7.

BCP Forms (Entry Sheets)

Discuss and fill out the worksheets according to 2. Basic Policy and Operation Framework
and 3. Formulating and Operating a BP during !ormal Periods "Basic ourse#.
$he sheets that you fill out will %e the BP Forms of your company.
&f the same form e'pands to se(eral pages) it is ad(isa%le to write "present page num%er*total
page num%er# at the a%o(e portion " * # of the each page. &n addition) keep %lank forms so
that you may add customers if necessary.
+ou should implement measures for %usiness continuation in an emergency according to ,.
&mplementing the BP in an -mergency and %y referring to these forms.
+ou should put these forms at in a part of the office you can access in an emergency. &n
addition) for Form .,) the -mployee Porta%le ard) distri%ute it to all the employees and
encourage them to carry it at all times. &n addition) keep a copy of it at a safe place other than
the office.
&f the telephone num%er) etc. of an employee changes) the contact list should %e modified. &t is
wise to re(iew the list at least once a year to ensure that its content is not outdated.
/01
$a%le of ontent
Form .1 o(er*ontent of BP
Form .2 Basic Policy of BP
Form .3 Formulation*Operation Framework of BP
Form ., -mployee Porta%le ard
Form .2 Formulation*Operation Framework of BP &n(ol(ing olla%oration of 3e(eral
ompanies
Form .4 &nformation on ore Business Operations
Form ./ Form for -(aluating the Degree of &mpact on ore Business Operations
Form .5 &nformation on 6ccess to 6lternati(es of 7arious 8esources 8elated to
Business ontinuity
Form .9 &n(estment Plan for Prior :easurements
Form 1. -(acuation Plan 3heet
Form 11 ontacts of :a;or Organi<ations
Form 1201 -mployee ontact =ist >employees list?
Form 1202 -mployee ontact =ist >for indi(idual employees?
Form 1203 -mployee ontact =ist >for organi<ing %asic information?
Form 13 &nformation on $elecommunications Options
Form 1, $elephone*Fa' 3heet >for company use?
Form 12 &nformation on :ain ustomers
Form 1401 ritical 8esources 8elated to ore Business operations
>e@uipment*machinery*(ehicles) etc.?
Form 1402 ritical 8esources 8elated to ore Business Operations >computer e@uipment
and software?
Form 1403 ritical 8esources 8elated to ore Business Operations >other e@uipment?
Form 1/01 &nformation for 3upplies Detailing &tems !ecessary for ore Business
Operations
Form 1/02 &nformation on :a;or 3uppliers*7endors >per supply item?
Form 15 =ist of &nsurances &nformation >to e'amine the scope of losses?
Form 19 hecklist of $ools for Disasters
Form 2. 6cti(ities to ontri%ute to ommunity 8eco(ery
/02
[Form 01]
Cover/Content of BCP
+ou should keep this form %ook %y %inding each page using the following co(er sheet and
ta%le of contents. -nter your company name on the underlined portion of the upper part of the
ne't page.
/03

Business Continuity Plan
Eite on ( )
!evise on ( ) ( "ersion)
/0,
Stru#ture of $a%le of Contents
$a%le of ontents Forms Page
1. Basic Policy
2. Operational 3ystem of BP
3. ore Business Operations and
8eco(ery Aoal
,. Finance 6ssessment and Prior
:easure Plan
2. BP &mplementation in
-mergency
"1# &mplementation Procedures
"2# -(acuation
"3# ommunication of
&nformation
",# 8esources
"2# ontri%ution to =ocal
ommunity
"4# 8esults of Own Budgment
/02
[Form 0&]
Basi# Poli#y of BCP
$he items that are essential to %usiness continuity in an emergency) %ased on our
companyCs characteristics and BP needs) are as followsD
1. Purpose of formulating and operating a BPD
"1# For customers



"2# For employees



"3# For local community



",# Others



2. -ssential Points to ontinue Business Operations in an -mergencyD
"1# ooperation with companies

