MCI Evaluator Sheet Val Reyes Extrication Group 1 (1st Arriving Company) Task Perform a rapid hazard assessment

(Scene size up) Initiate crowd, traffic control & provide for occupant protection (scene size-up) Determine the location, number and condition of all patients (coordinate with triage group) Send of information to command post/operation center & call for any additional resources Secure adequate space for working extrication Initiate START TRIAGE or coordinate properly with triage group Relocate green patients properly Assigning and supervision extrication teams/ coordinate with Extrication Group 2 Prioritize removal of IMMEDIATE patients without delay followed by DELAYED patients without delay for transport Extricate properly (immobilize, stabilize and treat patients properly) and deliver (safe handling and proper carry) of patients to transportation Provide frequent progress reports to Command/Operation Center Ensure safety and accountability of all patients and assigned personnel. Were rescue tools used effectively? Were litter-bearers used to move patients to the treatment area? Did extrication report an All Clear indicating that all patients were extricated Coordinate activities with transport sector in proper transporting of patients Terminate extrication activities and report to Command for reassignment. Over-all Remarks: Please Check YE NO S Remarks

MCI Evaluator Sheet Neil Nituda Extrication Group 2 (2nd - Arriving Company) (3 minutes after first extricating group was dispatched) Task Secure adequate space for working extrication Initiate START TRIAGE or coordinate properly with triage group Were triage tape were used? Relocate green patients properly Assigning and supervision extrication teams/ coordinate with Extrication Group 2 Prioritize removal of IMMEDIATE patients without delay followed by DELAYED patients without delay for transport Extricate properly (immobilize, stabilize and treat patients properly) and deliver (safe handling and proper carry) of patients to transportation Provide frequent progress reports to Command/Operation Center Ensure safety and accountability of all patients and assigned personnel. Coordinate activities with transport sector in proper transporting of patients Terminate extrication activities and report to Command for reassignment. Over-all Remarks: Please Check Remarks

MCI Evaluator Sheet

Jack / Mark Dapal Triaging Group 3 (2nd - Arriving Company)

(3 minutes after first extricating group was dispatched) Task Determine the location, number and condition of patients. Determine resources needed for triage. Assign and supervise triage teams. Ensure triage is based on S.T.A.R.T & pts. tagged appropriately. Ensure safety and accountability of all assigned personnel. Provide frequent progress reports to Command/Operation Center. Coordinate activities with other sectors (extricating and transport) Provide the Operation Center/Central Command a Triage Report Terminate triage activities and report to Command for any reassignment Over-all Remarks: Please Check Remarks

MCI Evaluator Sheet per sector/group Kokoi Transport /Ambulance Group 4 Task Determine/request resources Determine ambulance/vehicle loading area Determine hospital availability status Coordinate patient allocation & destination with Triage & Extricating Groups Aggressively supervise the movement of patients from the treatment area to the loading area Load red patients first, then yellow, then green. Conduct first aid /emergency treatment inside the vehicle Request members of triage or extrication to move patients from and assist in loading properly. Keep the medical group, receiving hospital and treatment informed. Provide progress reports, allocations, & ETA's, to receiving hospitals. Provide frequent progress reports to Command/Operation Center Ensure the safety and accountability of all assigned personnel. Notify Command when all IMMEDIATE patients have been transported Coordinate activities with other sectors Please Check Remarks

Over-all Remarks:

MCI Evaluator Sheet Dr. Regie Dompor Cabadbaran City Operation Center/Central ICS Group 5 Central Incident Commander, Public Information Officers , Planning Liason Officers, Hospital Task Give good briefing and guide instructions to all groups / sectors Make an initial assessment and pass it to dispatch Control and maintain communications. Assign and re-assign resources Evaluate progress Give orders properly Produce tactical and progress reports Keep teams informed and gather them for a post-incident meetings Terminates activities and produced reports Over-all Remarks: Please Check Remarks

Tactical Worksheet for Operation Center/Operation Section/ICS

Incident - The name or number of the Incident as currently being used. This may be a facility name, a location, a
sequential number or other identifier.

Date - Todays date. Time - The time in 24-hour clock time that this particular worksheet page was initiated. Scene Sketch - Make a rough sketch of the scene, indicating major elements. Draw and label areas of
responsibility assigned to the teams, locations of command, and other information that will help you manage the incident.

Time and Task - Record times key tasks are started. Unit - List all responding groups.

Assignment - Note current assignment of each unit.

Casualties

Time - Note the time of the report.

RD, YE, GN, BK - Record number of red, yellow, green and black patients.

Trans - Record total number transported so far.

Extrication Group Roles & Responsibilities Perform a rapid hazard assessment (Scene size up) Initiate crowd, traffic control & provide for rescuers protection (scene size-up) Determine the location, number and condition of all patients (coordinate with triage group) Send of information to command post/operation center & call for any additional resources Secure adequate space for working extrication Initiate START TRIAGE or coordinate properly with triage group Relocate green patients properly Assigning and supervision extrication teams/ coordinate with other Extrication Group (#2) Prioritize removal of IMMEDIATE patients without delay followed by DELAYED patients without delay for transport Extricate properly (immobilize, stabilize and treat patients properly) and deliver (safe handling and proper carry) of patients to transportation Provide frequent progress reports to Central Command/Operation Center Ensure safety and accountability of all patients and assigned personnel. Coordinate activities with transport group in proper transporting of patients Terminate extrication activities and report to Command for any reassignment.

Triage Sector/Group Roles & Responsibilities

Determine the location, number and condition of patients. Determine resources needed for triage. Assign and supervise triage teams. Ensure triage is based on S.T.A.R.T & pts. Tagged appropriately. Ensure safety and accountability of all assigned personnel. Provide frequent progress reports to Command/Operation Center. Coordinate activities with other sectors (extricating and transport) Provide Command with a Triage Report Forward triage tracking slips to Command or Operation Center Terminate triage activities and report to Command for reassignment

Transport /Ambulance Sector or Group Roles & Responsibilities

Determine/request resources Determine ambulance/vehicle loading area Determine hospital availability status Coordinate patient allocation & destination with Triage & Extricating Groups Aggressively supervise the movement of patients from the treatment area to the loading area Load red patients first, then yellow, then green. Conduct first aid /emergency treatment inside the vehicle Request members of triage or extrication to move patients from and assist in loading properly . Keep the medical group, receiving hospital and treatment informed. Provide progress reports, allocations, & ETA's, to receiving hospitals. Provide frequent progress reports to Command/Operation Center Ensure the safety and accountability of all assigned personnel. Notify Command when all IMMEDIATE patients have been transported Coordinate activities with other sectors, (esp. Treatment).

Operation Center Center/Central ICS Group Roles & Responsibilities

Give good briefing and guide instructions to all groups / sectors Make an initial assessment and pass it to dispatch Control and maintain communications. Assign and re-assign resources Evaluate progress Give orders properly Produce tactical and progress reports Keep teams informed and gather them for a post-incident meetings Terminates activities and produce reports

Triage Worksheet Incident The name or number of the Incident as currently being used.

Date Todays date. Time The time in 24-hour clock time that this particular worksheet page was initiated. Scene Sketch Make a rough sketch of the scene, indicating major elements. Draw and label
areas of responsibility assigned to the Triage Teams or individuals.

Team Identify the units assigned to triage. If individuals are assigned to areas, identify individuals.

Red, Yellow, Green, Black Record the number of patients reported in each category by each
Team.

Total Total up the number of patients reported Notes Note additional information as needed.

Time and Task Record the times key tasks are started.