Scribd
Upload
68 views2 pages

Planning and Intelligence: Incident Command System

The document is an evaluation form for observing a hospital disaster exercise. It contains questions to evaluate how effectively the Planning and Intelligence section was managed during the exercise. The questions cover topics like what time the exercise and hospital plan were initiated, whether forms and records were being used, and if an action plan was developed and submitted. The form is used to assess this section's performance and identify any areas for improvement.

Uploaded by

ady trader
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
68 views2 pages

Planning and Intelligence: Incident Command System

The document is an evaluation form for observing a hospital disaster exercise. It contains questions to evaluate how effectively the Planning and Intelligence section was managed during the exercise. The questions cover topics like what time the exercise and hospital plan were initiated, whether forms and records were being used, and if an action plan was developed and submitted. The form is used to assess this section's performance and identify any areas for improvement.

Uploaded by

ady trader
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

Hospital Disaster Exercise Evaluation

Incident Command System


PLANNING AND INTELLIGENCE

Observer: Date:
Observer Title:
Hospital:

Type of event: (check one) Drill ( ) Local or Statewide Exercise ( ) Table Top ( )

[ ] AM [ ]
Period of time of evaluation - From: ___:___ PM To: ___:___ [ ] AM [ ] PM

1. Time the drill/exercise began: ___:___ [ ] AM [ ] PM

2. Time the hospital disaster plan was initiated: ___:___ [ ] AM [ ] PM

3. Time Communications were operational: ___:___ [ ] AM [ ] PM

4. Time that Plans/Intell Section was operational: ___:___ [ ] AM [ ] PM

5. Did someone take charge of this area? ( ) Y ( ) N ( ) U


If someone took charge of this area, how many minutes after the drill activities in this area
began did this person take charge? (select one)
( ) < 10 min ( ) 10-29 min ( ) 30-59 min ( ) 1-2 hrs ( ) > 2 hrs
6. If someone took charge of this area, was it the officially designated person? ( ) Y ( )N ( )U
7. How was the person in charge of the area identified? (check all that apply)
Hat ( )
Vest ( )
Name Tag ( )
Not Identified ( )
Other ( ) specify
8. Was the hospital disaster plan available? ( ) Y ( )N ( )U
If the hospital disaster plan was available, how was it accessed? (check all that apply)
Computer/Internet ( )
Disaster Manual ( )
Personal Data Assistant (PDA) ( )
Not Accessed ( )
Other ( ) specify
9. Were the following or similar Forms/Records being utilized? (check all that apply)
Activities Log ( )
Situation Reports (SITREP) ( )
HEICS Action Plan ( )
Personnel Time Sheet ( )
Incident Message Form ( )

Note: Y=Yes; N=No; U=Unclear; NA=Not applicable


Page 1 of 2
Hospital Disaster Exercise Evaluation
Incident Command System
PLANNING AND INTELLIGENCE

10. Was the Action Plan developed and submitted to the IC and ( )Y ( )N
Operations for implementation?
11. Time drill/exercise ended: ___:___ [ ] AM [ ] PM

Comments: (if comment refers to a specific item, give the item number)

Note: Y=Yes; N=No; U=Unclear; NA=Not applicable


Page 2 of 2

You might also like