INCIDENT OBJECTIVES (ICS 202)1. Incident Name: 2. Operational Period:

FROG

DAY

FRI FRI

Date/Time From:

05/23 0600

Date/Time To:

05/23 1800

3. Objective(s):

Management Objectives:1. Our highest priority is to provide for public and firefighter safety as outlined in the Incident Response Pocket Guide (IRPG).2. Use the safest and most cost effective suppression methods to achieve perimeter control.3. Protect private property and structure.

4. Operational Period Command Emphasis:

Keep the fire:1. North of Road 96 (Mosquito Ridge).2. East of Deadwood Ridge/Deadwood Ridge Road.3. South of Foresthill Ridge Road.

General Situational Awareness:

For specific safety information, read the Safety Message. For specific medical information, refer to the ICS 206.

5. Site Safety Plan Required?

Approved Site Safety Plan(s) Located at:

6. Incident Action Plan (the items checked below are included in this Incident Action Plan):

ICS 202

ICS 203

ICS 204

ICS 205

ICS 205A

ICS 207

ICS 208

ICS 220

Map/Chart

Weather Forecast/Tides/Currents

Other Attachments:

Yes NoX

ICP AT PLANS

X

X

X

X

X

X ICS 214 UNIT LOG

X ICS 206

7. Prepared Position/Titl Signature:

8. Approved by Incident Commander: Name: Signature:

Date/Time:ICS 202 IAP Page

BRIAN BRICKEY

SAMUEL NUNEZ

PLANNING SECTION CHIEF

05/22 2100

DRAFT 1Page 1 of

1. Incident Name: 2. Operational Period:

FROG

ORGANIZATION ASSIGNMENT LIST (ICS 203)DAY

FRI

Date/Time From: 05/23 0600 FRI

Date/Time To: 05/23 1800

3. Incident Commander(s) and Command Staff:

IC/UC NUNEZ, SAMUELSAFETY OFFICER JARVIS, JON

INFO OFFICER MARTINEZ, MATT4. Agency/Organization Representative(s):

Agency/Organization Name

USFS HUTCHINSON, HIRAMCDF KOPELLI, KERRY (t)

5. Planning Section:

CHIEF BRICKEY, BRIANRESOURCES UNIT SMITH, STAN

CAPRIOLI, CORINE (t)SITUATION UNIT HAFFENFELD, HORTON

MANDARIN, MELODY (t)DEMOBILIZATION UNIT VANPELT, VICTORIA

FIRE BEHAVIOR ANALYST TIMMEL, TINA (t)TRAINING SPECIALIST DICKSON, DRAKE

GIS SPECIALIST FLEISHER, FINIGANCOMPUTER SPECIALIST COHN, COLIN

INCIDENTMETEOROLOGIST

SIMONDS, SAMANTHA

6. Logistics Section:

CHIEF JOHNSON, JACKIECOMMUNICATIONS UNIT GARNER, GRANT

MEDICAL UNIT EMERSON, ERINSECURITY UNIT NADEAU, NOREEN

KERRINGTON, KERMIT (t)FOOD UNIT KELLOGG, KEVIN

SUPPLY UNIT HICKTON, HELENFREEMAN, FRED (t)

FACILITIES UNIT MURDOCH, MICKMADSEN, MELISSA (t)

GROUND SUPPORT UNIT VANCE, VICTOR7. Operations Section:

DAY OPS SECTION CHIEF CRANSTON, CHRISPLANNING OPS LARKIN, LARRY (t)

