CJA/375 v4
Incident Action Plan Example
The example below demonstrates how to write an objective and strategic supporting statement for each
phase of an incident action plan. A clear and concise strategic supporting statement will follow the
SMART goal model:
Specific – Is the wording precise and unambiguous?
Measurable – How will achievements be measured?
Action Oriented – Is an action verb used to describe expected accomplishments?
Realistic – Is the outcome achievable with given available resources?
Time Sensitive – What is the timeframe?
(Based on ICS form 202)
Example
Initial Response Phase
1. National Guard will be tasked with providing field medical services in the counties of Richmond
a. The National Guard Commander will select various mobile medical field sites from within
Richmond County in order to provide medical attention, triage service, and basic medical
attention to evacuees and other personnel. A co-located EVAC site must be identified in order to
provide helicopter EVOC and resupplies as needed for evacuees and other personnel. NG
Commander will report to EOC OIC no later than 1800 hours, Monday Oct. 12, 2018 for a
situational report and field force will be in place NLT 24 hours at SITRAP.
b.
2. Objective Two
a. Fire services/rescue equipment and personnel will immediately provide on-scene operations,
providing additional SITRAP information to the Incident Command Center (ICC).
b.
3. Objective Three
a.
b.
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CJA/375 v4
Emergency Management Scenarios
Scenarios
Scenario 1: Severe Weather Flood
Major portions of the city have been affected by sudden severe weather with hail and heavy rains. This
has caused the North River to flood parts of the City of Mertzville. Incidents are being reported across a
large scale area. You have received an emergency declaration from your Mayor and have been asked to
immediately respond and implement the Incident Command System (ICS) and emergency management
response.
Overview: The North River flows south through the entire City of Mertzville, including by an industrial
business park where several manufacturing plants and warehouses store various dangerous chemicals
and much of the city’s food storage, as well as by the city’s vibrant downtown riverfront district, which
includes shopping, restaurants, and condominiums. The severe flooding has caused the North River to
displace all businesses within one block of the river and some residences in the downtown riverfront area.
The North River has not flooded in over 100 years and this event was unplanned. Your Learning Team
assignment requires a response plan to the flooded area along with the coordination and implementation
of a disaster response.
Overview: The City of Mertzville is 78 square miles and has a population of 198,000 people with two
operational hospitals, three high schools, four junior high schools, and nine elementary schools. There
are three police stations, seven fire stations, and one National Guard training center for resources.
Mertzville has very little public transportation and the majority of transportation is via personal vehicle.
Your Learning Team assignment requires a response plan and general management approach to the
critical incident resulting from the flood and an immediate implementation plan for Incident Command
System (ICS).
Scenario 2: Winter Storm
The City of Mertzville is facing an approaching winter storm system which appears to be strengthening
and showing no sign of letting up or diverting. It has been snowing off and on over the past few days with
24 to 30 inches of additional snow to fall in the next 8 to 12 hours. Parents have come to the schools to
remove their children early due to the weather and are reporting very bad roads with whiteout conditions
in some areas. Road crews are already unable to keep up with snow accumulation on major roads and
are not plowing less-traveled roads or neighborhoods. Many of the main roads are already needing to be
closed due to white-out conditions and multiple motor vehicle accidents. Many schools report parents
calling and being unable to get to the schools, and they expect that children will have to take shelter at
the schools for the night. The National Weather Service and state government have both issued a shelterin-place recommendation effective immediately, requiring procedures for citizens to seek a place of safety
from the severe weather and remain, possibly for an extended period of time.
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Emergency Management Scenarios
CJA/375 v4
Page 2 of 3
Overview: The City of Mertzville is 78 square miles and has a population of 198,000 people with two
operational hospitals, three high schools, four junior high schools, and nine elementary schools. There
are three police stations, seven fire stations, and one National Guard training center for resources.
Mertzville has very little public transportation and the majority of transportation is via personal vehicle.
The city has sufficient food supplies in local shelters and food banks, however there has been no delivery
plan implemented yet.
Your Learning Team assignment requires a response plan to the severe winter weather and
implementation plan for Incident Command System (ICS).
Scenario 3: Explosion
The City of Mertzville has a professional baseball team whose stadium has a maximum capacity of
40,000 people. The stadium is in the downtown area, a bustling city environment with a multitude of
eating establishments, nightclubs, and shopping, and is near a large hospital. The stadium has had a
large explosion in the third base seating area (west side) of the stadium.
Overview: The City of Mertzville is 78 square miles and has a population of 198,000 people with two
operational hospitals, three high schools, four junior high schools, and nine elementary schools. There
are three police stations, seven fire stations, and one National Guard training center for resources.
Mertzville has very little public transportation and the majority of transportation is via personal vehicle.
Your Learning Team assignment requires a response plan and general management approach to the
critical incident resulting from the explosion and an immediate implementation plan for Incident Command
System (ICS).
Assignment Requirements
As part of this assignment your Learning Team must create a detailed Incident Action Plan and
operations plan detailing:
1.
2.
3.
4.
5.
6.
Initial response
Incident management/establishment including ICS Org. Chart
Demobilization of resources
Restoration
Recovery approach to the North River flood emergency management scenario
Summary
Consider incorporating the following:
•
•
•
•
•
•
•
•
An overview of the emergency management incident
Initial response, roles, and assignment of first responders (patrol officers, fire, EMS)
The full range of Incident Command System (ICS), including:
o Command, structure, sections, positions, and roles
o positions by title, role, and assignment, with assigned personnel for each position
o All roles in a properly detailed organization chart
Public information statement
Social media approach and information dissemination
Traffic plan
Evacuation plan
Medical plan
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Emergency Management Scenarios
CJA/375 v4
Page 3 of 3
•
•
Demobilization plan
Mitigation concerns must be addressed with an area recovery plan
Consider the following questions:
•
•
•
•
•
Should there be national standards for emergency management operations plans at large-scale
sporting events?
