Emergency Preparedness

Appendix O.2 HICS INCIDENT ACTION PLAN (IAP) QUICK START COMBINED 201-202—203-204-215A

2. Operational Period (# )

1. Incident Name

DATE:

FROM: __________________________ TO: __________________________

TIME: FROM: __________________________ TO: __________________________

3. Situation Summary

— HICS 201 —

4. Current Hospital Incident Management Team (fill in additional positions as appropriate)

— HICS 201, 203 —

Public Information Officer

Incident Commander

Medical-Technical Specialists

Liaison Officer

Safety Officer

Planning Section Chief

Logistics Section Chief

Finance / Administration Section Chief

Operations Section Chief

Patient Decontamination Recommendations for Hospitals v July 2005 351