HICS INCIDENT ACTION PLAN (IAP) QUICK START
COMBINED HICS 201—202—203—204—215A
2. Operational Period (#
)
1. Incident Nam e
DATE:
FROM: __________________________
TO: __________________________
TIME:
FROM: __________________________
TO: __________________________
3. Situation Summary
—
HICS 201
—
4. Current Hospital Incident Management Team (fill in additional positions as appropriate)
—
HICS 201, 203
—
Public Inform ation Officer
Incident Com m ander
Medical-Technical Specialists
Liaison Officer
Safety Officer
Planning
Logistics
Finance / Adm inistration
Operations
Section Chief
Section Chief
Section Chief
Section Chief
Purpose:
Short form combining HICS Forms 201, 202, 203, 204, and 215A
Origination:
Incident Commander or Planning Section Chief
IAP Quick Start | Page 1 of 2
Copies to:
Command staff, Section Chiefs, and Documentation Unit Leader