ICS Forms - West Virginia Division of Homeland Security

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ICS 215Operational Planning WorksheetPurpose. The Operational Planning Worksheet (ICS 215) communicates the decisions made by the Operations SectionChief during the Tactics Meeting concerning resource assignments and needs for the next operational period. The ICS215 is used by the Resources Unit to complete the Assignment Lists (ICS 204) and by the Logistics Section Chief forordering resources for the incident.Preparation. The ICS 215 is initiated by the Operations Section Chief and often involves logistics personnel, theResources Unit, and the Safety Officer. The form is shared with the rest of the Command and General Staffs during thePlanning Meeting. It may be useful in some disciplines or jurisdictions to prefill ICS 215 copies prior to incidents.Distribution. When the Branch, Division, or Group work assignments and accompanying resource allocations are agreedupon, the form is distributed to the Resources Unit to assist in the preparation of the ICS 204. The Logistics Section willuse a copy of this worksheet for preparing requests for resources required for the next operational period.Notes:This worksheet can be made into a wall mount.Also available as 8½ x 14 (legal size) and 11 x 17 chart.If additional pages are needed, use a blank ICS 215 and repaginate as needed.BlockNumberBlock TitleInstructions1 Incident Name Enter the name assigned to the incident.2 Operational PeriodDate and Time FromDate and Time ToEnter the start date (month/day/year) and time (using the 24-hour clock)and end date and time for the operational period to which the form applies.3 Branch Enter the Branch of the work assignment for the resources.4 Division, Group, or Other Enter the Division, Group, or other location (e.g., Staging Area) of the workassignment for the resources.5 Work Assignment &Special InstructionsEnter the specific work assignments given to each of the Divisions/Groupsand any special instructions, as required.6 Resources Complete resource headings for category, kind, and type as appropriate forthe incident. The use of a slash indicates a single resource in the upperportion of the slash and a Strike Team or Task Force in the bottom portionof the slash.RequiredHaveNeedEnter, for the appropriate resources, the number of resources by type(engine, squad car, Advanced Life Support ambulance, etc.) required toperform the work assignment.Enter, for the appropriate resources, the number of resources by type(engines, crew, etc.) available to perform the work assignment.Enter the number of resources needed by subtracting the number in the“Have” row from the number in the “Required” row.7 Overhead Position(s) List any supervisory and nonsupervisory ICS position(s) not directlyassigned to a previously identified resource (e.g., Division/GroupSupervisor, Assistant Safety Officer, Technical Specialist, etc.).8 Special Equipment &SuppliesList special equipment and supplies, including aviation support, used orneeded. This may be a useful place to monitor span of control.9 Reporting Location Enter the specific location where the resources are to report (Staging Area,location at incident, etc.).10 Requested Arrival Time Enter the time (24-hour clock) that resources are requested to arrive at thereporting location.
BlockNumberBlock TitleInstructions11 Total Resources Required Enter the total number of resources required by category/kind/type aspreferred (e.g., engine, squad car, ALS ambulance, etc.). A slash can beused again to indicate total single resources in the upper portion of theslash and total Strike Teams/ Task Forces in the bottom portion of theslash.12 Total Resources Have onHand13 Total Resources Need ToOrder14 Prepared byNamePosition/TitleSignatureDate/TimeEnter the total number of resources on hand that are assigned to theincident for incident use. A slash can be used again to indicate total singleresources in the upper portion of the slash and total Strike Teams/TaskForces in the bottom portion of the slash.Enter the total number of resources needed. A slash can be used again toindicate total single resources in the upper portion of the slash and totalStrike Teams/Task Forces in the bottom portion of the slash.Enter the name, ICS position, and signature of the person preparing theform. Enter date (month/day/year) and time prepared (24-hour clock).
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National IncidentManagement SystemI
Page 6 and 7:
INCIDENT BRIEFING (ICS 201)1. Incid
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INCIDENT BRIEFING (ICS 201)1. Incid
Page 11 and 12:
BlockNumberBlock Title8 Current and
Page 13 and 14:
ICS 202Incident ObjectivesPurpose.
Page 15 and 16:
ORGANIZATION ASSIGNMENT LIST (ICS 2
Page 17 and 18: BlockNumberBlock TitleInstructions6
Page 19 and 20: ICS 204Assignment ListPurpose. The
Page 21 and 22: 1. Incident Name: 2. Date/Time Prep
Page 23 and 24: BlockNumber4(continued)Block TitleT
Page 25 and 26: ICS 205ACommunications ListPurpose.
Page 27 and 28: ICS 206Medical PlanPurpose. The Med
Page 29 and 30: 3. Organization ChartINCIDENT ORGAN
Page 31 and 32: SAFETY MESSAGE/PLAN (ICS 208)1. Inc
Page 33 and 34: INCIDENT STATUS SUMMARY (ICS 209)*1
Page 35 and 36: INCIDENT STATUS SUMMARY (ICS 209)*1
Page 37 and 38: ICS 209Incident Status SummaryPurpo
Page 41 and 42: BlockNumberBlock TitleAPPROVAL & RO
Page 43 and 44: BlockNumberBlock Title27 Note any e
Page 45 and 46: BlockNumberBlock TitleInstructionsA
Page 47 and 48: BlockNumber*32(continued)Block Titl
Page 49 and 50: BlockNumberBlock Title35 Weather Co
Page 51 and 52: BlockNumberBlock Title39 Critical R
Page 53 and 54: BlockNumberBlock Title47 Remarks (o
Page 57 and 58: ICS 210Resource Status ChangePurpos
Page 59 and 60: ICS 211Incident Check-In ListPurpos
Page 61 and 62: BlockNumberBlock Title16 Data Provi
Page 63 and 64: ICS 213General MessagePurpose. The
Page 65 and 66: ACTIVITY LOG (ICS 214)1. Incident N
Page 67: 3. Branch4. Division, Group,or Othe
Page 71 and 72: ICS 215AIncident Action Plan Safety
Page 73 and 74: ICS 218Support Vehicle/Equipment In
Page 75 and 76: ICS 219Resource Status Card (T-Card
Page 77 and 78: ICS 219-1: Header CardBlock TitlePr
Page 79 and 80: ICS 219-2: Crew/Team CardBlock Titl
Page 81 and 82: ST/Unit: LDW: # Pers: Order #:ST/Un
Page 83 and 84: Block TitlePrepared byDate/TimeInst
Page 85 and 86: ICS 219-4: Helicopter CardBlock Tit
Page 87 and 88: ICS 219-5: Personnel CardBlock Titl
Page 95 and 96: ICS 219-8: Miscellaneous Equipment/
Page 101 and 102: 1. Incident Name: 2. Operational Pe
Page 103 and 104: BlockNumberBlock Title8 Frequencies
Page 105 and 106: ICS 221Demobilization Check-OutPurp
Page 107 and 108: BlockNumberBlock Title10 Prepared b
Page 109 and 110: INCIDENT PERSONNEL PERFORMANCE RATI
Page 113 and 114: ICS 209, Page 1 of ___StructuresOth
Page 115 and 116: BAYVIEW TORNADO ICS-209*1. Incident
Page 117: FinanceLogisticsRequestorRESOURCE R
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ICS Forms - West Virginia Division of Homeland Security

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