"2# -thical %usiness transactions



"3# ontri%ution to local community



",# Ese of pu%lic support system


"2# Others



/04
3. alendar for updating the BP and Disaster Pre(ention PlanD
" &nsert month # e(ery year "Epdate times a year#
/0/
[Form 0']
Formulation/()erational Frame*or+ of BCP
$he following outlines the organi<ations in(ol(ed in formulating the BP "Business
ontinuity Plan#) promoting the BPCs adoption in normal time) and implementing the
BP in an emergency in order to continue doing %usiness.
$he manager shall %e in charge of each responsi%ility. &n addition) su%0leaders and their
%ackups at the time of emergency shall %e specified as followsD
1. Purposes of formulating and operating the BPD
"1# Person in charge

"2# 3u%0leaders "se(eral people depending on situations#



2. 3ystem to Promote adoption of the BP in !ormal $imeD
"1# Person in charge

"2# 3u%0leaders "se(eral people depending on situations#



"3# Partner companies

",# Organi<ations) including associations

"2# $argeted People for Operation of BPD BP shall %e operated %y all the employees.

3. 3ystem to &mplement BP in -mergencyD
"1# Person in charge "Backup#
"2# 3u%0leader in charge of customers and partners "Backup#
"3# 3u%0leader in charge of %usiness resources "Backup#
",# 3u%0leader in charge of finance "Backup#
"2# 3u%0leader in charge of employee support "Backup#
/05
[Form 0,]
Em)loyee Porta%le Car
&t is ad(isa%le to ha(e all the employees carry the card after filling out all necessary items)
to ena%le them to take @uick action in an emergency.
>3urface side? >8e(erse side?

!"#$%&'(
)*
+,%-./0
123-45
67

&'(
171 89:;<=>
?
! @
A

!"#$%&'(
)*
+,%-./0
123-45
67

&'(
171 89:;<=>
?
! @
A
B&CDEF
GHIJ KLJMNOPQR-STU
VWXYZ[-)\]^
1 V
_`ab-cd
efghijDklmn\
ob0pOPqr&st
uv9
%&w\
KxZyz-{P|119
}~B,B0ZOPq
-cd - J
B 8
B&CDEF
GHIJ KLJMNOPQR-STU
VWXYZ[-)\]^
1 V
_`ab-cd
efghijDklmn\
ob0pOPqr&st
uv9
%&w\
KxZyz-{P|119
}~B,B0ZOPq
-cd - J
B 8
ab

ab

%&
qr
)*IJ&
qr
%&
qr
)*IJ&
qr
[ .
w
&D-NO"Z
$1 .
.FAX .
ut the card and fold them three times. $hen put it in your commuting pass or wallet.
/09
ompany nameD
Pota%le #ar
8e@uestD &f you happen to find this card) please contact the
following.
=ocationD
$elephoneD F6FD
-#tions in emer.en#y
-arth@uake
$yphoon
Fire
"1# -'tinguish fire. "2# Gurry to higher ground if near the
sea. "3# 6utomatically gather at the company if the
earth@uake is at least a strong 2 on the Bapanese seismic
intensity scale.
"1# Pay attention to the weather report. "2# :o(e documents
and machines to the second floor. "3# &f warning is issued)
%e ready to e(acuate.
"1# !otify neigh%ors and call 119. "2# -'tinguish fire at first
and if fire reaches the ceiling) e(acuate. "3# Be careful a%out
smoke) put wet towel to mouth and crouch down as you
mo(e.
!ame
Blood type
hronic
illness*allergy
Gome doctor
-(acuation place at
office
-(acuation area near
home
Personal information
Conta#t "$elephone num%er) cell phone num%er) cell0
phone te't messaging#
Gome telephone
num%er
ompany*school name
ell phone
Family "1#
Family "2#
Family "3#
8elati(es li(ing the
same area
President
:anagerD
ontact of in0house
emergency network
ontact of in0house
emergency network "if the
a%o(e is not a(aila%le#
&mportant customer
1
&mportant customer
2
&mportant customer
3
&mportant customer
,
Disaster message dial
ompany*school name
ell phone
ompany*school name
ell phone
"6ll the family contacts them when telephone
cannot %e used.#
[Form 0/]
Formulation/()erational Frame*or+ of BCP 0nvolvin.
Colla%oration of Several Com)anies
$he following represents the system and procedures in(ol(ed in colla%orating with other
companies.
"heck the applica%le item "within H# and descri%e specific content. "Gighest ourse##
1. olla%orating companies
"1# $ype 3upply chain forming company
6ssociation) etc. of the same industry
=ocal associations) etc.
"2#ompany !ame :anaging company name and contactD
Forming companiesD
2. ontent of olla%oration
heck $ype omments

6d;ust prospect of reco(ery time goal in

ad(ance and then ha(e common recognition
among companies.

