IAP Handouts Incident Objectives (ICS 202)

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INCIDENT OBJECTIVES (ICS 202)1. Incident Name:2. Operational Period:DAYDate/Time From:FROGDate/Time To:05/23/2014 0600FRI05/23/2014 1800FRI3. Objective(s):Management Objectives:1. Our highest priority is to provide for public and firefighter safety as outlined in the Incident Response Pocket Guide (IRPG).2. Use the safest and most cost effective suppression methods to achieve perimeter control.3. Protect private property and structure.4. Operational Period Command Emphasis:Keep the fire:1. North of Road 96 (Mosquito Ridge).2. East of Deadwood Ridge/Deadwood Ridge Road.3. South of Foresthill Ridge Road.General Situational Awareness:For specific safety information, read the Safety Message. For specific medical information, refer to the ICS 206.Yes X5. Site Safety Plan Required?Approved Site Safety Plan(s) Located at:6. Incident Action PlanNoICP AT PLANS(the items checked below are included in this Incident Action Plan):XICS 202ICS 207Other Attachments:XICS 203ICS 208XX ICS 204X ICS 205ICS 205AXWeather Forecast/Tides/CurrentsICS 2067. PreparedBRIAN BRICKEY8. Approved by Incident Commander:ICS 202ICS 214 UNIT LOGX ICS 220Map/ChartIAP PagePosition/TitlPLANNING SECTION CHIEFName: SAMUEL NUNEZDate/Time:Signature:Signature:05/22/2014 2100DRAFTPage 1 of 1IAP e-ISuite HO-1

ORGANIZATION ASSIGNMENT LIST (ICS 203)1. Incident Name:2. Operational Period:DAYDate/Time From:05/23/2014 0600FROG3. Incident Commander(s) and Command Staff:IC/UCSAFETY OFFICERINFO OFFICERUSFSCDFFRI8. Finance/Administration Section:NUNEZ, SAMUELJARVIS, JONMARTINEZ, MATTCHIEFTIME UNITPROCUREMENT UNIT4. Agency/Organization Representative(s):Agency/OrganizationDate/Time To:05/23/2014 1800FRICOMPENSATION UNITNameCOST UNITRUTHERFORD, RUDYGRIFFIN, GRETCHENHARRIS, HELENMASON, MELINDAFREEMAN, FELICITYHUTCHINSON, HIRAMKOPELLI, KERRY (t)5. Planning Section:CHIEFRESOURCES UNITSITUATION UNITDEMOBILIZATION UNITFIRE BEHAVIOR ANALYSTTRAINING SPECIALISTGIS SPECIALISTCOMPUTER SPECIALISTINCIDENTMETEOROLOGISTBRICKEY, BRIANSMITH, STANCAPRIOLI, CORINE (t)HAFFENFELD, HORTONMANDARIN, MELODY (t)VANPELT, VICTORIATIMMEL, TINA (t)DICKSON, DRAKEFLEISHER, FINIGANCOHN, COLINSIMONDS, SAMANTHA6. Logistics Section:CHIEFCOMMUNICATIONS UNITMEDICAL UNITSECURITY UNITFOOD UNITSUPPLY UNITFACILITIES UNITGROUND SUPPORT UNITJOHNSON, JACKIEGARNER, GRANTEMERSON, ERINNADEAU, NOREENKERRINGTON, KERMIT (t)KELLOGG, KEVINHICKTON, HELENFREEMAN, FRED (t)MURDOCH, MICKMADSEN, MELISSA (t)VANCE, VICTOR7. Operations Section:DAY OPS SECTION CHIEFPLANNING OPSCRANSTON, CHRISLARKIN, LARRY (t)DIVISION/GROUP CAPE HORNKNAPP, KIMGERWE, GERILANGER LAKEALLEN, LANCEFREEHOUSE, FARLEYAIR OPERATIONSDIVISION/GROUP DOME MTNDIVISION/GROUPBranchAIR OPERATIONSBRANCH DIRAIR TACTICAL GROUPSUPERVISORBONWELL, JAYAIR SUPPORT GROUPBASCH, BARNEYDUNLAP, CHRIS9. Prepared By: Name: STAN SMITHICS 203IAP PagePosition/TitlDate/TimeRESLSignature:05/22/2014 2100DRAFTPage 1 of 1IAP e-ISuite HO-2

Division/Group Assignment List (ICS 204 WF)1. Incident Name:3.Branch:FROG2. Operational Period:Date/Time From:05/23/2014 0600Division/Group:DAYCAPE HORNDate/Time To:05/23/2014 1800FRI4.FRIOperations PersonnelOPERATIONS CHIEF CRANSTON, CHRISDIVISION/GROUP SUPERVISOR KNAPP, KIMSAFETY OFFICER JARVIS, JON5.AIR ATTACK SUPERVISOR BASCH, BARNEYResources Assigned this PeriodStrike Team / Task Force /Resource DesignatorLWDLeaderNumberPersonsDrop Off PT./TimePick Up PT./TimeHCS1 S/T 974H C-206/30COPE, TONY41DP 21/0700ICP/1800ENG3 LP 41 E-1607/03CHRISTENSEN, CHRISTINE5DP 21/0700ICP/1800WTT2 WATER TENDER 3 E-807/01JOHNSON, JEFF2DP 21/0700ICP/1800SOF206/27JOYNER, PATRICK1DP 21/0700ICP/1800O-56.76. Control Operations/Work Assignments:Monitor Granite Creek drainage. Use helicopter buckets to keep hotspots cool.7. Special Instructions:Avoid sensitive areas marked with white/orange flagging. Watch for open mine shafts.8.Division/Group Communication SummaryFunctionChannelRX Frequency N/WRX Tone/NACTX Frequency N/WTX Tone/NACModeCOMMAND8153.8600 N131.7155.8800 N131.8DTACTICAL3151.3200 N131.8151.3200 N131.8DLOGISTICS16155.2800 N155.2155.2800 N155.2DAIR TO GROUND12168.0125 N9. Prepared By (Resource Unit Leader)STAN SMITHICS 204 WF (1/14)168.0125 NApproved By (Planning Section Chief)BRIAN BRINKLEYDRAFTDDateTime05/22/20142100Page 1 of 1IAP eISuite HO-3

Division/Group Assignment List (ICS 204 WF)1. Incident Name:3.Branch:FROG2. Operational Period:Date/Time From:05/23/2014 0600Division/Group:DAYDOMEDate/Time To:05/23/2014 1800FRI4.FRIOperations PersonnelAIR ATTACK SUPERVISOR BASCH, BARNEYDIVISION/GROUP SUPERVISOR GERWE, GERISAFETY OFFICER JARVIS, JON5.OPERATIONS CHIEF CRANSTON, CHRISResources Assigned this PeriodStrike Team / Task Force /Resource DesignatorLWDLeaderNumberPersonsES3 S/T SALINAS 2176C E-107/02MCCOUN, STANLEY26ES3 S/T STF 450 E-207/02BETHEL, DENNIS26ES3 S/T ANF129 E-307/01GARCIA, HERMAN26WTT2 WATER TENDER 5 E-707/02PELL, PAULTFLDO-3107/01SOFRO-906/25Drop Off PT./TimePick Up SUBDIVISION/0700JUNIPERSUBDIVISION/1800BRAD, BRANDT1VARGAS, OSCAR NIPERSUBDIVISION/1800JUNIPERSUBDIVISION/18006. Control Operations/Work Assignments:CONTINUE TO REASSESS STRUCTURES LOCATED WITHIN THE FIRE PERIMETER TO ENSURE THE AREA IS SECURE.7. Special Instructions:MAINTAIN PROMPT COMMUNICATION WITH YOUR CREWS, ADJOINING RESOURCES AND SUPERVISOR.8.Division/Group Communication SummaryFunctionChannelRX Frequency N/WRX Tone/NACTX Frequency N/WTX Tone/NACModeCOMMAND8153.8600 N131.7155.8800 N131.8DTACTICAL2151.5000 N131.8151.5000 N131.8DLOGISTICS16155.2800 N155.2155.2800 N155.2DAIR TO GROUND12168.0125 N9. Prepared By (Resource Unit Leader)STAN SMITHICS 204 WF (1/14)168.0125 NApproved By (Planning Section Chief)BRIAN BRICKLEYDRAFTDDateTime05/22/20142100Page 1 of 1IAP e-ISuite HO-4

