W6: IAP Excel File Evaluation

1. Review the Incident Action Plan Excel file.
2. Explain why having access to this tool and knowing how to use it will enhance your ICS knowledge.

Must be at least 250 words

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Please view attachment

12/25/10 12/25/10
Incident Intelligence Summary Time: (Insert Time) (Insert Time)
Incident Check-In List (8 1/2×11) Incident Check-In List (8 1/2×14) To print blank forms, click the button at the right. Be sure that you have saved a copy because you can’t undo the changes. Unit Log Operational Planning Worksheet

(All Risk) Operational Planning Worksheet (Wildland)

Incident

Safety

Analysis

Support

Vehicle Inventory Air

Operations Summary Demobilization Check-Out Health and Safety Message

202

203

204

205

206

207

209

211 211 Big

214

215 AR

215 Wild

215-A

218

220

221

223 IAP Order

Add a 204

Generic Cover

Clear Contents for Printing

Tips

and Instructions

202

Incident Objectives

EDMG230 12/25/10 0817
12/25/10 (Insert Time)

Control Objectives for the Incident (include Alternatives)

Incident Name

Date Prepared

Time Prepared

4. Operational Period (Date and Time)

General

6. Weather Forecast for Operational Period

7. General Safety Message

8. Attachments (check if attached)

ICS-202

9. Prepared by (PSC)

10. Approved by (IC)

&LICS-202
Enter short, clear, concise statements of the objectives for managing the incident, including alternatives.
Control objectives usually apply for the duration of the incident.
Be sure to include objectives for the operational period!
Enter known Safety hazards and specific precautions for the operational period. Be sure to reference a specific safety message, form 223, if one is attached.
Return

203

EDMG230

12/25/10

0817

12/25/10 (Insert Time)

and Staff

Deputy

Deputy Division/Group

Division/Group

Officer

Division/Group

Representative

Division/Group

Agency Name

Branch Director
Deputy
Division/Group

Division/Group
Division/Group
Division/Group
Division/Group

Branch Director
Deputy
Division/Group

Division/Group

Chief Division/Group

Deputy Division/Group

Division/Group

Supervisor

(name / specialty)

Coordinator

Chief

Deputy

Chief

Deputy

Dir.

)

ORGANIZATION ASSIGNMENT LI

9. Operations Section

1. Incident Name

Chief

2. Date

3. Time

Deputy

4. Operational Period

a. Branch I –

Division/Group

Incident

Command

Branch Director

Incident Command

Professor Salmon

Safety Officer

Information Officer

Liaison

Agency

b. Branch II – Division/Groups

C. Branch III – Division/Groups

Planning Section

Resource Unit

Situation Unit

d. Air Operations Branch

Documentation Unit

Air Operations Branch Director

Demobilization Unit

Air Support Supervisor

Human Resources

Air

Attack

Technical Specialists

Hilicopter Coordinator

Air Tanker

10. Finance Section

Time Unit

Logistics Section

Procurement Unit

Comp/Claims Unit

Cost Unit

Service Branch

Support Branch

Supply Unit

Facilities Unit

Prepared by (Resource Unit

Leader

Ground Support Unit

Communications Unit

Medical Unit

Security Unit

Food Unit

&LICS-203
Return

204

4. Operational Period

EDMG230 Date: 12/25/10 Time: (Insert Time)

Branch Director

Leader

Persons

Function System Grp/Channel Frequency

Command 0 0 0 Support 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

)

Date Time

12/25/10 0817

DIVISION ASSIGNMENT LIST

1. Branch

2. Division/Group

3. Incident Name

5. Operations Personnel

Operations Chief

Division/Group Supervisor

Air Attack Supervisor

6. Resources Assigned this Period

Strike Team/Task Force/Resource Designator

Number

Trans.

