Ics 201 Sample Details

The ICS 201 form is an emergency action plan (EAP) designed to provide emergency responders with information about hazardous materials present in a facility. The form must be completed and submitted to the local fire department prior to any HAZMAT incident. Completing the ICS 201 form is critical for ensuring that emergency responders have the information they need to safely respond to a HAZMAT incident.

The table contains information about the ics 201 form. There, you'll locate the information about the document you would like to fill in, such as the likely time required to complete it and also other particulars.

QuestionAnswer
Form NameIcs 201 Form
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesincident briefing ics 201, ics 201 template, ics 201 forms, 201 form ics

Form Preview Example

INCIDENT BRIEFING (ICS 201)

1. Incident Name:

2. Incident Number:

3.Date/Time Initiated:

Date: Time:

4.Map/Sketch (include sketch, showing the total area of operations, the incident site/area, impacted and threatened areas, overflight results, trajectories, impacted shorelines, or other graphics depicting situational status and resource assignment):

5.Situation Summary and Health and Safety Briefing (for briefings or transfer of command): Recognize potential incident Health and Safety Hazards and develop necessary measures (remove hazard, provide personal protective equipment, warn people of the hazard) to protect responders from those hazards.

6. Prepared by: Name:

 

Position/Title:

 

Signature:

 

 

 

 

 

 

 

 

 

 

ICS 201, Page 1

 

 

Date/Time:

 

 

 

 

 

 

 

 

 

 

 

 

 

INCIDENT BRIEFING (ICS 201)

1.

Incident Name:

2. Incident Number:

3. Date/Time Initiated:

 

 

 

 

 

 

 

 

Date:

Time:

 

 

 

 

 

 

 

 

 

 

 

 

7.

Current and Planned Objectives:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Current and Planned Actions, Strategies, and Tactics:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Time:

Actions:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Prepared by: Name:

 

 

Position/Title:

 

Signature:

 

 

 

 

 

 

 

 

 

 

 

ICS 201, Page 2

 

Date/Time:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INCIDENT BRIEFING (ICS 201)

1. Incident Name:

2. Incident Number:

3.Date/Time Initiated:

Date: Time:

9.Current Organization (fill in additional organization as appropriate):

Incident Commander(s)

Liaison Officer

Safety Officer

Public Information Officer

Planning Section Chief

Operations Section Chief

Finance/Administration

Section Chief

Logistics Section Chief

6. Prepared by: Name:

ICS 201, Page 3

Position/Title:Signature:

Date/Time:

INCIDENT BRIEFING (ICS 201)

1. Incident Name:

 

 

2. Incident Number:

10. Resource Summary:

 

 

 

 

 

 

 

 

 

Resource

 

Date/Time

 

 

 

 

Resource

Identifier

 

Ordered

ETA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Prepared by: Name:

 

Position/Title:

 

 

 

ICS 201, Page 4

 

Date/Time:

 

 

 

Arrived

3.Date/Time Initiated:

Date: Time:

Notes (location/assignment/status)

Signature:

ICS 201

Incident Briefing

Purpose. The Incident Briefing (ICS 201) provides the Incident Commander (and the Command and General Staffs) with basic information regarding the incident situation and the resources allocated to the incident. In addition to a briefing document, the ICS 201 also serves as an initial action worksheet. It serves as a permanent record of the initial response to the incident.

Preparation. The briefing form is prepared by the Incident Commander for presentation to the incoming Incident Commander along with a more detailed oral briefing.

Distribution. Ideally, the ICS 201 is duplicated and distributed before the initial briefing of the Command and General Staffs or other responders as appropriate. The “Map/Sketch” and “Current and Planned Actions, Strategies, and Tactics” sections (pages 1–2) of the briefing form are given to the Situation Unit, while the “Current Organization” and “Resource Summary” sections (pages 3–4) are given to the Resources Unit.

Notes:

The ICS 201 can serve as part of the initial Incident Action Plan (IAP).

If additional pages are needed for any form page, use a blank ICS 201 and repaginate as needed.

 

Block

 

 

Block Title

 

 

Instructions

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

Incident Name

 

Enter the name assigned to the incident.

 

 

 

 

 

2

 

Incident Number

 

Enter the number assigned to the incident.

 

 

 

 

 

3

 

Date/Time Initiated

 

Enter date initiated (month/day/year) and time initiated (using the 24-

 

 

 

Date, Time

 

hour clock).

