INCIDENT ACTION SAFETY ANALYSIS (ICS 215A) {var Title}
1. Incident Name: {var IncidentName}
2. Incident Number: {var IncidentNumber}
3. Date/ Time Prepared:
Date: {var PreparedDate} Time: {var PreparedTime}
8. Prepared by (Safety Officer): Name {var Prepedby} Signature: {var Prepsig}
Prepared b: (Operations Section Chief): Name {var Prepedbychief} Signature: {var OpsChiefpsig}