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The Incident Command System (ICS). (Courtesy of Fire
protection Publications.)
Examination of the analysis made it clear that there was need for
inter-agency standardization and commonality, supported by modem technologies, if fire
service performance was to improve. This led to the "design criteria" statement
for a new system.
ICS DESIGN CRITERIA
The design criteria were developed before significant work began on
developing the new system. This was done to assure that whatever the exact configuration
of this new organization would be, it would be compatible with all of the requirements of
a major emergency management system. The design criteria addressed a set of guidelines
that included standard multi-agency organization, terminology, operating procedures, and
communications integration. There were seven requirements placed on the design of the
system:
MANAGEMENT CONCEPTS AND SYSTEM CHARACTERISTICS
The fire services participating in the developmental effort (United States
Forest Service; California Department of Forestry; California Office of Emergency
Services; Los Angeles, Santa Barbara, and Ventura County Fire Departments; and Los Angeles
City Fire Department) provided representatives who, collectively, had hundreds of years of
emergency management experience. These people were practical, and familiar With all of the
problems inherent in disaster response. They were all aware of "Murphy's Law"
("If anything can go wrong, it will go wrong."), and they wanted to keep Murphy
away from the Incident Command System.
The fire services wanted to be sure the ICS was designed so that each
agency would retain control over its own legal and fiscal responsibilities, agency roles,
and organizational procedures. They wanted a system that would work well even with the
participation of inherently different agencies and agencies from different levels of
government (city, county, regional, state, and federal). Also desirable was a method for
providing the best information management and maintaining order and effectiveness under
crisis conditions. These needs led to yet another set of concepts and characteristics.
Concepts
Agency Autonomy
Throughout ICS, procedures are designed to protect agency (or
jurisdictional) autonomy. The Unified Command concept was designed to encourage the close
working relationship of diverse agencies while at the same time preventing "power
plays" or "take overs" by larger or more assertive members. The system
recognizes the legal and fiscal authorities of both primary and supporting organizations.
Management by Objectives (MBO)
The classic interpretation of MBO (Kast, 1974:171) is incorporated in the
ICS planning process. The objectives set by Command must be "real" in the sense
that subordinate positions agree that the objectives can be met. Command is required to
adjust any objectives that subordinates state they cannot accomplish. This assures that
plans are realistic and that Command is clearly aware of organizational limitations. It
also increases the commitment of subordinate positions because those who help to design
their own assignments have a greater motivation to reach objectives.
Unit Integrity
The organization is designed to keep people from the same agencies and
emergency management disciplines together (i.e., police are not organizationally mixed
with fire personnel; fire people are not assigned to public works). This concept
improves the safety of the responders, makes it easier to keep accurate time records, and
simplifies communication throughout the organization.
Functional Clarity
Each part of the organization is designed so that its members can
concentrate on a primary assignment and not be unnecessarily distracted by other
responsibilities. For example, the Operations Section does not have to be concerned with
feeding, fixing flat tires, or obtaining special clothing. Units in the Logistics Section
are activated to serve these and other needs so that Operations can put full energy into
the basic assignment.
Characteristics
Effective Span-of-Control
Organizational supervisory positions are designed to provide
supervisor-sub-ordinate ratios that meet modern management practice. The general rule is
five subordinate units per supervisory position, although allowance is made to vary this
ratio under special circumstances. If tasks are relatively simple or routine, taking place
in a small area, communications are good, and the incident character is reasonably stable,
then one supervisor may oversee up to eight subordinate units. Conversely, if the tasks
are demanding, taking place over a large area, and incident character is changing, then
the span of control might be reduced to one supervisor per two or three subordinates. ICS
is designed to provide the most efficient leadership possible under crisis conditions.