DIVISION/GROUP KNAPP, KIMCAPE HORN

DIVISION/GROUP GERWE, GERIDOME MTN

DIVISION/GROUP ALLEN, LANCEFREEHOUSE, FARLEY

LANGER LAKE

AIR OPERATIONSBranch

AIR OPERATIONSBRANCH DIR

BONWELL, JAY

AIR TACTICAL GROUPSUPERVISOR

DUNLAP, CHRIS

AIR SUPPORT GROUP BASCH, BARNEY

8. Finance/Administration Section:

CHIEF RUTHERFORD, RUDYTIME UNIT GRIFFIN, GRETCHEN

PROCUREMENT UNIT HARRIS, HELENCOMPENSATION UNIT MASON, MELINDA

COST UNIT FREEMAN, FELICITY

ICS 203

9. Prepared By: STAN SMITHName: Position/Titl Signature:RESL

IAP Page _______ Date/Time 05/22 2100

Page 1 ofDRAFT 1

Division/Group Assignment List (ICS 204 WF)1. Incident Name:

2. Operational Period:

FROG

3.

Branch: Division/Group:

CAPE HORNDate/Time From: 05/23 0600

Date/Time To: 05/23 1800MON MON

DAY

4. Operations Personnel

OPERATIONS CHIEF CRANSTON, CHRIS KNAPP, KIMDIVISION/GROUP SUPERVISOR

SAFETY OFFICER JARVIS, JON AIR ATTACK SUPERVISOR BASCH, BARNEY

Resources Assigned this Period

Strike Team / Task Force /Pick Up PT./Time

NumberLeaderLWDResource Designator Persons Drop Off PT./Time

HC2 N. PACIFIC FORESTRY #6 C-13 CHIPERZ, JACK ICP/1800DP 21/070020

ENG4 ENG 42 E-5 SCHMUCK, LEONARD ICP/1800DP 21/07003

DOZ1 H&R TRACTOR #3 E-12 HARPER, HENRY ICP/1800DP 21/07001

SOFR O-9 JARVIS, JON ICP/1800DP 21/07001

5.

6. Control Operations/Work Assignments:

Monitor Granite Creek drainage. Use helicopter bucket drops to keep hotspots under control.

7. Special Instructions:

Avoid sensitive areas marked with white/orange flagging. Watch for open mine shafts.

9. Prepared By (Resource Unit Leader)

STAN SMITH

Approved By (Planning Section Chief) Date Time

BRIAN BRINKLEY 05/22 2100

DRAFTICS 204 WF (1/14) Page 1 of 1

Division/Group Communication Summary 8.

Function Channel RX Tone/NACRX Frequency N/W TX Frequency N/W TX Tone/NAC Mode

COMMAND 8 153.8600 N 131.7 155.8800 N 131.8 D

TACTICAL 3 151.3200 N 131.8 151.3200 N 131.8 D

MEDEVAC 16 155.2800 N 155.2 155.2800 N 155.2 D

AIR TO GROUND 12 168.0125 N 168.0125 N D

Division/Group Assignment List (ICS 204 WF)1. Incident Name:

2. Operational Period:

FROG

3.

Branch: Division/Group:

DOMEDate/Time From: 05/23 0600

Date/Time To: 05/23 1800MON MON

DAY

4. Operations Personnel

OPERATIONS CHIEF CRANSTON, CHRIS GERWE, GERIDIVISION/GROUP SUPERVISOR

SAFETY OFFICER JARVIS, JON AIR ATTACK SUPERVISOR BASCH, BARNEY

Resources Assigned this Period

Strike Team / Task Force /Pick Up PT./Time

NumberLeaderLWDResource Designator Persons Drop Off PT./Time

ES3 S/T 3240C E-310 OLSON, ANDY JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

STEN E-310.1 OLSON, ANDY JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

1

ENG3 ENG 3289 E-310.2 STILTS, SONNY JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

5

ENG3 ENG 3444 E-310.3 LATHROP, JIM JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

5

ENG3 ENG 8624 E-310.4 EDMONDSON, JP JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

5

ENG3 ENG 9177 E-310.5 DUBOIS, FRANK JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

5

ENG3 ENG 9178 E-310.6 PACILLO, BOLINDA JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

5

WTT1 WATER WORKS WT E-303 ROBINSON, JILL JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

1

DIVS O-56.38 FREEHOUSE, FARLEY (T) JUNIPERSUBDIVISION/1800

FORESTSUBDIVISION/0700

1

5.

