1. INCIDENT/EVENT NAME 2.

OPERATIONAL PERIOD
OPERATIONAL PLANNING WORKSHEET From (Date and Time):
ICS 215 To (Date and Time):

3. 4. 5. WORK 6. 7. 8. SPECIAL 9. 10.

BRANCH DIVISION / ASSIGNMENT RESOURCES OVERHEAD EQPT. AND REPORTING REQUESTED
GROUP / POSITION SUPPLIES LOCATION ARRIVAL TIME
OTHERS

Required

Have

Need

Required

Have

Need

Required

Have

Need

Required

Have

Need

Required

Have

Need

Required

Have

Need

14. PREPARED BY OSC

11.TOTAL RESOURCES Single Resource
Name and Signature:
REQUIRED ST or TF

12. TOTAL RESOURCES Single Resource

ON HAND ST or TF Date Prepared: Time Prepared:

13. TOTAL RESOURCES Single Resource

NEEDED TO REQUEST ST or TF