HICS INCIDENT ACTION PLAN (IAP) QUICK START
COMBINED HICS 201—202—203—204—215A

PURPOSE: The Incident Action Plan (IAP) Quick Start is a short form combining HICS Forms 201, 202, 203, 204 and 215A. It can be used in place of the full forms to document initial actions taken or during a short incident. Incident management can expand to the full forms as needed.

ORIGINATION: Prepared by the Incident Commander or Planning Section Chief.

COPIES TO: Duplicated and distributed to Command and General staff positions activated. 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 IAP Quick Start and repaginate as needed. Additions may be made to the form to meet the organization’s needs.

FIELDS

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
Enter brief situation summary.

4 Current Hospital Incident Management Team
Enter the names of the individuals assigned to each position on the Hospital Incident Management Team (HIMT) chart. Note the Winlink form is in tabular format.

5 Health and Safety Briefing
Summary of health and safety issues and instructions.

6 Incident Objectives
6a. Objectives
Enter each objective separately. Adjust objectives for each operational period as needed.

6b. Strategies / Tactics
For each objective, document the strategy/tactic to accomplish that objective.

6c. Resources Required
For each strategy/tactic, document the resources required to accomplish that objective.

6d. Assigned to
For each strategy/tactic, document the Branch or Unit assigned to that strategy/tactic.

7 Prepared by
Enter the name and signature of the person preparing the form. Enter date (m/d/y), time prepared (24-hour clock), and facility.

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