"Modular" Organization
The organization can be increased as an incident escalates in complexity,
and it can be decreased as the incident comes under control. Following span-of-control
guidance, an Incident Commander may respond initially with only a few units. As the
incident grows, Command can add specific positions with specific assignments. Sections,
Branches, Divisions, Groups, and Units (de-fined below) can be added. The complete (and
rarely activated) organization will provide direction and control over 5,200 personnel. As
the incident de-escalates, the organization can be reduced in a systematic manner,
relieving those elements that are no longer needed. If appropriate, a demobilization unit
can be staffed to assure prompt release of unneeded resources. Thus, ICS provides a means
of adding and subtracting resources in the most cost-effective and leadership-efficient
manner.
Common Terminology
There are several categories of "common" terminology:
Organizational positions.
Each position has a specific title (Incident Commander, Planning Section
Chief, Branch Director, Division Supervisor). Although there are some necessary
differences between the "fire" (ICS) and the "law enforcement" (LEICS)
versions, the basic organizational structure is the same, For instance, the fire version
has Section Chiefs while LEICS titles those positions Section Officer-in-Charge, or OIC.
LEICS has "Armorers," "K-9 Units," and "SWAT Teams,"while
ICS has "Strike Teams," and "Air Attack" positions not in LEICS. The
medical applications of ICS have introduced "Medical Supervisor," "Triage
Leader," and "EMS Staging Manager. Each of these differences is justified by the
requirements of the particular discipline (fire, law, or medical). The differences,
however, still follow a standard hierarchy (see Table 7-1). Adherence to the hierarchical
terminology, even though some special terms are needed, is what enables personnel from
separate agencies or disciplines to understand and utilize ICS on multi-agency incidents.
Resource elements.
Both ICS and LEICS define specific resources. ICS defines 16
"primary" resources (engines, bulldozers, helicopters) and 13
"support" or secondary resources (breathing apparatus, mobile mechanic, utility
transport). LEICS defines 39 kinds of resources (SWAT team, light rescue team, coroner,
patrol vehicle).
Defining the title and capability of specific resources, and having those
definitions used throughout any particular discipline, has several advantages. First,
resources can be ordered and managed to meet specific tasks; second, both the ordering and
the sending parties know exactly what is needed; and third, the grouping of some resources
into "teams" or "task forces" allows simplified resource accounting
(see "Comprehensive Resource Management," below).
Defining resource elements and using those definitions throughout a
jurisdiction or emergency response discipline is one important way to overcome the
recurrent problem of incident managers ordering "everything you've got."
Facilities.
Common terms are used to identify the facilities used at an incident, and
each facility has a defined function. For instance, the Incident Command Post (ICP) is the
location where Command functions are carried out.
Table 7-1. Standard Organizational Positions
LEVEL TITLE
Command Commander
Command Staff Officer
Section Chief/OIC
Branch Director
Division/Group Supervisor
Unit Leader/Manager
The Incident Base is where personnel eat, sleep, and receive other care.
The two facilities are not interchangeable in terms of function. Having common facility
definitions and functions is another means of communicating and avoiding confusion; when
personnel understand these functions and terms, they know where to go and what they will
find at a given facility.
Integrated communications.
ICS/LEICS have a systematic process for making the best possible
integration of available communications. Two standard forms, the "Radio Requirements
Worksheet" and the "Radio Frequency Assignment Sheet" (see Appendix C)
provide means to identify all available radio resources on the incident (mobiles, relays,
base stations, and portables). These radio resources are then assigned to Command,
Tactical, Support, Air-to-Air, and Air-to-Ground functions. These assignments abide by the
unit integrity, agency autonomy, and functional clarity concepts of ICS, so no agency's
radios are assigned to others without Command approval. The radio resources data are noted
in Division Assignment Sheets and included in the Incident Action Plan (see Appendix C),
so that all personnel on the incident have instructions on the available nets.
Comprehensive resource management.
ICS resource management procedures are designed to overcome the typical
problems of too few, too many, lost, or mismanaged response forces. As with all other
parts of the system, the resource management procedures are interrelated and compatible
with the design criteria and management concepts.
Specific responsibility for resource status-keeping is assigned to the
Resource Status Unit ("Restat") in the Planning Section. Restat is responsible
for staffing "check-in" locations where all incoming resources fill out a
check-in form (Appendix C). Data on resource status are continually updated, reported to
Command, and used throughout the planning process.
