IAP COVER SHEET 1. Incident Name: 2. Operational Period (Date/ Time)

Transcription

1 IAP COVER SHEET 1. Incident Name: 2. Operational Period (Date/ Time) IAP Cover Sheet 3. Approved By: FOSC SOSC RPIC INCIDENT ACTION PLAN The items identified with an "X" below are included in this Incident Action Plan: One copy each of any ICS 204-OS attachments: 4. Prepared By (Planning Section Chief) Date / Time IAP Cover Sheet June 2001

2 EXECUTIVE SUMMARY 1. Incident Name 2. Operational Period (Date / Time) 3. Operations EXECUTIVE SUMMARY 4. Enviornmental 5. Planning 6. Other 7. Prepared by Date / Time EXECUTIVE SUMMARY June 2001

3 INCIDENT OBJECTIVES PAGE OF 1. Incident Name 2. Operational Period (Date / Time) 3. Overall Incident Objective(s) INCIDENT OBJECTIVES ICS 202-OS ENSURE THE SAFETY OF CITIZENS AND RESPONSE PERSONNEL CONTROL THE SOURCE OF THE SPILL DETERMINE ACTUAL AND POTENTIAL MAGNITUDE OF SPILL MANAGE A COORDINATED RESPONSE EFFORT MAXIMIZE PROTECTION OF ENVIRONMENTALLY-SENSITIVE AREAS CONTAIN AND RECOVER SPILLED MATIERAL RECOVER AND REHABILITATE INJURED WILDLIFE REMOVE OIL FROM IMPACTED AREAS MINIMIZE ECONOMIC IMPACTS KEEP STAKEHOLDERS AND PUBLIC INFORMED OF RESPONSE ACTIVITIES 4. Objectives for Specified Operational Period SAFETY BRIEFING FOR ALL RESPONSE PERSONNEL; WEAR PROPER PPE CONTINUOUS SAFETY / HEALTH MONITORING OF IMPACTED AREAS 5. Safety Message for Specified Operational Period Approved Site Safety Plan Located At: 6. Weather ( mark with "X" if Weather Sheet attached) 7. Tides/Currents ( mark with "X" if Tide/Current Data attached) 8. Time of Sunrise: Time of Sunset: 9. Attachments (mark with "X" if attached) Organizational List (ICS 203-OS) Medical Plan (ICS 206-OS) Resources at Risk Summary (ICS 232-OS) Assignment List (ICS 204-OS Incident Map(s) Communications Plan (ICS 205-OS Traffic Plan 10. Prepared By: ICS Position: Date: Time: INCIDENT OBJECTIVES June 2001 ICS 202-OS

4 ORGANIZATION ASSIGNMENT LIST 1. Incident Name 2. Operational Period (Date / Time) 3. Incident Commander & Staff 7. OPERATIONS SECTION PAGE OF ORGANIZATION ASSIGNMENT LIST ICS 202-OS Federal: State: RP(s): Safety Officer Information Officer Liason Officer 4. Agency Representative Agency Primary Name Deputy Chief Deputy a. Branch I - Division/Groups Branch Director Deputy b. Branch II - Division/Groups Branch Director Deputy 5. PLANNING SECTION Chief Deputy Resources Unit Situation Unit Environmental Unit Documentation Unit Demobilization Unit Technical Specialists c. Branch III - Division/Groups Branch Director Deputy 6. LOGISTICS SECTION Chief Deputy a. Support Branch Director Supply Unit Facilities Unit Transportation Unit Vessel Support Unit d. Air Operations Branch Branch Director Deputy Ground Support Unit b. Service Branch Director Communications Unit Medical Unit Food Unit 9. Prepared By: (Resources Unit) 8. FINANCE / ADMINISTRATION SECTION Chief Deputy Time Unit Procurement Unit Compensation/Claims Unit Cost Unit Date / Time ORGANIZATION ASSIGNMENT LIST June 2001 ICS 203-OS

5 ASSIGNMENT LIST 1. Incident Name: 2. Operational Period (Date / Time) 3. Branch 4. Division/Group PAGE OF ASSIGNMENT LIST ICS 204-OS 5. Operations Personnel NAME AFFILIATION Contact #(s) Operations Section Chief: Branch Director: 6. Resources Assigned This Period: Strike Team / Task Force/ Resource Identifier Division/Group Supervisor: "X" indicates 204a attachment with special instructions Leader Contact Info # # of persons Notes/Remarks 7. Assignments 8. Special Instructions for 9. Communications (radio and/or phone contact numbers needed for this assignment) Name / Function Radio: Freq. / System / Channel Phone Pager Emergency Communications Medical Evacuation 10. Prepared By: (Resource Unit Leader) Date / Time Other 11. Approved By: (Planning Section Chief) Date / Time Assignment List June 2001 ICS 204-OS

