HICS 214 - ACTIVITY LOG
The HICS 214 - Activity Log records
details of notable activities for any Hospital Incident Management
Team
(HIMT) position. These logs provide basic documentation of
incident
activity, and a reference for any After Action Report (AAR).
Personnel
should document how relevant incident activities are occurring and
progressing, or any notable activities, actions taken and
decisions
made.
Initiated and maintained by personnel in HIMT positions as it is
needed
or appropriate.
A completed HICS 214 must be submitted to the Documentation Unit
Leader. Individuals may retain a copy for their own records.
Multiple pages can be used if needed. If additional pages are
needed,
use another HICS 214 and repaginate as needed.
1. Incident Name
Enter the name assigned to the incident.
2. Operational Period
• Date and Time From
• Date and Time To
Enter the start date (mm-dd-yyyy) and time (using the 24-hour
clock)
and end date and time for the operational period to which the form
applies.
3. Name
Enter the title of the organizational unit or resource designator
(e.g., Facilities Unit, Safety Officer, Strike Team).
4. ICS Position
Enter the name and ICS position of the individual in charge of the
Unit.
5. Home Agency (and Unit)
Enter the home agency of the individual completing the ICS 214.
Enter a
unit designator if utilized by the jurisdiction or discipline.
6. Resources Assigned
Enter the following information for resources assigned:
• Name
Use this section to enter the resource’s name. For all
individuals, use
at least the first initial and last name. Cell phone number for
the
individual can be added as an option.
• ICS Position
Use this section to enter the resource’s ICS position (e.g.,
Finance
Section Chief).
• Home Agency (and Unit)
Use this section to enter the resource’s home agency and/or unit
(e.g.,
Des Moines Public Works Department, Water Management Unit).
7. Activity Log
• Date/Time
• Enter the time (24-hour clock) and briefly describe individual
notable activities. Note the date as well if the operational
period
covers more than one day.
• Notable Activities
• Activities described may include notable occurrences or events
such
as task assignments, task completions, injuries, difficulties
encountered, etc.
8. Prepared by
• Name
• Position/Title • Signature
• Date/Time
Enter the name plus ICS position/title
of the person preparing the form. Since this is a radio delivery
form,
a typed name is same as a signature.
Click field to enter date/time, (mm-dd-yyyy) and time prepared
(24-hour
clock).
More Information
You can save your completed HTML to a text file. This will allow you to reload the HICS214
with ALL entered form data. You do this prior to submitting the form. Then you can open a new 214 and load the saved HTML form data.
NOTE: Date and Times will be the previous, so change if needed. It will save the info as a text file with the Date and Time as the text file name.
Now you can use any browser, save your form, (as many versions as you like), and then re-populate.
Printing this form is dependent upon your selected
printer and its settings. Various Web Browsers and and their viewing
sizes are not all the same. Printing from a browsers print function
may be different from the operating systems default print mode.
Select what works for you, for both printing and viewing.
You may print direct to the printer as a HTML or save as a
PDF then print the PDF. In some instances Landscape mode may print
better than Portrait.
There is a feature to allow you to clear the acivity log. This is so you do not have to enter the data above it again.