Resources are managed either as single resources, task forces, or teams.
The process simplifies status keeping and reduces span-of-control problems. Resources are
monitored by three different status conditions: 1) "Assigned"-performing an
active assignment; 2) "Available"-ready for immediate assignment; or 3)
"Out-of-Service"-not ready for assignment. Status changes, major changes in
location, and other data are recorded by a standard process that provides both Command and
Planning with nearly real-time management information.
Two other extremely important components of ICS, the Unified Command
concept and the Incident Action Planning Process, are discussed in detail later in this
chapter.
OVERVIEW OF THE SYSTEM
There are 36 basic positions in the complete ICS organization (Fig. 7-1).
The Command, Branch Director, Division Supervisor, Task Force Leader, Team Leader, and
some other positions may be duplicated (following span-of-control guidelines) if necessary
to expand the organization. With all positions filled,
(click to enlarge)
Figure 7-1. Incident organization chart.
A key point about the command function is that the executive
responsibilities cannot be ignored. Even though there may be only five or six responders
on an incident and the Incident Commander may be quite involved in the actual
"doing" work, the command function requires attention to organizing and
managing.
The Incident Commander is supported by a Public Information Officer',`
Safety Officer, and a Liaison Officer as needed. These positions report directly to
Command and assist in fulfilling the duties of coordination with others and the overall
safety of the organization's members.
(click to enlarge)
Figure 7-2. Command section.(click to enlarge)
Figure 7-3. Operations section
The most important observation that can be made about the disaster
management failures documented in this book is that most disaster response organizations
start and stop with the "doing" work. Earlier examples cite numerous instances
where overall management has not been maintained, and only massive "doing"
chores constitute the emergency actions. In ICS, the Operations Section activities-while
certainly important-are integrated into a total managed System, and not a means unto
themselves to the exclusion of all other chores that must be done.
Planning
Planning Section responsibilities are of staff nature (see Fig.
7-4). They are support of Command and Operations, and designed to provide past, present,
and future information about the incident. This information includes both resource and
situation status on a real-time basis. Responsibilities include:
The Planning Section includes a position for "Technical
Specialists." The position(s) may be filled by any qualified advisor(s) to provide
Planning with technical data that are critical to incident management. In a flood
situation, for instance, it may be necessary to consider public health and sanitation
issues. A public health officer could be assigned as a Technical Specialist to provide
professional advice. In the case of a building collapse, a construction engineer or the
local building permit inspector might be used to advise Planning. The purpose of the
position is to assure that plans are complete and realistic, regardless of the nature of
the problem.
Logistics
Logistics Section responsibilities are also of staff nature (see
Fig. 7-5). Logistics provides all of the personnel, equipment, and services required to
manage the incident. Following the
"functional clarity" concept of ICS, Logistics is responsible for two
subfunctions: Service and Support.
It is important to note that once human, technical, and mechanical
resources are obtained by Logistics, the management of those resources is turned over to
Planning and Operations.
(click to enlarge)
Figure 7-4. Planning section. (click to enlarge)
Figure 7-5. Logistics section.(click to enlarge)
Figure 7-6. Finance section.
In both ICS and LEICS, there are two checklists for the supervisory and
subordinate positions of each of the five functional areas. There are general checklists
showing the tasks all positions are accountable for on all incidents, and a specific
checklist for detailing performance of each individual position. The checklists and other
information about the system are included in pocket-sized "Field Operations
Guides" (State of California, 1982) that can be provided to emergency response
personnel as training tools and as reminders or references during actual incidents.
THE INCIDENT ACTION PLANNING PROCESS
Every emergency incident, no matter how small, requires some form of
planning to control the problem. Better planning results in more effective and efficient
response activities. ICS (and LEICS) use a planning process that meets the design criteria
of "expansibility" from simple, daily activities up to the demands of a major
emergency. It has been carefully designed to accomplish rapid, yet complete, planning for
even the most complex of incidents.
