HICS  Forms

Hospital Incident Command System (HICS) is an incident command system (ICS) designed for hospitals sites providing medical care and intended for use in both emergency and non-emergency situations.  The standard forms have been modified somewhat for  TMTS  operations. Each form can be downloaded in Word or PDF format.  The PDFs can be printed or filled in electronically.

HICS Forms Workbook
Microsoft Excel workbook of all HICS Forms

 

HICS 201 – Incident Briefing 

 

HICS 202 – Incident Objectives 

 

HICS 203 – Organization Assignment List 

 

HICS 204 – Branch Assignment List 

 

HICS 205 – Incident Communications Log(s)

 

HICS 206 – Staff Medical Plan

 

HICS 207 – Organization Chart

 

HICS 213 – Incident Message Form 

 

HICS 214 – Operational Log

 

HICS 251 – Facility System Status

 

HICS 252 – Section Personnel Time Sheet

 

HICS 253 – Volunteer Staff Registration

 

HICS 254 – Victim-Patient Tracking Form

 

HICS 255 – Master Patient Tracking Form

 

HICS 256 – Procurement Summary Report

 

HICS 257 – Resource Accounting Record

 

HICS 258 – Resource Directory

 

HICS 259 – Casualty Report

 

HICS 260 – Patient Tracking Form

 

HICS 261 – Incident Action Safety