2. Operational Period (# ) 1. Incident Name DATE: FROM: TO: _ TIME: FROM: TO: 3. Situation Summary H ICS 201 — — 4. Current Hospital Incident Management Team (f ill in additional positions as appropriate) H ICS 201, 203 — — Public Information Officer Incident Commander Medical-Technical Specialists Liaison Officer Safety Officer Operations Planning Logistics Finance / Administration Section Chief Section Chief Section Chief Section Chief Purpose: Short form combining HICS Forms 201, 202, 203, 204, and 215A Origination: Incident Commander or Planning Section Chief IAP Quick Start | Page 1 of 2 Copies to: Command Staff, Section Chiefs, and Documentation Unit Leader
1. Incident Name 2. Operational Period (# ) DATE: FROM: TO: _ TIME: FROM: TO: 3. Situation Summary — H ICS 201 — 4. Current Hospital Incident Management Team (f ill in additional positions as appropriate) — H ICS 201, 203 — Public Information Officer Incident Commander Medical-Technical Specialists Liaison Officer Safety Officer Operations Planning Logistics Finance / Administration Section Chief Section Chief Section Chief Section Chief Purpose: Short form combining HICS Forms 201, 202, 203, 204, and 215A Origination: Incident Commander or Planning Section Chief Copies to: Command Staff, Section Chiefs, and Documentation Unit Leader IAP Quick Start | Page 1 of 2