Template:Incident Report

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This page is based on the Boilerplate template.

Use that template to make similar pages.

This is a template for pages that are the post-event report for incidents.

Normally a blank form is automatically created when a new incident is added to the Incidents page.

Less likely, you may want to create the form somewhere else. To do so, save a blank page with

{{Subst:Incident Report}}

If you do, what you'll then get is this:



PCSAR Doc-126 Incident Report/Doc:

This page is based on the Incident Report template.

Use that template to make similar pages.

[edit] Confidential distribution

How can and has this report been distributed? Is it confidential?

This report (may) contain information that is held in confidence between the Tasking Agency and Pincher SAR. In accordance with an agreement with the Tasking Agency, this information may be shared confidentially with other SAR workers for learning purposes and to improve future responses.

[edit] File number

How is this report identified? E.g., give the Tasking Agency and its file number.

[edit] Summary

Include a short summary of what happened and what the response was. Just enough to help the reader decide if this is the right incident or whether they want to read more.


Type of Incident: (choose one) Search, Rescue, Search and Rescue, Evidence, Civil Emergency

[edit] Edit status

What is the status of this report? Draft? Final?

This report is in a DRAFT INCOMPLETE state.

[edit] Purpose of report

The purpose of an incident report is to record

  • what happened
  • what were the response factors
  • the outcomes
  • lessons learned, strengths and weaknesses, and areas requiring attention.
  • recommended actions for improving service delivery

The report is used by the Pincher Creek Search and Rescue Society's Board in its governance of the organization. It is used by Pincher SAR in planning and prioritizing future work. Statistics are used to understand trends and patterns. The report is shared with Pincher SAR's Tasking Agencies and partner organizations to help improve future responses.

[edit] Information sources

Where did the information for this report come from?


[edit] Preparation

What relevant plans were in place prior to the incident? What plans could have been used if they existed? What similar incidents have there been? How did the community and our SAR group identify the risks and then treat them (avoided, reduced, shared, and/or retained)?

Response Area:

  • Plans:
  • Similar incidents:

Terrain Type:

  • Plans:
  • Similar incidents:

Subject Activity/Hazards:

  • Plans:
  • Similar incidents:

Response Agreements: Pincher SAR operates under an MOA with the Alberta Office of the Fire Commissioner. The RCMP has been unable to get legal clearance to sign an agreement with PCSAR.

Mutual Aid Preplan:

[edit] Subjects' narrative

Tell the story from the subject's point of view. What were the root causes? How did it start? What did they do? How were they affected by the emergency response? What preparations, equipment and skills did they bring to the situation? (used for risk assessment, public education)

[edit] Root causes

[edit] Responders' narrative

Tell the story from PCSAR's point of view. What was the initial information? What were the major response efforts? What were the major changes in the incident? What were the major difficulties? How was the key information received different from the actual facts? (suitable for a case study)




[edit] Statistics

[edit] Subjects

Describe the subjects for statistical purposes.

  • Subject 1:
    • Age:
    • Sex:
    • lost person profile category:
      • used in determining initial search area: child 1-3, child 3-6, child 6-12, elderly, mentally retarded, dispondent, hiker, snowmobiler, hunter, fisher, picker/photographer, climber, misc adult
      • actual best category:
    • relationship to other subjects:
    • condition found in (help required):
      • self-extricated
      • minor injuries
      • stuck, extrication and assistance along way
      • lost and headed in wrong direction
      • hypothermic
      • dehydrated
      • minor injuries not requiring first aid
      • injuries requiring treatment
      • deceased
      • not found
    • worst prior condition:
    • found together with which other subjects:

[edit] Locations

Describe the area the search/incident area.

Area:

  • Type of terrain:
  • Initial Planning Point
    • Description:
    • Coordinates: NAD27 UTM U11 ...... (approx)


First meet Subject 1:

  • Location
    • Description:
    • Coordinates: NAD 27 UTM U11 ...... (approx)
  • Distance from IPP: ... m (straight line)

[edit] Times

List the time line for statistical purposes. When did the incident start? How long did it go on? When was the first organized response? When was PCSAR first notified? How long was PCSAR activated?

  • Date and time when subjects were first in trouble:
  • Date and time when people in communications with rest of the world learned of incident:
  • Date and time when first authority or response organization was notified:
  • Date and time when PCSAR first notified:
  • Date and time when PCSAR decision to respond (tasking):
  • Date and time when first PCSAR resources moving (to site, staging, or marshal):
  • Date and time when first PCSAR resource leaves marshal:
  • Date and time when first PCSAR resource on site/staging:
  • Date and time when first PCSAR resource beginning field assignment:
  • Date and time when subject 1 located:
  • Date and time when subject 2 located:
  • Date and time when last PCSAR resource signed out/stood down:
  • Number of Operational Periods (including those without PCSAR involvement):

[edit] Resources

How many people were involved in the response? Total person-hours? Total costs? What major equipment/facilities? Break down by PCSAR, other individual organizations, tasking agencies, and spontaneous volunteers. What was the type of involvement? (e.g. heads-up)

[edit] See also

Link to/attach additional information of relevance. Sit-reps. Incident Action Plan updates. ICS roles. Detailed Event Log. Critique report. etc.

not yet produced

  • PCSAR DOC-13 Lost/Missing Person Report and Search Results
  • PCSAR DOC-30 Urban Lost Person Report
  • PCSAR DOC-57 Ground Search and Rescue Report
  • PCSAR DOC-58 Instructions For Completion of Ground Search and Rescue Report
  • PCSAR DOC-65 University of Alberta - Wilderness Lost Person Report
  • PCSAR DOC-92 Civilian SAR Team Incident Report

[edit] Follow-up actions

post-incident action items and follow-up process


[edit] Conclusion

Summarize the conclusions of the report. What went well. What to change for next time.

This section will be prepared based on comments received through the critique process.


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