Need

Drop Off PT./Time

Pick Up PT./Time

7. Control Operations

8. Special Instructions

9. Division/Group Communication Summary

Function

System

Grp/Channel

Frequency

Prepared by (

RESL

Approved by (PSC)

&LICS-204
Provide a statement of the tactical objectives to be achieved within the operational period. Include any special instructions for individual resources.
Enter statement calling attention to any safety problems or specific precautions to be exercised or other important information.
This information is automatically filled from the 205.
This information is automatically filled from the 205.
This information is automatically filled from the 205.
This information is automatically filled from the 205.
This information is automatically filled from the 205.
This information is automatically filled from the 205.
This information is automatically filled from the 205.
This information is automatically filled from the 205.
This information is automatically filled from the 205.
Return
Add a 204
Add a 204

204 (2)

DIVISION ASSIGNMENT LIST 1. Branch 2. Division/Group
3. Incident Name 4. Operational Period
EDMG230 Date: 12/25/10 Time: (Insert Time)
5. Operations Personnel
Operations Chief 0 Division/Group Supervisor
Branch Director Air Attack Supervisor

No.

6. Resources Assigned this Period
Strike Team/Task Force/Resource Designator Leader Number Persons Trans. Needed Drop Off PT./Time Pick Up PT./Time
7. Control Operations
8. Special Instructions
9. Division/Group Communication Summary
Function System Grp/Channel Frequency Function System Grp/Channel Frequency
Command 0 0 0 Support 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Prepared by (RESL) Approved by (PSC) Date Time
12/25/10 0817

205

Incident Name

Prepared

EDMG230 12/25/10 0817 12/25/10 (Insert Time)
Function

/Cache

Assignment

Command
Support

INCIDENT RADIO COMMUNICATIONS PLAN	Date/Time	Operational Period Date/Time
4. Basic Radio Channel Utilization
Radio		Type	Group/Channel	Frequency/Tone	Remarks
5. Prepared by (Communications Unit)

&LICS-205
Enter the function each chanel number is assigned (i.e. command, support, division tactical, ground-to-air, etc.)
Enter the function each chanel number is assigned (i.e. command, support, division tactical, ground-to-air, etc.)
Enter the function each chanel number is assigned (i.e. command, support, division tactical, ground-to-air, etc.)
Enter the local system or radio cache system assigned and used on the incident. (e.g. 800mhz, Wolfforth, Lamb

County

, etc.)
Enter the local system or radio cache system assigned and used on the incident.(e.g. 800mhz, Wolfforth, Lamb County, etc.)
Enter the radio call group and/or channel numbers assigned.
If applicable, enter the frequency and tone numbers assigned to each specified function (e.g. 153.400/88.5) or (Tx: 154.000 Rx: 154.500/88.5)
Enter the ICS organization assigned to each of the designated frequencies (e.g. Branch I, Division A).
This section should include narrative information regarding special situations.
Enter the radio call group and/or channel numbers assigned.
Enter the local system or radio cache system assigned and used on the incident.(e.g. 800mhz, Wolfforth, Lamb County, etc.)
If applicable, enter the frequency and tone numbers assigned to each specified function (e.g. 153.400/88.5) or (Tx: 154.000 Rx: 154.500/88.5)
If applicable, enter the frequency and tone numbers assigned to each specified function (e.g. 153.400/88.5) or (Tx: 154.000 Rx: 154.500/88.5)
Enter the radio call group and/or channel numbers assigned.
Enter the ICS organization assigned to each of the designated frequencies (e.g. Branch I, Division A).
Enter the ICS organization assigned to each of the designated frequencies (e.g. Branch I, Division A).
This section should include narrative information regarding special situations.
This section should include narrative information regarding special situations.
Return

206

Medical Plan Incident Name Date Prepared Time Prepared Operational Period
EDMG230 12/25/10 0817 12/25/10 (Insert Time)
Medical Aid Stations

Name

Paramedics

Yes No

Name Location Paramedics

Yes No

Name Address

Phone

Air

Yes No Yes No

5. Incident	Medical Aid Stations
		Location			Paramedics
				Yes
6. Transportation
A. Ambulance Services
	Address		Phone
B. Incident Ambulances
7. Hospitals
Travel Time	Helipad	Burn Center
Grnd
8. Medical Emergency Procedures
ICS-206 NFES 1331	Prepared by (Medical Unit Leader	Reviewed by (Safety Officer)

Note any special emergency instructions for use by incident personnel. Be sure to include designated helicopter landing coordinates.
Return

207

Incident Name EDMG230
Date 12/25/10 Time 0817 Incident Command
Operational Period 12/25/10 (Insert Time) Professor Salmon
0
Safety