6. Control Operations/Work Assignments:

Continue to reassess structures located within the fire perimeter.

7. Special Instructions:

Maintain prompt communications with your crews

9. Prepared By (Resource Unit Leader)

STAN SMITH

Approved By (Planning Section Chief) Date Time

BRIAN BRINKLEY 05/22 2100

DRAFTICS 204 WF (1/14) Page 1 of 1

Division/Group Communication Summary 8.

Function Channel RX Tone/NACRX Frequency N/W TX Frequency N/W TX Tone/NAC Mode

COMMAND 8 153.8600 N 131.7 155.8800 N 131.8 D

TACTICAL 2 151.5000 N 131.8 151.5000 N 131.8 D

MEDEVAC 16 155.2800 N 155.2 155.2800 N 155.2 D

AIR TO GROUND 12 168.0125 N 168.0125 N D

Division/Group Assignment List (ICS 204 WF)1. Incident Name:

2. Operational Period:

FROG

3.

Branch: Division/Group:

LANGER LAKEDate/Time From: 05/23 0600

Date/Time To: 05/23 1800MON MON

DAY

4. Operations Personnel

OPERATIONS CHIEF CRANSTON, CHRIS ALLEN, LANCEDIVISION/GROUP SUPERVISOR

SAFETY OFFICER JARVIS, JON AIR ATTACK SUPERVISOR BASCH, BARNEY

Resources Assigned this Period

Strike Team / Task Force /Pick Up PT./Time

NumberLeaderLWDResource Designator Persons Drop Off PT./Time

HC1 WARM SPRINGS IHC C-10 FISH, WALLACE LANGER DRIVE/1800LANGER DRIVE/070020

HC1 TAHOE HOTSHOTS C-300 COWELL, RANDALL LANGER DRIVE/1800LANGER DRIVE/070021

HC2 SRV #44 C-12 RUIZ, BEN LANGER DRIVE/1800LANGER DRIVE/070020

STCR O-52 06/01 HIDAHL, LANCE LANGER DRIVE/1800LANGER DRIVE/07001

FOBS O-11 06/01 CLARK, RANDY LANGER DRIVE/1800LANGER DRIVE/07001

5.

6. Control Operations/Work Assignments:

Continue to brush Deadwood rd., north to Forrest Hill Rd. Initiate line construction from the Forrest Hill Rd. to Langer Lake.

7. Special Instructions:

Use only designated water sources with blue flagging. Avoid traveling through noxious weeds marked by red flagging.

9. Prepared By (Resource Unit Leader)

STAN SMITH

Approved By (Planning Section Chief) Date Time

BRIAN BRINKLEY 05/22 2100

DRAFTICS 204 WF (1/14) Page 1 of 1

Division/Group Communication Summary 8.

Function Channel RX Tone/NACRX Frequency N/W TX Frequency N/W TX Tone/NAC Mode

COMMAND 8 153.8600 N 131.7 155.8800 N 131.8 D

TACTICAL 1 151.1500 N 131.8 151.1500 N 131.8 D

MEDEVAC 16 155.2800 N 155.2 155.2800 N 155.2 D

AIR TO GROUND 12 168.0125 N 168.0125 N D

1. Incident Name: 2. Date/Time Prepared:

Date:

Time:FROG 05/22

2100

3. Operational Period: DAY

INCIDENT RADIO COMMUNICATIONS PLAN (ICS 205)

FRI FRI

Date/Time From: 05/23 0600

Date/Time To: 05/23 1800

4. Basic Radio Channel Use:

ZoneGroup

FunctionCh

Channel

Name/Trunked Radio

System Talkgroup

Assignment RemarksRX FreqRX

TX FreqTX

Tone/NACMode

Tone/NAC# (A,D, or M)

