Salinas Assignment 2

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The key takeaways are that this document outlines an ICS 211 form that is used to check in resources responding to the Rizal earthquake incident. The form records details about each resource such as name, agency, contact information, and incident assignment.

Seven resources have checked in including police, ambulance, DPW equipment, and volunteers from various agencies like PNP, BFP, DPWH, and DTI.

For each resource the form records information like check in date and time, kind and type of resource, resource identifier, name of agency and leader, total number of personnel, departure details, and incident assignment.

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

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