EVALUATOR: C Evaluation O Initial & date Record TASK D upon completion Number E of task Behavior: Ensure readiness for assignment. Obtain and assemble information and materials needed for kit. Kit assembled and prepared prior to receiving an assignment. Kit I1 contains critical items needed for the assignment and items needed for functioning during the assignment. Kit is easily I2 transportable. The basic information and materials needed may include, but is not limited to, any of the following: O1 Reference Material O2 References appropriate for the incident type and agencies involved. Agency specific policies and procedures. Coast Guard “Incident Management Handbook” Incident Management Training Consortium “Response and Planning Guide” EMSI ICS Institute “Planning Section Chief”, Job Aid information. IMT contact Forms may include, but are not limited to: (PSC should ensure availability of forms for appropriate positions): ICS 201, Incident Briefing ICS 202, Incident Objectives ICS 203, Organization Assignment List ICS 204, Assignment List ICS 205, Incident Radio Communications Plan ICS 205A, Communications List ICS 206, Medical Plan ICS 207, Incident Organization Chart ICS 208, Safety Message / Plan ICS 209, Incident Status Summary ICS 210, Resource Status Change ICS 211, Incident Check-In List ICS 213, General Message ICS 214, Activity Log ICS 215 & WS Operational Planning Worksheet ICS 215A, & WS Incident Action Plan Safety Analysis ICS 219-1 through 219-8, Resource Status Cards ICS 221 Demobilization Checkout ICS 225, Incident Personnel Performance Rating appropriate to the function Agency specific forms Supplies Office supplies appropriate to the function Maps EVALUATOR: C Evaluation Initial & date O Record TASK upon D Number completion of E task I1 Arrive properly equipped at incident assigned location within I2 acceptable time limits.
TASK C O D E Evaluation Record Number EVALUATOR: Initial & date upon completion of task Behavior: Ensure readiness for assignment. Obtain and assemble information and materials needed for kit. Kit assembled and prepared prior to receiving an assignment. Kit contains critical items needed for the assignment and items needed for functioning during the assignment. Kit is easily transportable. The basic information and materials needed may include, but is not limited to, any of the following: Reference Material References appropriate for the incident type and agencies involved. Agency specific policies and procedures. Coast Guard “Incident Management Handbook” Incident Management Training Consortium “Response and Planning Guide” EMSI ICS Institute “Planning Section Chief”, Job Aid IMT contact information. Forms may include, but are not limited to: (PSC should ensure availability of forms for appropriate positions): ICS 201, Incident Briefing ICS 202, Incident Objectives ICS 203, Organization Assignment List ICS 204, Assignment List ICS 205, Incident Radio Communications Plan ICS 205A, Communications List ICS 206, Medical Plan ICS 207, Incident Organization Chart ICS 208, Safety Message / Plan ICS 209, Incident Status Summary ICS 210, Resource Status Change ICS 211, Incident Check-In List ICS 213, General Message ICS 214, Activity Log ICS 215 & WS Operational Planning Worksheet ICS 215A, & WS Incident Action Plan Safety Analysis ICS 219-1 through 219-8, Resource Status Cards ICS 221 Demobilization Checkout ICS 225, Incident Personnel Performance Rating Agency specific forms appropriate to the function Supplies Office supplies appropriate to the function Maps I1 I2 O1 O2 TASK C O D E Evaluation Record Number EVALUATOR: Initial & date upon completion of task Arrive properly equipped at incident assigned location within acceptable time limits. I1 I2