Shell Incident Response Tactical Worksheet (Example)

Date:

Incident Description:

Immediate Concerns:

• Establish Command
• Initiate ER accountability procedure
• Are there Permanent Assembly Area's being affected?
  • Dispatch ER person to affected assembly area to direct All Personnel Accounted For.
• Primary search is being conducted by:
• Rapid Intervention Team (RIT) in Place:

Product(s) Involved:

• Does Site wide alarm need to be sounded?
• Do additional personnel need to be paged out?
• MSDS Sheet in Hand
• Tactical priorities:
  • Rescue
  • Exposure protection
  • Confinement
  • Extinguishment
• Adequate Resources?
• Page off shift Fire Dept.
• Special Call
• Assistance needed?
• Fire Alarm
• Second Alarm
• Third Alarm
• Hot Zone Identified.
• Release Unaffected Areas

NOTES:

• Rehab/Medical Div.
• Fire Under Control at:
• Command Concluded at: