ࡱ> HJG% 'bjbj%% *<GGXVl&&&: 8 <Z t:2 ("""        $ `/9&'''/?""h???'"&" ?' ??:},T&" kW: ' ~0R`'`?:: ICS 206 Medical Plan  Purpose: When to fill out: Completed by: Approved by: Send to: How to use this form: Provides information on medical emergency resources and personal protective equipment available for IDER responder use. At the beginning of the Operational Period Safety Officer IDER Commander All responders as a component of the Incident Action Plan 1. Date  FORMTEXT      2. Time  FORMTEXT      3. Operational Period:  FORMTEXT      4. Prepared by: Name:  FORMTEXT       Position: Safety Officer5. Approved by: Name:  FORMTEXT       Position: IDER CommanderSafety Message:  FORMTEXT       Instructions on when and how to ask for medical help:  FORMTEXT       Location of Medical Aid Stations:  FORMTEXT       Personal Protective EquipmentPosition / ModulePPE TypeInstructions for Use FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Other Instructions:  FORMTEXT            Last Revised: 10/2007 IDER ICS forms Page  PAGE 1 of  NUMPAGES 1 %&:;IJWXawxy./>?{   468BxjxjtOJQJU^J jOJQJU^JmHnHujOJQJU^JjOJQJU^JCJOJQJ^JaJ>*OJQJ^JCJ OJQJ^JaJ OJQJ^J5CJ OJQJ^JaJ 5>*CJ OJQJ^JaJ 5>*OJQJ^J5OJQJ^J5CJOJQJ^JaJ)%&'(:;IJWXabxy. & F$If $If^$If $$Ifa$ &./>?z{FHcZZ $$Ifa$$$Ifl4F , `  `    t06    44 la & F$If$If BDHz|0^`bvxzjOJQJU^JjOJQJU^J5OJQJ^JjOJQJU^JjHOJQJU^J jOJQJU^JmHnHujOJQJU^JCJOJQJ^JaJ OJQJ^JjOJQJU^J3HJLzZ$$Ifl4\ ,         t0644 la$If.024Tsmmmmmsmmmmm$If$$Ifl4F ,         t06    44 la   smmmmmmmm$If$$Ifl4F ,          t06    44 la   , . P$Ifd$$Ifl,|,     t0644 la      ( * 2 4 p r    " $ & : < > H J L N P d f h r t v x ۼۼۼۼxۼjOJQJU^Jj.OJQJU^JjOJQJU^JjZOJQJU^J5CJOJQJ^JaJ jOJQJU^JmHnHujOJQJU^JjOJQJU^J OJQJ^J5OJQJ^JCJOJQJ^JaJ.. 0 2 4 p | $$Ifa$d$$Ifl,|,     t0644 la$Ifp r $$Ifa$m$$Ifl,|,     t 0644 la $ L tnnn$If$$IflF0 p, @   t06    44 laL N v  @ B j rlllrlllrlll$If$$IflhF0 p, @   t06    44 la       . 0 2 < > @ B D X Z \ f h j l ΧΙ΋}jOJQJU^JjOJQJU^Jj@OJQJU^JjOJQJU^JCJOJQJ^JaJjlOJQJU^J OJQJ^J jOJQJU^JmHnHujOJQJU^JjOJQJU^J,   " $ & 0 2 4 6 8 L N P Z \ ^ ` t ΧΙ΋}j OJQJU^Jj& OJQJU^JjOJQJU^JjROJQJU^JCJOJQJ^JaJjOJQJU^J OJQJ^J jOJQJU^JmHnHujOJQJU^Jj~OJQJU^J, 4 6 ^ ( rlllrlllrlll$If$$IflhF0 p, @   t06    44 la t v x     $ & ( * T V X l n p z | ΧΙ΋uεj OJQJU^J5OJQJ^Jj OJQJU^Jj8 OJQJU^Jj OJQJU^JCJOJQJ^JaJjd OJQJU^J OJQJ^J jOJQJU^JmHnHujOJQJU^Jj OJQJU^J.( * T V ~ rllllllllll$If$$IflhF0 p,  @    t06    44 la  !"d$$Ifl,|,     t0644 la   ' mHnHu jU"#$%&'(&P1h/ =!@"#$%tDText1jDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjDjD i0@0 Normal_HmH sH tH <A@< Default Paragraph Font,, Header  !, @, Footer  ! <%&'(:;IJWXabxy./>?z{'()*:Tmnop&'()*HI[dyz01EYmn$%:;OPRSTUVWX00000000000000000000 00 00 00 00 0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000@0 0 UUUXB t ' .H. p L ( "' &  @LR$z(.1=CEQWYeknz";GMFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF7>@EPRX!8@0(  B S  ?Text1yypGGHHz01mn$%UVWXXZZ[[]^`ac rita shiau_P:\EMSA exercises\2007 pan flu\ICS forms 2007\for specific module use\206-medical-plan-2007.doc\AU.rq^  ^ `OJQJo(hH^`OJQJ^Jo(hHopp^p`OJQJo(hH@ @ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoPP^P`OJQJo(hH P^`Po(hH. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.rq^\AU        p        az{'()*mnop)*HI[dyz01EYmn$%VW@QQtQP@{4@@@@ @@UnknownGz Times New Roman5Symbol3& z Arial;Wingdings?5 z Courier New"1h㹦tF书"h o !@x0di6 :QHXICS ### rita shiau rita shiauOh+'0  4 @ L Xdlt|ICS ###CS  rita shiauitaitaNormali rita shiau15aMicrosoft Word 9.0@L@4F$@9 @xWh՜.+,0 hp|   # i ICS ### Title  !"#$%&()*+,-./012345689:;<=>@ABCDEFIRoot Entry FWKData 1Table'`WordDocument*<SummaryInformation(7DocumentSummaryInformation8?CompObjjObjectPoolWW  FMicrosoft Word Document MSWordDocWord.Document.89q