Ics Form 209 - Incident Status Summary Page 15
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23Block
Block Title
Instructions
Number
*32
A. # This Reporting
Enter the total number of responders impacted in each category for this
(continued)
Period
reporting period (since the previous ICS 209 was submitted).
• Enter the total number of individuals impacted in each category for the
B. Total # to Date
entire duration of the incident.
• This is a cumulative total number that should be adjusted each reporting
period.
• For lines 32D–M below, enter the number of responders relevant for
C. Indicate Number of
Responders Below
each category.
• Responders are those personnel included as part of Unified Command
partnerships and those organizations and agencies assisting and
cooperating with response efforts.
• Enter the number of confirmed responder fatalities.
D. Fatalities
• See information in introductory instructions (“Distribution”) and for Block
32 regarding sensitive handling of fatality information.
• Enter the number of incident responders with serious injuries or illnesses
E. With Injuries/Illness
due to the incident.
• For responders, serious injuries or illness are typically those in which the
person is unable to continue to perform in his or her incident assignment,
but the authority having jurisdiction may have additional guidelines on
reporting requirements in this area.
F. Trapped/In Need Of
Enter the number of incident responders who are in trapped or in need of
Rescue
rescue due to the incident.
G. Missing
Enter the number of incident responders who are missing due to incident
conditions.
H.
(BLANK; use however is appropriate.)
I. Sheltering in Place
Enter the number of responders who are sheltering in place due to the
incident. Once responders become the victims, this needs to be noted in
Block 33 or Block 47 and handled accordingly.
J.
(BLANK; use however is appropriate.)
L. Require Immunizations
Enter the number of responders who require immunizations due to the
incident and/or as part of incident operations.
M. In Quarantine
Enter the number of responders who are in quarantine as a direct result of
the incident and/or related to incident operations.
N. Total # Responders
Enter sum totals for Columns 32A and 32B for Rows 32D–M.
Affected
• Enter any details needed for Blocks 31, 32, and 34. Enter any specific
33
Life, Safety, and Health
Status/Threat Remarks
comments regarding illness, injuries, fatalities, and threat management
for this incident, such as whether estimates were used for numbers given
in Block 31.
• This information should be reported as accurately as possible as a
snapshot in time, as much of the information is subject to frequent
change.
• Evacuation information can be very sensitive to local residents and
officials. Be accurate in the assessment.
• Clearly note primary responsibility and contacts for any activities or
information in Blocks 31, 32, and 34 that may be caused by the incident,
but that are being managed and/or reported by other parties.
• Provide additional explanation or information as relevant in Blocks 28,
36, 38, 40, 41, or in Remarks (Block 47).
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