For simple, routine incidents the process will be accomplished intuitively
by the Incident Commander (the first arriving officer or supervisor). Even for the massive
emergency where written Incident Action Plans should be prepared for every shift, the
initial Incident Commander will probably start with an intuitive plan. However, ICS
emphasizes that the mental and verbal procedures used in the early crisis should be
rapidly replaced by the more formal and systematic planning process. Learning the
formal process sets a mental pattern that allows for more complete application of
the principles when intuitive planning is necessary.
Management-by-Objectives Framework
The Incident Action Planning process is derived from classic Management by
Objectives (MBO) concepts below (Kast, 1974:171).
Forms Aid the Process
The experienced emergency responders who developed ICS spent over a year
designing the forms that are used in the planning process. Their work was focused on
preparing documents that would: 1) follow the MBO concept; 2) answer the questions,
"What do we need to know?" and "What do we need to do?" on complex
incidents; 3) be relatively easy to complete; and 4) be of real assistance, not just an
exercise in paperwork, for incident personnel working under crisis conditions. All of
those requirements were met.
There are two types or categories of forms used in the planning process.
"Action" forms are those necessary to set objectives, assign the organization,
and outline the tasks to be done. These are combined into the written Action Plan and
provided to the personnel who will do the work. "Support and recording" forms
are the remainder. They assist incident management by providing worksheets for systematic
plan development, assuring that data and records are available and that resources are
accounted for, integrating communications capabilities, and documenting decisions.
Many view the following list of forms and their applications as a
formidable challenge, and "not quite worth the effort." That is not really the
case. Trained incident managers can complete these forms in a very short time, even for
complex incidents. The time required is materially shortened by the "fill in the
blanks" nature of the forms and is materially offset many times over by the
completeness of final planning and the effectiveness the process brings to emergency
management. NOTE: All ICS forms are included in Appendix C. ICS and LEICS use the same
form numbers throughout. There are some format differences between the two sets to
accommodate the differences in disciplinary terminology. However, actual practice has
shown that either ICS or LEICS forms may be used interchangeably because of their
essential similarity.
Action Forms
Incident map (on form 201). Page 1 of Form 201
is used for a sketch map of the incident if no better document is available. This is
particularly valuable during the early stages of an incident to record situations, clarify
thinking and communications about locations (for actions or problems), and to focus
attention on overall objectives. This form can also be used to describe travel routes for
resources (a "traffic plan") and locations of special facilities such as
casualty collection points or evacuation centers. More sophisticated maps should be used
for detailed planning if they are available. Pages 2, 3, and 4 of Form 201 are used to
provide documentation on simple incidents and as a briefing format for succeeding Incident
Commanders and other overhead personnel if the incident escalates.
Incident objectives (form 202). Form 202 is the key
to effective action. It is the initiator of the planning and control process and the place
where Command begins to form and direct the organization. The form allows Command to
describe all desired objectives and priorities.
Organization assignment list (form 203 or 207). Form 203 (or Form 207) shows who has been assigned on the incident. It shows
who's in charge and details reporting relationships. It also serves as a sequential record
of the resources available by time period.
Division assignment list (form 204). Form 204 provides detailed
instructions for incident personnel. Information on the form specifies resources assigned,
their configuration, and who does what. It is the place where actual tasks necessary to
meet Command objectives are described, and may be used to further define priorities.
Completed forms assist the "reality checking" phase of MBO by making
span-of-control and communications decisions visible. They also assist in this regard by
forcing another examination of available capabilities compared to objectives.
Completed forms are distributed as part of the Action Plan. All Sections,
all Branch Directors, and all Division Supervisors have forms showing the re-sources under
their direction, and the tasks assigned to those resources.
Communications plan (form 205). Form 205 is
one of the major tools that can bring order out of chaos on complex incidents. Its
preparation and use improves multi-agency communications regardless of the types or
capabilities of the involved radio systems. Preparation of the 205 is facilitated by
completion of Form 216, described below.
Medical plan (form 206). Form 206 is primarily
intended to serve incident personnel. However, on incidents where medical assistance to
the public is required, the form can serve "double duty" as an attachment to
Medical Division Assignment Sheets. Conversely, in the case of a major multi-casualty
incident, one of the Medical Divisions could be assigned the additional duty of caring for
incident personnel, using the information from a Form 206 prepared for that purpose.