0 0
Liaison Human Resources

0 0

Operations Chief

0 0 0 0

RESL Service Branch Support Branch

0 0 0 0 0 0 0

Div/Grp Support Attack

0 0 0 0 0 0 0 0
Div/Grp Div/Grp

0 0 0 0 0 0 0
Div/Grp Div/Grp

Air Tanker

0 0 0 0 0 0 0

Div/Grp Div/Grp

0 0 0
Div/Grp Div/Grp
0 0

Technical Specialists

Name Agency Name

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0

Deputy IC

Public Information

Planning Chief

Logistics Chief

Fin./Admin. Chief

Branch 1

Branch 2

Air Ops. Branch

TIME

Div/Grp

SITL

COML

SUPL

PROC

Helibase

Heli Cord

DOCL

MEDL

FACL

COMP

Fixed Wng

DMOB

FDUL

GSUL

COST

SECM

Agency Representatives

Specialty

ICS-207

Return

207 8×14

Incident Name EDMG230

Date 12/25/10 Time 0817 Incident Command
Operational Period 12/25/10 (Insert Time) Professor Salmon
Deputy IC
0
Safety Public Information
0 0
Liaison Human Resources

0 0

Operations Chief Planning Chief Logistics Chief Fin./Admin. Chief
0 0 0 0
Branch 1 Branch 2

Air Ops. Branch RESL Service Branch Support Branch TIME

0 0 0 0 0 0 0
Div/Grp Div/Grp Div/Grp

SITL COML SUPL PROC

0 0 0 0 0 0 0 0 0
Div/Grp Div/Grp Div/Grp

DOCL MEDL FACL COMP

0 0 0 0 0 0 0 0
Div/Grp Div/Grp Div/Grp

Air Tanker DMOB FDUL GSUL COST

0 0 0 0 0 0 0 0

Div/Grp Div/Grp Div/Grp SECM
0 0 0 0
Div/Grp Div/Grp Div/Grp
0 0 0
Agency Representatives Technical Specialists
Name Agency Name Specialty
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 ICS-207 0

Branch 3
Support Sup.	Attack Sup.
Helibase Mgr.	Helibase Cord.
Fixed Wing

Return

209 AR

Date Time

Update

Incident Name
12/25/10 0817 EDMG230

/Unit

County

Date: Date:
Time: Time:

Agency

Personnel

ST SR ST SR ST SR SR SR SR

Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Date Wind Speed: Temperature:
Time Wind Direction: Relative Humidity:
1.
2.
3.

by:

Date: Time:

Incident Intelligence Summary (ICS-209)

Initial

Final

Incident Number

Incident Type

Start Date/Time

Cause

Incident Commander

IMT Type

State

Lattitude and Longitude

Short Location Description

Current Situation

Size/Area Involved

% Contained

Expected Containment

($)Cost to Date

Declared Controlled

Injuries Today

Fatalities

Structure Information

Threat to Human Life/Safety

Type of Structure

# Threatened

# Destroyed

Evacuation in progress

Residence

No evacuation imminent

Potential future threats

Commercial

No likely threats

Hazards Involved:

Other

Resources Threatened:

Current Weather Conditions

Resource benefits/objectives

Wind Speed:

Temperature:

Wind Direction:

Relative Humidity:

Significant events today:

Committed Resources

Total

Outlook

Estimated Control

Projected Final Size

Estimated Final Cost

Tomorrow’s Forecasted Weather

Critical Resources Needs:

Actions planned for next operational period:

Projected movement/spread during next operational period:

Major problems and concerns:

Describe resistance to control in terms of :

1. Growth potential –

2. Specific difficulty –

How likely is it that containment/control targets will be met, given the current resources and strategy?

