| HICS-203 – ORGANIZATION ASSIGNMENT LIST | |||
| 1. INCIDENT NAME :inc: |
2. DATE PREPARED :dat: |
3. TIME PREPARED :tim: |
4. OPERATIONAL PERIOD DATE/TIME :opp: |
| POSITION | NAME / tech_spec | ||
| 5.Incident Commander and Staff | |||
| Incident Commander | :icc: | ||
| Public Information Officer | :ici: | ||
| Liaison Officer | :icl: | ||
| Safety Officer | :ics: | ||
| Medical/Technical Specialist (Type) | :tech_spc[0]: | ||
| Medical/Technical Specialist (Type) | :tech_spc[1]: | ||
| Medical/Technical Specialist (Type) | :tech_spc[2]: | ||
| Medical/Technical Specialist (Type) | :tech_spc[3]: | ||
| Medical/Technical Specialist (Type) | :tech_spc[4]: | ||
| Medical/Technical Specialist (Type) | :tech_spc[5]: | ||
| 6. Operations Section | |||
| Chief | :ops_chief: | ||
| Staging Manager | :stg_mgr: | ||
| Medical Care Branch | :med_care_brch: | ||
| Infrastructure Branch | :infr_brch: | ||
| Security Branch | :sec_brch: | ||
| Business Continuity Branch | :bus_brch: | ||
| HazMat Branch | :hazmat_brch: | ||
| Other Branch: | :ops_other: | ||
| 7. Planning Section | |||
| Chief | :planning_chief: | ||
| Resources Unit | :res_unit: | ||
| Situation Unit | :sit_unit: | ||
| Documentation Unit | :doc_unit: | ||
| Demobilization Unit | :dem_unit: | ||
| Other Branch: | :planning_other: | ||
| 8. Logistics Section | |||
| Chief | :log_chief: | ||
| Service Branch | :svc_brch: | ||
| Support Branch | :sup_brch: | ||
| Other Branch: | :log_other: | ||
| 9. Finance/Administration Section | |||
| Chief | :fin_chief: | ||
| Time Unit | :time_unit: | ||
| Procurement Unit | :proc_unit: | ||
| Compensation/Claims Unit | :comp_unit: | ||
| Cost Unit | :cost_unit: | ||
| Other Branch: | :fin_other: | ||
| 10. Agency Representative (in Hospital Command Center) | |||
| Agency | :hcc_agency: | ||
| Representative | :hcc_rep: | 11. Hospital Representative (in External EOC) | |
| External Location | :ext_loc: | ||
| Representative |
:ext_rep: | 12. PREPARED BY (RESOURCES UNIT LEADER) :pre: | |
| 13. FACILITY NAME :facility: | |||