Organizational chart (form 207). Form 207
provides a more visually detailed picture of the organization. It can be used in place of
Form 203 (the organizational assignment list).
Support and Recording Forms
Incident status summary (form 209). Form 209
provides a summary of current status. The form serves Command as an overview of the
incident and may be used to forward details to local, state, and federal agencies
interested in incident details and control progress. It may also be used(along with the
entire Action Plan) as a briefing document for the media and elected officials.
Check-in list (form 211). Form 211 is a basic
tool for Planning, Finance, and Logistics Sections. It provides data on all authorized
resources on the incident and can be used very effectively to weed out those forces or
persons who have simply gravitated to the incident because of its magnitude or notoriety.
Item 5 on the form ("Order/Request Number") serves as an indicator of
legitimacy: if the resource has been requested by Command there will be some kind of
record of that request; if the resource is a voluntary response, this form will define it
as such.
Unit log (form 214). Form 214 is prepared by
all assigned Units, Division Supervisors, and Branch directors. It provides a record of
actions, problems, and intelligence for future planning and a record of past events. It
also assists in maintaining accountability.
Operational planning worksheet (form 215). Form 215 is a valuable
tool for Action Plan preparation and overall management response to any incident. Command
objectives are listed, and the resources "required," "have," and
"need-to-order" are shown. From this worksheet, and the process of its
preparation, Command, Planning, Operations, and Logistics gain valuable management
information. The reality of objectives (shown in the "Work Assignments" column)
may be checked against resource availability, the total workload estimated, assignments
further clarified, and the resource deficits, if any, recognized and corrected, if
possible.
Radio requirements and frequency assignment worksheets (forms 216 and 217. Forms 216 and 217 are the initiators of Form 205 (The
Communications Plan). Block 5 of Form 217 ("Radio Data") may be modified to show
the radio availability from any group of agency disciplines. Any qualified communications
technician will be able to prepare this form quickly, given a general familiarity with
agencies involved in even the most complex incidents. This information is then adapted
into form 205 by the Logistics Section for use in the Action Plan.
Support vehicle inventory (form 218). Form 218
is prepared by the Logistics Section to provide records and maintain availability
information on support and service vehicles. It is a tool for Finance and serves Command,
Planning, and Operations by showing the authorized vehicles on the incident.
Air operations summary (form 220). Form 220 records air operations
details. The Operations Section uses this form to manage aircraft in a manner that
provides the best possible coordination between air and ground forces. Finance also uses
the form in cost accounting.
UNIFIED COMMAND
Why Unify Command?
More than 90% of emergencies that occur daily in the United States are
readily managed by local agencies using only their own resources. On a small
percent-age of emergencies, the responsible agency may exhaust its own resources and call
on neighboring jurisdictions for assistance. Many agencies are experienced with these
"automatic aid" responses and assist each other on a routine and problem-free
basis. These incidents do not call for Unified Command and are best handled under a single
command structure.
However, about 5% of all emergencies become serious enough to require the
response of several agencies, each with its own legal obligation to perform some type of
action, not just assist their neighbor. It is in these critical, multiple--involvement
emergencies that Unified Command is called for. Some examples:
In today's world, the public, private, and political values at risk in
major emergencies demand the most efficient methods of response and management. Meeting
this demand when multiple and diverse agencies are involved becomes a very difficult task.
The Unified Command concept of ICS offers a process that all participating agencies can
use to improve overall management, whether their jurisdiction is of geographical or
functional nature (Irwin, 1980).
What is Unified Command?
