Cover Incident Action Plan Form PDF Details

In the realm of emergency management and response, the coherence and clarity of an Incident Action Plan (IAP) are paramount. At the heart of this meticulous planning is the Cover Incident Action Plan form, an essential document that aids in the structured preparation and dissemination of an IAP. The form serves as a crucial cover sheet and provides a snapshot of the operational period it addresses, including specifying the incident's name, the span of the operational period, and the notable approvals by key figures such as the Federal On-Scene Coordinator (FOSC), State On-Scene Coordinator (SOSC), and Responsible Party Incident Commander (RPIC). Not only does it itemize components included in the IAP—ranging from response objectives and organizational structures to communication plans and medical emergency responses—but it also ensures that the preparedness efforts are well documented and endorsed by the involved authorities. Special emphasis is placed on the selection and preparation of diverse supporting documents like assignment lists, maps, weather forecasts, and site-specific safety messages that collectively aim to streamline operations during the actionable period. With provisions for both checklist formats and open areas for user comments or graphics, this form facilitates the customization and inclusivity of necessary details for executing an effective incident action strategy. The Cover Incident Action Plan form, thus, stands as a testament to the organized and collaborative effort required in incident management, designed to encapsulate the strategic overview and operational specifics needed for the forthcoming period.

QuestionAnswer
Form NameCover Incident Action Plan Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescover sheet incident action plan, incident action plan forms, fire department incident action plan template, sheet incident action

Form Preview Example

1. Incident Name

2. Operational Period to be covered by IAP (Date / Time)

From:To:

IAP COVER SHEET

3.Approved by:

FOSC

SOSC

RPIC

INCIDENT ACTION PLAN

The items checked below are included in this Incident Action Plan:

ICS 202-OS (Response Objectives)

ICS 203-OS (Organization List) - OR - ICS 207-OS (Organization Chart)

ICS 204-OSs (Assignment Lists)

One Copy each of any ICS 204-OS attachments:

Map

Weather forecast

Tides

Shoreline Cleanup Assessment Team Report for location

Previous day's progress, problems for location

ICS 205-OS (Communications List)

ICS 206-OS (Medical Plan)

4. Prepared by:Date / Time

IAP COVER SHEET

June 2000

Electronic version: NOAA 1.0 June 1, 2000

IAP COVER SHEET

Special Note. This optional form acts as a cover sheet for the completed Incident Action Plan (IAP) described below. Two versions of this cover sheet are included; either can be used. One version includes check boxes for forms included in the IAP, while the other version leaves a large blank area for user comments or graphics.

Purpose. An Incident Action Plan (IAP) contains general control objectives reflecting the overall incident strategy and specific action plans for the next operational period. The Unified Command, Command Staff, and General Staff develop the IAP. When all attachments are included, the plan:

specifies the objectives for the next operational period;

defines the work assignments for the next operational period, including extracts of site-specific safety

messages (Note: the Site Safety Plan is generally a stand-alone document and is not included in the

IAP);

defines the resources needed to accomplish the work order;

 

depicts how all response personnel are to be organized;

 

lists radio and telephone communications for all incident personnel;

 

specifies a medical plan to follow in case of a responder emergency;

 

identifies resources at risk.

 

Preparation. The Planning Section Chief compiles the IAP, with key tactical input from the Operations Section Chief. The Plan is to be completed following each Planning Meeting. The plan should be approved and signed by each member of the Unified Command.

Distribution. Sufficient copies of the IAP will be reproduced and given to all supervisory personnel at the Section, Branch, Division/Group, and Unit Leader levels. The original IAP MUST be given to the Documentation Unit.

Item #

Item Title

Instructions

1.

Incident Name

Enter the name assigned to the incident.

2.

Operational Period

Enter the time interval for which the form applies. Record the start and

 

 

end date and time.

3.

Approved by

Signatures of approval must be obtained from each Unified

 

 

Commander.

 

Inclusion List (if used)

Mark "X" for each item that is included in the Plan.

4.

Prepared By

Enter name and title of the person preparing the form.

Date/Time

Enter date (month, day, year) and time prepared (24-hour clock).