1. Incident Name 2. Date Prepared 3.

Time Prepared
Incident Objectives

4. Operational Period (Date and Time)

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

6. Objectives for this Operational Period

7. Weather Forecast for Operational Period

8. General Safety Message

9. Attachments (Mark if attached)

Organization List - ICS 203 Medical Plan - ICS 206 (Other)

Div. Assignment Lists - ICS 204 Incident Map

Communications Plan - ICS 205 Traffic Plan

10. Prepared by (PSC) 11. Approved by (IC)

ICS 202
ICS 202
ICS 202
ICS 202
 ORGANIZATION ASSIGNMENT LIST 9. Operations Section
1. Incident Name Chief
2. Date 3. Time Deputy
4. Operational Period a. Branch I - Division/Groups
5. Incident Commander and Staff Branch Director
Incident Commander Deputy
Deputy Division/Group
Safety Officer Division/Group
Information Officer Division/Group
Liaison Officer Division/Group
6. Agency Representative Division/Group
Agency Name b. Branch II - Division/Groups
Branch Director
Deputy
Division/Group
Division/Group
Division/Group
Division/Group
Division/Group
C. Branch III - Division/Groups
Branch Director
Deputy
Division/Group
7. Planning Section Division/Group
Chief Division/Group
Deputy Division/Group
Resource Unit Division/Group
Situation Unit d. Air Operations Branch
Documentation Unit Air Operations Branch Director
Demobilization Unit Air Attack Supervisor
Technical Specialists Air Attack Supervisor
Human Resources Hilicopter Coordinator
Training Air Tanker Coordinator
10. Finance Section
Chief
Deputy
Time Unit
8. Logistics Section Procurement Unit
Chief Comp/Claims Unit
Deputy Cost Unit
Supply Unit
Facilities Unit Prepared by (Resource Unit Leader)
Ground Support Unit
Communications Unit
Medical Unit
Security Unit
Food Unit

ICS 203 NFES 1327

ICS 203 NFES 1327
ICS 203 NFES 1327
ICS 203 NFES 1327
 1. Branch 2. Division/Group
DIVISION ASSIGNMENT LIST
3. Incident Name 4. Operational Period
Date: Time:
5. Operations Personnel
Operations Chief Division/Group Supervisor

Branch Director Air Attack Supervisor No.

6. Resources Assigned this Period
Strike Team/Task Number Trans.
Leader Drop Off PT./Time Pick Up PT./Time
Force/Resource Designator Persons Needed

7. Control Operations

8. Special Instructions

9. Division/Group Communication Summary

Function Frequency System Channel Function Frequency System Channel

King King
Command Logistics
NIFC NIFC

Tactical King Air to King

Div/Group Ground
NIFC NIFC
Prepared by (Resource Unit Ldr.) Approved by (Planning Sect. Chief) Date Time

ICS 204 NFES 1328

ICS 204 NFES 1328
ICS 204 NFES 1328
ICS 204 NFES 1328
 1. Incident Name 2. Date/Time Prepared 3. Operational Period Date/Time
INCIDENT RADIO COMMUNICATIONS PLAN

4. Basic Radio Channel Utilization

Radio Type/Cache Channel Function Frequency/Tone Assignment Remarks
King

NIFC

King

NIFC

King

NIFC

King

NIFC

King

NIFC

King

NIFC

King

NIFC

King

NIFC
5. Prepared by (Communications Unit)

ICS 205 NFES 1330

ICS 205 NFES 1330
ICS 205 NFES 1330
ICS 205 NFES 1330
 1. Incident Name 2. Date Prepared 3. Time Prepared 4. Operational Period
MEDICAL PLAN
5. Incident Medical Aid Station
Paramedics
Medical Aid Stations Location
Yes No

6. Transportation
A. Ambulance Services
Paramedics
Name Address Phone
Yes No

B. Incident Ambulances
Paramedics
Name Location
Yes No

7. Hospitals
Travel Time Helipad Burn Center
Name Address Phone
Air Grnd. Yes No Yes No

8. Medical Emergency Procedures

9. Prepared by (medical Unit Leader) 10. Reviewed by (Safety Officer)

ICS 206
ICS 206
ICS 206
ICS 206
 SAFETY MESSAGE
Date: Time:
Incident:

Operational Period:

Major Hazard and Risks:

Narriative:

Prepared By:
SAFETY OFFICER
 Date Time Initial Update Final Incident Number Incident name

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

County Latitude and Longitude Short Location Description (in reference to nearest town)

Current Situation
Size/Area Involved % Contained Expected Containment Line to Build
($) Cost to Declared Controlled
Date: Date Date:
Time: Time:
Injuries Today Fatalities Structure Information
Type of Structure # Threatened # Destroyed
Residence
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 Resources Threatened:

Current Weather Conditions Resource Benefits/Objectives(for prescribed/wildland fire use):

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

CRW 1 CRW 2 HEL1 HEL 2 HEL3 ENG OVHD DOZR WTDR Camp
Agency
SR ST SR ST SR SR SR SR ST SR SR ST SR Crew Total Personnel

Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cooperating agencies not listed above:

