Mobilization Plan Forms
Excel Version - Instructions
2009 Version - Mobilization Plan
All of the Forms found in the Mobilization Plan - Appendix M have been done in Excel for your convenience in completing the form.
While each form is different, there is one common theme throughout and that is the color coding of certain boxes,
Boxes colored with a light tan: |
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These are boxes that you input information either text, numbers or both. |
Boxes colored with a light red: |
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These boxes are set with formulas to calculate math or copy text. |
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Boxes colored with a light blue: |
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These boxes are for either EMD or WSP use. |
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Additionally there are some check boxes that may require input, that haven't been colored. |
Yes |
The Tabs below are colored for quick reference as to the type of form. |
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Form |
Use |
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Mobe Request Form |
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To Request Mobilization |
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Type 3 All Risk Incident Complexity Analysis |
Needed with Request Form |
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Type 3 Incident Complexity Analysis |
Needed with Request Form |
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Type 2 or 1 Incident Complexity Analysis |
Needed with Request Form |
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Agency Reimbursement |
Career agency reimbursement for personnel |
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Individual Time Record |
Individual Time Form goes with Agency Reimb. Form |
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Expense Claim Form |
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Agency or personnel expense form |
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Mileage Claim Form |
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Claim for mileage, use of personnel vehicles |
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Loss/Damage Equipment Form |
Form to report loss/damaged equipment |
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Injury Report Form |
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Records injuries occurring at a mobilization |
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Resource Inventory 1 |
Inventory of resources in county or region |
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Resource Inventory 2 |
page 2 to above |
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Region Resources |
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Used by Regional Coordinator for available resources |
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Type 3 IMT Roster |
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Type 3 IMT Roster to be submitted to Regional Coord |
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Type 3 Mission Acceptance |
Mobe Staff to Reg. Coordinators w/Resource Request |
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Mobilization Manifest |
Manifest form needed for check in at incident |
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WSP Waiver |
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Waiver needed by personnel to be paid by WSP |
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Mobe Mission Acceptance |
Mobe Staff to Reg. Coordinators w/Resource Request |
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Model Agreement |
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Use of temporary non-union firefighters |
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FSLA Exempt Employee |
Overtime agreement for FSLA Exempt personnel |
Saving File:
Save this copy of the forms as a master copy of mobilization forms. Then for each mobilization incident, save a copy with the incident name (example: 2005 School Mobilization).
Removing Pages:
You may not use all of the forms/pages. If that is the case, you can delete a page by putting the pointer on the tab, and clicking the right mouse button. This will bring up a menu. Select "delete", a box will appear advising that you are permanently deleting the page and data. If you are sure you don't need the page, click "ok". The tab and page will be deleted from the work book.
Adding Pages:
If you need additional pages, like the Individual Time Record, follow the same steps to delete a page. When the menu comes up, select "insert". Depending on the version on Excel you have, a box will appear asking what you want to insert. Click on an entry for "worksheet".
Once you have added the "worksheet" the easiest way to copy the form is to left click the pointer on the upper left box between "A" and '1" on the form you wish to copy. The page will be shaded, right click on the mouse which will bring up a menu. Select the copy option. This will copy the entire form. On the new worksheet. Right click on the upper left box between the "A" and "1" box, the page will shade, then left click, the menu will appear. Select the Paste option, the form is now copied over. You will now need to set the page margins. By going to the original page, click on Page Setup. This will show you the page orientation and margins settings. You will need to set this for every new worksheet you insert.
Mobilization Plan Forms
Excel Version - Instructions
2009 Version - Mobilization Plan
Printing Pages:
Once you have a form completed and want to print it. Click on the upper left box between the "A" and "1" on the form. Left click the mouse and the form will shade. Select the button that looks like the paint can tipping over. This is the color menu. Click on the paint can, on the color menu select "No Color". This will allow you to print the form out in black and white, rather than color.
