INCIDENT ACTION PLAN

 

I 300

 

ICS FOR EXPANDING INCIDENTS

 

 

February 25-27, 2014

STONY BROOK HOSPITAL

                                                                                                                      

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Incident Objectives (ICS 202)

1. Incident Name:  STONY BROOK HOSPITAL I300

2. Operational Period:   Date From:  2/25/14       Date To:  2/27/14
                                     Time From:  0700             Time To:  1700

 

3. Objective(s):

 

Ø  Provide a safe and comfortable classroom environment, and ensure there is accountability for all students during any emergency situation that impacts the classroom or training facility.

Ø  Meet all Unit instructional objectives for I 300 class by close of class on Feb 27, 2014 as indicated by students successfully passing final exam.

Ø  Return Incident Facilities to clean and orderly condition at completion of the incident

Ø  Ensure proper completion of registration and testing forms for all students and submit to NYSOEM for processing and certification with three working days post incident.

 

 

4. Operational Period Command Emphasis:

This is a course about the ICS planning process and the ICS system of management.  Don’t get bogged down with the details and tactics of the practical exercises we will work on.  The instructors don’t care if you actually select the proper tactics for the practice incident you are working on.  We instead want to see you using the ICS steps of the Planning P to successfully learn the ICS process.  

 

General Situational Awareness : Weather forecasts

Tuesday, February 25

Intervals of clouds and sunshine. High 31F. Winds W at 10 to 20 mph.

Evening: Partly cloudy. Low 22F. Winds WSW at 10 to 15 mph.

Wednesday, February 26

Chance of a few snow showers. Highs in the upper 20s and lows in the low teens.

Thursday, February 27

Mostly cloudy. Highs in the mid 30s and lows in the low teens.

 

5. Site Safety Plan Required?  Yes c  No Xc

Approved Site Safety Plan(s) Located at:  

 

6. Incident Action Plan (the items checked below are included in this Incident Action Plan):

Xc ICS 203               c   ICS 207                                                Other Attachments:

Xc ICS 204               c   ICS 208                                                c                                                                      

c   ICS 205               c   Map/Chart                                            c                                                                      

c   ICS 205A             c   Weather Forecast/Tides/Currents           c                                                                      

c   ICS 206                                                                                 c                                                                      

7. Prepared by:  Name:  Bob Panko                   Position/Title:  ICT3                          Signature:    

8. Approved by Incident Commander:  Name:            Bob Panko                    Signature:           

ICS 202

IAP Page __2___

Date/Time:  02/19/14 1030                                                                 

ORGANIZATION ASSIGNMENT LIST (ICS 203)

1. Incident Name:  STONY BROOK HOSPITAL I300

2. Operational Period:   Date From:  2/25/14       Date To:  2/27/14                                     Time From:  0800             Time To:  1700

3. Incident Commander(s) and Command Staff:

7. Operations Section:

 

IC/UCs

Bob Panko

Chief

 

 

 

 

 

Deputy

 

 

 

 

 

 

 

 

 

Deputy

 

Staging Area

 

 

 

Safety Officer

 

Branch

 

 

Public Info. Officer

 

Branch Director

 

 

 

Liaison Officer

 

Deputy

 

 

 

4. Agency/Organization Representatives:

Group

Jim Hay

(516-313-4452)

 

Agency/Organization

Connie Kraft (631-404-6204)

Group

Bob Panko

(305-323-1385)

 

 

 

Division/Group

 

 

 

 

 

Division/Group

 

 

 

 

 

Division/Group

 

 

 

 

 

Branch

 

 

 

 

Branch Director

 

 

 

 

 

Deputy

 

 

 

5. Planning Section:

Division/Group

 

 

 

Chief

 

Division/Group

 

 

 

Deputy

 

Division/Group

 

 

 

Resources Unit

 

Division/Group

 

 

 

Situation Unit

 

Division/Group

 

 

 

Documentation Unit

 

Branch

 

 

Demobilization Unit

 

Branch Director

 

 

 

Technical Specialists

 

Deputy

 

 

 

 

 

Division/Group

 

 

 

 

 

Division/Group

 

 

 

 

 

Division/Group

 

 

 

6. Logistics Section:

Division/Group

 

 

 

Chief

 

Division/Group

 

 

 

Deputy

 

Air Operations Branch

 

Support Branch

 

Air Ops Branch Dir.

 

 

Director

 

 

 

 

Supply Unit

 

 

 

 

Facilities Unit

 

8. Finance/Administration Section:

 

Ground Support Unit

 

Chief

 

 

Service Branch

 

Deputy

 

 

Director

 

Time Unit

 

 

Communications Unit

 

Procurement Unit

 

 

Medical Unit

 

Comp/Claims Unit

 

 

Food Unit

 

Cost Unit

 

 

9. Prepared by:  Name:  Bob Panko                   Position/Title:  ICT3                          Signature:    

ICS 203

IAP Page __3___

Date/Time:  02/19/14 1045                                                                 

ASSIGNMENT LIST (ICS 204)

1. Incident Name:

STONY BROOK HOSPITAL I300

 

2. Operational Period:
Date From:  2/25/14                 Date To:  2/25/14
Time From:  0800                     Time To:  1700

3.