A 1 TACTICAL TAC DIV LANGER LAKE 151.1500 N 151.1500 N 131.8 D131.8

A 2 TACTICAL TAC DIV DOME MTN 151.5000 N 151.5000 N 131.8 D131.8

A 3 TACTICAL TAC DIV CAPE HORN 151.3200 N 151.3200 N 131.8 D131.8

A 8 COMMAND CMD LINE TO ICP 153.8600 N 155.8800 N 131.8 D LOCATED NORTH OF BAKERCRK

131.7

A 12 AIR TO GROUND A/G 1 ALL DIVISIONS 168.0125 N 168.0125 N D BUCKET DROPS

A 16 MEDEVAC MEDEVAC EMERGENCY EVACONLY

155.2800 N 155.2800 N 155.2 D COMMMO W/LIFE FLIGHTHELOS

155.2

LAST DATE RADIOS WERE CLONED LAST SHIFT. ADDITIONAL CLONING WILL BE NEEDED AS SOON AS ANOTHER REPEATER IS INSTALLED.

5. Special Instructions:

ICS 205

6. Prepared By (Communications Unit Leader): Name: GRANT GARNER Signature:

Date/Time: 05/22 2100IAP Page

Page 1 ofDRAFT 1

1. Incident/Project Name: 2. Operational Period: DAY

FROG Date/Time To: 05/23 1800

Medical Plan (ICS 206 WF)

FRIFRI

Date/Time From: 05/23 0600

3. Ambulance Services

Name Complete Address Advanced Life Support (ALS)Phone&

EMS FrequencyYes No

BRENT HILL AMBULANCE 1223 HILL RD.GRANITE , MT

(123) 123-1234

158.0900 X

MEADOWS VALLEY 200 HWY 95NEW MEADOWS, MT

(123) 123-1234

X

4. Air Ambulance Services

Name Phone Type of Aircraft Capability

LIFEFLIGHT (123) 123-1234 ROTOR/FIXED WING SHORT HAUL

5. Hospitals

Name

Complete Address

GPS Datum - WGS 84

Travel TimePhone

HelipadLevel of Care

Facility

Coordinate Standard

Degrees Decimal Minutes

DD° MM.MMM' N - Lat

DD° MM.MMM' W - LongAir Yes NoGround

CASCADE MEDICAL CLINIC

420 LAKE CASCADECASCADE, MT ER, MINOR TRAUMA

44 31.097 NLat:

Long:

VHF:

116 2.963 W

156.0700

29 MIN 50 MIN (123) 123-1234 X

ST. LUKES

1000 STATE ST.NEW MEADOWS, MT ALS/BURN CENTER

44 54.540 NLat:

Long:

VHF:

116 6.615 W

156.0700

1 HR 4 HRS (123) 123-1234 X

6. Area Location Capability

Branch

Division/Group

8. Prepared By (Medical Unit Leader) 9. Date/Time 10. Reviewed By (Safety Officer) 11. Date/Time

ERIN EMERSON JON JARVIS05/22 2100 05/22 2100

ICS 206 WF (1/14) Page 1 ofDRAFT 3

1. Incident/Project Name: 2. Operational Period: DAY

FROG Date/Time To: 05/23 1800

Medical Plan (ICS 206 WF)

FRIFRI

Date/Time From: 05/23 0600

6. Area Location Capability

Branch

Division/Group

EMS Responders & Capability:

Equipment Available on Scene:

Medical Emergency Channel:

ETA for Ambulance to Scene:

Air:

Ground:

Approved Helispot:

Lat:

Long:

02

23

1 HR

4 HRCAPE HORN

EMS Responders & Capability:

Equipment Available on Scene:

Medical Emergency Channel:

ETA for Ambulance to Scene:

Air:

Ground:

Approved Helispot:

Lat:

Long:

16

DOME MTN

EMS Responders & Capability:

Equipment Available on Scene:

Medical Emergency Channel:

ETA for Ambulance to Scene:

Air:

Ground:

Approved Helispot:

Lat:

Long:

ALS, INTERMED KIT, AED

16

LANGER LAKE

Name

Location&

7. Remote Camp Location(s)

8. Prepared By (Medical Unit Leader) 9. Date/Time 10. Reviewed By (Safety Officer) 11. Date/Time

ERIN EMERSON JON JARVIS05/22 2100 05/22 2100

ICS 206 WF (1/14) Page 2 ofDRAFT 3

1. Incident/Project Name: 2. Operational Period: DAY

FROG Date/Time To: 05/23 1800

Medical Plan (ICS 206 WF)

FRIFRI

Date/Time From: 05/23 0600

Point Of Contact:

Equipment Available on Scene:

EMS Responders & Capability

Medical Emergency Channel:

ETA for Ambulance To Scene:

Air:

Ground:

Approved Helispot:

Lat:

H. HILTON

ALS

BACKBOARD; ALS EQUIP

16

1 HR

3 HR

Long:

FOREST SUBDIVISION

FOREST HILL RD ANDLIGHTHOUSE LANE

Name

Location&

7. Remote Camp Location(s)

8. Prepared By (Medical Unit Leader) 9. Date/Time 10. Reviewed By (Safety Officer) 11. Date/Time

ERIN EMERSON JON JARVIS05/22 2100 05/22 2100

ICS 206 WF (1/14) Page 3 ofDRAFT 3

MEDICAL PLAN (ICS 206)12. Medical Incident Procedures

FOR ALL MEDICAL EMERGENCIES: IDENTIFY ON SCENE INCIDENT COMMANDER BY NAME AND POSITION AND ANNOUNCE"MEDICAL EMERGENCY" TO INITIATE RESPONSE FROM IMT COMMUNICATIONS/DISPATCH.

Medical Incident ReportUse items one through nine to communicate situation to communications/dispatch.

Ex: "Communications: Div. Alpha. Stand-by for Priority Medical Incident Report." (If life threatening, request designated frequency be cleared for emergency1. CONTACT COMMUNICATIONS/DISPATCH

2. INCIDENT STATUS:

3. INITIAL PATIENT ASSESSMENT:

4. SEVERITY OF EMERGENCY, TRANSPORT PRIORITY

5. TRANSPORT PLAN:

6. ADDITIONAL RESOURCE/EQUIPMENT NEEDS:

7. COMMUNICATIONS:

8. EVACUATION LOCATION:

9. CONTINGENCY:

Provide incident summary and command structure.

Nature of Injury/Illness

Incident Name

Patient Care

Incident Commander

Describe the injury(Ex: Broken leg with bleeding)Geographic Name + "Medical"

(Ex: Trout Meadow Medical)

Name of IC

Name of Care Provider(Ex: EMT Smith)

Number of Patients: Male / Female Age: Weight:

Conscious?

Breathing?Mechanism of Injury:

YES NO = MEDEVAC!

What caused the injury?Lat/Long (Datum WG884)

Ex: N 40° 42.45' x W 123° 03.24'

YES NO = MEDEVAC!

Considerations If primary options fail, what actions can be implemented in con-junction with primary evacuation method? Be

REMEMBER:Confirm ETA's of resources ordered

Act according to your level of training

Be Alert. Keep Calm. Think Clearly. Act Decisively.

SEVERITY TRANSPORT PRIORITY

URGENT-RED Life threatening injury orEx: Unconscious, difficulty breathing, bleeding severely, 2 - 3 degreeburns more than 4 palm sizes, heat stroke,

Ambulance or MEDEVAC helicopter.Evacuation need is IMMEDIATE.

PRIORITY-YELLOW Serious Injury or illness.Ex: Significant trauma, not able to walk, 2 - 3 degree burns notmore than 1-2 palm sizes.

Ambulance or consider air transport if at remotelocation. Evacuation may be DELAYED.

ROUTINE-GREENNot a life threatening injury or illness. Ex: Sprains, strains,minor heat-related illness.

