*25. Short Location or Area Description (list all affected areas or a reference point): 26. UTM Coordinates: 27. Note any electronic geospatial data included or attached (indicate data format, content, and collection time information and labels): Incident Summary *28. Observed Fire Behavior or Significant Events for the Time Period Reported (Describe fire behavior using accepted terminology. For non-fire incidents, describe significant events related to the materials or other causal agents): *29. Primary Materials or Hazards Involved (hazardous chemicals, fuel types, infectious agents, radiation, etc.): 30. Damage Assessment Information (summarize damage and/or restriction of use or availability to residential or commercial property, natural resources, critical infrastructure and key resources, etc.): A. Structural Summary B. # Threatened (72 hrs) C. # Damaged D. # Destroyed E. Single Residences F. Nonresidential Commercial Property G. Other Minor Structures Additional Incident Decision Support Information 31. Public Status Summary: A. # This Reporting Period B. Total # to Date 32. Responder Status Summary: A. # This Reporting Period B. Total # to Date C. Indicate Number of Civilians (Public) Below: C. Indicate Number of Responders Below: D. Fatalities D. Fatalities E. With Injuries/Illness E. With Injuries/Illness F. Trapped/In Need of Rescue F. Trapped/In Need of Rescue G. Missing (note if estimated) G. Missing H. Evacuated (note if estimated) H. I. Sheltering in Place (note if estimated) I. Sheltering in Place J. In Temporary Shelters (note if est.) J. K. Have Received Mass Immunizations K. Have Received Immunizations L. Require Immunizations (note if est.) L. Require Immunizations M. In Quarantine M. In Quarantine N. Total # Civilians (Public) Affected: N. Total # Responders Affected: 33. Life, Safety, and Health Status/Threat Remarks: *34. Life, Safety, and Health Threat Management: A. Check if Active B. Notes
46. Projected Final Incident Cost Estimate: 47. Remarks (or continuation of any blocks above – list block number in notation): Incident Resource Commitment Summary 48. Agency or Organization: 49. Resources (summarize resources by category, kind, and/or type; show # of resources on top ½ of box, show # of personnel associated with resource on bottom ½ of box): 50. # of Personnel not assigned to a resource: 51. Total Personnel (includes those associated with resources – e.g., aircraft or engines –and individual overhead): resources personnel resources personnel resources personnel resources personnel resources personnel resources personnel resources personnel resources personnel resources personnel resources personnel resources personnel resources personnel resources
Block Number Block Title Instructions *22 22. Longitude (indicate format): Latitude (indicate format): REQUIRED BLOCK. Enter the longitude and latitude where the incident originated, if available and normally used by the authority having jurisdiction for the incident. Clearly label the data, as longitude and latitude can be derived from various sources. For example, if degrees, minutes, and seconds are used, label as “33 degrees, 45 minutes, 01 seconds.” 23 US National Grid Reference Enter the US National Grid (USNG) reference where the incident originated, if available and commonly used by the agencies/jurisdictions with primary responsibility for the incident. Clearly label the data. 24 Legal Description (township, section, range) Enter the legal description where the incident originated, if available and commonly used by the agencies/jurisdictions with primary responsibility for the incident. Clearly label the data (e.g., N 1/2 SE 1/4, SW 1/4, S24, T32N, R18E). *25 Short Location or Area Description (list all affected areas or a reference point) REQUIRED BLOCK. List all affected areas as described in instructions for Blocks 16–24 above, OR summarize a general location, OR list a reference point for the incident (e.g., “the southern third of Florida,” “in ocean 20 miles west of Catalina Island, CA,” or “within a 5 mile radius of Walden, CO”). This information is important for readers unfamiliar with the area (or with other location identification systems) to be able to quickly identify the general location of the incident on a map. Other location information may also be listed here if needed or relevant for incident support (e.g., base meridian). 26 UTM Coordinates Indicate Universal Transverse Mercator reference coordinates if used by the jurisdiction. Block Number Block Title Instructions
40 Strategic Discussion: Explain the relation of overall strategy, constraints, and current available information to: 1) critical resource needs identified above, 2) the Incident Action Plan and management objectives and targets, 3) anticipated results. Explain major problems and concerns such as operational challenges, incident management problems, and social, political, economic, or environmental concerns or impacts. Wording should be consistent with Block 39 to justify critical resource needs, which should relate to planned actions in the Incident Action Plan. Give a short assessment of the likelihood of meeting the incident management targets, given the current management strategy and currently known constraints. Identify when the chosen management strategy will succeed given the current constraints. Adjust the anticipated incident management completion target in Block 43 as needed based on this discussion. Explain major problems and concerns as indicated. 41 Planned Actions for Next Operational Period Provide a short summary of actions planned for the next operational period. Examples: “The current Incident Management Team will transition out to a replacement IMT.” “Continue to review operational/ engineering plan to facilitate removal of the partially collapsed west bridge supports.” “Continue refining mapping of the recovery operations and damaged assets using GPS.” “Initiate removal of unauthorized food vendors.” Block Number Block Title Instructions 42 Projected Final Incident Size/Area (use unit label – e.g., “sq mi”) Enter an estimate of the total area likely to be involved or affected over the course of the incident. Label the estimate of the total area or population involved, affected, or impacted with the relevant units such as acres, hectares, square miles, etc. Note that total area involved may not be limited to geographic area (see previous discussions regarding incident definition, scope, operations, and objectives). Projected final size may involve a population rather than a geographic area.
48 Agency or Organization List the agencies or organizations contributing resources to the incident as responders, through mutual aid agreements, etc. List agencies or organizations using clear language so readers who may not be from the discipline or host jurisdiction can understand the information. Agencies or organizations may be listed individually or in groups. When resources are grouped together, individual agencies or organizations may be listed below in Block 53. Indicate in the rows under Block 49 how many resources are assigned to the incident under each resource identified. These can listed with the number of resources on the top of the box, and the number of personnel associated with the resources on the bottom half of the box. For example: Resource: Type 2 Helicopters… 3/8 (indicates 3 aircraft, 8 personnel). Resource: Type 1 Decontamination Unit… 1/3 (indicates 1 unit, 3 personnel). Indicate in the rows under Block 51 the total number of personnel assigned for each agency listed under Block 48, including both individual overhead and those associated with other resources such as fire engines, decontamination units, etc. 49 Resources (summarize resources by category, kind, and/or type; show # of resources on top ½ of box, show # of personnel associated with resource on bottom ½ of box) List resources using clear language when possible – so ICS 209 readers who may not be from the discipline or host jurisdiction can understand the information. Examples: Type 1 Fire Engines, Type 4 Helicopters Enter total numbers in columns for each resource by agency, organization, or grouping in the proper blocks. These can listed with the number of resources on the top of the box, and the number of personnel associated with the resources on the bottom half of the box. For example: Resource: Type 2 Helicopters… 3/8 (indicates 3 aircraft, 8 personnel). Resource: Type 1 Decontamination Unit… 1/3 (indicates 1 unit, 3 personnel). NOTE: One option is to group similar resources together when it is sensible to do so for the summary. For example, do not list every type of fire engine – rather, it may be advisable to list two generalized types of engines, such as “structure fire engines” and “wildland fire engines” in separate columns with totals for each. NOTE: It is not advisable to list individual overhead personnel individually in the resource section, especially as this form is intended as a summary. These personnel should be included in the Total Personnel sums in Block 51.