Gold a study meeting a%out BP ;ointly and

conduct trainings.

&nstall*keep facilities and machines ;ointly for

measures of emergency.
Boint facilities*machines

&f operation of our company is stopped due to

emergency) other companies make products
and deli(er them to customers for us.
-'amples of content of su%stitute
%usiness

Ie dispatch support personnel to disaster0

stricken companies in emergency.
-'amples of main %usiness of
support personnel
Others
3. OthersD
J -'penses incurred due to colla%orati(e acti(ities shall %e %orne %y "
# "For e'ample) all companies share such e'penses e@ually or the company
recei(ing support will %ear them.#
J $he managing company will hold a meeting to %e attended %y staff mem%ers in charge of
colla%oration from all the other companies "&nsert time # "at least once a year#
to e'change information and re(iew the content of the colla%oration if necessary.
/01.
[Form 01]
0nformation on Core Business ()erations
$he following represents our core operations and related information.
ore %usiness operations
&n0house person responsi%le for
core %usiness operations
-'pected loss if core %usiness
operations are interrupted
"including penalty) etc.#
ustomers*colla%orating
companies. of core %usiness
operations "descri%e all if there
is more than one company#
ompany name
:ain contact "telephone
num%er) etc.#
Person in charge of the
company
3uppliers of materials) etc.
re@uired for core %usiness
operations "descri%e all if there
is more than one company#
ompany name
:ain contact "telephone
num%er) etc.#
Person in charge of the
company
8eco(ery time goal "&ndicate it
%y ticking at the proper time
unit of the parentheses.#
"6%out hour*day*week#
Disasters) etc. that may interrupt
core %usiness operations
8emarks
/011
[Form 01] " * #
&mportant in0house work re@uired for continuity of core %usiness operations "Descri%e all applica%le matters#
&mportant work
8esources re@uired for important work Person
responsi%le
for
important
work
ontact info
for person
responsi%le
8emarks
8esources that cannot %e
partially replaced %y human
resources
8esources that can %e partially
replaced %y human resources
"K &f there is not enough room for your answers) make additional copies of this page for use.#
/012
[Form 07]
Form for Evaluatin. the 2e.ree of 0m)a#t on Core
Business ()erations
(0n #ase of isaster %y )
"1# 8esources re@uired for
continuity of core %usiness
operations
"2# 8ate of
importance to core
%usiness operations
"3# &nfluence that a
presumed disaster may
ha(e on slowing
operations
",# &nfluence rate
" "2# "3##
-mployees
Facilities like factory*shops
-@uipment "machines for
production) etc.#
3upply of materials) etc.
P "including &nternet and e0
mail#
&nformation management
system
$elephone
-lectricity
Aas
Iater
$ransportation means for
deli(ery
7arious documents*slips) etc.
Other o%stacles "Descri%e
them in the following space#
3o* to Fill (ut $his Form (Form 07)
/013
-nter your responses to the 8esources 8e@uired for &mportant Iork from Form .4 into
olumn "1#.
-nter the either 1) 2) or 3 into olumn "2# according to the following principleD
"&f you are undecided %etween two num%ers) choose the higher num%er.#
8esources that cannot %e replaced %y human resources 3
8esources that can %e partially replaced %y human resources 2
8esources that do not affect operation at all from the items entered in olumn "1#
1
-nter either 1) 2) or 3 into olumn "3# %ased on the influence a presumed disaster may
ha(e on the slowing of each operation of olumn "1# according to the following principle.
$he case in which a presumed disaster may ha(e influence on operations such that the
reco(ery time goal cannot %e met. 3
$he case in which a presumed disaster may ha(e influence on certain operations %ut the
reco(ery time goal can %e met. 2
$he case in which a presumed disaster does not cause any damage to the company.
1
-nter the num%er in olumn ",# %y multiplying olumns "2# %y "3#.
$he larger this figure) the more se(ere the conse@uence to continuity of core %usiness
operations will %e if a presumed disaster occurs.
