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Salinas Assignment 2

- The document provides an ICS Form 211 for checking in on-scene resources responding to the Rizal Earthquake scenario, including 7 resources totaling 38 personnel from various agencies. - Resources checked in include police, ambulance, dump truck, earth mover, front loader, and volunteers from PNP, BFP, DPWH, DTI between 10:00-11:02 AM on September 15 at the incident location in Rizal. - The form captures the resource identifier, agency, leader name and contact details, number of personnel, point of origin, arrival method, and other qualifications for each checked in resource.

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Jonathan Japson Laroza
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1K views3 pages

Salinas Assignment 2

- The document provides an ICS Form 211 for checking in on-scene resources responding to the Rizal Earthquake scenario, including 7 resources totaling 38 personnel from various agencies. - Resources checked in include police, ambulance, dump truck, earth mover, front loader, and volunteers from PNP, BFP, DPWH, DTI between 10:00-11:02 AM on September 15 at the incident location in Rizal. - The form captures the resource identifier, agency, leader name and contact details, number of personnel, point of origin, arrival method, and other qualifications for each checked in resource.

Uploaded by

Jonathan Japson Laroza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Assignment Instructions
  • Incident Check-In List
  • Blank Checklist Template

Basic Incident Command System Course

Assignment 2: Check-in

Please fill-up the details below:

Name JessieQueen A. Salinas


Agency/Organization DPWH ROI
OCD ID Number 21-257051

Instruction(s):

1. Still refer to Rizal Earthquake Scenario and the accomplished ICS Form 201 from
Assignment 1.

2. Based on the information provided, check-in all on-scene resources using ICS Form 211
(see page 2). Print and fill out the ICS Form 211, and scan or take a photo for submission

3. Once accomplished, save the file using the filename template <Surname>_<Assignment
Number> (example: Dela Cruz_Assignment 2).

Deadline is not later than 1600H of this day.


INCIDENT CHECK-IN LIST
ICS 211
1. INCIDENT/EVENT NAME 2. START DATE AND TIME 3. CHECK-IN LOCATION (Please check)
RIZAL EARTHQUAKE Date: September 15, 20XX
Time: 1000H
□Base □ Camp □Staging Area □ ICP □Others
4. CHECK-IN INFORMATION
Name of With Incident Other Data Sent
Order/ Check-In Resource Identifier Total Departure Details
Ty Agency / Name of Contact Manifest? Assignment Qualifications to RESL
Request Date and Kind No. of
pe Single Office / Leader Details Point of Date and Method
No. Time ST TF Pers. Yes No
Resource Home Base Origin Time of Travel

September Police September


Coco 0927-242-
01 15,20xx Superinte / PNP 1 Rizal 15, 20xx Air NO Medics Yes
10:00 a.m ndent Loco 2319 09:45 a.m.

September September
Police Don Niel 091784122 Bomb
02 15,20xx / PNP 8 Rizal 15,20xx Land NO Yes
10:06 a.m.
Team Dimagiba 687 10:00 a.m Squad

September September
Ambulan 094623589
03 15,20xx
ce / BFP James Ea 6 Rizal 15,20xx Land NO I.T Yes
10:07 a.m. 12 09:48 a.m.

September September
Dump JessieQu 090889758 Safety
04 15,20xx
Truck
/ DPWH 1 Rizal 15,20xx Land NO Yes
10:15 a.m. een A. Sa 91 9:50 a.m Officer

September September
Earth Lindon 090523486 Crane
05 15,20xx
Mover / DPWH 1 Rizal 15,20xx Land NO Yes
10:18 a.m. Berg 57 10:00 a.m Operator

September September Mechanical


Front Renz 091968249
06 15,20xx
Loader
/ DPWH 1 Rizal 15,20xx Land NO Engineer/ Yes
10:20 a.m. Dedicated 51 10:05 a.m. Driver
September September
Volunteer John 099987635 Nurse/
07 15,20xx
s / DTI 20 Rizal 15,20xx Land NO Yes
11:02 a.m. Syns 41 10:07 a.m. Driver

Use additional sheets as needed


Page __1__ of 5. Prepared by (PSC) Name and Signature: Date Prepared: September 15, Time Prepared: 11:05 A.M
__1__
20XX
LINBERG V. BACNIS

2
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Basic Incident Command System Course Assignment 2: Check-in Please fill-up the details below: Name JessieQueen A. Salinas Age
INCIDENT CHECK-IN LIST ICS 211 1. INCIDENT/EVENT NAME RIZAL EARTHQUAKE 2. START DAT
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