 

 

 

 

 

4

 

Map/Sketch (include sketch,

 

Show perimeter and other graphics depicting situational status,

 

 

 

showing the total area of

 

resource assignments, incident facilities, and other special information

 

 

 

operations, the incident

 

on a map/sketch or with attached maps. Utilize commonly accepted

 

 

 

site/area, impacted and

 

ICS map symbology.

 

 

 

threatened areas, overflight

 

If specific geospatial reference points are needed about the incident’s

 

 

 

results, trajectories, impacted

 

 

 

 

 

location or area outside the ICS organization at the incident, that

 

 

 

shorelines, or other graphics

 

 

 

 

 

information should be submitted on the Incident Status Summary (ICS

 

 

 

depicting situational status and

 

 

 

 

209).

 

 

 

 

resource assignment)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North should be at the top of page unless noted otherwise.

 

 

 

 

 

5

 

Situation Summary and

 

Self-explanatory.

 

 

 

Health and Safety Briefing (for

 

 

 

 

 

 

briefings or transfer of

 

 

 

 

 

 

command): Recognize potential

 

 

 

 

 

 

incident Health and Safety

 

 

 

 

 

 

Hazards and develop necessary

 

 

 

 

 

 

measures (remove hazard,

 

 

 

 

 

 

provide personal protective

 

 

 

 

 

 

equipment, warn people of the

 

 

 

 

 

 

hazard) to protect responders

 

 

 

 

 

 

from those hazards.

 

 

 

 

 

 

 

 

6

 

Prepared by

 

Enter the name, ICS position/title, and signature of the person

 

 

 

Name

 

preparing the form. Enter date (month/day/year) and time prepared

 

 

 

Position/Title

 

(24-hour clock).

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

Date/Time

 

 

 

 

 

 

 

 

7

 

Current and Planned

 

Enter the objectives used on the incident and note any specific problem

 

 

 

Objectives

 

areas.

 

 

 

 

 

 

 

 

 

 

 

Block

 

 

Block Title

 

 

Instructions

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

Current and Planned Actions,

 

Enter the current and planned actions, strategies, and tactics and time

 

 

 

Strategies, and Tactics

 

they may or did occur to attain the objectives. If additional pages are

 

 

 

Time

 

needed, use a blank sheet or another ICS 201 (Page 2), and adjust

 

 

 

Actions

 

page numbers accordingly.

 

 

 

 

 

 

 

 

 

 

 

9

 

Current Organization (fill in

 

Enter on the organization chart the names of the individuals

 

 

 

additional organization as

 

assigned to each position.

 

 

 

appropriate)

 

Modify the chart as necessary, and add any lines/spaces needed for

 

 

 

 

 

 

 

 

 

 

 

Incident Commander(s)

 

Command Staff Assistants, Agency Representatives, and the

 

 

 

Liaison Officer

 

organization of each of the General Staff Sections.

 

 

 

Safety Officer

 

If Unified Command is being used, split the Incident Commander

 

 

 

Public Information Officer

 

box.

 

 

 

Planning Section Chief

 

Indicate agency for each of the Incident Commanders listed if

 

 

 

Operations Section Chief

 

Unified Command is being used.

 

 

 

Finance/Administration

 

 

 

 

 

 

 

 

Section Chief

 

 

 

 

 

 

Logistics Section Chief

 

 

 

 

 

 

 

 

10

 

Resource Summary

 

Enter the following information about the resources allocated to the

 

 

 

 

 

 

 

 

incident. If additional pages are needed, use a blank sheet or another

 

 

 

 

 

 

 

 

ICS 201 (Page 4), and adjust page numbers accordingly.

 

 

 

 

 

 

 

 

 

 

Resource

 

Enter the number and appropriate category, kind, or type of resource

 

 

 

 

 

 

 

 

ordered.

 

 

 

 

 

 

 

 

 

 

Resource Identifier

 

Enter the relevant agency designator and/or resource designator (if

 

 

 

 

 

 

 

 

any).

 

 

 

 

 

 

 

 

 

 

Date/Time Ordered

 

Enter the date (month/day/year) and time (24-hour clock) the resource

 

 

 

 

 

 

 

 

was ordered.

 

 

 

 

 

 

 

 

 

 

ETA

 

Enter the estimated time of arrival (ETA) to the incident (use 24-hour

 

 

 

 

 

 

 

 

clock).

 

 

 

 

 

 

 

 

 

 

Arrived

 

Enter an “X” or a checkmark upon arrival to the incident.

 

 

 

 

 

 

 

 

 

 

Notes (location/

 

Enter notes such as the assigned location of the resource and/or the

 

 

 

 

 

assignment/status)

 

actual assignment and status.

 

 

 

 

 

 

 

 

 

 

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