Non-Emergency. Evacuation consideredRoutine of Convenience.

Lat/Long (Datum WG884)EX: N 40 42.45' x W 123 03.24'

Patient's ETA to Evacuation Location:

Helispot/Extraction Size and Hazards:

Function Channel Name/Number

Ex: Command

Receive (Rx) Tone/NAC * Transmit (Tx) Tone/NAC *

COMMAND

AIR-TO-GRND

TACTICAL

Forest Rpt, Ch. 2 168.3250 110.9 171.4325 110.9

Air (Agency Aircraft Preferred)

Helispot Short-haul/Hoist Life Flight Other

Ground Transport:

Self-Extract Carry-Out Ambulance Other

*(NAC for digital radio

ICS 206 WF (1/14)

Paramedic/EMT(s) Crew(s) SKED/Backboard/C-Collar

Burn Sheet(s) Oxygen Trauma Bag

Medication(s) IV/Fluid(s) Cardiac Monitor/AED

Other (i.e. splints, rope rescue, wheeled

Complete this section for each patient. This is only a brief, initial assessment. Provide additional patient info after completing this 9

AIR OPERATIONS SUMMARY (ICS 220)1. Incident Name: 2. Operational Period: 3. Sunset:

FROG

DAY

0734 1941

Sunrise:

FRI FRIDate/Time From:

05/23 0600

Date/Time To: 05/23 1800

4. Remarks (safety notes, hazards, air op special equip, etc.) 5. Ready Alert Aircraft:

Medivac:

New Incident:

6. Temporary Flight Restriction

Altitude:

Center Point:

8. Frequencies: AM FM 9. Fixed-Wing (category/kind/type,make/model, N#,

7. Personnel: Name: Phone Number:

Ensure complete briefings are given prior to assignments.Inspect buckets/snorkels between missions.When establishing helispots avoid cutting Whitebark pine.

N25HX

N669H AND CREW

12,000 FT. MSL

45 16 02 116 35 21.5

123.700

120.125

168.012JAY BONWELL (123) 123-1234

BARNEY BASCH (123) 123-1234

CHRIS DUNLAP (123) 123-1234

AIR OPERATIONSBRANCH DIRECTOR

AIR SUPPORT GROUPSUPERVISOR

AIR TACTICAL GROUPSUPERVISOR

HELICOPTERCOORDINATOR

HELIBASE MANAGER

Air/Air Fixed-Wing

Air/Air Rotary-Wing -Flight Following

Air/Ground

Command

Deck Coordinator

Take-Off & LandingCoordinator

Air Guard

4WA, A-32

163, A-33

KW34, A-24

Air Tactical Group Supervisor

Other Fixed-Wing Aircraft:

(Tone) (Tone)

138.1

123.1

11. Prepared Name: Position/Title Signature:

Date/Time:

BARNEY BASCH AIR SUPPORT GROUP

05/22 2100DRAFTICS 220, Page 1 of 2

AIR OPERATIONS SUMMARY (ICS 220)1. Incident Name:

FROG

DAY2. Operational Period: 3. Sunrise:

1941

Sunset:

0734FRI FRI

Date/Time From: 05/23 0600

Date/Time To: 05/23 1800

Make/Model AvailableCategory/Kind/TypeFAA N# RemarksBase Start

5HX ASTAR NEW MEADOWS 0900

10. Helicopters (use additional sheets as necessary):

12. (category/kind/type and function includes: air tactical, reconnaissance, personnel transport, search and rescue,

Name of Personnel or Cargo (if applicable)Category/Kind/TypeFly To

MissionFly From

Startand Function or Instructions for Tactical Aircraft

AIR TACTICAL AA-4WA TANKED/BUCKET WATER DROPS 0900 HELIBASE W FIRE AREA

11. Prepared Name: Position/Title Signature:

Date/Time:

BARNEY BASCH AIR SUPPORT GROUP

05/22 2100DRAFTICS 220, Page 2 of 2