Division/Group Assignment List (ICS 204 WF)1. Incident Name:3.Branch:FROG2. Operational Period:Date/Time From:05/23/2014 0600Division/Group:DAYLANGER LAKEDate/Time To:05/23/2014 1800FRI4.FRIOperations PersonnelOPERATIONS CHIEF CRANSTON, CHRISDIVISION/GROUP SUPERVISOR ALLEN, LANCESAFETY OFFICER JARVIS, JON5.AIR ATTACK SUPERVISOR BASCH, BARNEYResources Assigned this PeriodStrike Team / Task Force /Resource DesignatorLWDLeaderNumberPersonsDrop Off PT./TimePick Up PT./TimeHC1 TAHOE HOTSHOTS C-30006/30COWELL, RANDALL21LANGER DRIVE/0700 LANGER DRIVE/1800HC2 SEQUOIA C-306/30PRIETO, HIPSTER21LANGER DRIVE/0700 LANGER DRIVE/1800HC1 RIO BRAVO IHC C-606/26REED, ANDY20LANGER DRIVE/0700 LANGER DRIVE/1800STCR O-5106/01DELL, MARILEE1LANGER DRIVE/0700 LANGER DRIVE/1800FOBS07/01MCBATH, SHAWN1LANGER DRIVE/0700 LANGER DRIVE/1800O-1496. Control Operations/Work Assignments:Continue to brush Deadwood Rd, north to Forrest Hill Rd. Initiate line construction from the Forrest Hill Rd. to Langer Lake.7. Special Instructions:Use only designated water sources marked by blue flagging. Avoid traveling through noxious weeds identified with red flagging.8.Division/Group Communication SummaryFunctionChannelRX Frequency N/WRX Tone/NACTX Frequency N/WTX Tone/NACModeCOMMAND8153.8600 N131.7155.8800 N131.8DTACTICAL1151.1500 N131.8151.1500 N131.8DLOGISTICS16155.2800 N155.2155.2800 N155.2DAIR TO GROUND12168.0125 N9. Prepared By (Resource Unit Leader)STAN SMITHICS 204 WF (1/14)168.0125 NApproved By (Planning Section Chief)BRIAN BRICKLEYDRAFTDDateTime05/22/20142100Page 1 of 1IAP e-Isuite HO-5

INCIDENT RADIO COMMUNICATIONS PLAN (ICS 205)2. Date/Time Prepared:1. Incident Name:FROGDate:05/22/2014Time:21003. Operational Period:Date/Time From:05/23/2014 0600DAYDate/Time To:FRI05/23/2014 1800FRI4. Basic Radio Channel Use:ZoneGroupChannelCh#FunctionName/Trunked RadioAssignmentRX FreqRXTone/NACTX FreqTXTone/NACMode(A,D, or M)RemarksSystem TalkgroupA1TACTICALTACDIV LANGER LAKE151.1500 N131.8151.1500 N131.8DA2TACTICALTACDIV DOME MTN151.5000 N131.8151.5000 N131.8DA3TACTICALTACDIV CAPE HORN151.3200 N131.8151.3200 N131.8DA8COMMANDCMDLINE TO ICP153.8600 N131.7155.8800 N131.8DA12AIR TO GROUNDA/G 1ALL DIVISIONS168.0125 NA16MEDEVACMEDEVACEMERGENCY EVACONLY155.2800 N168.0125 N155.2155.2800 ND155.2DLOCATED NORTH OF BAKERCRKBUCKET DROPSCOMMMO W/LIFE FLIGHTHELOS5. Special Instructions:LAST DATE RADIOS WERE CLONED LAST SHIFT. ADDITIONAL CLONING WILL BE NEEDED AS SOON AS ANOTHER REPEATER IS INSTALLED.6. Prepared ByICS 205(Communications Unit Leader):IAP PageName: GRANT GARNERSignature:Date/Time: 05/22/2014 2100Page 1 of 1DRAFTIAP e-ISuite HO-6

Medical Plan (ICS 206 WF)1. Incident/Project Name:2. Operational Period:DAYDate/Time From:05/23/2014 0600FROGDate/Time To:05/23/2014 1800FRIFRI3. Ambulance ServicesNameBRENT HILL AMBULANCEComplete AddressPhone&EMS Frequency(123) 123-12341223 HILL RD.GRANITE , MTAdvanced Life Support (ALS)YesX158.0900MEADOWS VALLEY200 HWY 95NEW MEADOWS, MTNo(123) 123-1234X4. Air Ambulance ServicesNamePhoneLIFEFLIGHTType of Aircraft(123) 123-1234ROTOR/FIXED WINGCapabilitySHORT HAUL5. HospitalsGPS Datum - WGS 84Coordinate StandardNameComplete AddressDegrees Decimal MinutesDD MM.MMM' N - LatDD MM.MMM' W - LongCASCADE MEDICAL CLINIC420 LAKE CASCADECASCADE, MTTravel TimeHelipadPhoneLevel of CareFacilityAirGroundYesNo29 MIN50 MIN(123) 123-1234XER, MINOR TRAUMA1 HR4 HRS(123) 123-1234XALS/BURN CENTERLat: 44 31.097 NLong: 116 2.963 WVHF: 156.0700ST. LUKES1000 STATE ST.NEW MEADOWS, MTLat: 44 54.540 NLong: 116 6.615 WVHF: 156.07006. Area Location CapabilityBranchDivision/Group8. Prepared By (Medical Unit Leader)ERIN EMERSONICS 206 WF (1/14)9. Date/Time05/22/2014 210010. Reviewed By (Safety Officer)JON JARVISDRAFT11. Date/Time05/22/2014 2100Page 1 of 3IAP e-ISuite HO-7

