HICS 203 – ORGANIZATION ASSIGNMENT LIST

 

1.  INCIDENT NAME

2.   DATE PREPARED

3.  TIME PREPARED

4.  OPERATIONAL PERIOD DATE/TIME

 

 

 

 

POSITION

NAME / AGENCY

5.  Incident Commander and Staff

Incident Commander

 

Public Information Officer

 

Liaison Officer

 

Safety Officer

 

Medical/Technical Specialist (Type)

 

Medical/Technical Specialist (Type)

 

Medical/Technical Specialist (Type)

 

Medical/Technical Specialist (Type)

 

Medical/Technical Specialist (Type)

 

Medical/Technical Specialist (Type)

 

6.  Operations Section

Chief

 

Staging Manager

 

Medical Care Branch

 

Infrastructure Branch

 

Security Branch

 

Business Continuity Branch

 

HazMat Branch

 

Other Branch:

 

7.  Planning Section

Chief

 

Resources Unit

 

Situation Unit

 

Documentation Unit

 

Demobilization Unit

 

Other Branch:

 

8.  Logistics Section

Chief

 

Service Branch

 

Support Branch

 

Other Branch:

 

9.  Finance/Administration Section

Chief

 

Time Unit

 

Procurement Unit

 

Compensation/Claims Unit

 

Cost Unit

 

Other Branch:

 

10.  Agency Representative (in Hospital Command Center)

Agency

 

 

 


 

 

11.  Hospital Representative (in External EOC)

External Location

 

 

 

 

 

 

12. PREPARED BY (RESOURCES UNIT LEADER)

13. FACILITY NAME