Branch:            1

Division:          1

Group:             1

Staging Area: 1

4. Operations Personnel:   Name                                                      Contact Number(s)

Operations Section Chief:                                                                                            

               Branch Director:                                                                                            

Division/Group Supervisor:                                                                                          

5. Resources Assigned:

 # of

 Persons

Scheduled Times

Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information

Resource Identifier

Leader

Unit 1 – Course Overview

Bob Panko

 

0830-0930

DP1

Unit 2- Fundamentals Review

Jim Hay

 

0940-1300

DP1

Unit 3- Assessment & Objectives

Bob Panko

 

1310-1520

DP1

Unit 4- Unified Command

Jim Hay

 

1530-1600

DP1

 

 

 

 

 

 

 

 

 

 

6. Work Assignments:

Module Leaders to provide 10 min break each hour.                                              

Lunch break from 1130-1230.

Students will prepare Unit Logs at end of each day.

7. Special Instructions:

IC and group supervisors will prep room and ensure all av equipment is functional and course materials are on hand starting at 0730.

8. Communications (radio and/or phone contact numbers needed for this assignment):

Name/Function                                         Primary Contact:  indicate cell, pager, or radio (frequency/system/channel)   

                              /                                                                                                                                                 

                              /                                                                                                                                                 

                              /                                                                                                                                                 

                              /                                                                                                                                                 

9. Prepared by:  Name:  Bob Panko                  Position/Title:  ICT3                          Signature:    

ICS 204

IAP Page __4___

Date/Time:  02/19/14  1045                                                                

 

 

ASSIGNMENT LIST (ICS 204)

1. Incident Name:

STONY BROOK HOSPITAL I300

 

2. Operational Period:
Date From:  2/26/14                 Date To:  2/26/14
Time From:  0800                     Time To:  1700

3.

Branch:            1

Division:          1

Group:             1

Staging Area: 1

4. Operations Personnel:   Name                                                      Contact Number(s)

Operations Section Chief:                                                                                            

               Branch Director:                                                                                            

Division/Group Supervisor:                                                                                          

5. Resources Assigned:

 # of

 Persons

Scheduled Times

Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information

Resource Identifier

Leader

OP Briefing

Jim Hay

 

0830-0850

DP1

Unit 4 Unified Cmd Continued

Jim Hay

 

0850-0950

DP1

Unit 5- Incident Resources

Bob Panko

 

1000-1500

DP1

Unit 6- Planning Process

Jim Hay/Bob Panko

 

1510-1630

DP1

 

 

 

 

 

6. Work Assignments:

Module Leaders to provide 10 min break each hour.                                              

Lunch break from 1130-1230.

Students will prepare Unit Logs at end of each day.

7. Special Instructions:

IC and group supervisors will prep room and ensure all av equipment is functional and course materials are on hand starting at 0730.

8. Communications (radio and/or phone contact numbers needed for this assignment):

Name/Function                                         Primary Contact:  indicate cell, pager, or radio (frequency/system/channel)   

                              /                                                                                                                                                 

                              /                                                                                                                                                 

                              /                                                                                                                                                 

                              /                                                                                                                                                 

9. Prepared by:  Name:  Bob Panko                  Position/Title:  ICT3                          Signature:    

ICS 204

IAP Page __5___

Date/Time:  02/19/14 - 1045                                                               

 

 

 

ASSIGNMENT LIST (ICS 204)

1. Incident Name:

STONY BROOK HOSPITAL I300

 

2. Operational Period:
Date From:  02/27/14               Date To:  02/27/14
Time From:  0800                     Time To:  1700

3.

Branch:            1

Division:          1

Group:             1

Staging Area: 1

4. Operations Personnel:   Name                                                      Contact Number(s)

Operations Section Chief:                                                                                            

               Branch Director:                                                                                            

Division/Group Supervisor:                                                                                          

5. Resources Assigned:

 # of

 Persons

Scheduled Times

Reporting Location, Special Equipment and Supplies, Remarks, Notes, Information

Resource Identifier

Leader

OP Briefing

Bob Panko

 

0830-0850

DP1

Unit 6 - Planning Process Continued

Jim Hay/Bob Panko

 

0850-1400

DP1

Unit 7- Xfer of Command / Demob /Close Out of Incidents

Bob Panko

 

1400-1500

DP1

Unit 8 – AAR & Exam

Bob Panko/Jim Hay

 

1500-1630

DP1

 

 

 

 

 

 

 

 

 

 

6. Work Assignments:

Module Leaders to provide 10 min break each hour.                                              

No formal lunch break period.  Student teams will make own arrangements to have lunch during the Unit 6 practical exercise.

Students will complete NYOEM overall course evaluation form and submit during test period.

7. Special Instructions:

IC and group supervisors will prep room and ensure all av equipment is functional and course materials are on hand starting at 0730.

