Incident Command/Unified Command (IC/UC) ensures the development a safety and health plan Yes [ ] No [ ] 1.2 Safety Officer assumes responsibility for supervision and management of the Assistant Safety Time: (Res.B1b Officer(s) based on incident severity and complexity. 4.1.1) - Safety Officer implements plans and procedures Task Completed? - Subordinates mobilized and briefed - Communication with field established and maintained [ ] Partially [ ] Not [ ] N/A [ ] 1.3 Safety Officer maintains coordination and communication on safety and health issues between Time: (Res.B1b agencies and departments. 3.1) - Call lists up-to-date Task Completed? - Ensure back-up safety and operational systems are in place - Establish accountability system based on NIMS/ICS principals Fully [ ] Partially [ ] Not [ ] N/A [ ] Safety Officer develops and implements safely action and control plan to manage and monitor incident safety and health operations Yes [ ] No [ ] 1.4 Safety Officer ensures on-going safety and health assessments of response operations. Time: (Res.B1b 4.3) Task Completed? Fully [ ] Partially [ ] Not [ ] N/A [ ] Safety Officer advises IC/UC on overall safety and health issues Yes [ ] No [ ] Activity 2: Identify Safety/PPE Needs and Distribute PPE Activity Description: Upon appointment as Safety Officer, assess safety and health hazards, inform IC of needs, and develop site-specific safety and health plan. Tasks Observed (check those that were observed and provide comments) Note: Asterisks (*) denote Performance Measures and Performance Indicators associated with a task. Please record the observed indicator for each measure Task /Observation Keys Time of Observation/ Task Completion 2.1 Observe the scene and review/evaluate hazard and response information as it pertains to the Time: (Res.B1b safety of all persons at the location. 5.1.2) - Perform scene survey Task Completed? - Interpret results of environmental/personal monitoring Fully [ ] Partially [ ] Not [ ] N/A [ ]
Incident Command/Unified Command (IC/UC) ensures the development a safety and health plan Yes [ ] No [ ] 1.2 (Res.B1b 4.1.1) Safety Officer assumes responsibility for supervision and management of the Assistant Safety Officer(s) based on incident severity and complexity. - Safety Officer implements plans and procedures - Subordinates mobilized and briefed - Communication with field established and maintained Time: Task Completed? [ ] Partially [ ] Not [ ] N/A [ ] 1.3 (Res.B1b 3.1) Safety Officer maintains coordination and communication on safety and health issues between agencies and departments. - Call lists up-to-date - Ensure back-up safety and operational systems are in place - Establish accountability system based on NIMS/ICS principals Time: Task Completed? Fully [ ] Partially [ ] Not [ ] N/A [ ] Safety Officer develops and implements safely action and control plan to manage and monitor incident safety and health operations Yes [ ] No [ ] 1.4 (Res.B1b 4.3) Safety Officer ensures on-going safety and health assessments of response operations. Time: Task Completed? Fully [ ] Partially [ ] Not [ ] N/A [ ] Safety Officer advises IC/UC on overall safety and health issues Yes [ ] No [ ] Activity 2: Identify Safety/PPE Needs and Distribute PPE Activity Description: Upon appointment as Safety Officer, assess safety and health hazards, inform IC of needs, and develop site-specific safety and health plan. Tasks Observed (check those that were observed and provide comments) Note: Asterisks (*) denote Performance Measures and Performance Indicators associated with a task. Please record the observed indicator for each measure Task /Observation Keys Time of Observation/ Task Completion 2.1 (Res.B1b 5.1.2) Observe the scene and review/evaluate hazard and response information as it pertains to the safety of all persons at the location. - Perform scene survey - Interpret results of environmental/personal monitoring Time: Task Completed? Fully [ ] Partially [ ] Not [ ] N/A [ ]
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