| IMS Form |
Form Name |
Responsibility |
Purpose |
| Form 201-1 thru 5 |
Incident Briefing Forms |
IC or Designees |
Initial Incident Action Plan (IAP) |
| Form 201-1 |
Incident Briefing Map/Sketch |
OSC, SITL |
Provide map/drawing of incident area |
| Form 201-2 |
Summary of Current Actions |
IC, PSC, OSC |
ID response info/actions/objectives |
| Form 201-3 |
Current Organization |
RESL, SITL |
Org Chart for initial IMT |
| Form 201-4 |
Resource Summary |
RESL, LSC, OSC |
List of on-site and en-route resources |
| Form 201-5 |
Site Safety and Control Analysis |
SOFR |
Initial Site Safety/Hazard Analysis |
| Form 202 |
Incident Objectives |
IC/UC |
Provide prioritized direction to IMT |
| Form 202A |
Command Direction |
IC/UC |
Provides Command's directives |
| Form 202B |
Critical Information Requirements |
IC/UC |
Information Management Process |
| Form 203 |
Organization Assignment List |
RESL |
Incident list of names and contact info |
| Form 204 |
Assignment List |
OSC, RESL |
Work plan for each tactic |
| Form 205 |
Radio Communications |
COML |
Incident phone and radio contact info |
| Form 205a |
Communications List |
COML |
Incident phone and radio contact info |
| Form 206 |
Medical Plan |
MEDL, SOFR |
Describe how injuries are handled |
| Form 207 |
Organization Chart |
RESL |
Box and wires org chart |
| Form 208 |
Site Safety Plan |
SOFR, IH Specialist |
Plan for protection of responders & public |
| Form 209 |
Incident Status Summary |
SITL |
Summary of key incident information |
| Form 210 |
Change Status |
RESL, Ops Section |
Document resource status changes |
| Form 211 |
Check-In List |
RESL, STAM |
Document personnel and equipment arriving/leaving |
| Form 213 |
General Message |
All responders |
Transmit IMT general announcements |
| Form 213 RR |
Resource Request |
All responders |
Document resource requests 204 |
| IMS Form |
Form Name |
Responsibility |
Purpose |
| Form 214 |
Unit Log |
Unit/Section/etc. Leaders |
Document key unit/section activities |
| Form 214a |
Individual Log |
All responders |
Document key individual activities |
| Form 215 |
Operational Planning Worksheet |
OSC, PSC, STAM |
Identifies work areas/tactics/required resources |
| Form 215a |
Safety Analysis |
SOFR |
Identifies hazards/controls for proposed tactics |
| Form 215e |
Environmental Analysis |
ENVL |
Identifies environmental concerns |
| Form 216 |
Radio Requirements Worksheet |
COML |
Determines radio equipment requirements |
| Form 217 |
Radio Frequency Assignment Worksheet |
COML |
Identifies organizational frequencies |
| Form 218 |
Support Vehicle Inventory |
GSUL |
Identifies support vehicles assigned |
| Form 219 |
Resource Status Card |
RESL |
"T" Card for tracking resources |
| Form 220 |
Air Operations Summary |
AOBD, LSC |
List of aircraft and assignments |
| Form 221 |
Demobilization Check Out |
DMOB, PSC, STAM |
List of resources being demobilized |
| Form 223 |
Health and Safety Message |
SOFR, IC/UC |
Alert of health/safety hazard or info |
| Form 224 |
Environmental Unit Summary |
ENVL |
Transmit status of environmental issues |
| Form 225 |
Personnel Performance Rating |
All Supervisors |
Document personnel performance |
| Form 230 |
Daily Meeting Schedule |
PSC, SITL |
Identifies time/place of meetings |
| Form 231 |
Meeting Summary |
DOCL, SITL |
Document minutes of each meeting |
| Form 232 |
Resources at Risk |
ENVL, SITL |
Identifies environ and socio-econ sensitive areas |
| Form 232a |
ACP Site Index |
ENVL |
List of sensitive areas in ACP |
| Form 233 |
Open Action Tracker |
DOCL, SITL |
Keeps track of open action items |
| Form 234 |
Work Analysis Matrix |
RESL, OSC, PSC |
Identifies strategies/tactics/areas for objectives |
| Form 235 |
Facility Needs Assessment |
LSC |
Planning tool to determine ICP needs 205 |
| IMS Form |
Form Name |
Responsibility |
Purpose |
|
IAP Cover Sheet |
PSC, SITL |
Used as approval signature page |
|
General Incident Report |
1st Responder, SITL |
Summary of Initial Response Information |
|
Incident Event Log |
DOCL, SITL |
Document key response activities |
|
Resource Summary |
RESL, LSC |
Same as Form 201-4 Resource Summary |
|
Notification Status Report |
LOFR or designee |
List of organizations/persons notified |
|
Weather Report |
Plan. Sect. (SITL) |
List current/future weather conditions |
|
Broadcast Message |
All |
Same as Form 213 General Message Form |
|
Executive Summary |
SITL, PSC |
Summary of response actions/status |
|
Estimated Cost Report |
FSC |
List total costs by vendor/supplier |
|
Media Contact |
PIO |
Document/track media inquires |
|
Community Inquiry |
PIO, LOFR |
Document/track inquires from public |
|
Shoreline Impacts |
ENVL, PSC |
Summary of impact degree/extent |
|
Mass Balance |
ENVL, PSC |
Calculate current fate of release/spill |
|
Daily Cost Report |
FSC |
List costs by vendor/area/resource/etc |
|
Claims Report |
CLMS |
Document third party claims |
|
Claims Stewardship |
CLMS |
Document status of claims processing |
|
Incident/Exercise Feedback |
All |
Identify & document lessons learned |
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