Shell IMH Navigator
⌘K
Incident Management Handbook
15.2 reference

Shell Incident Management System Forms Summary

Form Form Name Responsibility Purpose
201-1 thru 5 Incident Briefing Forms IC or Designees Initial Incident Action Plan (IAP)
201-1 Incident Briefing Map/Sketch OSC, SITL Provide map/drawing of incident area
201-2 Summary of Current Actions IC, PSC, OSC ID response info/actions/objectives
201-3 Current Organization RESL, SITL Org Chart for initial IMT
201-4 Resource Summary RESL, LSC, OSC List of on-site and en-route resources
201-5 Site Safety and Control Analysis SOFR Initial Site Safety/Hazard Analysis
202 Incident Objectives (if IC determines need to transfer from 201-2) IC/UC Provide prioritized direction to IMT
202A Command Direction IC/UC Provides Command's directives
202B Critical Information Requirements IC/UC Information Management Process
204 Assignment List OSC, RESL Work plan for each tactic
205 Radio Communications COML Incident phone and radio contact info
205a Communications List COML Incident phone and radio contact info
206 Medical Plan MEDL, SOFR Describe how injuries are handled
207 Organization Chart RESL Box and wires org chart
208 Site Safety Plan SOFR, IH Specialist Plan for protection of responders & public
209 Incident Status Summary SITL Summary of key incident information
211 Check-In List RESL, STAM Document personnel & equipment arriving/leaving
213 RR Resource Request All responders Document resource requests
214 Unit Log Unit/Section/etc. Leaders Document key unit/section activities
214a Individual Log All responders Document key individual activities
215 Operational Planning Worksheet OSC, PSC, STAM Identifies work area/tactics/required resources
215a Safety Analysis SOFR Identifies hazards/controls for proposed tactics
215e Environmental Analysis ENVL Identifies environmental concerns
220 Air Operations Summary AOBD, LSC List of aircraft and assignments
221 Demobilization Check Out DMOB, PSC, STAM List of resources being demobilized
SIMS Form Form Name Responsibility Purpose
230 Daily Meeting Schedule PSC, SITL Identifies time/place of meetings
231 Meeting Summary HIST, DOCL, SITL Document minutes of each meeting
232 Resources at Risk ENVL, SITL Identifies environ and socio-econ sensitive areas
232a ACP Site Index ENVL List of sensitive areas in ACP
233 Open Action Tracker HIST, DOCL, SITL Keeps track of open action items
234 Work Analysis Matrix RESL, OSC, PSC Identifies strategies/tactics/areas for objectives
Handbook Pages52–53 (2 pages)
PartA — Incident Response
Section15.2 Forms Summary
Typereference