Projected Demobilization start date:

Remarks:

Prepared

by:

Approved by:

Sent to:

&LICS-209
Return

ICS 209

Date Time Initial Update Final Incident Number

Incident Type Start Date/Time Cause Incident Commander IMT Type State/Unit
County

Current Situation

Size/Area Involved % Contained Expected Containment

Declared Controlled

Date: Date:
Time: Time:
Injuries Today Fatalities Structure Information
Type of Structure # Threatened # Destroyed

Residence

Resources Threatened:

Current Weather Conditions

Wind Speed: Temperature:
Wind Direction: Relative Humidity:
Significant events today:

Agency

SR ST SR ST SR SR SR SR ST SR SR ST SR
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Outlook

Estimated Control Projected Final Size Estimated Final Cost

Date: Wind Speed: Temperature:
Time: Wind Direction: Relative Humidity:

1.
2.
3.
Actions planned for next operational period:

Major problems and concerns:

Remarks:

Approved by: Sent to: Date

Time:

	Incident name
Latitude and Longitude	Short Location Description (in reference to nearest town)
Line to Build	($) Cost to Date
Threat to Human Life/Safety:
Evacuation(s) in Progress:	Commercial Property
No Evacuation(s) Imminent:
Potential Future Threat:	Outbuilding/Other
No Likely Threat:
Fuels involved
Resource Benefits/Objectives(for prescribed/wildland fire use):
CRW 1	CRW 2	HEL1	HEL 2	HEL3	ENG	OVHD	DOZR	WTDR	Camp Crew	Total Personnel
Cooperating agencies not listed above:
Tomorrow’s Forecasted Weather
Critical Resource Needs:
Projected incident movement/spread during next operational period:
For fire incidents, describe resistance to control in terms of:
1. Growth potential
2. Difficulty of terrain
How likely is it that containment/control targets will be met, given the current resources and suppression strategy?
Projected Demobe Start (date and time):
Prepared by:
By:

&LICS 209
Enter number assigned to incident by Agency.
Provide name given to incident by Incident Commander or Agency.
Enter first initial and last name of Incident Commander.
Enter Agency or Municipality.
Enter County where incident is occurring.
Enter type incident, e.g., wildland fire (enter fuel type), structure fire, hazardous chemical spill, etc.
Enter legal description and general location. Use remarks for additional date if necessary.
Enter date and time incident started.
Enter specific cause or under investigation.
Enter area involved, e.g., 50 acres, top three floors of building, etc.
Enter latitude and longitude by degrees, minutes, seconds.
Enter estimate of percent of containment.
Enter estimate of date and time of total containment.
Enter actual date and time fire was declared controlled.
Enter estimated dollar value of total damage to date. Include structures, watershed, timber, etc. Be specific in remarks.
Indicate line to be constructed by chains or other units of measurement.
Enter any seriors injuries which have occurred since the last report. Be specific in remarks.
Enter any deaths which have occurred since the last report. Be specific in remarks.
Report significant threat to watersheds, timber, wildlife habitat, or other valuable resources.
Indicate current weather conditions at the incident.
Indicate predicted weather conditions for the next operational period.
List agencies which have resources assigned to the incident.
List by name those agencies which are providing support, e.g., Salvation Army, Red Cross, Law Enforcement, National Weather Service, etc.
The remarks space can be used to list any information that is not listed above.
This will normally be the incident Situation Unit Leader.
This will normally be the incident Planning Section Chief.
Enter control problems, e.g., accessibillity, fuels, rocky terrain, high winds, structures.
Enter resource information under appropriate Agency column by single resource or strike team.
Report significant threat and number of destroyed improvements.
Enter actual date and time fire was declared controlled.
Provide estimated total cost for entire incident.
List types of fuels involved in incident.
Provide estimated total size of incident.
Enter control problems in relation to fire growth and terrain problems
Estimated date and time of demobilization of incident
Describe how likely the incident will come to a close using the current strategy.
List unfilled resources needed to accomplish the assigned mission
Enter date report completed.
Enter time report completed.

211

Incident Name

Date/Time

EDMG230 12/25/10

0817
State Agency

Type

____ of ____

INCIDENT CHECK-IN LIST

Check-In Location

Specify type of equipment contained on this sheet, or Misc.

Check-In Information

Single

Kind

I.D. Number or Name

Order/ Request No.

Date/ Time Check-in

Leader’s Name

Total # Persons

Manifest Yes No

Crew or Individaual Weight

Home Base

Departure Point

Method of Travel

Incident Assign.

Other Quals.