6 ASSIGNMENT LIST ATTACHMENT 1. Incident Name: 2. Operational Period (Date / Time) 3. Branch 4. PAGE OF ASSIGNMENT LIST ATTACHMENT ICS 204a-OS 5. Strike Team / Task Force / Resource Identifier 6. Leader 7. Assignment Location 8. Work Assignment Special Instructions (if any) (Ops) 9. Special Equipment / Supplies Needed for Assignment (if any) (Ops) 10. Special Environmental Considerations (if any) (P.S.C.) 11. Special Site Specific Safety Considerations (if any) (S.O.) Approved Site Safety Plan Located At: 12. Other Attachments (as needed) 13. Prepared By: (Resources Unit Leader) Date / Time ASSIGNMENT LIST ATTACHMENT June 2001 ICS 204a-OS

7 1. Incident Name: 2. Operational Period (Date / Time) 3. BASIC RADIO CHANNEL USE RADIO COMMUNICATIONS PLAN PAGE OF INCIDENT RADIO COMMUNICATIONS PLAN ICS 205-OS SYSTEM / CACHE CHANNEL FUNCTION FREQUENCY ASSIGNMENT REMARKS 4. Prepared By: (Communications Unit) Date / Time INCIDENT RADIO COMMUNICATIONS PLAN June 2001 ICS 205-OS

8 1. INCIDENT NAME: 3. Basic Local Communications Information COMMUNICATIONS LIST Page of 2. Operational Period (Date / Time) COMMUNICATIONS LIST ICS 205A-OS Assignment Name Method(s) of contact (radio frequency, phone, pager, cell #(s), etc) 4. Prepared by (Communications Unit) Date / Time COMMUNICATIONS LIST ICS 205A-OS

9 1. Incident Name: 2. Operational Period (Date / Time) 3. Medical Aid Stations MEDICAL PLAN Page of MEDICAL PLAN ICS 206-OS NAME OF MEDICAL AID STATIONS Location Contact # Paramedics On Site (Y/N) 4. Transportation (Ground and/or Ambulance Services) Ambulance Service Address Contact # Paramedics On Board (Y/N) 5. Hospitals Hospital Name Address Contact # Travel Time Burn Air Ground Ctr? Heli- Pad? 6. Special Medical Emergency Procedures 7. Prepared By: (Medical Unit Leader) Date / Time 8. Reviewed By: (Safety Officer) Date / Time MEDICAL PLAN June 2001 ICS 206-OS

10 Incident Organization Chart 1. Incident Name 2. Operational Period (Date / Time) INCIDENT ORGANIZATION CHART ICS 207-OS INCIDENT COMMAND INFORMATION OFFICER FOSC INDICATES INITIAL CONTACT POINT SOSC SAFETY OFFICER LIAISON OFFICER RPIC INVESTIGATORS NRDA REPS. AGENCY REPS. OPERATIONS SECTION CHIEF PLANNING SECTION CHIEF LOGISTICS SECTION CHIEF FINANCE/ADMIN SECTION CHIEF ST AGING AREA MANAG ER SITUAT ION UNIT LE ADER SUPPO RT BRANCH DIRECTOR CO ST UNIT LEADER RECOVERY BRANCH DIRECTOR EMERG ENCY RESPONSE BRANCH DIRECTOR AIR OPERAT IONS BRANCH DIRECTOR WILDLIFE BRANCH DIRECTOR RESOURCE UNIT LEADER SUPPLY UNIT LEADER TIME UNIT LEADER PROT ECTION GROUP SUPERVISOR SAR GROUP SUPERVISOR AIR TACT ICAL GP SUPERVISOR RECOVERY GP SUPERVISOR DOCUMENT ATION UNIT LEADER FACILIT IES UNIT LEADER PROCUREMENT UNIT LEADER ON-W ATER GROUP SUPERVISOR SALVAG E/SOURCE CONTROL HELIBASE MANAG ER WILDLIF E REHAB G RO UP GROUP SUPERVISOR SUPERVISOR DEMOLIZAT ION UNIT LEADER VESSEL SUPPORT UNIT LEADER COMPENSATIO N UNIT LEADER SHORESIDE GROUP SUPERVISOR FIRE SUPPRESSION F IXED-W ING BASE COORDINATOR GROUP SUPERVISOR ENVIRONMENT AL UNIT LEADER G RO UND SUPPORT UNIT LEADER DISPOSAL GROUP SUPERVISOR HAZMAT GROUP SUPERVISOR AIR SUPPORT GP SUPERVISOR DECON GROUP SUPERVISOR EMS GROUP SUPERVISOR TECHNICAL SPECIALISTS SERVICE BANCH DIRECTOR DISPERANT OPS GROUP SUPERVISOR LAW ENFORCEMENT SUPERVISOR FOO D UNIT LEADER IN -SITU BURN OPS GROUP SUPERVISOR MEDICAL UNIT LEADER CO MMUNICATIONS UNIT LEADER June 2001

