Form Ics 208 - Safety Message/plan Page 2

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ICS 208
Safety Message/Plan
Purpose. The Safety Message/Plan (ICS 208) expands on the Safety Message and Site Safety Plan.
Preparation. The ICS 208 is an optional form that may be included and completed by the Safety Officer for the Incident
Action Plan (IAP).
Distribution. The ICS 208, if developed, will be reproduced with the IAP and given to all recipients as part of the IAP. All
completed original forms must be given to the Documentation Unit.
Notes:
• The ICS 208 may serve (optionally) as part of the IAP.
• Use additional copies for continuation sheets as needed, and indicate pagination as used.
Block
Block Title
Instructions
Number
1
Incident Name
Enter the name assigned to the incident.
Operational Period
Enter the start date (month/day/year) and time (using the 24-hour
• Date and Time From
clock) and end date and time for the operational period to which the
2
form applies.
• Date and Time To
Safety Message/Expanded
Enter clear, concise statements for safety message(s), priorities, and
Safety Message, Safety Plan,
key command emphasis/decisions/directions. Enter information such
3
Site Safety Plan
as known safety hazards and specific precautions to be observed
during this operational period. If needed, additional safety message(s)
should be referenced and attached.
4
Site Safety Plan Required?
Check whether or not a site safety plan is required for this incident.
Yes  No 
Approved Site Safety Plan(s)
Enter where the approved Site Safety Plan(s) is located.
Located At
Prepared by
Enter the name, ICS position, and signature of the person preparing
• Name
the form. Enter date (month/day/year) and time prepared (24-hour
clock).
• Position/Title
5
• Signature
• Date/Time

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