Post Incident Analysis Medical
Shift
Please Select
I
II
III
Completed By
Incident Commander
Date of Incident
-
Month
-
Day
Year
Date
Incident Number
Response Time
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AM
PM
AM/PM Option
until
Arrival
AM
PM
AM/PM Option
Total 0.0
Incident Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Patients
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Green Patients
Yellow Patients
Red Patients
Fatalities
Yes
No
Number of Fatalities
Incident Description
Items Requiring Attention
Procedures
Dispatch
Response
Apparatus
Training
Equipment
Operations
Command
PPE
Please Explain Checked Items
Incident Command
Command
Established by First Arriving
Assign and Announced Ops Channel
Developed IAP and Communicated to Incoming Crews
Transfer of Command
Face to Face
Announced on Ops to Operating Crews
Dispatch Notified Transfer of Command
Command Not Transferred
Size Up
Size Up
Communicated
360 Completed
Assignments Given to Incoming Crews
On Scene Operations
Additional Resources Needed
Yes
No
Additional Resources Requested
Yes
No
Resources
Command Properly Positioned
Yes
No
Safety Concerns
Communications
Communications with Dispatch (if issues describe below)
No Issues
Issues
Describe Issues
Communications with Crews Enroute (if issues describe below)
No Issues
Issues
Describe Issues
Communications On Scene (if issues describe below)
No Issues
Issues
Describe Issues
Landing Zone
Was LZ Used
Yes
No
LZ Used (Location)
Support Functions
Utility Agencies
Power Company
Water Authority
Gas Company
Accountability
LISHFD Accountability Procedures Followed Throughout Incident
Yes
No
Training
Training Deficiencies
Command
Size Up
Communications
Area Familiarization
Pump Ops
Hose Deployment/Advancement
Tactics
Equipment
Gear
Tool Work
Please Explain Checked Items
Assisting Agencies
NOB Hazmat
SOB Hazmat
BCSO
SLED
ATF
FBI
Other Fire Department
Other Agency
Auto Aid
Fripp
Beaufort
Mutual Aid
Beaufort FD
Fripp FD
Burton FD
Air Station MCAS
Parris Island MCRD
Sheldon FD
Other
What Went Well
Lessons Learned
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