HICS 201 - INCIDENT BRIEFING HICS
PURPOSE: The HICS 201 – Incident Briefing provides the Incident Commander and the Hospital Incident Management Team (HIMT) with basic information regarding the incident, current situation, and the resources allocated to the response.
ORIGINATION: Prepared by the Incident Commander for presentation to the staff or later to the incoming Incident Commander along with a detailed oral briefing.
COPIES TO: Duplicate and distribute before the initial briefing of the Command and General Staff or other responders as appropriate. All completed original forms must be given to the Documentation Unit Leader.
NOTES: If additional pages are needed for any form page, use a blank HICS 201 and repaginate as needed. Additions may be made to the form to meet the organization’s needs.
NUMBER TITLE
INSTRUCTIONS
1 Incident Name
Enter the name assigned to the incident.
2 Operational Period
Enter the start date (m/d/y) and time (24-hour clock) and end date and time for the operational period to which the form applies.
3 Situation Summary
Concise statement of the status and information regarding the current situation.
4 Health and Safety Briefing Enter the summary of health and safety issues and instructions.
5 Map / Sketch Attach as necessary: floor plans, maps, sketches of impacted area, or response diagrams. North should be at the top of the page unless noted otherwise.
6 Current Hospital Incident Management Team
Enter the names of the individuals assigned to each position directly onto the Hospital Incident Management Team (HIMT) chart. If Unified Command is being used, split the Incident Commander box and indicate agency for each of the Incident Commanders listed.
7 Incident Objectives
Enter the objectives used for the incident.
8 Summary of Current and Planned Actions
Enter the current and planned actions and time (24-hour clock) they may or did occur. If additional pages are needed, use a blank sheet or another HICS 201 (page 3), and adjust page numbers accordingly.
The Winlink form allows for pasting tab delimited data from a spreadsheet in these fields.
9 Summary of Resources Requested and Assigned
Enter information about the resources allocated to the incident. If additional pages are needed, use a blank sheet or another HICS 201 (page 4), and adjust page numbers accordingly.
Resource
Enter the number and category, kind, or type of resource ordered.
Date / Time Ordered
Enter the date (m/d/y) and time (24-hour clock) the resource was ordered. ETA
Enter the estimated time of arrival (ETA) to the incident (24-hour clock).
Date / Time Arrived
Enter the date (m/d/y) and time (24-hour clock) the resource arrived.
Notes
Enter notes such as the assigned location of the resource and/or the actual assignment and status.
The Winlink form allows for pasting tab delimited data from a spreadsheet in these fields.
10 Prepared by Incident Commander
Enter the name and signature of the person preparing the form. Enter date (m/d/y), time prepared (24-hour clock), and facility.