Fillable INCIDENT CHECK-IN LIST (ICS 211) (FEMA)

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INCIDENT CHECK-IN LIST (ICS 211) (FEMA)

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The INCIDENT CHECK-IN LIST (ICS 211) (FEMA) form is 1 page long and contains:

  • 1 signature
  • 5 check-boxes
  • 151 other fields

Country of origin: US
File type: PDF

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INCIDENT CHECK-IN LIST (ICS 211)
1. Incident Name:
2. Incident Number:
3. Check-In Location (complete all that apply):
4. Start Date/Time:
Date:
Time:
Base
Staging Area
ICP
Helibase
Check-In Information (use reverse of form for remarks or comments)
5. List single resource personnel (overhead) by agency and
name, OR list resources by the following format:
6. Order
Request #
7. Date/Time
Check-In
8. Leader’s
Name
9. Total
Number of
Personnel
10. Incident
Contact
Information
11. Home
Unit or
Agency
12. Departure
Point, Date
and Time
13. Method
of Travel
14. Incident
Assignment
15. Other
Qualifications
16. Data
Provided to
Resources
Unit
State
Agency
Category
Kind
Type
Resource
Name or
Identifier
ST or TF
ICS 211 17. Prepared by: Name: Position/Title: Signature: Date/Time:
click to sign
signature
click to edit
ICS 211
Incident Check-In List
Purpose. Personnel and equipment arriving at the incident can check in at various incident locations. Check-in consists
of reporting specific information, which is recorded on the Check-In List (ICS 211). The ICS 211 serves several purposes,
as it: (1) records arrival times at the incident of all overhead personnel and equipment, (2) records the initial location of
personnel and equipment to facilitate subsequent assignments, and (3) supports demobilization by recording the home
base, method of travel, etc., for resources checked in.
Preparation. The ICS 211 is initiated at a number of incident locations including: Staging Areas, Base, and Incident
Command Post (ICP). Preparation may be completed by: (1) overhead at these locations, who record the information
and give it to the Resources Unit as soon as possible, (2) the Incident Communications Center Manager located in the
Communications Center, who records the information and gives it to the Resources Unit as soon as possible, (3) a
recorder from the Resources Unit during check-in to the ICP. As an option, the ICS 211 can be printed on colored paper
to match the designated Resource Status Card (ICS 219) colors. The purpose of this is to aid the process of completing a
large volume of ICS 219s. The ICS 219 colors are:
•
219-1: Header Card – Gray (used only as label cards for T-Card racks)
•
219-2: Crew/Team Card – Green
•
219-3: Engine Card – Rose
•
219-4: Helicopter Card – Blue
•
219-5: Personnel Card – White
•
219-6: Fixed-Wing Card – Orange
•
219-7: Equipment Card – Yellow
•
219-8: Miscellaneous Equipment/Task Force Card – Tan
•
219-10: Generic Card – Light Purple
Distribution. ICS 211s, which are completed by personnel at the various check-in locations, are provided to the
Resources Unit, Demobilization Unit, and Finance/Administration Section. The Resources Unit maintains a master list of
all equipment and personnel that have reported to the incident.
Notes:
•
Also available as 8½ x 14 (legal size) or 11 x 17 chart.
•
Use reverse side of form for remarks or comments.
•
If additional pages are needed for any form page, use a blank ICS 211 and repaginate as needed.
•
Contact information for sender and receiver can be added for communications purposes to confirm resource orders.
Refer to 213RR example (Appendix B)
Block
Number
Block Title Instructions
1
Incident Name
Enter the name assigned to the incident.
2
Incident Number Enter the number assigned to the incident.
3
Check-In Location
Base
Staging Area
ICP
Helibase
Other
Check appropriate box and enter the check-in location for the incident.
Indicate specific information regarding the locations under each
checkbox. ICP is for Incident Command Post.
Other may include…
4
Start Date/Time
•
Date
•
Time
Enter the date (month/day/year) and time (using the 24-hour clock) that
the form was started.
Block
Number
Block Title Instructions
Check-In Information
Self explanatory.
5
List single resource
personnel (overhead) by
agency and name, OR list
resources by the following
format
Enter the following information for resources:
OPTIONAL: Indicate if resource is a single resource versus part of Strike
Team or Task Force. Fields can be left blank if not necessary.
•
State
Use this section to list the home State for the resource.
•
Agency
Use this section to list agency name (or designator), and individual
names for all single resource personnel (e.g., ORC, ARL, NYPD).
•
Category
Use this section to list the resource category based on NIMS, discipline,
or jurisdiction guidance.
•
Kind
Use this section to list the resource kind based on NIMS, discipline, or
jurisdiction guidance.
•
Type
Use this section to list the resource type based on NIMS, discipline, or
jurisdiction guidance.
•
Resource Name or
Identifier
Use this section to enter the resource name or unique identifier. If it is a
Strike Team or a Task Force, list the unique Strike Team or Task Force
identifier (if used) on a single line with the component resources of the
Strike Team or Task Force listed on the following lines. For example, for
an Engine Strike Team with the call sign “XLT459” show “XLT459” in this
box and then in the next five rows, list the unique identifier for the five
engines assigned to the Strike Team.
•
ST or TF
Use ST or TF to indicate whether the resource is part of a Strike Team or
Task Force. See above for additional instructions.
6
Order Request #
The order request number will be assigned by the agency dispatching
resources or personnel to the incident. Use existing protocol as
appropriate for the jurisdiction and/or discipline, since several incident
numbers may be used for the same incident.
7
Date/Time Check-In
Enter date (month/day/year) and time of check-in (24-hour clock) to the
incident.
8
Leader’s Name
•
For equipment, enter the operator’s name.
•
Enter the Strike Team or Task Force leader’s name.
•
Leave blank for single resource personnel (overhead).
9
Total Number of Personnel
Enter total number of personnel associated with the resource. Include
leaders.
10
Incident Contact
Information
Enter available contact information (e.g., radio frequency, cell phone
number, etc.) for the incident.
11 Home Unit or Agency
Enter the home unit or agency to which the resource or individual is
normally assigned (may not be departure location).
12
Departure Point, Date and
Time
Enter the location from which the resource or individual departed for this
incident. Enter the departure time using the 24-hour clock.
13 Method of Travel
Enter the means of travel the individual used to bring himself/herself to
the incident (e.g., bus, truck, engine, personal vehicle, etc.).
14
Incident Assignment
Enter the incident assignment at time of dispatch.
15
Other Qualifications
Enter additional duties (ICS positions) pertinent to the incident that the
resource/individual is qualified to perform. Note that resources should not
be reassigned on the incident without going through the established
ordering process. This data may be useful when resources are
demobilized and remobilized for another incident.
Block
Number
Block Title Instructions
16 Data Provided to
Resources Unit
Enter the date and time that the information pertaining to that entry was
transmitted to the Resources Unit, and the initials of the person who
transmitted the information.
17
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).
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INCIDENT CHECK-IN LIST (ICS 211) (FEMA)

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Completed 7 June 2022

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