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ICS Form 214 Instructions and Example. . . 1 ICS Form 214 Instructions Section 1: General Information 1.Incident Name: Write the official name of the incident (e.g., “Hurricane Response”). 2.Operational Period: Enter the date and time for the beginning and end of the operational period you are documenting. Format: MM/DD/YYYY and HH:MM AM/PM. 3.Date: Record the date you are filling out the form (MM/DD/YYYY). Section 2: Personnel Assigned 1.Name: List the full names of all personnel involved during the operational period. 2.Position/Title: Specify each individual’s position or title (e.g., “Incident Commander,” “Logistics Officer”). 3.Agency: Indicate Union County as the agency. Section 3: Activities 1.Description of Activities: Provide a concise summary of each person’s activities during the operational period. Use action verbs (e.g., “Conducted search and rescue operations”). 2.Start Time: Record the time each activity began. Format: HH:MM AM/PM. 3.End Time: Record the time each activity ended. 2 Format: HH:MM AM/PM. 4.Duration: Calculate the total time spent on each activity (in hours and minutes). Ensure that the duration accurately reflects the start and end times. 5.Mileage: Document the mileage driven for each activity, if applicable. Specify the total miles traveled in this section (e.g., “50 miles”). 6.Equipment Description: List any equipment used during the operational period relevant to the activities described. Include details such as the type of equipment (e.g., “Generator,” “Rescue Boat”) and any pertinent information (e.g., condition or issues encountered). Section 4: Issues/Concerns 1.Challenges Encountered: Describe any significant problems or issues that arose during the operational period (e.g., “Resource shortages,” “Communication breakdowns”). 2.Resolution: Document how each issue was addressed or resolved, if applicable. Be specific about actions taken and the outcomes. Section 5: Notes 1.Additional Information: Use this section for any other relevant details that may aid in future operations or assessments. This can include recommendations for improvement, observations about team dynamics, or lessons learned. Final Steps Review for Accuracy: Double-check all entries for clarity and correctness. Ensure that names, times, mileage, equipment descriptions, and issues are consistent and accurate. Signature: At the bottom of the form, sign and date it to certify that the information is true and complete. Distribution: Submit the completed form to your supervisor 3 Additional Tips •Use Clear and Simple Language: Avoid jargon and ensure that anyone reading the form can easily understand the entries. •Stay Organized: If you’re filling out multiple forms or documenting several activities, keep them organized to prevent confusion. •Update Regularly: If you’re involved in ongoing operations, fill out the ICS Form 214 regularly to keep a current log of activities, mileage, and equipment used. ACTIVITY LOG (ICS 214) 1. Incident Name:2. Operational Period: Date From: Date To: Time From: Time To: 3. Name:4. ICS Position:5. Home Agency (and Unit): 6.Resources Assigned: Name ICS Position Home Agency (and Unit) 7. Activity Log: Date/Time Notable Activities 8.Prepared by:Name: Position/Title: Signature: ICS 214, Page 1 Date/Time: ACTIVITY LOG (ICS 214) 1. Incident Name:2. Operational Period: Date From: Date To: Time From: Time To: 7. Activity Log (continuation): Date/Time Notable Activities 8.Prepared by:Name: Position/Title: Signature: ICS 214, Page 2 Date/Time: ICS 214 Activity Log Purpose. The Activity Log (ICS 214) records details of notable activities at any ICS level, including single resources, equipment, Task Forces, etc. These logs provide basic incident activity documentation, and a reference for any after- action report. Preparation. An ICS 214 can be initiated and maintained by personnel in various ICS positions as it is needed or appropriate. Personnel should document how relevant incident activities are occurring and progressing, or any notable events or communications. Distribution. Completed ICS 214s are submitted to supervisors, who forward them to the Documentation Unit. All completed original forms must be given to the Documentation Unit, which maintains a file of all ICS 214s. It is recommended that individuals retain a copy for their own records. Notes: The ICS 214 can be printed as a two-sided form. Use additional copies as continuation sheets as needed, and indicate pagination as used. Block Number Block Title Instructions 1 Incident Name Enter the name assigned to the incident. 2 Operational Period Date and Time From Date and Time To Enter the start date (month/day/year) and time (using the 24-hour clock) and end date and time for the operational period to which the form applies. 3 Name Enter the title of the organizational unit or resource designator (e.g., Facilities Unit, Safety Officer, Strike Team). 4 ICS Position Enter the name and ICS position of the individual in charge of the Unit. 5 Home Agency (and Unit) Enter the home agency of the individual completing the ICS 214. Enter a unit designator if utilized by the jurisdiction or discipline. 6 Resources Assigned Enter the following information for resources assigned: Name Use this section to enter the resource’s name. For all individuals, use at least the first initial and last name. Cell phone number for the individual can be added as an option. ICS Position Use this section to enter the resource’s ICS position (e.g., Finance Section Chief). Home Agency (and Unit)Use this section to enter the resource’s home agency and/or unit (e.g., Des Moines Public Works Department, Water Management Unit). 7 Activity Log Date/Time Notable Activities Enter the time (24-hour clock) and briefly describe individual notable activities. Note the date as well if the operational period coversmore than one day. Activities described may include notable occurrences or events such as task assignments, task completions, injuries, difficultiesencountered, etc. This block can also be used to track personal work habits by addingcolumns such as “Action Required,” “Delegated To,” “Status,” etc. 8 Prepared by Name Position/Title Signature Date/Time Enter the name, ICS position/title, and signature of the person preparing the form. Enter date (month/day/year) and time prepared (24-hour clock).