Sent to RESTAT Time/Int

Last Day Off

Page

Prepared by (Name and position) use back for remarks

ICS-211

NFES 1335

Return

211 Big

INCIDENT CHECK-IN LIST Incident Name Check-In Location Date/Time
Specify type of equipment contained on this sheet, or Misc. EDMG230 12/25/10
0817

Check-In Information
State Agency Single Kind Type I.D. Number or Name Order/ Request No. Date/ Time Check-in Leader’s Name Total # Persons Manifest Yes No Crew or Individaual Weight Home Base Departure Point Method of Travel Incident Assign. Other Quals. Sent to RESTAT Time/Int Last Day Off
Page ____ of ____ Prepared by (Name and position) use back for remarks
ICS-211 NFES 1335

Return

214

1. Incident Name

EDMG230 12/25/10 0817
12/25/10 (Insert Time)
Name

Home Base

Time

UNIT LOG	2. Date Prepared	3. Time Prepared
4. Unit Name/Designators	5. Unit Leader (Name and Position)	6. Operational Period
7. Personnel Roster Assigned
ICS Position
8. Activity Log
Major Events
9. Prepared by (Name and Position)

&LICS-214
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215-AR

Operational Planning Worksheet

Prepared

Incident Name

Need

Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need

(Date & Position)

Single Resource Strike Teams

Kinds of Resources

Date & Time

Operational Period (Date & Time)

Division/ Group/ Other Location

Work Assignments

Overhead

Special Equip. and Supplies

Reporting Location

Requested Arrival Time

Req.

Have

ICS-215 All Risk

Total Resources Required

Single Resource Strike Teams

Prepared By:

Total Resources On Hand

Single Resource Strike Teams

Total Resources Needed

Return

215-AR 8×11

Operational Planning Worksheet Kinds of Resources Date & Time Prepared Operational Period (Date & Time)

Incident Name

Division/ Group/ Other Location Work Assignments Overhead Special Equip. and Supplies Reporting Location Requested Arrival Time

Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need

ICS-215 All Risk Total Resources Required Single Resource Strike Teams Prepared By: (Date & Position)

Total Resources On Hand Single Resource Strike Teams
Total Resources Needed Single Resource Strike Teams

Return

215 Wild

Operational Planning Worksheet Kinds of Resources Date & Time Prepared

Incident Name

Division/ Group/ Other Location Work Assignments

Overhead Special Equip. and Supplies Reporting Location Requested Arrival Time

Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need

Total Resources Required Single Resource Strike Teams Prepared By: (Date & Position)

Total Resources On Hand Single Resource Strike Teams
Total Resources Needed Single Resource Strike Teams

Operational Period (Date & Time)
Crews	Engines	Dozers
ICS-215 Wildland

Return

215-A

ICS-215A

Date & Time Operational Period

Incident name

Division/ Group/ Other Location Work Assignments

Prepared By: (Date & Position)

Incident Safety Analysis	Identified Risks
Mitigation Actions
ICS-215A All Risk

Return

218

Incident Name Date Prepared Time Prepared

EDMG230 12/25/10 0817
Type

Location

Page

Support Vehicle Inventory
Vehicle Information
Make	Capacity/Size	Agency/Owner	I.D. No.	Release Time
ICS-218	Prepared by (Ground Support Unit)
NFES 1341

Return

220

1. Incident Name

EDMG230

Name

Air Attack Supervisor

No. Type No. Type

12/25/10 0817

AIR OPERATIONS SUMMARY	Helibases
Fixed Wing Bases
4. Personnel and Communications	Air/Air Frequency	Air/Ground Frequency	5. Remarks (Spec. Instructions, Safety Notes, Hazards, Priorites)
Air Operations Director
Helicopter Coordinator
Air Tanker Coordinator
6. Location/Function	7. Assignment	8. Fixed Wing	9. Helicopters	10. Time	11. Aircraft Assigned	12. Operating Base
Available	Commence
13. Totals
14. Air Operations Support Equipment	15. Prepared by (include Date and Time)

&LICS-220
Return

221

Demobilization Check-Out

Incident Name Date/Time

EDMG230 12/25/10 0817

Number

Name

Date ______________
Logistics Section
Supply Unit

Communications Unit _____________________________________________________
Facilities Unit _____________________________________________________

_____________________________________________________

Planning Section
Documentation Unit _____________________________________________________
Time Unit _____________________________________________________