11 INCIDENT STATUS SUMMARY 1. Incident Name 2. Period Covered by Report Time of Report 3. Spill Status (Estimated, In Barrels) [Ops & EUL/SSC] 8. Equipment Resources Source Status: Remaining Potential (bbl): Description Ordered Available/ Staged INCIDENT STATUS SUMMARY ICS 209-OS Assigned [RUL] Out of Service Secured Rate of Spillage (bbl/hr): Unsecured Since Last Report Total Volume Spilled Mass Balance / Oil Budget Recovered Oil Evaporation Natural Dispersion Chemical Dispersion Burned Floating, Contained Floating, Uncontained Onshore Total spilled oil accounted for: 4. Waste Management (Estimated) [Ops / Disposal] Recoverd Stored Disposed Oil (bbl) Oily Liquids (bbl) Liquids (bbl) Oily Solids (tons) Solids (tons) Spill Resp. Vsls Fishing Vessels Tugs Barges Other Vessels Skimmers Boom (ft.) Sbnt/Snr Bm. (ft.) Vacuum Trucks Helicopters Fixed Wing 5. Shoreline Impacts (Estimated, in miles) [PSC/EUL/SSC] Degree of Oiling Affected Cleaned To be Cleaned 9. Personnel Resources [RUL] Light Medium Heavy Birds Mammals Reptiles Fish Total 6. Wildlife Impacts Total Responder Injury Public Injury Numbers in ( ) indicate subtotal that are threatened / endangered species. [Ops / Wildlife Br.] Captured Cleaned Released DOA Euth. Other Since Last Report Died in Facility 7. Safety Status [Safety Officer] Total Federal State Local Organization RP Contract Personnel Volunteers People in Cmd. Post Total Response Personnel from all Organizations: 10. Special Notes People in the Field Total People On Scene 11. Prepared by (Situation Unit Leader) INCIDENT STATUS SUMMARY June 2001 ICS 209-OS

12 GENERAL MESSAGE 1. Incident Name: 2. Operational Period (Date / Time) 3. TO: ICS Position PAGE OF GENERAL MESSAGE ICS 213-OS 4. FROM: ICS Position 5. SUBJECT: 6. Message 7. Reply 8. Signature / Position (person replying) Date / Time of reply GENERAL MESSAGE June 2001 ICS 213-OS

13 1. INCIDENT NAME: 3. Unit Name / Designators UNIT LOG Page of 2. OPERATIONAL PERIOD (Date / Time) UNIT LOG FROM: TO: ICS 214-OS 4. Unit Leader (Name and ICS Position) 5. Personnel Assigned NAME ICS POSITION HOME BASE 6. Activity Log (Continue on Next Page) TIME MAJOR EVENTS 7. Prepared By: Date / Time UNIT LOG June 2001 ICS 214-OS

14 1. INCIDENT NAME: INDIVIDUAL LOG 2. OPERATIONAL PERIOD (Date / Time) FROM: TO: 3. Individual Name 4. ICS Section 5. Assignment / Location PAGE OF Individual Log ICS 214a-OS 6. Activity Log Page of TIME MAJOR EVENTS 7. Prepared By: Date / Time INDIVIDUAL LOG June 2001 ICS 214a-OS

15 1. Incident Name: 2. Operational Period (Date / Time) 3. Or Location 4. Work Assignments Resource Req. Have Need Req. Have Need Req. Have Need Req. Have Need Req. Have Need Req. Have Need Operational Planning Worksheet OPERATIONAL PLANNING WORKSHEET 5. Resource / Equipment 9. "X" here if 204a Needed 6. Notes/ Remarks 10. Total Resources Required: 13. Prepared By: (RUL) 11. Total Resources on Hand: 7. Reporting Location ICS 215-OS 8. Requested Arrival Time 12. Total Resources Needed: Date: Time: OPERATIONAL PLANNING WORKSHEET June 2001 ICS 215-OS

