Emergency Preparedness

Appendix O.14 HICS 257 RESOURCE ACCOUNTING RECORD

2. Operational Period (# ) DATE: FROM: ______________________________________ TO: _____________________________________

1. Incident Name

TIME: FROM: ______________________________________ TO: _____________________________________

3. Resource Record

CONDITION (OR INDICATE IF NON- RECOVERABLE)

DISPENSED (TO/TIME)

• RETURNED • (DATE/TIME)

TIME

ITEM / FACILITY TRACKING IDENTIFICATION NUMBER

CONDITION

RECEIVED FROM

INITIALS

4. Prepared by

PRINT NAME: __________________________________________________________________________________________________________

SIGNATURE: __________________________________________________________________________________________________________

DATE/TIME:

FACILITY:

_____________________________________________________________________________________________________________

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