HICS-203 – ORGANIZATION ASSIGNMENT LIST
1. INCIDENT NAME
test incident
2. DATE PREPARED
2011-10-29
3. TIME PREPARED
1601L
4. OPERATIONAL PERIOD DATE/TIME
1 August to 29 October 2011
POSITIONNAME / tech_spec
5.Incident Commander and Staff
Incident CommanderCdr. David H. Freese Jr.
Public Information OfficerPeter Freese
Liaison OfficerDavid H. Freese III
Safety OfficerJohn Freese
Medical/Technical Specialist (Type)spec #1
Medical/Technical Specialist (Type)spec #2
Medical/Technical Specialist (Type)spec #3
Medical/Technical Specialist (Type)spec #4
Medical/Technical Specialist (Type)spec #5
Medical/Technical Specialist (Type)spec #6
6. Operations Section
Chiefoperations chief
Staging Managerstaging manager
Medical Care Branchmedical care branch
Infrastructure Branchinfrastructure branch
Security Branchsecurity branch
Business Continuity Branchbusiness continuity branch
HazMat Branchhazmat branch
Other Branch:other ops unit
7. Planning Section
Chiefplanning chief
Resources Unitresource unit
Situation Unitsituation unit
Documentation Unitdocumentation unit
Demobilization Unitdemobilization unit
Other Branch:planning-other
8. Logistics Section
Chieflogistics chief
Service Branchservices director
Support Branchsupport director
Other Branch:logistics-other
9. Finance/Administration Section
Chieffinance chief
Time Unittime unit
Procurement Unitprocurement unit
Compensation/Claims Unitcompensation unit
Cost Unitcost unit
Other Branch:finance-other
10. Agency Representative (in Hospital Command Center)
Agencyhosp cmd ctr
RepresentativeHCC representative
11. Hospital Representative (in External EOC)
External Locationexternal location
Representative
external representative
12. PREPARED BY (RESOURCES UNIT LEADER) Uncle Ben
13. FACILITY NAME facility name
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