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Safety Message/ Plan ICS 208: From (Date and Time) : To (Date and Time)

This document is an ICS 208 form that outlines safety information for an incident between unspecified dates. It indicates that a site safety plan is not required for the incident. The form provides instructions on how to fill it out, including designating the incident name, operational period, safety messages, whether a site safety plan is required, and information about the Safety Officer who prepared the form.

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PELIGRO RAMIE
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645 views2 pages

Safety Message/ Plan ICS 208: From (Date and Time) : To (Date and Time)

This document is an ICS 208 form that outlines safety information for an incident between unspecified dates. It indicates that a site safety plan is not required for the incident. The form provides instructions on how to fill it out, including designating the incident name, operational period, safety messages, whether a site safety plan is required, and information about the Safety Officer who prepared the form.

Uploaded by

PELIGRO RAMIE
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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April 29, 2018

SAFETY MESSAGE/ PLAN


ICS 208

1. INCIDENT/ EVENT NAME 2. OPERATIONAL PERIOD


From (Date and Time):
To (Date and Time):
3. SAFETY MESSAGE

4. SITE SAFETY PLAN REQUIRED? YES  NO

LOCATION OF SAFETY PLAN: ____________________________

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


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 Enter the name assigned to the incident/event
2 Operational Period 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.
3 Safety Message 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.
4 Site Safety Plan Enter whether or not a site safety plan (safety plan of the
Required? infrastructure of the facility or the work area) is required. If
yes, specify where the safety plan can be obtained.
5 Prepared by SOFR Enter complete name of the SOFR, signature, date (month-
dd-yyyy), and time (24 hour format) the form was prepared
and completed.

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