Unified Command is the first consistent, systematic means of organizing a
variety of autonomous civilian agencies into one concerted emergency response effort. The
concept offers uniform procedures that enable all involved agencies to perform their roles
effectively. Unified Command overcomes many inefficiencies and duplications of effort that
occur when functional and geographic jurisdictions, or agencies from different
governmental levels, have to work together without a common system. Unified Command is
deeply rooted in ICS concepts and characteristics. It follows the same MBO planning
processes, respects agency autonomy, maintains functional clarity, and provides a common
management framework for action. The goals of the Unified Command concept are to:
These are practical goals. They have been achieved with relative ease on
actual incidents involving multiple fire agencies, incidents requiring fire and law
enforcement coordination, and emergencies that included fire, law, and medical
disciplines. As the ICS becomes more completely implemented by agencies across the
country, the goals will be met with greater regularity and greater
effectiveness. When that happens, many of the consistent disaster management failures
documented in this book will begin to disappear.
ICS Characteristics Pertinent to Unified Command
The Incident Command System is based on commonality. The commonality is a
major departure from the traditional ways agencies have operated, and it creates
significant opportunities for improvement over old methods. When agencies involved in a
major emergency use ICS (the same organizational structure, the same terminology, and the
same management procedures), there are few, if any, differences in operations. In essence,
they are "one" organization, and can be managed as such. Instead of several
command posts operating independently, the total operation can be directed from only one
location. Instead of preparing several sets of plans (with no guarantee of coordination
among them), only one set need be prepared to inform all participants. In place of several
logistical and communications processes, only one system of collective and integrated
procedures is used.
These five ICS characteristics (one organizational structure, one Incident
Command Post, one planning process, one logistics center, and one communications
framework) create a strong synergy. By meeting and working together at one location,
preparing a single plan of action, and using other common procedures, the senior officers
(Unified Commanders) from many agencies bring their collective powers to bear on the
incident. They are able to share information, coordinate actions, improve resource
utilization, greatly improve communications, and rapidly cope with changing incident
conditions. This unified effort is supported and reinforced by the ICS Planning Process.
The Planning Process for Unified Command
The planning process for Unified Command is the same as for single Command,
except that more people are involved. The process follows the MBO sequence, uses the same
worksheets and forms, and allows for both functional and geographic response authorities
to combine objectives and actions.
The process starts with documentation of each Commanders' objectives just
as though it were a single-agency incident. These objectives may be widely different
depending on incident character, agency roles, and other factors. It is extremely
important to understand that these separate, and perhaps diverse, objectives do not have
to be forced into a consensus package. Unified planning is not a "committee"
process that must somehow resolve all differences in agency objectives before any action
can take place. It is, however, a "team" process, and that promotes open sharing
of objectives and priorities. Through the process, the team formulates collective (which
is significantly different than common") directions to address the needs of the
entire incident.
Once collective objectives and priorities are documented, the process
continues as it would for single-agency involvement, except that all agencies are
included:
The developed multi-agency plan is returned to the Unified Commanders for
approval. Again, it is important to understand that the individual Commanders in the group
only approve those portions of the plan that affect their, agencies.
Unified Command Configuration
In addition to all of its other attributes, ICS is a common-sense system.
It is designed with a great deal of inherent flexibility. This allows modification of the
on-scene organization to meet specific conditions, complexities, and workloads for
different incidents. There are also various ways that a Unified Command group may be
formed. The guidelines for deciding who should be in command are simple and apply at any
level of incident complexity:
Agency Role
Responding agencies will be filling one of two roles. They will be either
jurisdictional, with direct statutory responsibility and authority, or they will be
sup-porting agencies who have been called for help.
Only jurisdictional agencies with statutory responsibility on some part of
the incident can assign one of the Unified Commanders.
Agency Authority
The agencies who assign Commanders must have the authority to order,
transport, and maintain the resources necessary to meet Command objectives. This authority
is not dependent on size or budget level since even very small agencies may participate in
a Unified Command. It is dependent upon legitimate capability to pay the bills. (In the
case of small agencies, this capability may come from state and federal assistance, but is
nevertheless the required capability.) Only agencies with fiscal authority may assign one
of the Unified Commanders.
Applicability
These guidelines apply equally to multi-geographical, multi-functional, and
multi-geographical-functional incidents. The guidelines can and should be modified to meet
exceptional conditions. An incident of disaster proportions will involve state and/or
federal agencies, and officials from those government levels may be appropriate members of
the Unified Command Group.