Submitting the Forms:
Form such as the Mobilization Request and Incident Complexity Analysis will be printed out and faxed in. If you can, please remove the pages not used, save the document with a name (example: School Fire Mobilization Request) and e-mail the document to the intended recipient. Depending on the form, such as the Mobilization Request Form, we'd ask that you follow up any e-mail or fax submission with a phone call to ensure that it is received.
If submitting claims, then we would ask that you save the file named in the following manner:
Richland FD - School Fire - Sept 2005
If you have a lot of personnel and want to submit personnel reimbursement in more than one file, name the file as:
Thurston # 9 - School Fire - 2101 2103 2105 2108 - Sept 05
By submitting the file electronically, we won't need a copy of the time card as we have the white copy and Crew Time Reports at the office. Using descriptive names on the files will help us when getting the paperwork necessary to process the claim.
Need Assistance:
If you need help with these forms, call:
Dan Johnson at 360-596-3924, or
Sue Carr 360-596-3925, or
Esther Hernandez 360-596-3926
Comments/Suggestions:
If you have suggestions, improvements or comments, please e-mail them to: FPBMobe@wsp.wa.gov
Please provide feedback on these forms and let us know any issues that may arise. We understand that not every agency participates in Mobilization on a regular basis and that some may be new to the Mobilization process. Our goal is to streamline the paperwork and make the process as easy as possible.
Mobilization Request
Form
2009 Version - Mobilization Plan
WSP/EMD Use Only
Date/Time Received:
Date/Time Approved:
Mobilization #: WA-WFS-
Mobilization Authorization
Date of Request: |
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4/1/2009 |
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Time: |
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14:00 |
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Requesting Agency: |
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Thurston County # 25 |
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Phone: |
360-596-3935 |
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Fire Chief or Designee: |
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John Smith |
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Phone: |
360-596-3937 |
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On Scene I/C: |
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John Smith |
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Phone: |
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Regional Coordinator: |
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Tedd Hendershot |
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Phone: |
360-866-1100 |
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Has the Regional Coordinator been contacted? |
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Yes |
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No |
Who: |
Tedd |
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Has an Incident Complexity Analysis been completed? |
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Yes |
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No |
If yes, Incident Type: 1 |
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3 |
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Incident Location |
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Type of Incident: |
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Incident Name: |
Rock Candy Mnt Fire |
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Size (acres, blocks miles): |
100 + acres |
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Is the size growing or contained: |
Growing |
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Weather: Temperature: |
75+ |
Wind Speed |
12 |
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Wind |
N-NW |
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23% |
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(MPH): |
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Direction: |
Humidity: |
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Location of Incident: |
10 miles west of Olympia, SR 8 and Rock Candy Mountain Road |
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(Describe location relative to |
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roads/landmarks) |
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County: |
Thurston |
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Nearest Town/City: |
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Olympia |
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Fuels Involved: |
Logging slash, timber, heavy brush |
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12 Medium Logging Slash |
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Is the Incident in your fire jurisdiction? |
Yes |
No |
Is your jurisdiction imminently threatened? |
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Yes |
No |
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Have local resource been exhausted? |
Yes |
No |
Has mutual aid been expended? |
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Yes |
No |
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Does the event jeopardize the ability of the local jurisdiction to protect lives and property? |
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No |
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What is at risk? (number of lives/homes/crops) |
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20 Homes, powerlines. If crosses SR8 - 100 more homes |
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Evacuations? |
Yes |
No |
Probable |
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Evacuation Level: |
1 |
2 |
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3 |
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Estimated number to evacuate? |
40 |
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Shelter Location: |
Unknown |
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What land is it on? (Check all that apply) |
Private |
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Federal |
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State |
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Unprotected |
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Resources Needed |
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What specific resources are needed?
5 ST of Wildland Engines (Type 3-6), 2 ST of Tenders (Type 2-3); 3 - 20 person handcrews; 1 Type 2 Helicopter with bucket.