Budging from the a%o(e) we can identify the e'pected influence that a presumed disaster
may ha(e on each factor listed in olumn "1#.
/01,
[Form 04]
0nformation on -##ess to -lternatives of "arious
!esour#es !elate to Business Continuity
&nformation concerning the su%stitute policy to reco(er core %usiness functions after an
emergency occurs is organi<ed as followsD
(1) 5o#ation servin. as a main )oint of #onta#t for information
6ddress
Building
owner*manager
$elephone num%er 1
6lternati(e
telephone num%er
Other contacts "cell
phone) PG3) etc.#
-0mail
$hings to re@uest
-mployees who
should report to this
location
8emarks
:ap showing this location "if it is necessary to show on the map#
/012
"&) 5o#ation *here %usiness re#overy is im)lemente
6ddress
Building
owner*manager
$elephone num%er 1
6lternati(e
telephone num%er
Other contacts "cell
phone) PG3) etc.#
-0mail
ore operations that
will %e continued at
this location
-mployees who
should report to this
location
8emarks
:ap identifying this location "if it is necessary to show on the map#
/014
(') Su))ort )ersonnel
1. Personnel re@uired for %usiness reco(ery
People whose
assistance will %e
re@uested
ontact &nformation 6rea*field of support
8emarks
/01/
(') Su))ort )ersonnel
2. Personnel re@uired to support of employees and dependents who are (ictims of the
disaster
People whose
assistance will %e
re@uested
ontact &nformation 6rea*field of support
8emarks
/015
(,) Finan#e )ro#urement
:eans) policy)
etc. of finance
procurement
8emarks
(/) Communi#ation an utility %a#+u) arran.ements
3u%stitute
policy of
communication
means "such as
telephone#
-lectricity
Aas
Iater
Others
8emarks
/019
( / )
(1) 0nformation/o#uments re6uire for #ore %usiness o)erations (in#luin. information #on#ernin. %a#+7u))
&nformation
name*docum
ent name)
8ele(ance =ocat
ion
Person in
harge
$ype of
media"K#
&s a %ack0up
copy
$ype of media
for %ack0up
copy
=ocation of
%ack0up copy
!um%er of
%ack0up copies
ourse of action if
information cannot %e
reco(ered
8emarks
+es*!o
+es*!o
+es*!o
+es*!o
+es*!o
+es*!o
+es*!o
+es*!o
+es*!o
K For e'ample) printed materials) hard dri(e) D*D7D) floppy disc) etc.
/02.
[Form 08]
0nvestment Plan for Prior 9easurements
$he followings in(estment plan concerns preparation of facilities and e@uipment to enhance the competence of %usiness continuity.
"Ai(en the considera%le e'pense in(ol(ed) it is ad(isa%le to use pu%lic finance systems effecti(ely. 3ee [9aterial 04] $he pu%lic support system for
disaster0stricken small and medium enterprises.#
heck :easures "K# :easures already taken :easures to %e taken 8e@uired funds
"EnitD million
yen#
Fund
procurement
methods
+ear of
implementation
"e'pected#
3trengthening of resistance to earth@uake of %usiness office
"remodeling*reinforcement#
Fireproof the office en(ironment
3teps taken to pre(ent damage from flood
3teps taken to pre(ent damage from landslide
Preparation for e(acuation facilities against tsunami) etc.
3teps taken to pre(ention e@uipment from falling or collapsing
Purchase of generators for measures against disasters
Preparation of water supply e@uipment to %e used in an emergency
Preparation of communication facilities to %e used in a disaster
Building of warehouse to keep disaster response items*e@uipment
K D 6dditional items specific to your operations should %e added in the %lank spaces.
/021
[Form 10]
Eva#uation Plan Sheet
-(acuation plan to "&nsert the name of the place of e(acuation#
6ctions for company to take
if it is necessary to e(acuate
to a location outside the
company
Place to gather
Person in charge at meeting
point "Backup#
Gis*her responsi%ilities
Person in charge of ordering
a work stoppage "Backup#
Gis*her responsi%ilities
Person in charge of ending
the e(acuation "Backup#
8emarks
&n order to a(oid confusion and congestion) it is ad(isa%le to formulate this plan
;ointly with the companies ad;acent to your company and the %uilding manager.
opy and distri%ute a map of the e(acuation location.
larify the location of the emergency e'it.
