACTERIOLICAL WATER SAMPLE RESULT (TOTAL COLIFORM BACTERIA OR E. COLI BACTERIA) EMERGENCY:

TEMPLATE FOR PLANNED RESPONSES Fill in the following blank template with your planned responses to the list of possible emergencies that you listed under other. Make more copies of this page as necessary. EMERGENCY: EMERGENCY:

TEMPLATE FOR PLANNED RESPONSES Fill in the following blank template with your planned responses to the list of possible emergencies that you listed under other. Make more copies of this page as necessary. EMERGENCY: EMERGENCY:

TEMPLATE FOR PLANNED RESPONSES Fill in the following blank template with your planned responses to the list of possible emergencies that you listed under other. Make more copies of this page as necessary. EMERGENCY: EMERGENCY:

APPENDIX C: ADDITIONAL INFORMATION CHECKLIST Check off the following items as you add them to your Emergency Response and Contingency Plan. COMMUNICATION PROTOCOLS Communications Protocols with contact list of water system users (include phone numbers and addresses). Water Quality Advisory, Boil Water Notice, Do Not Consume Notice and Do Not Use Water Notice signs, and instructions for issuance. Operating equipment instructions. Instructions for switching to alternative source (if applicable). Instructions for switching to generator / alternative power supply. Instructions for shutting off water supply. Disinfection procedures for wells, distribution system and reservoir (refer to Resource/Reference List) Disinfection operation. Electrical schematics for generator. Electrical schematics for disinfection equipment and room. MAP OF WATER SUPPLY SYSTEM Source (include GPS settings and directions as needed). Mains. Critical control points (where a loss of control could result in a risk of adverse health effects or equipment damage). Intake(s). Shut-off valves. Access routes to critical control points. Pump house. Locations of emergency contact list, tools, spare parts and maintenance equipment. High-water-use industries. High-risk facilities: o schools o day-care centres o seniors residential housing complexes (e.g. supportive housing or assisted living) o long-term-care facilities o hospitals and medical/dental offices