1. Training NameTraining Title Here

2. Operational Period to be covered by IAP (Date/Time)

From: __/__/__ To: __/__/__

TAP IAP COVER SHEET

3. Approved by Incident Commander(s):

ORG NAME

FD __________

FD __________

__________

__________

TRAINING ACTION PLANThe items checked below are included in this Incident Action Plan:

ICS 201- Organization Chart, Safety Message, Priorities, Key Decisions/Directions)_________________________________________________________________________________________________

ICS 204- (Crew Assignment Lists)

ICS 205- (Communications Plan)

ICS 206- (Medical Plan)

ICS 208- (Safety Message)

ICS 214- Training Log(s)

ICS 215 – Facility Needs Worksheet

ICS 215a – Hazard Assessment / Safety Plan

Map/Chart

Weather forecast /

Other Attachments

Master Contact List

Master list of tasks & notes

4. Prepared by: _________FD Training Bureau Incident Commander Date/Time __/__/__

FD Training Bureau lesson plan ICS Format (Rev 01/2010)

1. Training NameTraining Title Here

2. Operational Period to be covered by IAP (Date/Time)

From: __/__/__ To: __/__/__

INCIDENT OBJECTIVESICS 202-TAP

Command Structure:

4. Operational Period Command Emphasis (Safety Message, Priorities, Key Decisions/Directions)

Approved Site Safety Plan Located at: 5. Prepared by: _________________ Date/Time __/__/__

FD Training Bureau lesson plan ICS Format (Rev 01/2010)

1. Training NameTraining Title Here

2. Operational Period to be covered by IAP (Date/Time)

From: __/__/__ To: __/__/__Assignment List

ICS 204-TAP3. Type

Type ___ – _________Training 4. Division/Group/Staging

____________________

5. Operations Personnel Name Affiliation Contact # (s)

Training Lead:

Adjunct Instructors :

6. Resources Assigned: Class Descriptions “X” indicates 204a attachment with additional instructions

Date Lead Adjuncts # of Persons Reporting Info/Notes/Remarks

7. Work Assignments

8. Special Instructions

9. Communications (radio and/or phone contact numbers needed for this assignment)Name/Function Radio: Freq./System/Channel Phone Cell/Pager ________

     Lead instructor will request Ops and FG from Metcom each day

Emergency CommunicationsMedical       Evacuation       Other      

10. Prepared by Date/Time

11. Reviewed by Lead Date/Time

12. Reviewed by Chief West Date/Time

FD Training Bureau lesson plan ICS Format (Rev 01/2010)

MEDICAL PLAN1. Incident Name

2. Date Prepared

3. Time Prepared

4. Operational Period

5. Incident Medical Aid Station

Medical Aid Stations LocationParamedics

Yes No

   

                   

                   

                   

6. Transportation

A. Ambulance Services

Name Address PhoneParamedics

Yes No

   

                         

B. Incident Ambulances

Name LocationParamedics

Yes No

South Metro Fire Rescue              

                   

7. Hospitals

Name Address Travel TimeAir Ground Phone Helipad

Yes NoBurn Center

Yes No

                                         

                                         

                                         

8. Medical Emergency Procedures

Prepared by (Medical Unit Leader) 10. Reviewed by (Safety Officer)

FD Training Bureau lesson plan ICS Format (Rev 01/2010)

SAFETY MESSAGE                 

Incident: Volunteer Conference Date: Time:9/8/2010 14:05

Operational Period: 10/1 - 3/10 0800-1700      

Major Hazard and Risks:            

    

Narrative:              

   Prepared By:              SAFETY OFFICER

FD Training Bureau lesson plan ICS Format (Rev 01/2010)

1. Training NameTraining Title Here

2. Operational Period to be covered by IAP (Date/Time)

From: __/__/__ To: __/__/__

Supplies NeededICS 215-TAP

3. Type     Type ___ – ___ Training 4. Division/Group/Staging     Facility and Supply Needs

5. Operations Personnel Name Affiliation Contact # (s)

Conference Incident Commander:

6. Facility and Supply Needs “X” indicates 204a attachment with additional instructions

Items Needed In Stock Date Ordered Responsibility Location Needed

Special Notes:

10. Prepared by Date/Time 11. Reviewed by Lead Date/Time 12. Reviewed by Date/Time     

FD Training Bureau lesson plan ICS Format (Rev 01/2010)

INCIDENT ACTION PLAN SAFETY ANALYSIS 1. Incident NameTIC/live fire

2. DateOctober 1-3 (Volunteer Conference)

3. Time07:00-17:00

Division or Group Potential Hazards Mitigations (e.g. PPE, buddy system, escape routes)

Type of Hazard:

Thermal Injuries

     

Type of Hazard:

Slip and Falls

     

Type of Hazard:

Heat exposure

     

Type of Hazard:

Dehydration

     

Type of Hazard:

     

Type of Hazard:

     

Type of Hazard:

     

Type of Hazard

     

                                       

                                       

                                       

                                       

                                          

                                          

                                            

                                            

                                            

                                            

                                            

                                            

Prepared by (Name and Position)

     

FD Training Bureau lesson plan ICS Format (Rev 01/2010)

TRAINING LOG 1. Incident Name

2. Date Prepared

3. Time Prepared

4. Unit Name/Designators

5. Unit Leader (Name and Position)

6. Operational Period

7. Personnel Roster Assigned

Name Position Home Base

8. Activity Log

Time Major Events

Daily Notes

Injuries:

Unusual Circumstances:

Needs for next session:

Comments:

9. Prepared by (Name and Position)

     Turn in Completed Training Logs Each Day

FD Training Bureau lesson plan ICS Format (Rev 01/2010)

Master Contact List

Name Agency Position Phone e-mail

FD Training Bureau lesson plan ICS Format (Rev 01/2010)