Alternatives to Command Participation
There is a practical limitation on Unified Command participation. Once a
group exceeds about eight persons, the effectiveness of that group begins to deteriorate.
ICS concepts recognize this and recommend that no more than eight people fill the Unified
Command Group. During incidents where more than eight agencies have legitimate legal and
fiscal authority, there are alternative ways to encourage total participation without
having all in command. These and other alternatives have been used successfully on
multi-agency and multi-disciplinary incidents. It requires training and experience to make
the process work effectively. Pre-incident meetings, planning, and agreements facilitate
the process. Two of the most popular alternatives to participation in the Unified Command
Group are:
Deputy Incident Commanders
Agencies with limited involvement may choose to fill their commitment to
the incident with a Deputy, rather than a "full" Commander. This will enable
adequate input from that agency into the planning process, protect the agency's autonomy,
and provide significant support to the unified effort.
Subordinate Positions
For smaller jurisdictions involved in a major emergency, it may be
appropriate to designate that agency's area or function as a Branch, Division, or Group,
and place a senior officer of the agency in charge. The officer (now a Director or
Supervisor in the organization) will be an integral part of the unified effort and take
part in the planning process. At the same time, he is fulfilling "at home"
responsibilities, probably with his own forces, and serving his jurisdiction.
MANAGING MEDICAL RESOURCES
The function of the Medical Unit (see Fig. 7-5) is frequently misunderstood
by persons not familiar with ICS. Medical professionals, in particular, express concern
that such an important function seems to be placed in a subordinate role. It is important
to understand that these concerns are unfounded. The Medical Unit's role is to take care
of incident personnel, only. Very early in ICS development this was called the First Aid
unit, but the title and the functions required were changed quickly to assure that
incident personnel with more serious injuries could and would have adequate medical care.
The intent and purpose of the Unit is to provide medical attention to responders that are
part of the incident organization.
If an incident involves casualties that are victims of the emergency
itself, then various forms of a medical response organization can be assigned. Medical
entities will fit in any (or all) parts of the system, depending on the character of the
incident. A public health officer or other M.D. could be the Incident Commander under some
circumstances, or might be a member of a Unified Command Group. On major multi-casualty
events, one medical representative could be the Operations Section Chief, others could be
Branch Directors or Division Supervisors. Still other representatives could be in the
Planning, Logistics, and Finance Sections. Groups of ambulance and paramedic personnel can
be designated as Teams or Task Forces for just about any incident involving injuries.
At any level of severity the ICS concepts of modular development,
functional clarity, and unit integrity will hold true for medical applications, as they do
for other types of incidents. The organization can be increased to meet the needs of the
event (see also Chapter 8, and Fig. 8-1). Some examples include:
Medical applications of ICS can bring increased effectiveness to the
discipline. As the ICS becomes more established with fire and law enforcement agencies
across the nation, the medical discipline will find more opportunities to adopt the
system.
INTEGRATING VOLUNTEER EFFORTS
It has been well established that volunteer efforts can both help and
hinder emergency response agencies. The help comes in the form of immediate energies and
work accomplishment. The hindrance comes from unmanageable (or unknown) numbers of
volunteers, poorly directed work, and a general lack of control. All of the helping
aspects of volunteer involvement can be accentuated, and all of the hindering dynamics can
be reduced or eliminated by appropriate use of ICS.
For example, the modular flexibility of ICS can incorporate volunteer
Units, Teams, Task Forces, and perhaps even Divisions. A qualified agency Division
Supervisor can easily manage up to 30 individual volunteers, or up to a 100 if they are
arranged in 20-person crews. A Branch Director could oversee the effective work of about
500 people under good conditions. The possibilities for integrating volunteers is
essentially unlimited, provided the agency supervision is available. A few of those
possibilities are search and rescue, sandbagging, evacuation alerting, road construction,
and firefighting. The key element is supervision and fitting the resources into the
organization. That requires Command attention to managing the organization, and brings us
back almost full-circle to the responsibilities of the five functions in ICS.