Other

___________________________________________________________________________

Demob. No.
Unit/Personnel Released
Transportation Type/No.
Actual Release Date/Time	Manifest Yes No	______________
Area/Agency/Region Notified
Destination:	________________________________________
Unit Leader Responsible For Collecting Performance Rating:
Unit/Personnel: You and your resources have been released subject to sign off from the following: Demob Unit Leader Check Appropriate Box [ ]
			_____________________________________________________
Ground Support Unit Leader
Finance/Administration Section
	___________________________________________________________________________
Remarks: ________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ICS-221
NFES 1353

Return

223

Health and Safety Message
Incident Name

EDMG230

0817

40537 (Insert Time)
Prepared By:

ICS Position:

	Incident Action Plan	ICS 223
Date Prepared:	Time Prepared:
	40537
Operational Period Date:	Operational Period Time:
Major Hazards and Risks:
Narrative:
	ICS Position:
Approved By:

Return

Safety

Date: Time:

Prepared By:

SAFETY MESSAGE

Incident:

Operational Period:

Major Hazard and Risks:

Narriative:

SAFETY OFFICER

Describe problems that will be faced while on the incident.
Date form is prepared
Time form is prepared
List in bullet points the major hazard and risks
Who prepared the safety message?
Date and time of operational period
Incident name

IAP Order

Incident IAP Order 1. Cover 2. 202 – Incident Objectives 3. 203 – Organizational Assignment List 4. 204 – Division Assignments 5. 205 – Communications Plan 6. Safety Message 7. 206 – Medical Plan 8. Weather 9. H. R. Message 10. Maps

11.

Traffic Plan

12. Misc. – Phone List, Press Releases, etc. 13. 214 – Unit Log Planned Event or Conference IAP Order

1. Cover
2. 202 – Incident Objectives
3. 203 – Organizational Assignment List
4. 204 – Division Assignments
5. 205 – Communications Plan
6. Safety Message

7. 206 – Medical Plan

8. Weather
9. H. R. Message

10. Facilities Map 11. Classes and Classroom Assignments

12. Misc. – Phone List, Press Releases, etc.
13. 214 – Unit Log

Return

Generic Cover

EDMG230

Incident Action Plan

12/25/10
(Insert Time)

Return

Warning

Warning!
Are you sure? Clearing the contents cannot be undone!
Yes Clear the contents.	This clears the bottom of the 204 and the whole 207!
No, I want to go back!

Clear the contents of the Menu, 203, and 205!
Return to the Menu

Tips

General

203

204

205

207

209

Tips and Instructions

Macros are used for navigation only. The completed 203 fills ot the 207 automatically and the completed 205 places the information on the bottom of the 204’s.

Start by inserting your incident name, date, etc. This information will automatically be inserted into the other forms.

This Information will be placed on the 207 for printing.

Do not rename the original 204 because the macro that duplicates the 204 needs the original. If you have more than 8 Branches, Divisions, Groups, etc., you will have to change the communications information of the bottom of the 204’s to reflect the correct information.

The top 8 lines of the 205 are automatically transferred to the 204’s.

The 207 is automatically filled from the information on the 203. If you have a complex incident all of the information will not be transferred.

There are two versions of the 209. One is wildland and the other is more all-risk. The wildland version is only accessible from the sheet tabs at the bottom of the page.

Return

Organization List (ICS 203)

Traffic Plan

Communications Plan (ICS 205)

Incident Map

Assignment List (ICS 204)

Medical Plan (ICS 206)

Updated 06

Date:

Time:

Medical Plan

Organizational Chart
Incident Intelligence Summary

Air Operations Summary
Support Vehicle Inventory

Incident Check-In List (8 1/2×11)
Incident Check-In List (8 1/2×14)
Unit Log

ICS Forms Workbook
Incident Objectives
Organizational Assignment List
Division Assignment List
Incident Radio Communications Plan

To print blank forms,
click the button at the
right. Be sure that
you have saved a
copy because you
can’t undo the
changes.

