Assignment 2 Check-In - 1612497121 - 2022-09-01-09-13-40-Am

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Basic Incident Command System Course

Assignment 2: Check-in

Please fill-up the details below:

Name
Agency/Organization
OCD ID Number

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: 1300H
□Base □ Camp □Staging Area □ ICP □Others
4. CHECK-IN INFORMATION
With
Resource Identifier Name of Departure Details
Order/ Check-In Total Manifest? Data
Typ Agency / Name of Contact Incident Other
Request Date and Kind Single No. of Sent to
e Office / Leader Details Point
Date and Method Assignment Qualifications
No. Time Resourc ST TF Pers. of Yes No RESL
Home Base Time of Travel
e Origin

09-15-
09-15-20XX Orduwa Rizal Incident
1300H
PS / Rizal-PNP 09xxx 1 20xx, Land /
Look Base
1230H Commander

09-15-
09-15-20XX Joseph Rizal Command
PT1 / Rizal-PNP 09xxx 2 20xx, /
1300H Quezon Base
1230H Post

09-15-
09-15-20XX Mark
1300H
PT2 / 09xxx 2 20xx, /
Suarez 1232H

09-15-
09-15-20XX Clark
AMB1 / 09xxx 20xx, /
1301H Kent 1234H

09-15-
09-15-20XX Bruce
1301H
AMB2 / 09xxx 20xx, /
Lee 1234H

09-15-
09-15-20XX Josephin
DT / 09xxx 1 20xx, /
1301H e Chavez 1231H

Mary 09-15-
09-15-20XX
1302H
EM / Anne 09xxx 1 20xx,
1237H
Curtis
09-15-
09-15-20XX
1302H
FL / 09xxx 1 20xx,
1239H

09-15-
09-15-20XX
1303H
V1 / 09xxx 20xx,
1238H

2
09-15-
09-15-20XX
1303H
V2 / 09xxx 20xx,
1239H

Use additional sheets as needed


Page ____ of ____ 5. Prepared by (_____) Name and Signature: Date Prepared: Time Prepared:

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