HICS 203 – ORGANIZATION ASSIGNMENT LIST |
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1. INCIDENT NAME |
2. DATE PREPARED |
3. TIME PREPARED |
4. OPERATIONAL PERIOD DATE/TIME |
:inc: |
:dat: |
:tim: |
:opp: |
POSITION |
NAME / AGENCY |
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5. Incident Commander and Staff |
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Incident Commander |
:icc: |
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Public Information Officer |
:ici: |
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Liaison Officer |
:icl: |
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Safety Officer |
:ics: |
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Medical/Technical Specialist (Type) |
:tech_spc[0]: |
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Medical/Technical Specialist (Type) |
:tech_spc[1]: |
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Medical/Technical Specialist (Type) |
:tech_spc[2]: |
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Medical/Technical Specialist (Type) |
:tech_spc[3]: |
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Medical/Technical Specialist (Type) |
:tech_spc[4]: |
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Medical/Technical Specialist (Type) |
:tech_spc[5]: |
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6. Operations Section |
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Chief |
:ops_chief: |
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Staging Manager |
:stg_mgr: |
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Medical Care Branch |
:med_care_brch: |
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Infrastructure Branch |
:infr_brch: |
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Security Branch |
:sec_brch: |
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Business Continuity Branch |
:bus_brch: |
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HazMat Branch |
:hazmat_brch: |
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Other Branch: |
:ops_other: |
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7. Planning Section |
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Chief |
:planning_chief: |
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Resources Unit |
:res_unit: |
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Situation Unit |
:sit_unit: |
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Documentation Unit |
:doc_unit: |
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Demobilization Unit |
:dem_unit: |
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Other Branch: |
:planning_other: |
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8. Logistics Section |
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Chief |
:log_chief: |
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Service Branch |
:svc_brch: |
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Support Branch |
:sup_brch: |
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Other Branch: |
:log_other: |
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9. Finance/Administration Section |
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Chief |
:fin_chief: |
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Time Unit |
:time_unit: |
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Procurement Unit |
:proc_unit: |
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Compensation/Claims Unit |
:comp_unit: |
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Cost Unit |
:cost_unit: |
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Other Branch: |
:fin_other: |
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10. Agency Representative (in Hospital Command Center) |
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Agency |
:hcc_agency: :hcc_rep: |
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11. Hospital Representative (in External EOC) |
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External Location |
:ext_loc: :ext_rep: |
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12. PREPARED BY (RESOURCES UNIT LEADER) :pre: |
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13. FACILITY NAME :facility: |