INCIDENT STATUS REPORT

The Incident Status report allows you to send basic incident overview on emergency operations.

It includes:

  • Type of Incident
  • Situation Summary as of Time of Report:
  • Future Outlook/Goals/Needs/Issues:
  • County Emergency Operations Center (EOC) Status
  • Local Disaster Declaration Status
  • Number of Confirmed Incident Injuries and Fatalities
  • Information if Evacuations have been implemented?

In the upper left of the form is a SETUP button. Use it to customize the form title for your agency or group.
It will remain as such until you change it.

You can save your completed form to a file. It will save the info as a text file with the Date and Time
as the text file name. This will allow you to reload the form with ALL saved data. You do this prior to
submitting the form. Then you can open a new form and reload the saved HTML data and continue.
Date/Times will be the previous, so change if needed. Now you can use any browser, save your form,
(as many versions as you like), and then re-populate.

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INCIDENT STATUS REPORT
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 Click to add your agency or group                              
 Form Info     
1. Incident Name: 2. WebEOC Incident (as applicable):
3. Incident Date/Time: 4. Report Version (Check one): Initial   Update   Final
5. Type of Incident (Check all that apply):
Severe Storm/Flood Pre-Planned Event HAZMAT
Severe Winter Weather Dam/Levee Utility Disruption
Public Health Active threats/ Civil Disturbance Earthquake
Fire Aircraft Disaster Other (Specify):

6. Situation Summary as of Time of Report:

 

7. Future Outlook/Goals/Needs/Issues:

 

8. County Emergency Operations Center (EOC) Status (Check one):
Closed Activated
Hours of Operation:

Monitoring (minimal staffing)
Hours of Operation:
9. Local Disaster Declaration Status (Check one):
No declaration/Declaration not anticipated Declaration anticipated Local disaster declaration
  Date/time of declaration:
10. Number of Confirmed Incident Injuries: 11. Number of Confirmed Incident Fatalities:

12. Number and Location(s) of Shelters Established:

 

13. Have Evacuations Been Implemented?
No / None anticipated Yes (If yes, describe): Evacuations anticipated (Describe):
 
14. Date/Time of Report:
 
15. Report Submitted By:
 
16. Contact Info:
 

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