Appendix A INCIDENT STATUS SUMMARY (ICS 209)

Transcription

1 Appendix A INCIDENT STATUS SUMMARY (ICS 0) *. Incident Name: Bayview Tornado. Incident Number: 00 (from F and A) *. Report Version (check one box on left): Initial Update Final Rpt # (if used):. Current Incident Size or Area Involved (use unit label e.g., sq mi, city block ): Block area *. Incident Commander(s) & Agency or Organization:. Percent (%) Contained Completed 0% *. Incident Definition: Tornado Approval & Routing Information *. Prepared By: Print Name: SL Gaithe ICS Position: Date/Time Prepared: May 0, 00 / hours *. Approved By: Print Name: A. Archer ICS Position: Planning Chief Signature: N. Kempfer-Needland Fire, D. Roberts-Needland EMS, K. Anthony-Granger Co. Sheriff's Office, J. Davila-Needland PD, D.Doan-Granger Planning Deputy. Incident Management Organization: Unified Command 0. Incident Complexity Level: Type *. Incident Start Date/Time: Date: --00 Time: hours Time Zone: Central *. For Time Period: From Date/Time: To Date/Time: Incident Location Information *. State: *. County/Parish/Borough: *. City: Columbia Granger County Needland *. Date/Time Submitted: 000 hrs Time Zone: Central --00/0hrs --00/000hrs *. Primary Location, Organization, or Agency Sent To:. Unit or Other: *0. Incident Jurisdiction:. Incident Location Ownership (if different than jurisdiction): Needland EMS, Needland Police, Needland Fire City of Needland. Longitude (indicate format):. US National Grid Reference:. Legal Description (township, section, - '.0 range): Bayview area encompassing Bayview Latitude (indicate format): Convention Cntr '. *. Short Location or Area Description (list all affected areas or a reference point):. UTM Coordinates: City of Needland in Granger County, State of Columbia. The tornado struck the downtown area new the Bayview Convention Center.. Note any electronic geospatial data included or attached (indicate data format, content, and collection time information and labels): Incident Summary *. Significant Events for the Time Period Reported (summarize significant progress made, evacuations, incident growth, etc.): Responders call to the scene of a tornado touchdown that damaged many building in a block area of Baytown, Evacuation as well as search and rescue efforts are underway. As of :0 victims have been confirmed deceased and injuries.. Primary Materials or Hazards Involved (hazardous chemicals, fuel types, infectious agents, radiation, etc.): None known at this time. Mostly Structural Damage and poor weather is hampering rescue/recovery efforts. EOC 0. Damage Assessment Information (summarize damage and/or restriction of use or availability to residential or commercial property, natural resources, critical infrastructure and key resources, etc.): ICS 0, Page of A. Structural Summary E. Single Residences F. Nonresidential Commercial Property Other Minor Structures Other B. # Threatened ( hrs) C. # Damaged D. # Destroyed 0

2 INCIDENT STATUS SUMMARY (ICS 0) *. Incident Name: Bayview Tornado. Incident Number: 00 (from F and A) Additional Incident Decision Support Information *. Public Status Summary: A. # This Reporting Period B. Total # to Date *. Responder Status Summary: C. Indicate Number of Civilians (Public) Below: C. Indicate Number of Responders Below: D. Fatalities 0 D. Fatalities E. With Injuries/Illness E. With Injuries/Illness F. Trapped/In Need of Rescue F. Trapped/In Need of Rescue G. Missing (note if estimated) G. Missing H. Evacuated (note if estimated) H. Sheltering in Place I. Sheltering in Place (note if estimated) I. Have Received Immunizations J. In Temporary Shelters (note if est.) 00 J. Require Immunizations K. Have Received Mass Immunizations 0 K. In Quarantine L. Require Immunizations (note if est.) M. In Quarantine N. Total # Civilians (Public) Affected: 0 0 N. Total # Responders Affected:. Life, Safety, and Health Status/Threat Remarks: May trapped and missing victims. Weather Concerns (synopsis of current and predicted weather; discuss related factors that may cause concern): Heavy rain and severe weather *. Life, Safety, and Health Threat Management: A. # This Reporting Period B. Total # to Date A. Check if Active A. No Likely Threat B. Potential Future Threat C. Mass Notifications in Progress D. Mass Notifications Completed E. No Evacuation(s) Imminent F. Planning for Evacuation G. Planning for Shelter-in-Place H. Evacuation(s) in Progress I. Shelter-in-Place in Progress J. Repopulation in Progress K. Mass Immunization in Progress L. Mass Immunization Complete M. Quarantine in Progress N. Area Restriction in Effect. Projected Incident Activity, Potential, Movement, Escalation, or Spread and influencing factors during the next operational period and in -, -, -, and -hour timeframes: hours: Search and rescue, looting, shelter for st responders, demobilization hours: Treatment and transport of victims, restore utilities hours: Area clean up hours: Restore business Anticipated after hours: Rebuild. Strategic Objectives (define planned end-state for incident): The desired outcome is to restore life and property to normal operation as soon as possible. ICS 0, Page of

3 INCIDENT STATUS SUMMARY (ICS 0) *. Incident Name: Bayview Tornado. Incident Number: 00 (from F and A) Additional Incident Decision Support Information (continued). Current Incident Threat Summary and Risk Information in -, -, -, and -hour timeframes and beyond. Summarize primary incident threats to life, property, communities and community stability, residences, health care facilities, other critical infrastructure and key resources, commercial facilities, natural and environmental resources, cultural resources, and continuity of operations and/or business. Identify corresponding incident-related potential economic or cascading impacts. hours: Heavy casualties taxing the EMS system. Severe weather, need for additional Engines hours: hours: hours: Need for relief teams, supplies and equipment Need for supplies, food and drink Anticipated after hours: Same. Critical Resource Needs in -, -, -, and -hour timeframes and beyond to meet critical incident objectives. List resource category, kind, and/or type, and amount needed, in priority order: hours: Loss of Engines that are needed by to their community hours: hours: hours: Anticipated after hours: 0. Strategic Discussion: Explain the relation of overall strategy, constraints, and current available information to: ) critical resource needs identified above, ) the Incident Action Plan and management objectives and targets, ) anticipated results. Explain major problems and concerns such as operational challenges, incident management problems, and social, political, economic, or environmental concerns or impacts.. Planned Actions for Next Operational Period: Continue with search, rescue and safety operations. Projected Final Incident Size/Area (use unit label e.g., sq mi ): Sq blocks. Anticipated Incident Management Completion Date: Unkown. Projected Significant Resource Demobilization Start Date: May 00. Estimated Incident Costs to Date:,. Projected Final Incident Cost Estimate: Unknown. Remarks (or continuation of any blocks above list block number in notation): ICS 0, Page of

4 INCIDENT STATUS SUMMARY (ICS 0). Incident Name: Bayview Tornado. Incident Number: 00 (from F and A) Incident Resource Commitment Summary. Agency or Organization:. Resources (summarize resources by category, kind, and/or type; show # of resources on top ½ of box, show # of personnel associated with resource on bottom ½ of box): Police Motor units ALS Ambulance BLS Ambulance Engine Ladder Truck Bus - Pass Medic Animal Cont. Off Backhoe EMS Res. Team Rescue DPW Sedan Dump Truck DPW Light Plant Structural Eng. Street Sweeper Heavy Rescue Police Officer Medical Examiner Busses - 0 Passw Portable Morgue 0. Additional Personnel not assigned to a resource:. Total Personnel (includes those associated with resources e.g., aircraft or engines and individual overhead): City of Needland Granger County Fire Arkansas Pass Fire Boise Fire Calvinton Fire Columbia State Police Granger Area Transit Enterprise Granger County EMS Granger County Sheriff City of Pleasant Grove MED STAT Port Arkansas Taft Police Granger County DPW Total Resources Additional Cooperating and Assisting Organizations Not Listed Above: ICS 0, Page of

5 Appendix B RESOURCE REQUEST MESSAGE (ICS RR). Incident Name:. Date/Time. Resource Request Number:. Order (Use additional forms when requesting different resource sources of supply.): Qty. Kind Type Detailed Item Description: (Vital characteristics, brand, specs, experience, size, etc.) Arrival Date and Time Cost Requested Estimated Requestor. Requested Delivery/Reporting Location:. Suitable Substitutes and/or Suggested Sources:. Requested by Name/Position:. Priority: Urgent Routine Low. Section Chief Approval: 0. Logistics Order Number:. Supplier Phone/Fax/ . Name of Supplier/POC:. Notes: Logistics. Approval Signature of Auth Logistics Rep:. Date/Time:. Order placed by (check box): SPUL PROC. Reply/Comments from Finance:. Finance Section Signature:. Date/Time: Finance ICS RR, Page