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Reporting Area |
Command Post: (location/address) |
Summit Lake Rest Area, SR8 MP 12; Staging is the Boy Scout Camp on |
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Summit Lake Road. |
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Contact Person: |
Steve North |
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Phone: |
360-866-1100 |
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The requesting jurisdiction agrees to comply with all provisions of the Mobilization Plan. |
Yes |
FAX this document to the Washington EMD’s State Emergency Operations Duty Officer at (253) 512-7203.
or
E-mail this document to: dutyofficer@emd.wa.gov
Call 1-800-258-5990 for the State Emergency Operations Officer
Verify they have received the Mobilization Request Form
Use Township, Range, Section; Drainage, Road, or common descriptive area names
Delegation of Authority
Form
2009 Version - Mobilization Plan
To: |
Mark Green |
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SW Thurston County IMT |
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Incident Commander |
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Representing |
From: |
John Smith |
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Thurston # 25 |
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Agency Administrators Name |
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Representing |
From: |
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Agency Administrators Name |
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Representing |
From: |
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Agency Administrators Name |
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Representing |
From: |
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Agency Administrators Name |
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Representing |
As the Agency Administrators for the agencies having jurisdiction (AHJ) over the Incident described below, you are hereby delegated the authority necessary to manage this incident. I/we understand that the AHJ still retains legal obligation for the incident, however the Incident Commander you will have the operational control.
Incident Number: |
WA - WFS - |
145 |
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County: |
Thurston |
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Incident Name: |
Rock Candy Mountain Fire |
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Narrative: The fire began on: |
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4/1/2009 |
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10:00 |
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The cause has been determined as: |
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and |
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List Cause |
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is/was investigated by: |
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of |
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Investigators Name |
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Agency / Department Name |
The cause has not been determined at this time.
The geographic location of the fire is: 10 Miles West of Olympia, Rock Candy Mountain and SR 8
The fire is currently estimated to be: |
150 |
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acres in size at time of the Delegation. |
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Size |
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Weather: |
Current conditions are: |
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degrees; |
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75 |
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23 |
% humidity and; |
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(temperature) |
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(percent) |
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the winds are |
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miles per hour, coming from the: |
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12 |
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N-NW |
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(wind speed) |
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(direction) |
Command Structure: |
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The current command structure at this time is: |
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Incident Commander: |
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John Smith |
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Thurston # 25 |
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Name |
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Fire Jurisdiction |
Operations Section Chief: |
Roger Landers |
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Thurston # 25 |
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Delegation of Authority
Form
2009 Version - Mobilization Plan
Incident Complexity Analysis:
An Incident Complexity Analysis (ICA) was completed when Mobilization was requested.
This has been reviewed and is still current to operate with a Type 3 Incident Management Team.
This has been reviewed and a new ICA has been completed as conditions have changed.
The incident will continue to be managed as a Type 3 Incident.
The ICA shows the incident has grown from a Type 3 Incident to a:
(Type 2) Incident. |
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(Type 1) Incident. |
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The Type |
IMT has been ordered. The Type 3 IMT will continue to assume |
Command from the local jurisdiction and prepare to turn over the incident on: 1/1/2000
Incident Priorities:
As the delegating authority, I have the following expectations:
●The priority for protection ranked in order is as follows:
●Personal safety of firefighters and the public;
●Developed property;
●Natural resources.
●Require compliance with the “18 Watch Out Situations” and the “Ten Standard Firefighting Orders” by all incident personnel.
●All personnel are to receive at a minimum 2 to 1 work to rest ratio. A twelve-hour rest for all personnel is preferred. Be mindful of the local crews when implementing this directive. As the Incident Commander, you will document and approve the Crew Time Reports for any deviation when the 2 to 1 work to rest ratio is not achieved or when a single shift exceeds 16 hours.
●Immediately notify the assigned agency representative when the health or safety of incident personnel has been compromised.
●Provide a written safety plan for the incident.
●Prepare a plan to gain control of the incident that takes into account: fire behavior, weather conditions, fuel load, current resources and available resources.
