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8/18/2019 Standard Incident Action Plan
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8/18/2019 Standard Incident Action Plan
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ICS Form 202
NCIDENT OBJECTIVES 1. INCIDENT NAME
RIZAL EARTHQUAKE
2. DATE
09/15/2012 3. TIM
1200H
OPERATIONAL PERIOD (DATE/TIME)
September 15, 2012 to September 16, 2012 1200HR to 0800HR
GENERAL CONTROL OBJECTIVES FOR THE INCIDENT (INCLUDE ALTERNATIVES)
1. Provide for responders and the public’s safety throughout the duration of the Incident.
2. Conduct a survey of all affected areas for critical needs.
3. Search for victims trapped in the slide area of Maburol.
4. Search for victims trapped in Ridge School.
5. Remove debris and ruble to ensure access across Central Highway.6. Provide medical care and triage to all affected victims; utilize the morgue at the Hospital for any casualties.
7. Provide access to Power, Communications, and Water companies to restore services to the southern & eastern ar
WEATHER FORECAST FOR OPERATIONAL PERIOD
The predicted weather is as follows: Fair skies, winds 17kmh out of the southwest, Temperature 28 degrees C.
GENERAL SAFETY MESSAGE
Insure all responders wear adequate PPEs. Stay hydrated, and always works in the buddy system.
. Attachments ( if attached)
Organization List (ICS 203) Medical Plan (ICS 206)
Assignment List (ICS 204) Incident Map
Communications Plan (ICS 205) Safety Message
PREPARED BY (PLANNING SECTION CHIEF)
ROBIN CARLO ELEPONGGA
10. APPROVED BY (INCIDENT COMMANDER)
LINDA SZCZEPANIK
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Organization Assignment List, ICS Form 203
RGANIZATION ASSIGMENT LIST1. INCIDENT NAME 2. DATE PREPARED 3. TIME PREPA
Rizal earthquake May 15, 2012 1200H
ITION NAME 4. OPERATIONAL PERIOD (DATE/TIME)
May 15, 2012 1200H to May 16, 2012 0800HNCIDENT COMMAND AND STAFF 9. OPERATIONS SECTION
IDENT COMMANDER Linda Szczepank CHIEF Jeffrey C. LapidUTY DEPUTY
ETY OFFICER Dr. Josephina Timoteo a. BRANCH I- DIVISION/GROUPS ORMATION OFFICER Joe Mar Perez BRANCH DIRECTORSON OFFICER Angelito Layug DEPUTY
DIVISION/GROUP A Joi MeGENCY REPRESENTATIVES DIVISION/ GROUP B Jerry Maguire
ENCY NAME DIVISION/ GROUP Z Terry TateDIVISION/GROUP
DIVISION /GROUP
b. BRANCH II- DIVISIONS/GROUPS
BRANCH DIRECTOR
DEPUTY
DIVISION/GROUP
LANNING SECTION DIVISION/GROUP
EF Robin Carlo Elepongga DIVISION/GROUP UTY DIVISION/GROUP
OURCES UNIT Jane TorresUATION UNIT Ed Buena c. BRANCH III- DIVISIONS/GROUPS UMENTATION UNIT Mylene Morales BRANCH DIRECTOR
MOBILIZATION UNIT Tishian Lorenzana DEPUTYHNICAL SPECIALISTS DIVISION/GROUP
DIVISION/GROUP
DIVISION/GROUP
OGISTICS SECTION d. AIR OPERATIONS BRANCH
EF Col. Bacareza AIR OPERATIONS BR. DIR.UTY AIR TACTICAL GROUP SUP.
AIR SUPPORT GROUP SUP.
HELICOPTER COORDINATOR
UPPORT BRANCH AIR TANKER/FIXED WING CRD.