Medical Plan (ICS 206 WF)1. Incident/Project Name:2. Operational Period:Date/Time From:05/23/2014 0600FROGDAYFRIDate/Time To:05/23/2014 1800FRI6. Area Location CapabilityBranchDivision/GroupEMS Responders & Capability:Equipment Available on Scene:02Medical Emergency Channel:23ETA for Ambulance to Scene:CAPE HORNAir:1 HR4 HRGround:Approved Helispot:Lat:Long:EMS Responders & Capability:Equipment Available on Scene:Medical Emergency Channel:16ETA for Ambulance to Scene:DOME MTNAir:Ground:Approved Helispot:Lat:Long:EMS Responders & Capability:Equipment Available on Scene:ALS, INTERMED KIT, AEDMedical Emergency Channel:16ETA for Ambulance to Scene:LANGER LAKEAir:Ground:Approved Helispot:Lat:Long:7. Remote Camp Location(s)Name&Location8. Prepared By (Medical Unit Leader)ERIN EMERSONICS 206 WF (1/14)9. Date/Time05/22/2014 210010. Reviewed By (Safety Officer)JON JARVISDRAFT11. Date/Time05/22/2014 2100Page 2 of 3

Medical Plan (ICS 206 WF)1. Incident/Project Name:2. Operational Period:Date/Time From:05/23/2014 0600FROGDAYFRIDate/Time To:05/23/2014 1800FRI7. Remote Camp Location(s)Name&LocationFOREST SUBDIVISIONFOREST HILL RD ANDLIGHTHOUSE LANEPoint Of Contact:H. HILTONEMS Responders & CapabilityALSEquipment Available on Scene:BACKBOARD; ALS EQUIPMedical Emergency Channel:16ETA for Ambulance To Scene:Air:1 HRGround:3 HRApproved Helispot:Lat:Long:8. Prepared By (Medical Unit Leader)ERIN EMERSONICS 206 WF (1/14)9. Date/Time05/22/2014 210010. Reviewed By (Safety Officer)JON JARVISDRAFT11. Date/Time05/22/2014 2100Page 3 of 3

MEDICAL PLAN (ICS 206)12. Medical Incident ProceduresFOR ALL MEDICAL EMERGENCIES: IDENTIFY ON SCENE INCIDENT COMMANDER BY NAME AND POSITION AND ANNOUNCE"MEDICAL EMERGENCY" TO INITIATE RESPONSE FROM IMT COMMUNICATIONS/DISPATCH.Medical Incident ReportUse items one through nine to communicate situation to communications/dispatch.1. CONTACT COMMUNICATIONS/DISPATCHEx: "Communications: Div. Alpha. Stand-by for Priority Medical Incident Report." (If life threatening, request designated frequency be cleared for emergency2. INCIDENT STATUS: Provide incident summary and command structure.Describe the injury(Ex: Broken leg with bleeding)Geographic Name "Medical"(Ex: Trout Meadow Medical)Nature of Injury/IllnessIncident NameIncident CommanderName of ICPatient CareName of Care Provider(Ex: EMT Smith)3. INITIAL PATIENT ASSESSMENT:Complete this section for each patient. This is only a brief, initial assessment. Provide additional patient info after completing this 9Number of Patients:Male / FemaleConscious?Breathing?Mechanism of Injury:What caused the injury?Lat/Long (Datum WG884)Ex: N 40 42.45' x W 123 03.24'Age:Weight:YESNO MEDEVAC!YESNO MEDEVAC!4. SEVERITY OF EMERGENCY, TRANSPORT PRIORITYSEVERITYTRANSPORT PRIORITYURGENT-RED Life threatening injury orEx: Unconscious, difficulty breathing, bleeding severely, 2 - 3 degreeburns more than 4 palm sizes, heat stroke,Ambulance or MEDEVAC helicopter.Evacuation need is IMMEDIATE.PRIORITY-YELLOW Serious Injury or illness.Ex: Significant trauma, not able to walk, 2 - 3 degree burns notmore than 1-2 palm sizes.Ambulance or consider air transport if at remotelocation. Evacuation may be DELAYED.ROUTINE-GREENNot a life threatening injury or illness. Ex: Sprains, strains,minor heat-related illness.Non-Emergency. Evacuation consideredRoutine of Convenience.5. TRANSPORT PLAN:(Agency Aircraft Preferred)AirHelispotShort-haul/HoistLife FlightOtherCarry-OutAmbulanceOtherGround Transport:Self-Extract6. ADDITIONAL RESOURCE/EQUIPMENT arBurn Sheet(s)OxygenTrauma BagMedication(s)IV/Fluid(s)Cardiac Monitor/AEDOther (i.e. splints, rope rescue, wheeled7. COMMUNICATIONS:FunctionChannel Name/NumberReceive (Rx)Tone/NAC *Transmit (Tx)Tone/NAC *Ex: CommandForest Rpt, Ch. CAL*(NAC for digital radio8. EVACUATION LOCATION:Lat/Long (Datum WG884)EX: N 40 42.45' x W 123 03.24'Patient's ETA to Evacuation Location:Helispot/Extraction Size and Hazards:9. CONTINGENCY:Considerations If primary options fail, what actions can be implemented in con junction with primary evacuation method? BeREMEMBER:Confirm ETA's of resources orderedAct according to your level of trainingBe Alert. Keep Calm. Think Clearly. Act Decisively.ICS 206 WF (1/14)

AIR OPERATIONS SUMMARY (ICS 220)1. Incident Name:2. Operational Period: DAYDate/Time From:05/23/2014 0600FROG4. Remarks (safety notes, hazards, air op special equip, etc.)Ensure complete briefings are given prior to assignments.Inspect buckets/snorkels between missions.When establishing helispots avoid cutting Whitebark pine.FRI3. Sunrise:Date/Time To:05/23/2014 18000734FRI5. Ready Alert Aircraft:Medivac:Altitude:New Incident: N669H AND CREW12,000 FT. MSLCenter Point: 45 16 02 116 35 21.5AMFM(Tone)(Tone)Air/Air Fixed-Wing123.700138.17. Personnel:Name:Phone Number:Air/Air Rotary-Wing Flight Following120.125AIR OPERATIONSBRANCH DIRECTORAIR SUPPORT GROUPSUPERVISORJAY BONWELL(123) 123-1234Air/Ground168.012123.1BARNEY BASCH(123) 123-1234AIR TACTICAL GROUPSUPERVISORCHRIS DUNLAP(123) 123-1234HELICOPTERCOORDINATOR19416. Temporary Flight RestrictionN25HX8. Frequencies:Sunset:9. Fixed-Wing (category/kind/type,make/model, N#,Air Tactical Group Supervisor4WA, A-32163, A-33CommandDeck CoordinatorTake-Off & LandingCoordinatorHELIBASE MANAGERAir GuardOther Fixed-Wing Aircraft:KW34, A-2411. PreparedName: BARNEY BASCHICS 220, Page 1 of 2DRAFTPosition/TitleAIR SUPPORT GROUPDate/Time:05/22/2014 2100Signature:IAP e-ISuite HO-8

AIR OPERATIONS SUMMARY (ICS 220)1. Incident Name:2. Operational Period:Date/Time From:05/23/2014 0600FROG10. HelicoptersFRI3. Sunrise:Date/Time To:05/23/2014 18000734FRISunset:1941(use additional sheets as necessary):FAA ailableStartNEW MEADOWSRemarks0900(category/kind/type and function includes: air tactical, reconnaissance, personnel transport, search and rescue,Category/Kind/Typeand FunctionAIR TACTICAL AA-4WA11. PreparedName of Personnel or Cargo (if applicable)or Instructions for Tactical AircraftTANKED/BUCKET WATER DROPSName: BARNEY BASCHICS 220, Page 2 of 2DRAFTMissionStart0900Position/TitleAIR SUPPORT GROUPDate/Time:05/22/2014 2100Fly FromHELIBASEFly ToW FIRE AREASignature:IAP e-ISuite HO-8

For specific safety information, read the Safety Message. For specific medical information, refer to the ICS 206. 5. Site Safety Plan Required? Approved Site Safety Plan(s) Located at: 6. Incident Action Plan (the items checked below are included in this Incident Action Plan): ICS 202 ICS 203 ICS 204 ICS 205 ICS 205A ICS 207 ICS 208 ICS 220 Map .

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