In cases where volunteer efforts need to be managed, Command must recognize
the situation and set reasonable objectives for those efforts. Command and Planning must
develop the organization to provide supervision and clear direction to the volunteers.
Planning must also inventory the volunteer resources through a retroactive check-in
procedure and include them in the Incident Action Plans. Logistics must be able to service
and support the re-sources and set up communications through existing agency, or
perhaps"ham" (radio amateur) capabilities. The Finance Section should assure
that volunteers are physically capable of doing the assigned tasks, are paid if so
directed, and are properly compensated for any incident-related disabilities. If
volunteers are managed in this way, then the public agencies' response efforts will be
more effective. If volunteers are not managed, then the typical problems and
inefficiencies associated with their involvement will continue.
SUMMARY
After the 1970 fires, southern California fire services recognized that
their experience included the same theme of weaknesses that are described after most
disasters. They recognized that those weaknesses could be corrected if a systematic
process for managing multiple and diverse resources were developed. The fire services
described criteria and adopted modern management concepts that would reduce or eliminate
the problems. The resulting system, ICS, was designed to cope with the basic causes of
disaster problems. ICS provides ways to quickly perform situation analysis and to use the
analysis as a basis for realistic planning and actions. The organization integrates
multiple resources into definitive functional efforts. It provides for direction and
management of multiple disciplines and different government levels under crisis
conditions; it improves communications; and it increases the effectiveness of all
involved. The planning process brings order out of chaos, and the step- by-step use of
helpful forms makes the process systematic and thorough. Unified Command procedures
protect agency autonomy. Major law enforcement and medical agencies in various parts of
the nation are adopting the system without changing its basic configuration. This
testifies to the fact that ICS is no longer viewed as a "fire" system and is now seen as it was intended to be-a management system.
ADDITIONAL READING
Exemplary Practices in Emergency Management The California FIRESCOPE
Program
Monograph Series No. 1, FEMA 117, 1987. Available from: Federal Emergency
Management Agency, National Emergency Training Center, Emergency Management Institute, PO
Box 70742, Washington, DC 20023. Free.
FIRESCOPE Program: System Description, Incident Command System Operational
System Description, ICS-120-1, 1981. Available from: Operations Coordination Center, PO
Box 55157, Riverside, Calif 92517. An extensive list of FIRESCOPE and ICS publications is
available from this address.
Incident Command System, 1983, Available from: Fire Protection
Publications, Oklahoma State University, Stillwater, OK 74078-0118, (800) 654-4055,
$13.00.
Incident Command System Operational: Basic Orientation Course Training
Package, 1982. Available from: California State Board of Fire Services, California Fire
Service Training and Educational System, 7171 Bowling Dr, Suite 500, Sacramento, Calif
95823.
Law Enforcement Incident Command System (LEICS), 1985. Available from:
Jerome Ringhofer,
Deputy Chief, Desert and Mountain Command, San Bernardino County Sheriffs
Department, PO Box 569, San Bernardino, Calif 92402.
Multi-Casualty Incident Operational Procedures Manual, 1986. Available
from: California Fire Chiefs Association, 825 M St, Rio Linda, Calif 95673, $5.00.
National Interagency Incident Management System: Information and Guides,
1983. Avail- able from: National Wildfire Coordinating Group, Publications Management
System, Boise Interagency Fire Center, 3905 Vista Ave, Boise, Ida 83705, Free. An
extensive NIIMS publications and forms list and prices are also available at this address.
WHERE TO GET INFORMATION ON ICS TRAINING
For information on ICS training, contact your local office of the U.S.
Forest Service, your state forestry agency, or:
FIRESCOPE
Operations Coordination Center
P.O. Box 55157
Riverside, CA 92517
Director, Fire and Aviation Management
USDA Forest Service
PO Box 96090, Room 1001 RP-E
Washington, DC 20090-6090
U.S. Bureau of Land Management
Director, Boise Interagency Fire Center
Attention: Public Affairs Officer
3905 Vista Drive
Boise, ID 83705
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