Hospital Incident Command System – Forms

HICS   Hospital Incident Command System (HICS) 2014

HICS Forms 

Select the (docx) version to download in Microsoft Word format, select the (pdf) version to download in Adobe format.

All HICS Forms (docx) (pdf)

HICS 200 – Incident Action Plan (IAP) Cover Sheet (docx) (pdf)
Incident Action Plan (IAP) Quick Start (docx) (pdf)
Incident Response Guide: Epidemic-Pandemic (docx) (pdf)
Incident Planning Guide: Epidemic-Pandemic (docx) (pdf)

HICS 201 – Incident Briefing (docx) (pdf)
HICS 202 – Incident Objectives (docx) (pdf)
HICS 203 – Organization Assignment List (docx) (pdf)
HICS 204 – Assignment List (docx) (pdf)
HICS 205A – Communications List (docx) (pdf)
HICS 206 – Staff Medical Plan(docx) (pdf)
HICS 207 – Hospital Incident Management Team (HIMT) Chart (docx) (pdf)
HICS 213 – General Message Form (docx) (pdf)
HICS 214 – Activity Log (docx) (pdf)
HICS 215A – Incident Action Plan (IAP) Safety Analysis (docx) (pdf)
HICS 221 – Demobilization Check-Out (docx) (pdf)

HICS 251 – Facility System Status Report (docx) (pdf)
HICS 252 – Section Personnel Time Sheet (docx) (pdf)
HICS 253 – Volunteer Registration (docx) (pdf)
HICS 254 – Disaster Victim/Patient Tracking (docx) (pdf)
HICS 255 – Master Patient Evacuation Tracking (docx) (pdf)
HICS 256 – Procurement Summary Report (docx) (pdf)
HICS 257 – Resource Accounting Record (docx) (pdf)
HICS 258 – Hospital Resource Directory (docx) (pdf)
HICS 259 – Hospital Casualty/Fatality Report (docx) (pdf)
HICS 260 – Patient Evacuation Tracking (docx) (pdf)