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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