HICS214 - ACTIVITY LOG      
                 HICS - Hospital Incident Command System


  1. Incident Name

  

                                 
  2. Operational Period     (#): 

        Date From      To  

        Time From         To  

  3. Name    4. HIMT Position  

  5. Activity Log        Page # 
Date / Time Notable Activities


  6. Prepared by 
     Date/Time       Facility:

HICS 214 v 9.6.2