HICS 214 - ACTIVITY LOG

The HICS 214 - Activity Log records details of notable activities for any Hospital Incident Management Team (HIMT) position. These logs provide basic documentation of incident activity, and a reference for any After Action Report (AAR). Personnel should document how relevant incident activities are occurring and progressing, or any notable activities, actions taken and decisions made.
Initiated and maintained by personnel in HIMT positions as it is needed or appropriate.
A completed HICS 214 must be submitted to the Documentation Unit Leader. Individuals may retain a copy for their own records.

Multiple pages can be used if needed. If additional pages are needed, use another HICS 214 and repaginate as needed.

1. Incident Name
Enter the name assigned to the incident.

2. Operational Period
• Date and Time From
• Date and Time To
Enter the start date (mm-dd-yyyy) and time (using the 24-hour clock) and end date and time for the operational period to which the form applies.

3. Name
Enter the title of the organizational unit or resource designator (e.g., Facilities Unit, Safety Officer, Strike Team).

4. ICS Position
Enter the name and ICS position of the individual in charge of the Unit.

5. Home Agency (and Unit)
Enter the home agency of the individual completing the ICS 214. Enter a unit designator if utilized by the jurisdiction or discipline.

6. Resources Assigned
Enter the following information for resources assigned:
• Name
Use this section to enter the resource’s name. For all individuals, use at least the first initial and last name. Cell phone number for the individual can be added as an option.

• ICS Position
Use this section to enter the resource’s ICS position (e.g., Finance Section Chief).
• Home Agency (and Unit)
Use this section to enter the resource’s home agency and/or unit (e.g., Des Moines Public Works Department, Water Management Unit).

7. Activity Log
• Date/Time
• Enter the time (24-hour clock) and briefly describe individual notable activities. Note the date as well if the operational period covers more than one day.
• Notable Activities
• Activities described may include notable occurrences or events such as task assignments, task completions, injuries, difficulties encountered, etc.

8. Prepared by
• Name
• Position/Title • Signature
• Date/Time

Enter the name plus ICS position/title of the person preparing the form. Since this is a radio delivery form, a typed name is same as a signature. Click field to enter date/time, (mm-dd-yyyy) and time prepared (24-hour clock).

More Information



You can save your completed HTML to a text file. This will allow you to reload the HICS214 with ALL entered form data. You do this prior to submitting the form. Then you can open a new 214 and load the saved HTML form data. NOTE: Date and Times will be the previous, so change if needed. It will save the info as a text file with the Date and Time as the text file name. Now you can use any browser, save your form, (as many versions as you like), and then re-populate.

Printing this form is dependent upon your selected printer and its settings. Various Web Browsers and and their viewing sizes are not all the same. Printing from a browsers print function may be different from the operating systems default print mode. Select what works for you, for both printing and viewing. You may print direct to the printer as a HTML or save as a PDF then print the PDF. In some instances Landscape mode may print better than Portrait.

There is a feature to allow you to clear the acivity log. This is so you do not have to enter the data above it again.

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Copy and Paste Data From Spreadsheet

Copy the data from the spreadsheet and paste (2 columns X 20 lines) in box below, then click "Parse Data"
TAB delineation only. Ensure fields match and data does not exceed field lengths, or HTML will miss some data.


        

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Copy and Paste Data From Spreadsheet

Copy the data from the spreadsheet and paste (5 Columns X 15 lines) in box below, then click "Parse Data"
TAB delineation only. Ensure fields match and data does not exceed field lengths, or HTML will miss some data.


        

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                   ICS 201 INCIDENT BRIEFING
                 ICS - Incident Command System


   1. Incident Name
    {var Incident_Name}
  2. Incident Number:
    {var IncidentNumber}
  3. Date/Time Initiated:
     Date:   {var DateFrom}
     Time:  {var TimeFrom}

   4. Map/Sketch (include sketch, showing the total area of operations, the incident site/area, impacted and threatened areas, overflight results, trajectories, impacted shorelines, or other graphics depicting situational status and resource assignment as needed):

  [ {var TMap2} ]    JPEG map/sketch attached


 5.Situation Summary and Health and Safety Briefing
(for briefings or transfer of command): Recognize potential incident Health and Safety Hazards and develop necessary measures (remove hazard, provide personal protective equipment, warn people of the hazard) to protect responders from those hazards.

  {var HealthBriefing}

6. Prepared by: Name {var Prepedby}       Position/Title: {var Position}       Signature: {var Prepsig}

      Date/Time: {var prepDateTime}

      ICS 201 Page 1 of 4  

 

ICS 201 INCIDENT BRIEFING 

   1. Incident Name
    {var Incident_Name}
  2. Incident Number:
    {var IncidentNUmber}
  3. Date/Time Initiated:
      Date:   {var DateFrom}
     Time:  {var TimeFrom}

 

  7. Current and Planned Objectives:

  {var Objectives}

.

 

 8. Current and Planned Actions, Strategies, and Tactics:                Paste Data from a Spreadsheet     

 TIME  ACTIONS
{var ActivityTime1}
{var Activities1}
{var ActivityTime2}
{var Activities2}
{var ActivityTime3}
{var Activities3}
{var ActivityTime4}
{var Activities4}
{var ActivityTime5}
{var Activities5}
{var ActivityTime6}
{var Activities6}
{var ActivityTime7}
{var Activities7}
{var ActivityTime8}
{var Activities8}
{var ActivityTime9}
{var Activities9}
{var ActivityTime10}
{var Activities10}
{var ActivityTime11}
{var Activities11}
{var ActivityTime12}
{var Activities12}
{var ActivityTime13}
{var Activities13}
{var ActivityTime14}
{var Activities14}
{var ActivityTime15}
{var Activities15}
{var ActivityTime16}
{var Activities16}
{var ActivityTime17}
{var Activities17}
{var ActivityTime18}
{var Activities18}
{var ActivityTime19}
{var Activities19}
{var ActivityTime20}
{var Activities20}

  

      ICS 201 Page 2 pof 4  

                   ICS 201 INCIDENT BRIEFING
        

   1. Incident Name
    {var Incident_Name}
  2. Incident Number:
    {var IncidentNUmber}
  3. Date/Time Initiated:
      Date:   {var DateFrom}
     Time:  {var TimeFrom}


   9. Current Management Team (fill in additional positions as appropiate)

-
Incident Commander
 
Liaison Officer
   
 
Safety Officer
 
 
Public Information Officer

 
 
Planning Section Chief

 
Operations Section Chief


 
Finance/Administration
Section Chief



Logistics Section Chief

 
 
 
 
 

 

 

 

 

 

 

 

 


 


 


 


 

 

 

 

               



      ICS 201 Page 3 of 4