ECTOR
PLY UNIT
ILITIES UNITUND SUPPORT UNIT 10. FINANCE/ADMINISTRATION SECTION
CHIEF Bebeth MarzanDEPUTY
ERVICE BRANCH TIME UNIT Cerafin TanECTOR PROCUREMENT UNIT Vic Bernabe
MMUNICATIONS UNIT David Salles Jr. COMPENSATION/CLAIMS UNIT Henry MalayDICAL UNIT Bryan Tubban COST UNIT John Doe
D UNIT Gene Eclarino
PARED BY (RESOURCES UNIT)
NE TORRES
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Sample Assignment List, ICS Form 204
BRANCH 2. DIVISION/GROUPDiv . A ASSIGNMENT LIST
INCIDENT NAMERizal Earthquake
4. OPERATIONAL PERIOD
DATE May 15 to16, 2012
TIME 1200H to0800H
5. OPERATIONAL PERSONNEL
PERATIONS CHIEF Jeffrey Lapid DIVISION/GROUP SUPERVISOR Joi Me
RANCH DIRECTOR AIR TACTICAL GROUP SUPERVISOR
6. RESOURCES ASSIGNED TO THIS PERIOD
TRIKE TEAM/TASK FORCE/RESOURCE DESIGNATOR EMT LEADER
NUMBERPERSONS
TRANS.NEEDED
PICKUPPT./TIME
DROPPT./T
Task Force A Engr. Canero 38 No Site 1800H Camp0700H
SAR 1SAR 2SAR 3
Joey HimalinBernardino
AvecilaNo
Site 1800H Camp0700H
Amb-1Amb-2
Estella SaltaCesca Pena
No Site 1800H Camp0700H
PO-1PO-2
PO1 RogerPO1 Out
No Site 1800H Camp0700H
Structural Eng. Engr. Dabu Pick Up Site 1800H Camp0700H
Task Force BDr. Ted Gonzales
18 No Site 1800H Camp0700H
E-1 Capt. Garcia No Site 1800H Camp0700H
AMB 5Mel Ocampo
No Site 1800H Camp0700H
CONTROL OPERATIONS
TFA Maintain Site 1and 2 Conduct Search and RescueSAR 1 at Ridge school Conduct Search and Rescue, remove the victim from the rubble and provide pre hospeatment and transfer to the near by hospitalSAR 2 and 3 Near by buildingTFB Maintain Temporary ShelterAMB 5 maintain Shelter Site
SPECIAL INSTRUCTIONS
e maps for debris rubble pile locations and building. Exercise extreme cautionwhen operating rescue operation. After shocks and wind may be a factor.Wear PPE. Lunches will be delivered. Watch for signs of stress and
fatigue.
9. DIVISION/GROUP COMMUNICATIONS SUMMARY
NCTION FREQ. SYSTEM CHAN. FUNCTION FREQ. SYSTEM CH
OMMANDLOCAL
REPEAT
166.825 1SUPPORT
LOCAL
REPEAT
163.825
V./GROUPCTICAL
165.825 3GROUNDTO AIR
EPARED BY (RESOURCE UNIT LEADER)
JANE TORRES
APPROVED BY (PLANNING SECT. CH.)
ROBIN CARLO ELEPONGGA
DATE
05-15-12TIME
0500h
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Sample Assignment List, ICS Form 204
BRANCH 2. DIVISION/GROUPDiv . B ASSIGNMENT LIST
NCIDENT NAMERizal Earthquake
4. OPERATIONAL PERIOD
DATE May 15 to16, 2012
TIME 1200h to0800h
5. OPERATIONAL PERSONNEL
PERATIONS CHIEF Jeffrey Lapid DIVISION/GROUP SUPERVISOR Jerry MaguireRANCH DIRECTOR AIR TACTICAL GROUP SUPERVISOR
6. RESOURCES ASSIGNED TO THIS PERIOD
TRIKE TEAM/TASK FORCE/RESOURCE DESIGNATOR EMT LEADER
NUMBERPERSONS
TRANS.NEEDED
PICKUPPT./TIME
DROPPT./T
Task Force C Engr. Alvarez 20 No Site 1800H Ca07
DT 24 Joe jane No
Site 1800H Ca07
EM 14 Jose tuico No Site 1800H Ca07
No Site 1800H Ca07
Structural Eng. Engr. Lulu Pick Up Site 1800H Ca07
Contruction ForemanRey langit
No Site 1800H Ca07
Community Volunteer Jong Salles Pick Up
CONTROL OPERATIONS
TFB Maintain Site west SideClear All debris off the HighwayTake the Rubble to the designated dump site Engineering Yard
SPECIAL INSTRUCTIONS
e maps for debris rubble pile locations. Exercise extreme caution when operatingheavy equipment. After shocks and wind may be a factor. Wear PPELunches will be delivered to. Watch for signs of stress and fatigue.
9. DIVISION/GROUP COMMUNICATIONS SUMMARY
NCTION FREQ. SYSTEM CHAN. FUNCTION FREQ. SYSTEM CH
OMMANDLOCAL
REPEAT
166.825 1SUPPORT
LOCAL
REPEAT
163.825
V./GROUPCTICAL
167.825 4GROUNDTO AIR
EPARED BY (RESOURCE UNIT LEADER)
JANE TORRES
APPROVED BY (PLANNING SECT. CH.)
ROBIN CARLO ELEPONGGA
DATE
05-15-12TIME
0500h
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Sample Assignment List, ICS Form 204
BRANCH 2. DIVISION/GROUPDiv . Z ASSIGNMENT LIST
NCIDENT NAMERizal Earthquake
4. OPERATIONAL PERIOD
DATE May 15 to16, 2012
TIME 1200h to0800h
5. OPERATIONAL PERSONNEL
PERATIONS CHIEF Jeffrey Lapid DIVISION/GROUP SUPERVISOR Terry TateRANCH DIRECTOR AIR TACTICAL GROUP SUPERVISOR
6. RESOURCES ASSIGNED TO THIS PERIOD
TRIKE TEAM/TASK FORCE/RESOURCE DESIGNATOR EMT LEADER
NUMBERPERSONS
TRANS.NEEDED
PICKUPPT./TIME
DROPPT./T
Task Force D Engr. Alvarez 20 No Site 1800H Ca07
DT 76 JeffreyBuenvinida
NoSite 1800H Ca
07
EM 63 Jose tuico No Site 1800H Ca07
BH 63 No Site 1800H Ca07
Structural Eng. Engr. Yap Pick Up Site 1800H Ca07
Contruction Foreman John Jhu
No Site 1800H Ca07
Community Volunteer Jong Salles Pick Up Site 1800H Ca07
CONTROL OPERATIONS
TFB Maintain Site west SideClear All debris off the HighwayTake the Rubble to the designated dump site Engineering Yard
SPECIAL INSTRUCTIONS
e maps for debris rubble pile locations. Exercise extreme caution when operatingheavy equipment. After shocks and wind may be a factor. Wear PPELunches will be delivered to. Watch for signs of stress and fatigue.