Delegation of Authority
Form
2009 Version - Mobilization Plan
Incident Priorities: (continued)
●Cooperate with the local fire jurisdictions, law enforcement and emergency management in developing structural protection and evacuation plans are needed:
●Prepare a Structure Protection Plan that includes
●Overview of the plan
●Cooperating Agencies contact names and numbers
●Consider Law Enforcement / EMD Liaison integration with IMT
●Evacuation Trigger Points and procedures to be used
●Additionally, the evacuation process should be consistent with the WASPC Model Evacuation Policy.
●Prepare a back-up plan of control in the event that the initial control plan fails.
●Incident will support Initial Attack. If resources are needed on another incident, you will release them for initial attack in order to prevent other incidents from developing into large incidents.
●Resource requests need to be coordinated with the State Fire Marshal’s Office Representative.
●Cost containment is a major concern. Be mindful of this both on line and in base camp activities. Plan for and release resources at the earliest practical opportunity.
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Delegation of Authority
Form
2009 Version - Mobilization Plan
Agency Representatives:
Agencies providing representatives will be listed on the attached Agency Representatives Form. See
Agency Representatives Attachment
Incident Business Advisor:
This section applies when this is a Mobilization incident. The Office of State Fire Marshal will provide personnel to the incident to carry out this function.
See Washington State Patrol – Incident Business Advisor Handout
Incident Management:
Establish unified command with: The local fire protection district(s) requesting Mobilization and surrounding mutual aid agencies.
●Establish a safe efficient transition with current incident management organization and build upon their accomplishments.
●In the case where the fire becomes a joint jurisdiction fire, (i.e., A DNR, USFS and Mobe fire), and is managed by a Type 1 or Type 2 Incident Management Team, an Expanded Dispatch is going to be handling all resource orders for the incident except those that are needed for
structure protection and come from the Washington Fire Service. Those resources will still be ordered through the State Fire Marshal’s Office Representative and not through the Expanded
●Coordinate media communications through the Incident Management Team PIO and local
PIO’s at the incident.
●Complete an “extended attack complexity analysis” for this incident. Update the analysis as the situation changes. Consult with the assigned agency representative whenever the analysis suggests a change in the incident’s complexity level.
●Develop strategies that seek to minimize the acreage burned consistent with providing for safe and effective operations.
●If the base camp is more than a 30 minute drive to the fire, the utilization of a smaller remote base camp should be reviewed.
●You have full authority and responsibility for incident management activities and all other activities associated with the incident under your command within the framework of the law.
●Your primary responsibility is to organize and direct your assigned resources towards safe, efficient, and cost effective suppression/mitigation of the incident.
●Ensure personnel have plenty of water and are aware of the symptoms of dehydration.
●Ensure meals and additional supplies of water and Gatorade are made available.
●Specific constraints, issues, opportunities or requirements (legal, political, local resources, landowners, environmentally sensitive areas, farming operations, other agencies, land use, etc… include any infrastructure that needs particular attention i.e., cell or radio towers).
Delegation of Authority
Form
2009 Version - Mobilization Plan
Specific Incident Directions:
●Try to limit any road closures in the area.
●Keep the County EMD appraised of the fire status at least once a day.
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Delegation of Authority |
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Form |
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2009 Version - Mobilization Plan |
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Mop Up Standard: |
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Outside perimeter / fire line a minimum of |
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feet. |
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Inside the perimeter around structures a minimum of |
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100 |
●Additional Mop-Up standards:
●No visable smoke or hot spots.
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Local Jurisdiction Resources:
●Encourage the requesting jurisdiction to provide a firefighter, (with local knowledge of roads, infrastructure and fire behavior, if available,) to each strike team leader. This will reduce the amount of time it takes a strike team to get into place when roads or geographical land marks may not be shown on a map. Local jurisdiction personnel will be compensated for their time.
●If the local jurisdiction is staffing equipment that will be used on the incident, the equipment must be assigned a resource order number, be on the Incident Action Plan and coordinate activities with the Operations Section.
●Request to keep engine #25-1 on during the day time.
●We will provide two firefighters to act as Guides for two of the Strike Teams.
Delegation of Authority
Form
2009 Version - Mobilization Plan
Other: (add additional sheets as needed)
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