ICS 209
 Outlook
Estimated Control Projected Final Size Estimated Final Tomorrow’s Forecasted Weather
Cost
Date: Wind Speed: Temperature:
Time: Wind Direction: Relative Humidity:
Critical Resource Needs:
1.
2.
3.
Actions planned for next operational period:

Projected incident movement/spread during next operational period:

Major problems and concerns:

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):

Remarks:

Sent to: Date

Prepared by: Approved by:
By: Time:

ICS 209
ICS 209
ICS 209
ICS 209
ICS 209
 Incident Intelligence Summary (ICS-209)
Date Time Initial Update Final Incident Number Incident Name
[] [] []

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

County Lattitude and Longitude Short Location Description

Current Situation
Size/Area Involved % Contained Expected Containment: ($)Cost to Date Declared
Date:__________ Controlled
Time:__________ Date:________

Time:________
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
Agency Personnel
SR ST SR ST SR ST SR SR
 Total

Outlook
Estimated Projected Final Estimated Final Tomorrow's Forecasted Weather
Control Size Cost
Date:________ Wind Speed:_____ Temperature:_____
Wind Direction:_____ Relative Humidity:_____
Time:________
Critical Resources Needs:
1.
2.
3.

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: by:

Prepared by: Approved by:
Date:__________ Time:__________
 Incident Name
INCIDENT CHECK-IN LIST
Specify type of equipment contained on this sheet, or Misc.

Check-In Information
Order/
Date/ Time Total # Manifest
State Agency Single Kind Type I.D. Number or Name Request Leader's Name
Check-in Persons Yes No
No.

Prepared by (Name and position) use back for remarks

Page ____ of ____

ICS-211
 Date/Time
Check-In Location

Check-In Information
Crew or Sent to Last
Incident
Individaual Home Base Departure Point Method of Travel Other Quals. RESTAT Day
Assign.
Weight Time/Int Off

NFES 1335
 1. Incident Name 2. Date Prepared 3. Time Prepared
UNIT LOG
4. Unit Name/Designators 5. Unit Leader (Name and Position) 6. Operational Period

7. Personnel Roster Assigned

Name ICS Position Home Base

8. Activity Log
Time Major Events

9. Prepared by (Name and Position)

ICS 214
ICS 214
ICS 214
ICS 214
 Operational Planning

Kinds of Resources
Worksheet
Incident Name

Division/
Group/ Other
Crews Engines Dozers
Location Work Assignments
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
Single Resource
Total Resources Required Strike Teams
ICS-215 Single Resource
Total Resources On Hand Strike Teams
Wild Fire Single Resource
Total Resources Needed Strike Teams
Date & Time Operational
Prepared Period
(Date & Time)

Special Equip. Reporting Requested

Overhead
and Supplies Location Arrival Time

Prepared By: (Date & Position)

 Operational Planning

Kinds of Resources
Worksheet
Incident Name

Division/
Group/ Other
Location Work Assignments
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
Single Resource
Total Resources Required Strike Teams
ICS-215 Single Resource
Total Resources On Hand Strike Teams
All Risk Single Resource
Total Resources Needed Strike Teams
Date & Time Operational
Prepared Period
(Date & Time)

Special Equip. Reporting Requested

Overhead
and Supplies Location Arrival Time

Prepared By: (Date & Position)

ICS-215A Identified Risks Date & Time Operational
Incident Safety Analysis Period

Incident name

Division/
Group/ Other Work Assignments Mitigation Actions
Location
ICS-215A Prepared By: (Date & Position)
All Risk
 Incident Name Date Prepared Time Prepared
Support Vehicle Inventory

Vehicle Information
Type Make Capacity/Size Agency/Owner I.D. No. Location Release Time

Page Prepared by (Ground Support Unit)

ICS-218

ICS 218 NFES 1341

ICS 218 NFES 1341
ICS 218 NFES 1341
ICS 218 NFES 1341
 1. Incident Name Helibases
AIR OPERATIONS SUMMARY
Fixed Wing Bases

4. Personnel and Communications Name Air/Air Frequency Air/Ground Frequency 5. Remarks (Spec. Instructions, Safety Notes, Hazards, Priorites)

Air Operations Director

Air Attack Supervisor

Helicopter Coordinator

Air Tanker Coordinator

8. Fixed Wing 9. Helicopters 10. Time 11. Aircraft 12. Operating

6. Location/Function 7. Assignment
Assigned Base
No. Type No. Type Available Commence

13. Totals

14. Air Operations Support Equipment 15. Prepared by (include Date and Time)

ICS 220 NFES 1351

ICS 220 NFES 1351
ICS 220 NFES 1351
ICS 220 NFES 1351
 Demobilization Check-Out
Incident Name Date/Time Demob. No.

Unit/Personnel Released

Transportation Type/No.

Actual Release Date/Time Manifest Yes No Number ______________

Area/Agency/Region Notified
Destination: Name ________________________________________
Date ______________
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 [ ]

Logistics Section

Supply Unit _____________________________________________________

Communications Unit _____________________________________________________

Facilities Unit _____________________________________________________

Ground Support Unit Leader _____________________________________________________

Planning Section

Documentation Unit _____________________________________________________

Finance/Administration Section

Time Unit _____________________________________________________

Other

___________________________________________________________________________

___________________________________________________________________________

Remarks:______________________________________________________________________

ICS 221 NFES 1353