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ICS Forms - West Virginia Division of Homeland Security

ICS Forms - West Virginia Division of Homeland Security

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BAYVIEW TORNADO <strong>ICS</strong>-209*1. Incident Name: Bayview Tornado 2. Incident Number: 0502Additional Incident Decision Support Information*31. Public Status Summary:A. # ThisReportingPeriodB. Total #to Date*32. Responder Status Summary:C. Indicate Number <strong>of</strong> Civilians (Public) Below: C. Indicate Number <strong>of</strong> Responders Below:D. Fatalities 102 D. Fatalities 0E. With Injuries/Illness 1837 E. With Injuries/Illness 4F. Trapped/In Need <strong>of</strong> Rescue F. Trapped/In Need <strong>of</strong> Rescue 0G. Missing (note if estimated) G. Missing 0H. Evacuated (note if estimated) H.I. Sheltering in Place (note if estimated) I. Sheltering in Place 0J. In Temporary Shelters (note if est.) 700 J.K. Have Received Mass Immunizations 0 K. Have Received Immunizations 0L. Require Immunizations (note if est.) 0 L. Require Immunizations 0M. In Quarantine 0 M. In Quarantine 0N. Total # Civilians (Public) Affected: N. Total # Responders Affected:33. Life, Safety, and Health Status/Threat Remarks:May trapped and missing victims35. Weather Concerns (synopsis <strong>of</strong> current and predictedweather; discuss related factors that may cause concern):Heavy rain and severe weather*34. Life, Safety, and Health ThreatManagement:A. # ThisReportingPeriodB. Total #to DateA. Check if ActiveA. No Likely Threat B. Potential Future Threat XC. Mass Notifications in Progress D. Mass Notifications Completed E. No Evacuation(s) Imminent F. Planning for Evacuation G. Planning for Shelter-in-Place H. Evacuation(s) in Progress XI. Shelter-in-Place in Progress XJ. Repopulation in Progress XK. Mass Immunization in Progress L. Mass Immunization Complete M. Quarantine in Progress N. Area Restriction in Effect X36. Projected Incident Activity, Potential, Movement, Escalation, or Spread and influencing factors during the next operationalperiod and in 12-, 24-, 48-, and 72-hour timeframes:12 hours: Search and rescue, looting, shelter for 1 st responders, demobilization24 hours: Treatment and transport <strong>of</strong> victims, restore utilities48 hours: Area clean up72 hours: Restore businessAnticipated after 72 hours: Rebuild37. Strategic Objectives (define planned end-state for incident):The desired outcome is to restore life and property to normal operation as soon as possible.<strong>ICS</strong> 209, Page 2 <strong>of</strong> ___* Required when applicable.

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