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.
Question | Answer |
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Form Name | Ics 201 Form |
Form Length | 6 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min 30 sec |
Other names | incident briefing ics 201, ics 201 template, ics 201 forms, 201 form ics |
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: |
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Position/Title: |
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Signature: |
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ICS 201, Page 1 |
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Date/Time: |
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INCIDENT BRIEFING (ICS 201)
1. Incident Name: |
2. Incident Number: |
3. Date/Time Initiated: |
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Date: |
Time: |
7. Current and Planned Objectives:
8. Current and Planned Actions, Strategies, and Tactics:
Time:
Actions:
6. Prepared by: Name:
ICS 201, Page 2
Position/Title:Signature:
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: |
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2. Incident Number: |
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10. Resource Summary: |
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Resource |
Resource |
Date/Time |
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Identifier |
Ordered |
ETA |
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6. Prepared by: Name: |
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Position/Title: |
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ICS 201, Page 4 |
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Date/Time: |
<![endif]>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
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.
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Block Title |
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Instructions |
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1 |
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Incident Name |
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Enter the name assigned to the incident. |
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Incident Number |
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Enter the number assigned to the incident. |
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Date/Time Initiated |
Enter date initiated (month/day/year) and time initiated (using the 24- |
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Date, Time |
hour clock). |
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4 |
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Map/Sketch (include sketch, |
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Show perimeter and other graphics depicting situational status, |
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showing the total area of |
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resource assignments, incident facilities, and other special information |
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operations, the incident |
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on a map/sketch or with attached maps. Utilize commonly accepted |
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site/area, impacted and |
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ICS map symbology. |
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threatened areas, overflight |
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If specific geospatial reference points are needed about the incident’s |
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results, trajectories, impacted |
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location or area outside the ICS organization at the incident, that |
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shorelines, or other graphics |
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information should be submitted on the Incident Status Summary (ICS |
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depicting situational status and |
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209). |
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resource assignment) |
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North should be at the top of page unless noted otherwise. |
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5 |
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Situation Summary and |
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Health and Safety Briefing (for |
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briefings or transfer of |
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command): Recognize potential |
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incident Health and Safety |
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Hazards and develop necessary |
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measures (remove hazard, |
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provide personal protective |
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equipment, warn people of the |
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hazard) to protect responders |
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from those hazards. |
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Prepared by |
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Enter the name, ICS position/title, and signature of the person |
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Name |
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preparing the form. Enter date (month/day/year) and time prepared |
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Position/Title |
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Signature |
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Date/Time |
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Current and Planned |
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Enter the objectives used on the incident and note any specific problem |
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Objectives |
areas. |
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Block Title |
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Instructions |
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Number |
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8 |
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Current and Planned Actions, |
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Enter the current and planned actions, strategies, and tactics and time |
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Strategies, and Tactics |
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they may or did occur to attain the objectives. If additional pages are |
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Time |
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needed, use a blank sheet or another ICS 201 (Page 2), and adjust |
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Actions |
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page numbers accordingly. |
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Current Organization (fill in |
• Enter on the organization chart the names of the individuals |
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additional organization as |
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assigned to each position. |
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appropriate) |
• Modify the chart as necessary, and add any lines/spaces needed for |
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Incident Commander(s) |
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Command Staff Assistants, Agency Representatives, and the |
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Liaison Officer |
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organization of each of the General Staff Sections. |
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Safety Officer |
• If Unified Command is being used, split the Incident Commander |
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Public Information Officer |
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box. |
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Planning Section Chief |
• Indicate agency for each of the Incident Commanders listed if |
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Operations Section Chief |
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Unified Command is being used. |
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Finance/Administration |
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Section Chief |
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Logistics Section Chief |
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Resource Summary |
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Enter the following information about the resources allocated to the |
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incident. If additional pages are needed, use a blank sheet or another |
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ICS 201 (Page 4), and adjust page numbers accordingly. |
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Resource |
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Enter the number and appropriate category, kind, or type of resource |
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ordered. |
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Resource Identifier |
Enter the relevant agency designator and/or resource designator (if |
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any). |
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Date/Time Ordered |
Enter the date (month/day/year) and time |
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was ordered. |
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ETA |
Enter the estimated time of arrival (ETA) to the incident (use |
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clock). |
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Arrived |
Enter an “X” or a checkmark upon arrival to the incident. |
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Notes (location/ |
Enter notes such as the assigned location of the resource and/or the |
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assignment/status) |
actual assignment and status. |