Sample Operational Planning Worksheet, ICS Form 215 1. Incident Name: Winter Storm Date From: 2/10 Date To: 2/11 2. Operational Period: Time From: 1800 Time To: 0600 & & Trucks or Time Plows End Requested Work Overhead Branch Division, Resources Reporting Special Group, Other Assignment Arrival Special Snow Sanding Position(s) Equipment Supplies Front Location 3. 4. 5. 6. Loaders 7. 8. 9. 10. Instructions Parking Remove snow from Public 1700 Req. 4 4 EOC, fire stations, Lot Works police dept., and Have 4 4 Shop Group hospital parking lots. See maps for snow pile locations. 6” Need 0 0 maximum accumulation. Remove snow from all Division Public 1700 Req. 3 primary and secondary Works A Have 1 roads/streets in Div. Shop Monitor all north/south roadways for drifting. Need 2 6”maximum accumulation. Monitor ice for Sanding 2 Public 1700 Req. 4 accumulation. Works Group 1 Have 4 Sand all 4-way stops Shop and lighted Need 0 1 intersections. Sand available at County Have Sand and Gravel storage. Need 11. Total Resources 14. Prepared by: 7 4 6 Required Name: Sandy Miller 12. Total Resources Position/Title: Resources UL 5 4 5 Have on Hand Signature: Date/Time: Feb. 10/1100 13. Total Resources 2 0 1 ICS 215 Need To Order
Sample Operational Planning Worksheet, ICS Form 215 1. Incident Name: Winter Storm 2. Operational Period: Date From: 2/10 Date To: 2/11 Time From: 1800 Time To: 0600 3. Branch 4. Division, Group, or Other 5. Work Assignment & Special Instructions 6. Resources Snow Plows Sanding Trucks Front End Loaders 7. Overhead Position(s) 8. Special Equipment & Supplies 9. Reporting Location 10. Requested Arrival Time Parking Lot Group Remove snow from EOC, fire stations, police dept., and hospital parking lots. See maps for snow pile locations. 6” maximum accumulation. Req. 4 4 Public Works Shop 1700 Have 4 4 Need 0 0 Division A Remove snow from all primary and secondary roads/streets in Div. Monitor all north/south roadways for drifting. 6”maximum accumulation. Req. 3 Public Works Shop 1700 Have 1 Need 2 Sanding Group Monitor ice for accumulation. Sand all 4-way stops and lighted intersections. Sand available at County Sand and Gravel storage. Req. 4 2 Public Works Shop 1700 Have 4 1 Need 0 1 Have Need ICS 215 11. Total Resources Required 7 4 6 14. Prepared by: Name: Sandy Miller Position/Title: Resources UL Signature: Date/Time: Feb. 10/1100 12. Total Resources Have on Hand 5 4 5 13. Total Resources Need To Order 2 0 1
05ICS300b_SM_October2013.docx