onduct an e(acuation drill " # times a year.
/022
[Form 11]
Conta#ts at 9a:or (r.ani;ations
$he following list details the contact of important organi<ations to continue*reco(er the
core %usiness of our company) including those re@uired for the core %usiness of our
company "%anks) creditors) insurance companies) etc.# and those re@uired to resume
%usiness operations "local go(ernments) %roadcasting companies) etc.#
ategories %y kindD
Fire station Police station Gospitals
$elephone companies Power companies Aas companies Iater supply companies
Financial institutions &nsurance companies 6uditing companies ertified pu%lic
accountants reditors
Building managers %uilding owners %uilding security companies OthersD
Business line
"or ser(ice name#
ontent of ser(ice to %e
pro(ided
6ccount num%er
"if necessary#
6ddress
Ie%site address
$elephone num%er
"representati(e#
First
contact
Department
Person in
charge
$elephone
num%er
ell phone)
etc.
F6F num%er e0mail
3econd
contact
Department
Person in
charge
$elephone
num%er
ell phone)
etc.
F6F num%er e0mail
8emarks
/023
[Form 1&71] ( / )
Em)loyee Conta#t 5ist (em)loyees list)
-mployee contact information should %e collected so that the company can successfully
reach employees in the e(ent of an emergency.
"Leep the latest copy in a place that can %e safely and easily accessed#
&ndi(idual list
!o.
[Form 1&7&]
!ame of employee
&ndi(idual list
!o.
[Form 1&7&]
!ame of employee
/02,
[Form 1&7&] (<o. )
Em)loyee Conta#t 5ist (for iniviual em)loyees)
$he #onta#t of ea#h em)loyee es#ri%e in [Form 1&71]=
"-nter the num%er of each employee in [Form 1&71] on the "!o. # line of the a%o(e part of
this page#.
!ame $itle
:ain
responsi%ility
Gome address
Gome telephone
num%er
ell phone num%er)
etc.
ompany e0mail Gome e0mail
-mergency
ontact
8elationship with
this person
$elephone num%er
in emergency
6lternati(e
telephone num%er
Post disaster
communication
with employee
"condition)
re@uest) etc.#
Possi%ility of
reporting to office
in emergency
Distance from home to office
";udgment of possi%ility of reporting
to office) etc. on foot#
6%out " # km
ommuting means during non0
emergency
Mualification*skill
) etc. "that can %e
useful for %usiness
reco(ery#
First0aid treatment
P8"cardiopulmonary resuscitation#
amateur radio
license to operate construction*transportation machines
"$arget to operateD #
dri(ing license of motor%ike) large and special (ehicles
"$argetD #
other @ualifications which may %e useful in emergency#
8emarks
/022
[Form 1&7'] ( / )
Em)loyee Conta#t 5ist (for or.ani;in. %asi# information)
-mployee contact information should %e collected so that the company can successfully
reach employees in the e(ent of an emergency. "Leep an updated copy in a safe and easily
accessi%le location#
> ? "K Di(ision of department name) roles) etc. to %e re@uested#
!um%er
!ame of
employee
Gome telephone
num%er
"6lternati(e
telephone num%er#
:ain responsi%ilities in
an emergency
8emarks "3kills) etc.
which may %e useful for
%usiness reco(ery#
/024
[Form 1'] ( / )
0nformation on $ele#ommuni#ation ()tions
ontact with employees) customers) suppliers and other main contacts during an
emergency can ha(e an important influence on %usiness acti(ity reco(ery after a disaster
occurs. $he communication e@uipment to %e used for such communication is organi<ed as
followsD
Linds of information
communication
e@uipment to %e used
$elephone "outside line# $elephone "e'tension #
F6F Pager &nternet ell phone
Others "-'plain them#
3tatus of these resources
Ie now use them
3cheduled to lease them * scheduled to %uy them
:odel name*units to %e
used in normal time
!um%er to %e
considered necessary
during an emergency
"6ppro'imate num%er #
:easures to %e taken if
sufficient e@uipment is
not a(aila%le during an
emergency
=ease Purchase
Others
"=easing*Purchasing from #
"=easing*Purchasing from >alternati(e?
#
Place to which the
company presumes to
install it in case of
%usiness continuity
8emarks
/02/
[Form 1,] ( / )
$ele)hone/F-> Sheet (for #om)any use)
$he company has the following telephone*F6F num%ers.