Health and Safety Message

Incident

Name

Date Prepared

Time Prepared

Operational Period:

Demobilization Check-Out

Operational Planning Worksheet (All Risk)
Operational Planning Worksheet (Wildland)
Incident Safety Analysis

6/18/2005

EDMG230

12/25/10

0817

12/25/10

(Insert Time)

7. General Safety Message

9. Prepared by (PSC) 10. Approved by (IC)

8. Attachments (check if attached)

6. Weather Forecast for Operational Period

ICS-202

4. Operational Period (Date and Time)

12/25/2010

(Insert Time)

1. Incident Name 2. Date Prepared 3. Time Prepared

12/25/2010 0817

Incident Objectives

EDMG230

5. General Control Objectives for the Incident (include Alternatives)

Medical Plan (ICS 206)

Incident Map

Traffic Plan

Organization List (ICS 203)

Assignment List (ICS 204)

Communications Plan (ICS 205)

ICS-202

1. Incident Name

Chief

2. Date 12/25/2010 3. Time 0817

Deputy

4. Operational Period (Insert Time)

Branch Director

Incident Commander Deputy

Deputy

Division/Group

Safety Officer Division/Group

Information Officer Division/Group

Liaison Officer Division/Group

Division/Group

Agency

Branch Director
Deputy
Division/Group
Division/Group
Division/Group
Division/Group
Division/Group
Branch Director
Deputy
Division/Group
Division/Group

Chief Division/Group

Deputy Division/Group

Resource Unit Division/Group

Situation Unit

Documentation Unit Air Operations Branch Director

Demobilization Unit Air Support Supervisor

Human Resources Air Attack Supervisor

Hilicopter Coordinator

Air Tanker Coordinator

Chief
Deputy

Time Unit

Procurement Unit

Chief Comp/Claims Unit

Deputy Cost Unit

Service Branch Dir.

Support Branch Dir.

Supply Unit

Facilities Unit

Ground Support Unit

Communications Unit

Medical Unit

Security Unit

Food Unit

Name

7. Planning Section

b. Branch II – Division/Groups

C. Branch III – Division/Groups

Prepared by (Resource Unit Leader)

8. Logistics Section

10. Finance Section

d. Air Operations Branch

6. Agency Representative

ORGANIZATION ASSIGNMENT LIST 9. Operations Section

5. Incident Commander and Staff

EDMG230

a. Branch I – Division/Groups

12/25/2010

Professor Salmon

Technical Specialists (name / specialty)

ICS-203

Number Persons
Trans.

Needed

Function System Frequency Function System Grp/Channel

Command

Support

12/25/2010 0817

Prepared by (RESL) Approved by (PSC) Date

Time

FrequencyGrp/Channel

8. Special Instructions

9. Division/Group Communication Summary

7. Control Operations

6. Resources Assigned this Period
Strike Team/Task
Force/Resource

Designator
Leader Drop Off PT./Time Pick Up PT./Time

Operations Chief Division/Group Supervisor

Branch Director Air Attack Supervisor No.

EDMG230 Date: 12/25/2010 Time: (Insert Time)

5. Operations Personnel

DIVISION ASSIGNMENT LIST
1. Branch 2. Division/Group

3. Incident Name 4. Operational Period

ICS-204

Number Persons
Trans.
Needed
Function System Frequency Function System Grp/Channel
Command Support
Prepared by (RESL) Approved by (PSC) Date Time
12/25/2010 0817

9. Division/Group Communication Summary
Grp/Channel Frequency

8. Special Instructions
7. Control Operations
6. Resources Assigned this Period
Strike Team/Task
Force/Resource
Designator
Leader Drop Off PT./Time Pick Up PT./Time
Operations Chief Division/Group Supervisor
Branch Director Air Attack Supervisor No.
EDMG230 Date: 12/25/2010 Time: (Insert Time)
5. Operations Personnel
DIVISION ASSIGNMENT LIST
1. Branch 2. Division/Group
3. Incident Name 4. Operational Period
ICS-204

5. Prepared by (Communications Unit)

Command

Support

4. Basic Radio Channel Utilization
Function Radio Type/Cache Group/Channel Frequency/Tone Assignment Remarks

(Insert Time)
INCIDENT RADIO COMMUNICATIONS PLAN

Incident Name Date/Time Prepared Operational Period Date/Time
EDMG230 12/25/2010 0817 12/25/2010

ICS-205

Yes No

Yes No
Yes No

Air Grnd Yes No Yes No

Prepared by (Medical Unit Leader Reviewed by (Safety Officer)

