April 29, 2018

SAFETY MESSAGE/ PLAN

ICS 208

1. INCIDENT/ EVENT NAME 2. OPERATIONAL PERIOD

From (Date and Time): SEPTEMBER 16, 20XX, 0600H
RIZAL EARTHQUAKE To (Date and Time): SEPTEMBER 16, 20XX, 1800H

3. SAFETY MESSAGE

- Don’t get separated

- Perform buddy system at all times
- Wear PPEs and high visibility vest
- Stay hydrated

4. SITE SAFETY PLAN REQUIRED? YES  NO

LOCATION OF SAFETY PLAN: ____________________________

5. Prepared by SOFR Name and Signature: Date Prepared: Time Prepared:

JOSANNE W. DE CASTRO SEPTEMBER 15, 20XX 1400H
 April 29, 2018

ICS 208: SAFETY MESSAGE/ PLAN

PURPOSE: The ICS 208 expands on the Safety Message and Site Safety Plan.

PREPARATION: The ICS 208 is an optional form that may be included and completed by the Safety
Officer (SOFR) for the Incident Action Plan (IAP).

DISTRIBUTION: The ICS 208, if developed, is duplicated and attached to the ICS 202 and given to
all recipients as part of the Incident Action Plan (IAP). All completed original forms must be given to
the Documentation Unit under the Planning Section.

HOW TO FILL-UP THE FORM:

BLOCK NO. BLOCK TITLE INSTRUCTIONS

1 Incident/Event Name
2 Operational Period
3 Safety Message
4 Site Safety Plan Enter whether or not a site safety plan (safety plan of the
Required?
5 Prepared by SOFR
Enter the name assigned to the incident/event
Enter the start date (month-dd-yyyy) and time (24 hour
format) and end date and time for the operational period to
which the form applies.
Enter clear, concise statements for safety message(s),
priorities and key command emphasis/decisions/directions.
Enter information such as known safety hazards and
specific precautions to be observed. If needed, additional
safety message(s) should be prepared.
infrastructure of the facility or the work area) is required. If
yes, specify where the safety plan can be obtained.
Enter complete name of the SOFR, signature, date (month-
dd-yyyy), and time (24 hour format) the form was prepared
and completed.