"&t is necessary to ascertain at the time of issuing the BP the need to ha(e each telephone*F6F num%er a(aila%le in order to reco(er*continue
core %usiness. &f they are indispensa%le num%ers critical to reco(ering*continuing core %usiness) it is also necessary to study prior measures
and methods to maintain ade@uate su%stitutes#.
$elephone
num%er
$ype "-'tension)
outside line) free
dial) F6F) cell
phone) others#
ondition "!ow in
use or will %e
esta%lished only
during reco(ery
period.#
&mportance 8ate "$he
importance rate
concerning continuity of
core %usiness is e(aluated
as high or low.
:easures "-nter measures if the
importance rate is high. -'amplesD
$ransfer it to or register a new num%er at
the place of %usiness reco(ery.
8elated in0house
important work
8emarksD
/025
[Form 1/] ( / )
0nformation on 9ain Customers
$he information on main customers related to our core %usiness is organi<ed as followsD
ompany name
Products*materials*ser(ice to
%e pro(ided
:eans to pro(ide products)
etc. in normal time
"$ransportation means) etc.#
6ccount num%er "if necessary#
ompany
6ddress
Gomepage
address
$elephone
num%er
"representati(e#
!o.1
contact
Department name
Person in
charge
$elephone
num%er
ell phone)
etc.
F6F num%er e0mail
!o.12
contact
Department name
Person in
charge
$elephone
num%er
ell phone)
etc.
F6F num%er e0mail
8emarks
/029
[Form 1171] ( / )
Criti#al !esour#es !elate to Core Business ()erations
(e6ui)ment/ma#hinery/vehi#le? et#.)
$he machinery and e@uipment which may %ecome a %ottleneck for core %usiness
continuity of our company are as followsD
"For a disaster such as a typhoon in which there is a prior warning) also ascertain whether
or not the e@uipment and machinery can %e mo(ed to a safe place. &n addition) for
computer e@uipment) organi<e it in Form 1402 omputer e@uipment and software sheet#.
&mportant in0house work
to use the resources
Person in charge
3tatus of the resources
$he company is now using them.
$he company plans to lease * purchase them.
Product name
"model name#
3upplier
3upplier "alternati(e#
Place to %e installed in
case of %usiness continuity
$ime to replace*install
8emarks "!ecessary items)
etc. in connection with the
resources#
/03.
[Form 117&] ( / )
Criti#al !esour#es !elate to Core Business ()erations
(#om)uter e6ui)ment an soft*are)
$he following computer) peripheral e@uipment and software may %ecome a %ottleneck for
%usiness core continuity of our company.
"For a disaster such as a typhoon in which there is a prior warning) also ascertain whether
or not the e@uipment and machinery can %e mo(ed to a safe place#.
&mportant in0house work
to use the resources
Person in charge
3tatus of the resources
$he company is now using them.
$he company plans to lease*purchase them.
Product name
"(ersion) etc.#
Enits "e@uipment#
$ype
omputer "Ps and ser(er) etc.#
Peripheral e@uipment
3oftware
3upplier
3upplier "alternati(e#
Place to %e installed in
case of %usiness continuity
8emarksD Date*price*serial
num%er) etc. which they
are purchased on*leased at
/031
[Form 117'] ( / )
Criti#al !esour#es !elate to Core Business ()erations
(other e6ui)ment)
$he following machinery and tools may %e necessary to reco(er*continue the core %usiness
of the company at a su%stitute facility.
"For necessary tools other than those descri%ed in this sheet) enter them in the open space.#
&tem
Muantit
y
3upplier 3upplier "reser(ed#
Place to %e
installed
hair
Desk
-'tension cord
a%inet
:ail %o'
8emo(a%le air0
conditioner
$a%le
$rash can*%in
Others "-'plain them
specifically#
/032
[Form 1771] ( / )
0nformation for Su))liers 2etailin. 0tems <e#essary for
Core Business ()erations
$he following items will %e needed in order to reco(er*continue the core %usiness.
For information on suppliers of items descri%ed in this sheet) we organi<e them in [Form
177&] "&nformation on main suppliers*customers#.
"!oteD $his sheet does not include %asic office supplies such pens) paper and staplers) and
office furniture such as shel(es for files) desks and chairs %ecause these are organi<ed in
>Form 1403?.#