16 AIR OPERATIONS SUMMARY 1. Incident Name 2. Operational Period (Date / Time) 3. Distribution AIR OPERATIONS SUMMARY ICS 220-OS 4. Personnel and Communications 5. Remarks (Spec. Instructions, Safety Notes, Hazards, Priorities) Air Operations Director Air / Air Frequency Air / Ground Frequency Air Operations Director Air Tactical Supervisor Air Support Supervisor Helicopter Coordinator Fixed-Wing Coordinator 6. Location / Function 7. Assignment 8. Fixed-Wing 9. Helicopter NO. TYPE NO. TYPE Available Commence 10. Time 11. Aircraft Assigned 12. Operating Base 13. Totals 14. Air Operation Support Equipment 15. Prepared By Date / Time AIR OPERATIONS SUMMARY June 2001 ICS 220-OS

17 INCIDENT NAME: Time Meeting DAILY MEETING SCHEDULE OPERATIONAL PERIOD: TIME PREPARED: FROM: TO: Facilitator Attendees Purposes/Outcome ICS-230-OS DATE PREPARED: Location Incident Briefing (15-30 mins) Unified Command Meeting (15-30 mins) QI IC All IC, DIC, FOSC, SOSC, LA, PA, SA, INFC - Initial Incident Briefing (ICS-201) - Transfer Command - Obtain Unified Approval of the following: - Objectives/Priorities (ICS-202) - Organizational Structure (ICS-203) - Resource Ordering Procedures - Meeting Schedule (ICS-230-OS) - Timing for Press Briefing - Name the incident Section Briefings (5-15 mins) Unified Command Briefing (15-30 mins) Prepare for Press Briefing (10-15 mins) Press Briefing (10-20 mins) Section Mgrs DIC PA PA Section Personnel DIC, IC, FOSC, SOSC, OM, PM, LM, PA, LO, FM, SA, INFC, LA UC PA, IC, FOSC, SOSC, LA - Initial direction for Section activities - Status report/update (Executive Summaries) from section managers - Prepare UC for Press Briefing Tactics Meeting (30-45 mins) PM PM, OM, LM, RUL, SUL, EUL - Agreement on Tactics for Planning Meeting Review. Prepare 'draft' ICS-215 form(s) UC Briefing (15-30 mins) DIC DIC, IC, FOSC, SOSC, OM, PM, LM, PA, LO, FM, SA, INFC, LA - Status report/update (Executive Summaries) from section managers Planning Meeting (30-45 mins) Prepare for Press Briefing (10-15 mins) Press Briefing (10-20 mins) PM PA PA PM, IC/UC, LO, SO, OM, LM, FM, SUL, RUL, EUL, et al. UC PA, IC, FOSC, SOSC, LA - Finalize work plan. - Identify resource needs. - Identify and assign follow-up issues - Prepare UC for Press Briefing IAP Review w/uc (15-30 mins) DIC DIC, IC, FOSC, SOSC, OM, PM, LM, SA, FM, LA, INFC - Approve Incident Action Plan Operations Briefing (15-30 mins) PREPARED BY: DIC IC/UC, DIC, PA, LO, OM, PM, LM, FM, others as appropriate - Review and distribute approved AP REVIEWED BY: Daily Meeting Schedule June 2001 ICS 230-OS DIC: Deputy Incident Commander LO: Liason Officer PM: Planning Manager EUL: Environmental Unit Leader LA: Legal Advisor RUL: Resource Unit Leader FM: Finance Manager LM: Logistics Manager SA: Safety Advisor FOSC: Federal On Scene Coordinator OM: Operations Manager SOSC: State On Scene Coordinator IC: Incident Commander PA: Public Affairs Manager SUL: Situation Unit Leader INFC: Information Coordinator (in UC) UC: Unified Command (FOSC, SOSC, IC)

18 RESOURCES AT RISK 1. Incident Name: 2. Operational Period Time (Date/Time) FROM: TO: 3. Environmentally-Sensitive Area and Wildlife Issues PAGE OF RESOURCES AT RISK ICS 232-OS Site # Priority Site Name and/or Physical Location Site Issues Narrative: 4. Archaeo-cultural and Socio-economic Issues Site # Priority Site Name and/or Physical Location Site Issues Narrative: 5. Prepared By (Environmental Unit Leader) Date/Time RESOURCES AT RISK June 2001 ICS 232-OS

19 ACP SITE INDEX 1. Incident Name 2. Operational Period (Date / Time) 3. Index ACP/GRP sites shown on Situation Map Page of ACP SITE INDEX ICS 23a-OS Site # Priority Site Name and/or Physical Location Action Status Note: This form is designed to be posted next to the situation map. Use additional sheets as needed. 4. Prepared by (Communications Unit) Date / Time ACP Site Index June 2001 ICS 232a-OS