8. Communications (radio and/or phone contact numbers needed for this assignment):

Name/Function                                         Primary Contact:  indicate cell, pager, or radio (frequency/system/channel)   

                              /                                                                                                                                                 

                              /                                                                                                                                                 

                              /                                                                                                                                                 

                              /                                                                                                                                                 

9. Prepared by:  Name:  Bob Panko                  Position/Title:  ICT3                          Signature:    

ICS 204

IAP Page __6___

Date/Time:  02/19/14     1050                                                             

 

 Activity Log (ICS 214)

1. Incident Name:  STONY BROOK HOSPITAL I300

2. Operational Period:   Date From:                      Date To:  
                                     Time From:                      Time To: 

3. Name:

 

4. ICS Position:

STUDENT

5. Home Agency (and Unit):

 

6. Resources Assigned:

Name

ICS Position

Home Agency (and Unit)

NOTE:  THIS FORM IS BEING USED

 

 

SOLELY AS A METHOD OF

 

 

GATHERING STUDENT INPUT

 

 

INTO THE PRESENTATIONS.

 

 

PLEASE LET US KNOW WHAT YOU

 

 

THINK.  THESE INPUTS ARE ONLY

 

 

FOR THE INSTRUCTORS!

 

 

 

 

 

7. Activity Log:

Date/Time

Notable Activities

 

SUMMARIZE IN YOUR OWN WORDS

 

 

 

1-INSTUCTOR EFFECTIVENESS

 

 

 

 

 

2-USE OF VISUAL AIDS

 

 

 

 

 

3-COURSE MATERIAL

 

 

 

 

 

 

 

4-EFFECTIVENESS OF PRACTICAL EXERCISES

 

 

 

 

 

5-CLASSROOM SETTING

 

 

 

 

 

 

 

6-OTHER COMMENTS

 

 

 

 

 

 

 

(YOU ARE NOT OBLIGATED TO SIGN THE FORM IF YOU WANT TO BE ANONYMOUS)

8. Prepared by:  Name:                                     Position/Title:                                  Signature:                                  

ICS 214, Page 7

Date/Time:                                                                                       

 

 

 Activity Log (ICS 214)

1. Incident Name:  STONY BROOK HOSPITAL I300

2. Operational Period:   Date From:                      Date To:  
                                     Time From:                      Time To: 

3. Name:

 

4. ICS Position:

STUDENT

5. Home Agency (and Unit):

 

6. Resources Assigned:

Name

ICS Position

Home Agency (and Unit)

NOTE:  THIS FORM IS BEING USED

 

 

SOLELY AS A METHOD OF

 

 

GATHERING STUDENT INPUT

 

 

INTO THE PRESENTATIONS.

 

 

PLEASE LET US KNOW WHAT YOU

 

 

THINK.  THESE INPUTS ARE ONLY

 

 

FOR THE INSTRUCTORS!

 

 

 

 

 

7. Activity Log:

Date/Time

Notable Activities

 

SUMMARIZE IN YOUR OWN WORDS

 

 

 

1-INSTUCTOR EFFECTIVENESS

 

 

 

 

 

2-USE OF VISUAL AIDS

 

 

 

 

 

3-COURSE MATERIAL

 

 

 

 

 

 

 

4-EFFECTIVENESS OF PRACTICAL EXERCISES

 

 

 

 

 

5-CLASSROOM SETTING

 

 

 

 

 

 

 

6-OTHER COMMENTS

 

 

 

 

 

 

 

(YOU ARE NOT OBLIGATED TO SIGN THE FORM IF YOU WANT TO BE ANONYMOUS)

8. Prepared by:  Name:                                     Position/Title:                                  Signature:                                  

ICS 214, Page 7

Date/Time:                                                                                       

 

 

 Activity Log (ICS 214)

1. Incident Name:  STONY BROOK HOSPITAL I300

2. Operational Period:   Date From:                      Date To:  
                                     Time From:                      Time To: 

3. Name:

 

4. ICS Position:

STUDENT

5. Home Agency (and Unit):

 

6. Resources Assigned:

Name

ICS Position

Home Agency (and Unit)

NOTE:  THIS FORM IS BEING USED

 

 

SOLELY AS A METHOD OF

 

 

GATHERING STUDENT INPUT

 

 

INTO THE PRESENTATIONS.

 

 

PLEASE LET US KNOW WHAT YOU

 

 

THINK.  THESE INPUTS ARE ONLY

 

 

FOR THE INSTRUCTORS!

 

 

 

 

 

7. Activity Log:

Date/Time

Notable Activities

 

SUMMARIZE IN YOUR OWN WORDS

 

 

 

1-INSTUCTOR EFFECTIVENESS

 

 

 

 

 

2-USE OF VISUAL AIDS

 

 

 

 

 

3-COURSE MATERIAL

 

 

 

 

 

 

 

4-EFFECTIVENESS OF PRACTICAL EXERCISES

 

 

 

 

 

5-CLASSROOM SETTING

 

 

 

 

 

 

 

6-OTHER COMMENTS

 

 

 

 

 

 

 

(YOU ARE NOT OBLIGATED TO SIGN THE FORM IF YOU WANT TO BE ANONYMOUS)

8. Prepared by:  Name:                                     Position/Title:                                  Signature:                                  

ICS 214, Page 7

Date/Time: