Public Health: Prevent. Promote. Protect.
Multnomah County Health Department

Healthy People in Healthy Communities

Emergency Preparedness and
Incident Command System

Incident Command System Job Aids and Forms


Job Aids

Other Job Aids


Planning Cycles Graphics:

Incident Commander's Expectations of Response Organization Leaders

ICS Glossary


Forms


New Comprehensive Set of ICS Forms Linked by Excel

MCHD ICS Forms:

These forms are either identical or very similar to the standard ICS forms. Where appropriate, the details on some of the forms have been changed to reflect public health priorities. The standard ICS forms should be used unless the emergency involves a communicable disease and the epi-version is more suitable.

Notes about using the forms:

  • The Word document versions below are intended to be downloaded, filled in electronically and printed. If you have difficulty downloading the documents, print out a PDF version and fill it in by hand.
  • Forms marked N/A are not available online.

Initial Response

Operational Planning

Incident Action Plan

Executive Summary

Resource Tracking

Resource Order Forms

Message/Logs

Initial Response

201: Incident Briefing

Word

PDF

201 Epi: Incident Briefing

Word

PDF

Operational Planning

215: Operational Planning Worksheet

Word

PDF

215-DOE Operational Planning Worksheet

Excel

PDF

215 Epi: Operational Planning Worksheet

Word

PDF

215-1: Life Safety Planning

N/A

215A: Incident Safety Analysis

Word

PDF

215A Epi: Incident Safety Analysis

Word

PDF

216: Radio Requirements Worksheet

Word

PDF

217: Radio Frequency Worksheet

N/A

230: Meeting Schedule

N/A

General Plan

N/A

Incident Action Plan

202: Incident Objectives

Word

PDF

202 Epi: Incident Objectives

Word

PDF

203: Organization Assignment List

Word

PDF

204: Division Assignment List

Word

PDF

204a: Assignment List Attachment

N/A

205: Incident Radio Communications Plan

Word

PDF

205a: Communications List

N/A

206: Medical Plan

Word

PDF

207: Organization Chart

Excel     Visio

PDF

232: Resources at Risk

N/A

Executive Summary

Executive Summary

N/A

209: Incident Status Summary

Word

PDF

209: All-risk draft form of 1/08

PDF

209 Epi: Incident Status Summary

Word

PDF

220: Air Operations Summary

Word

PDF

Resource Tracking

210: Status Change

N/A - carbon form

211: Incident Check-in Form

Word

PDF

211e: Check-in List - Equipment

N/A

211e: Check-in List - Personnel

N/A

218: Support Vehicle Inventory

Word

PDF

219-1: Labels

N/A (T-Cards)

219-2: Crews

N/A (T-Cards)

219-3: Engines

N/A (T-Cards)

219-4: Helicopter

N/A (T-Cards)

219-5: Personnel

N/A (T-Cards)

219-6: Aircraft

N/A (T-Cards)

219-7: Dozer

N/A (T-Cards)

219-8: Misc. Equipment

N/A (T-Cards)

219-9: Accountable Property

N/A (T-Cards)

219-9a: Accountable Property Tag

N/A

221: Demobilization Plan

Word

PDF

221: Page 1, Demobilization Checkout

PDF

Instructions for Completing the Demobilization Checkout

PDF

Resource Order Forms

259-1: Aircraft

N/A - colored cardstock

259-2: Aircraft (continued)

N/A - colored cardstock

259-3: Crews

N/A - colored cardstock

259-4: Crews (continued)

N/A - colored cardstock

259-5: Dozer

N/A - colored cardstock

259-6: Dozer (continued)

N/A - colored cardstock

259-7: Engines

N/A - colored cardstock

259-8: Engines (continued)

N/A - colored cardstock

259-9: Equipment

N/A - colored cardstock

259-10: Equipment (continued)

N/A - colored cardstock

259-11: Helicopter

N/A - colored cardstock

259-12: Helicopter (continued)

N/A - colored cardstock

259-13: Overhead

N/A - colored cardstock

259-14: Overhead (continued)

N/A - colored cardstock

259-15: Supplies

N/A - colored cardstock

259-16: Supplies (continued)

N/A - colored cardstock

260: Resource Order - Generic

Word

PDF

260: Resource Order - Generic - Example

PDF

Instructions for Resource Order Forms ICS-259 and ICS-260

Word

PDF

Message/Log

213: General Message Form

Word

PDF

213-1: Communication Log

Word

PDF

214: Unit Log

Word

PDF

214a: Individual Log

N/A

224: Crew Performance Rating

Word

PDF

225: Incident Personnel Performance Rating

Word

PDF

231: Meeting Summary

N/A



Emergency Preparedness Home Page

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Programs and Aids

The Push Partner Registry
supports organizations and large businesses willing to operate a PRIVATE dispensing site for employees, their families, and their clients (in the case of at-risk, or special needs, service providers).



The Voluntary Emergency Registry is a list of persons who need help evacuating their home during an emergency, or who would be unable to evacuate without special notification from emergency response personnel. The registry also includes people who would be unable to remain at home without assistance following a disaster. Information in this list will be provided to the Bureau of Emergency Communications (911) and other emergency response personnel from the City of Portland and Gresham and Multnomah County.




Health Reserve Corps

The Health Reserve Corps (HRC) is a voluntary unit, made up of local licensed health care professionals who will be called upon to assist in the response to large-scale heath or medical emergencies.
More information >>



The Pocket Guide to Emergency Preparedness


To order copies of the Pocket Guide, please fill in the form on this page.


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Page updated March 06, 2008