Incident Action Plan Page 17
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221. Incident Name
2. Operational Period (Date / Time)
MEDICAL PLAN
ICS 206-OS
MV SELENDANG AYU
From:
12/17/2004-06:00: To 12/18/2004-06:00
To:
3. Medical Aid Stations
Paramedics
Name
Location
Contact #
On site (Y/N)
4. Transportation
Paramedics
Ambulance Service
Address
Contact #
On board (Y/N)
Unalaska Fire/EMS
29 Safety Way
581-1233
Y
UFD - Medic 2
Amaknak Fire Station/Near Airport
Y
UFD - Medic 2
Dept of Public Safety/ 29 Safety Way
Y
5. Hospitals
Travel Time
Burn
Heli-
Hospital Name
Address
Contact #
Ctr?
Pad?
Air
Ground
IFHS Clinic
33 Lavelle Court
581-1202
Y
N
AK Regional
Anchorage AK
907-276-1131
Y
N
Life Line
Anchorage AK
800-478-9111
6. Special Medical Emergency Procedures
Injuries shall be reported via proper chain of command to Safety Officer. Safety shall contact OPS with information (type of injury, ETA,
Location). OPS will dispatch ambulance with appropriate staffing to transport patient to the clinic. Clinic staff shall treat and evaluate
need for medivac.
7. Prepared by: (Medical Unit Leader)Date / Time
8. Reviewed by: (Safety Officer)
Date / Time
E. Athey
12/16/04
E. Athey
12/16/2004
MEDICAL PLAN
June 2000
ICS 206-OS
008
Electronic version: NOAA 1.0 June 1, 2000
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