How do you notify citizens or give better response and evacuation instructions?
How do you deal with the internal communications of those working in the emergency environment
who may not be able to utilize radios/communication equipment?
What are your plans for documenting the event so as to address future training and response
approaches?
How can training be improved for better response to future emergency preparedness and incidents?
You have the flexibility to improvise or realistically create information or details not included in the
emergency management materials. Critical elements of this assignment focus on your team’s ability to
understand different ways and means of applying the emergency management process and approach to
safely manage critical incidents. These incidents often involve tough decisions, including assignments,
personnel, equipment, training, and other factors affecting employees.
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Incident Action Plan Template
Use the following pages as a guide for completing
your team assignment.
Title Page .........................................................................2
Introduction .....................................................................3
Initial Response Phase ...................................................4
Incident Management/Establishment Phase .................5
Part 1: Command Structure ................................................................... 5
Part 2: Incident Command System Organizational Chart .................... 7
Demobilization Phase .....................................................8
Restoration Phase ...........................................................9
Recovery Phase .............................................................10
Summary ........................................................................11
.
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CJA/375v4
Title Page
Incident Action Plan
Click here to add title of emergency management scenario.
Click here to add team name.
Click here to add the due date.
Click here to add team member names.
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Incident Action Plan Template
CJA/375 v4
Page 3 of 11
Incident Action Plan: Click here to enter title of
the scenario.
Introduction
Directions: Write the introduction in the space below. Include an overview of the incident, as well as the
factors that call for an emergency response.
Click here to add introduction.
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Incident Action Plan Template
CJA/375 v4
Page 4 of 11
Initial Response Phase
Directions: In this section, provide a brief report to the executive staff, elected officials, and media outlets
regarding strategic and operational planning.
Write three objectives that explain the first responders' actions and approach to the initial emergency. In
the supporting statement(s), provide details of how you plan to achieve each objective. Note: Refer to the
Incident Action Plan Example to complete the objectives.
1. Objective One: Click here to add objective 1.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
2.
Objective Two: Click here to add objective 2.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
3. Objective Three: Click here to add objective 3.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
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Incident Action Plan Template
CJA/375 v4
Page 5 of 11
Incident Management/Establishment Phase
The incident management/establishment phase consists of two parts.
Directions - Part 1: Explain the incident command structure (ICS) as well as duties/responsibilities for
each position. Use the text as needed to complete this section.
Part 1: Command Structure
(Specify whether this a single or unified command structure. Then, provide a supporting statement that
justifies your selection.)
a. Click here to add command structure type.
b. Click here to add supporting statements as needed.
c. Click here to add supporting statements as needed.
Operations
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
Safety Officer
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
Liaison Officer
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
Public Information Officer
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
Planning
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
Logistics
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
Finance/Administration
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
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Incident Action Plan Template
CJA/375 v4
Page 6 of 11
Fire/Rescue
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
Law Enforcement
a. Click here to add a duties/responsibility statement.
b. Click here to add supporting statements as needed.
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Incident Action Plan Template
CJA/375 v4
Page 7 of 11
Part 2: Incident Command System Organizational Chart
Directions - Part 2: Design an organization chart in the space provided. Remember, the chart should
depict either a single or unified command structure. Use the text as needed.
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Incident Action Plan Template
CJA/375 v4
Page 8 of 11
Demobilization Phase
Directions: In this section, list resources that will no longer be necessary in the aftermath of the
emergency incident and justify your choices. The demobilization should reflect a phase-out approach. List
resources in priority order (highest to lowest) based on the completion of strategic objectives.
Suggestions include fire/rescue, law enforcement, National Guard, structural engineers, FEMA logistics
personnel, city construction related workers, electrical company personnel, gas company personnel,
communication and infrastructure personnel, and American Red Cross.
1. Objective One: Click here to add objective 1.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
2.
Objective Two: Click here to add objective 2.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
3. Objective Three: Click here to add objective 3.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
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Incident Action Plan Template
CJA/375 v4
Page 9 of 11
Restoration Phase
Directions: The restoration phase will illustrate the short-term restoration strategy of 1) the government,
2) the community, and 3) commerce.
Select three objectives, and explain how you plan to achieve each of them. Suggestions for this section
include restoring power, restoring water, temporary housing, food distribution, and medical facilities.
Remember, for the recovery phase to begin, basic infrastructure needs must first be operational.
a. Objective One: Click here to add objective 1.
b. Click here to add supporting statement.
c. Click here to add additional supporting statements as needed.
d. Click here to enter text.
4.
Objective Two: Click here to add objective 2.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
5. Objective Three: Click here to add objective 3.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
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Incident Action Plan Template
CJA/375 v4
Page 10 of 11
Recovery Phase
Directions: In this section, explain a long-term recovery approach to 1) the government, 2) the
community, and 3) commerce.
Select three objectives and explain how you plan to achieve each of them. Some suggestions for this
section include rebuilding roads, stores, homes and buildings; and restoring emergency services,
communications, and medical services.
Remember, before anything can be built, city/county code and engineering inspectors/services must be
involved.
1. Objective One: Click here to add objective 1.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
2.
Objective Two: Click here to add objective 2.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
3. Objective Three: Click here to add objective 3.
a. Click here to add supporting statement.
b. Click here to add additional supporting statements as needed.
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Incident Action Plan Template
CJA/375 v4
Page 11 of 11
Summary
Directions: Write a summary, providing a brief review of the actions taken in all the phases above. When
finished, edit the entire document and submit.
Click here to add summary.
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