3upply item Order num%er Muantity 3upplier
8elated in0house important
work
8emarks
/033
[Form 177&] ( / )
0nformation on 9a:or Su))liers/"enors
()er su))ly item)
$he following information details suppliers*su%stitute (endors who can supply items
necessary to reco(er*continue core %usiness operations.
Product*materials*ser(ice to %e
pro(ided
ompany name
$ransaction condition with
customers
3upplier*customer with whom the company now has
%usiness
8eser(ed supplier*customer
Deli(ery means of products)
etc. in normal time
"$ransportation means) etc.#
6ccount num%er "if necessary#
ompany
6ddress
Gomepage address
$elephone num%er
"representati(e#
!o.1
contact
Department name Person in charge
$elephone num%er ell phones) etc.
Fa' num%er e0mail
!o.2
contact
Department name Person in charge
$elephone num%er ell phones) etc.
Fa' num%er e0mail
8emarks
/03,
[Form 14] ( / )
5ist of 0nsuran#e 0nformation
(to e@amine the s#o)e of losses)
$he followings list details insurance company and agent information.
&nsurance agent name
6ddress
Department of contact Person in charge
$elephone num%er of
contact
$elephone num%er
of reser(ed contact
F6F num%er e0mail address
&nformation on insurance policy
$ype of
insurance
&nsurance policy
num%er
6mount of
e'emption
=imit amount of
compensation
3cope of
compensation
Do you need flood insuranceN +es !o
Do you need earth@uake insuranceN +es !o
Do you need insurance concerning operation profit and special lossN +es !o
6ny other @uestion concerning disaster0related insuranceD
/032
[Form 18]
Che#+list of $ools for 2isasters
$he following list details the preparation status of disaster assistance tools that will %ecome
necessary if a disaster hits the area "and until emergency support arri(es#.
Iater for employees "$he standard is 3 liters per person*day#
Food for employees "6t least 30days worth of non0perisha%le food#
an opener and paper "or plastic# ta%leware
3mall kitchen range and gas cylinder
8adio "%attery0type) hand0winding charging type# and spare %attery
Flashlight and spare %attery
First0aid kit
Ihistle "help for rescue#
Iorking protectors "helmet) dust mask) eye guard) working glo(es) etc.#
Gealth0related items "wet tissue paper) toilet paper) etc.#
$ools "pinchers) hammer) cutting wrench) sho(el) %ar for a le(er) etc.#
Office supplies "pencils) pens) note%ooks) etc.#
Poly0%ucket with co(er) ru%%ish %ag) %room
7inyl sheet and tape "for closing access to the room#
Blue sheet
Porta%le toilet products "or (inyl %ag or (inyl tape for toilet#
amera) film) spare %attery "to record damage. 6 disposa%le camera is also OL.#
Blanket "if possi%le) porta%le %ed and mat#
ash "including coins for pay telephone#) de%it card) credit card
6 list of contacts "employees) emergency ser(ices) etc. %y pu%lic organi<ations
such as the police station and fire station#
6 list of procedures for %usiness continuity
:aps) floor maps within the %uildings
=oud speaker
/034
[Form 18]
Che#+list of $ools for 2isasters (aitional tools)
/03/
[Form &0]
-#tivities to Contri%ute to Community !e#overy
&n order to contri%ute to the safety*security of local residents) our company will conduct
the following acti(ities.
1. Daily acti(itiesD
heck -'amples of acti(itiesK 3upplementary remark

Pro(ide acti(ities) know0how and manpower) funding)

etc.) to promote local (olunteer disaster pre(ention
organi<ations.

Formulate*implement fire0fighting drills ;ointly with

local residents.

2. 6cti(ities in the e(ent of an emergency:

heck -'amples of acti(itiesK 3upplementary remark

ontact elderly people li(ing on their own "when

e(acuation is ordered) during e(acuation) etc.#

6scertain amount of damage sustained at neigh%oring

houses and assist in rescue*first0aid*initial fire fighting.
Gelp clean up homes that sustain damage.
-ncourage employees to register*work as (olunteers.

Pro(ide facilities as e(acuation places "if pu%lic

e(acuation places) such as schools) cannot %e used#
Pro(ide products that are kept in stock.
Pro(ide water and emergency goods*e@uipment.

Please add additional items in the space pro(ided.

/035