Hics Incident Action Plan (Iap) Quick Start Page 3
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3HICS INCIDENT ACTION PLAN (IAP) QUICK START
COMBINED HICS 201—202—203—204—215A
PURPOSE:
The Incident Action Plan (IAP) Quick Start is a short form combining HICS Forms 201, 202,
203, 204 and 215A. It can be used in place of the full forms to document initial actions taken
or during a short incident. Incident management can expand to the full forms as needed.
ORIGINATION:
Prepared by the Incident Commander or Planning Section Chief.
COPIES TO:
Duplicated and distributed to Command and General staff positions activated. All completed
original forms must be given to the Documentation Unit Leader.
NOTES:
If additional pages are needed for any form page, use a blank HICS IAP Quick Start and
repaginate as needed. Additions may be made to the form to meet the organization’s needs.
NUMBER
TITLE
INSTRUCTIONS
1
Incident Name
Enter the name assigned to the incident.
2
Operational Period
Enter the start date (m/d/y) and time (24-hour clock) and end date
and time for the operational period to which the form applies.
3
Situation Summary
Enter brief situation summary.
Current Hospital
4
Enter the names of the individuals assigned to each position on the
Incident Management
Hospital Incident Management Team (HIMT) chart. Modify the chart
Team
as necessary, and add any lines/spaces needed for Command staff
assistants, agency representatives, and the organization of each of
the General staff sections.
5
Health and Safety
Summary of health and safety issues and instructions.
Briefing
6
Incident Objectives
6a. Objectives
Enter each objective separately. Adjust objectives for each
operational period as needed.
6b. Strategies / Tactics
For each objective, document the strategy/tactic to accomplish that
objective.
6c. Resources Required
For each strategy/tactic, document the resources required to
accomplish that objective.
6d. Assigned to
For each strategy/tactic, document the Branch or Unit assigned to
that strategy/tactic.
7
Prepared by
Enter the name and signature of the person preparing the form.
Enter date (m/d/y), time prepared (24-hour clock), and facility.
HICS 2014
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