B. Incident Ambulances

Medical Plan

Location

6. Transportation
A. Ambulance Services

Operational PeriodTime Prepared
0817 #####(Insert Time

Incident Name
EDMG230

Date Prepared
12/25/2010

Name Location

Name Address

5. Incident

Medical Aid Stations

Paramedics

Paramedics
Paramedics

Phone

Medical Aid Stations

7. Hospitals

8. Medical Emergency Procedures

ICS-206

Helipad Burn Center
Phone

Travel Time
Name Address

ICS 206
NFES 1331

Time 0817

ICS-207

12/25/2010Operational Period

Liaison

Safety

Incident Name
Date

EDMG230
12/25/2010

SUPL

FACL

(Insert Time)

Public Information

Operations Chief Planning Chief Logistics Chief

Human Resources

Branch 1

Div/Grp

Fin./Admin. Chief

Div/Grp
Div/Grp
Div/Grp
Div/Grp
Div/Grp
Div/Grp
Div/Grp

Air Ops. Branch

Attack

Div/Grp

Branch 2

Div/Grp

Helibase

Fixed Wng

Support

DMOB

Air Tanker

RESL

SITL

Heli Cord

TIME

PROC

COML

MEDL

FDUL

Agency Representatives
Agency

COMP

COST

DOCL

Name Specialty

Incident Command
Professor Salmon

Deputy IC

Technical Specialists
Name

GSUL

SECM

Service Branch Support Branch

Time
ICS-207
Incident Command
Professor Salmon
Deputy IC
Name Specialty
COST

Name
Agency Representatives

Agency
Technical Specialists

TIME

PROC

COMP

Service Branch

COML
MEDL

DMOB

RESL
SITL

DOCLHelibase Mgr.

Fixed Wing

Helibase Cord.

Air Tanker
Div/Grp
Div/Grp

Support Sup.

Branch 2
Div/Grp
Div/Grp

Div/GrpDiv/Grp

Div/Grp
Div/Grp
Branch 1
Div/Grp
Div/Grp

Operations Chief Planning Chief Logistics Chief Fin./Admin. Chief

Safety Public Information

Air Ops. Branch

Attack Sup.

(Insert Time)
0817

Liaison Human Resources

Support Branch

SUPL
FACL

Branch 3

Div/Grp

Incident Name
Date
Operational Period

EDMG230
12/25/10

12/25/2010
Div/Grp
Div/Grp

Div/Grp GSUL

SECMDiv/Grp

FDUL

SR ST SR ST SR ST SR SR SR SR

Current Weather Conditions

Hazards Involved:

Temperature:

Time:Time:

Resources
Threatened:

Other

County

Injuries
Today:

Size/Area Involved

Fatalities:

12/25/2010

% Contained

0817

Wind Direction:

Relative Humidity:

Significant events today:

EDMG230

Outlook

Committed Resources

Wind Speed:

No evacuation imminent

IMT Type

Date:

Evacuation in progress
Type of Structure

No likely threats

Threat to Human Life/Safety

Potential future threats

Declared Controlled
Date:

Incident Intelligence Summary (

ICS-209

)

Current Situation

Structure Information

Incident Type

Date

Start Date/Time

Incident NameIncident Number

Residence

Commercial

Incident Commander

# Threatened

State/Unit

($)Cost to
Date

Cause

Short Location DescriptionLattitude and Longitude

# Destroyed

Resource
benefits/objectives

Total
Personnel

FinalTime Initial Update

Expected Containment:

Agency

Total

ICS-209

Date
Time

1.
2.
3.

Actions planned for next operational period:

Describe resistance to control in terms of :

Projected movement/spread during next operational period:

Time:

Projected Demobilization start date:

Remarks:

Prepared by: Approved

by:

Estimated
Control

Outlook
Date:

Temperature:Wind Speed:

Critical Resources Needs:

Tomorrow’s Forecasted WeatherProjected Final
Size

Estimated Final
Cost

Major problems and concerns:

Sent to:

Wind Direction:

1. Growth potential –

2. Specific difficulty –

Relative Humidity:
by:

How likely is it that containment/control targets will be met, given the current resources and strategy?

ICS-209

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