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ICS Training Assignement

The document provides instructions for an assignment to check-in all on-scene resources responding to the Rizal Earthquake using ICS Form 211. Resources are to fill out their name, agency, contact details, and other required information. A sample ICS Form 211 is included that shows resources checking in, including the Philippine National Police, Municipal Police Stations, medical teams, and non-government organizations. Students must complete and submit the ICS Form 211 by 4pm with their surname and assignment number as the file name.

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Errol Llanes
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321 views

ICS Training Assignement

The document provides instructions for an assignment to check-in all on-scene resources responding to the Rizal Earthquake using ICS Form 211. Resources are to fill out their name, agency, contact details, and other required information. A sample ICS Form 211 is included that shows resources checking in, including the Philippine National Police, Municipal Police Stations, medical teams, and non-government organizations. Students must complete and submit the ICS Form 211 by 4pm with their surname and assignment number as the file name.

Uploaded by

Errol Llanes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Basic Incident Command System Course

Assignment 2: Check-in

Please fill-up the details below:

Name
Agency/Organization
OCD ID Number

Instruction(s):

1. Still refer to Rizal Earthquake Scenario and the accomplished ICS Form 201 from
Assignment 1.

2. Based on the information provided, check-in all on-scene resources using ICS Form 211
(see page 2). Print and fill out the ICS Form 211, and scan or take a photo for submission

3. Once accomplished, save the file using the filename template <Surname>_<Assignment
Number> (example: Dela Cruz_Assignment 2).

Deadline is not later than 1600H of this day.


INCIDENT CHECK-IN LIST
ICS 211
1. INCIDENT/EVENT NAME 2. START DATE AND TIME 3. CHECK-IN LOCATION (Please check)
RIZAL EARTHQUAKE Date: September 15, 20XX
Time:1200H
□Base □ Camp □Staging Area □ ICP □Others
4. CHECK-IN INFORMATION
Name of With
Resource Identifier Departure Details Data
Order/ Check-In Agency / Total Manifest?
Name of Contact Incident Other Sent
Request Date and Kind Type Single Office / No. of
Leader Details Point
Date and Method Assignment Qualifications to
No. Time Resourc ST TF Home Pers. of Yes No
Time of Travel RESL
e Base Origin

September PSupt.
091911222 September
15, PNP Cardo 1 Rizal By Land ICS
20XX/1300H 32 15, 20XX
Dalisay
September Lt. Rene 093602132 September SAR MEDICS
15, MPS1 4 Rizal By Land
20XX/1300H Santos 56 15, 20XX HIGH ANGLE

September Lt. John 091723100 September


15, MPS2 4 Rizal By Land First aider
20XX/1300H dela Cruz 26 15, 20XX

September Dr.
092223152 September Neurosurgeon
15, MDRRMO Fabian 3 Rizal By Land
20XX/1330H 01 15, 20XX First aider
Rosales
September Dr.
093621501 September Orthopedics
15, MHO Vanessa 3 Rizal By Land
20XX/1330H 30 15, 20XX EMT
Vargas
September Ace 092136012 September
15, MEO 7 Rizal By Land NCII
20XX/1330H Wilcon 06 15, 20XX

September First aider


092362103 September
15, Alliance1 Bill Gates 10 Rizal By Land USAR
20XX/1330H 25 15, 20XX
CSSR
September First aider
Mark 091912345 September
15, Alliance2 10 Rizal By Land SAR
20XX/1330H Santos 67 15, 20XX
Cook
Page __1__ of
Date Prepared: Time Prepared:
_1___

September 15, 20XX 1300H

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