Hospital and campus maps, blueprints and floor plans Risk Communication Plan Interoperable Communications Plan Demobilization Plan including: HICS Incident Action Plan (IAP) Quick Start HICS 200 Incident Action Plan (IAP) Cover Sheet – HICS 201 Incident Briefing – HICS 202 Incident Objectives – HICS 203 Organization Assignment List – HICS 205A Communications List – HICS 214 Activity Log – HICS 215A Incident Action Plan (IAP) Safety Analysis – HICS 221 Demobilization Checklist – HICS 251 System Status Report –Facility HICS 254 Disaster Victim/Patient Tracking – HICS 255 Master Patient Evacuation Tracking – Job Action Sheets Access to paper forms for documentation, data entry, etc. Access to hospital organization chart Television/radio/internet to monitor news Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication Hospital Incident Management Team Activation: Utility Failure Position Immediate Intermediate Extended Recovery Incident Commander X X X X Public Information Officer X X X X Liaison Officer X X X X Safety Officer X X X X X X X X Operations Section Chief Medical Care Branch Director X X X X Infrastructure Branch Director X X X X Security Branch Director X X X X Business Continuity Branch Director X Patient Family Assistance Branch Dir. X
Hospital and campus maps, blueprints and floor plans Risk Communication Plan Interoperable Communications Plan Demobilization Plan including: HICS Incident Action Plan (IAP) Quick Start HICS 200 – Incident Action Plan (IAP) Cover Sheet HICS 201 – Incident Briefing HICS 202 – Incident Objectives HICS 203 – Organization Assignment List HICS 205A – Communications List HICS 214 – Activity Log HICS 215A – Incident Action Plan (IAP) Safety Analysis HICS 221 – Demobilization Checklist HICS 251 –Facility System Status Report HICS 254 – Disaster Victim/Patient Tracking HICS 255 – Master Patient Evacuation Tracking Job Action Sheets Access to paper forms for documentation, data entry, etc. Access to hospital organization chart Television/radio/internet to monitor news Telephone/cell phone/satellite phone/internet/amateur radio/2-way radio for communication Hospital Incident Management Team Activation: Utility Failure Position Immediate Intermediate Extended Recovery Incident Commander X X X X Public Information Officer X X X X Liaison Officer X X X X Safety Officer X X X X Operations Section Chief X X X X Medical Care Branch Director X X X X Infrastructure Branch Director X X X X Security Branch Director X X X X Business Continuity Branch Director X Patient Family Assistance Branch Dir. X
utility_failure_irg.docx