9. DIVISION/GROUP COMMUNICATIONS SUMMARY
NCTION FREQ. SYSTEM CHAN. FUNCTION FREQ. SYSTEM CH
OMMANDLOCAL
REPEAT
166.825 1SUPPORT
LOCAL
REPEAT
163.825
V./GROUPCTICAL
168.825 5GROUNDTO AIR
EPARED BY (RESOURCE UNIT LEADER)
JANE TORRES
APPROVED BY (PLANNING SECT. CH.)
ROBIN CARLO ELEPONGGA
DATE
05-15-12TIME
0500h
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Incident Communications Plan, ICS Form 205
INCIDENT RADIO COMMUNICATIONS PLAN1. Incident Name 2. Date/Time
Prepared3. Operationa
Date/Time
RIZAL EARTHQUAKE September 15, 2012 09/15/2009/16/20
1200H
0600H
4. Basic Radio Channel Utilization
System/Cache Channel Function Frequency/Tone Assignment Rema
1 COMMAND RX 166.825 / 167.9IC, PIO, SO, LIASON, OSC,
PSC, LSCSIMP
2 TAC2 RX 164.825 / 167.9 OSC SIMP
3 TAC3 RX 165.825 / 167.9 DIVISION ALPHA SIMP
4 TAC4 RX 167.825 / 167.9 DIVISION BRAVO SIMP
5 TAC5 RX 168.825 / 167.9 DIVISION ZULU SIMP
6 TAC6 RX 159.690 STRIKE TEAM SIMP
7 SUPPORT RX 163.825 LOGISTIC SIMP
Special Instruction :
case of emergency or a responder is in distress, all radio traffic must STOP and give way to the emergency message.
Prepared by ( Communication Unit Leader) Name : David Salles Jr
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MEDICAL PLAN1.
Incident Name
RIZAL EARTHQUAKE
2.
Date Prepared
09/15/2012
3.
Time Prepared
0900H
4.
Operational Period
09/15/12 to 09/16/12
5. Incident Medical Aid Station
NAME Location BLS ALS
Station 1 – Dr. Nacional Bo. Barretto YES
Station 2 – Dr. Madarang Bo. Kalaklan YES
St. Jude Hospital Bo. Subic YES
6. Transportation
A. Ambulance Services
Name Address Phone BLS ALS
AMB – 1 Bo. Barretto YES
AMB – 2 Bo. Barretto YES
AMB – 3 Bo. Kalaklan YES
AMB – 4 Bo. Subic YES
AMB–
5 Bo. Subic YES
7. Hospitals
Name AddressTravel TimeAir Ground
PhoneHelipadYes No
Burn CenterYes No
St. Jude Hospital Bo. Subic 15mins YES NO
8. Medical Emergency Procedures
In the event of an emergency, contact your division supervisor or task force supervisor. The DIVS will contact theclosest line responder who will bring the patient to the triage area. If medivac is needed, the DIVS will contact theMEDL for coordination. All emergency traffic will be on the command channel. In the event of a mass casualtyincident, refer to the Incident Emergency Plan in the IAP.
Prepared by (Medical Unit Leader)
BRYAN TUBBAN, MD
10. Reviewed by (Safety Officer)
DIR. JOSEFINA TIMOTEO
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SAFETY MESSAGE/PLAN (ICS 208)
1.
Incident Name:
RIZAL EARTHQUAKE 2. Operational Period: Date From: 09/15/2012 Date To: 09/16/201 Time From: 0800H Time To: 0800H
Safety Message/Expanded Safety Message, Safety Plan, Site Safety Plan:
SAFETY starts with YOU
We are ALL accountable for SAFE behaviors
Wear required (Personal Protective Equipment) PPEs during event. No rescuer will be allowed to participate in the operatwithout proper PPEs.
Stay hydrated – drink at least 1 gallon of water every 2 hours.
Flag and Isolate any hazardous area that you cannot mitigat
report up.
Always work in pairs, don’t get separated.
Site Safety Plan Required? Yes No
Approved Site Safety Plan(s) Located At:
Prepared by: Name: DIR. JOSEFINA TIMOTEO Position/Title: SAFETY OFFICER Signature:
CS 208 IAP Page _____ Date/Time: 09/15/2012 1600H
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