Phase 5 and Journal

profilestudent2006
ICS_Form220-Fillable.docx

Air Operations Summary (ICS 220)

1. Incident Name:

2. Operational Period: Date From: Date Date To: Date Time From: HHMM Time To: HHMM

3. Sunrise: HHMM Sunset: HHMM

4. Remarks (safety notes, hazards, air operations special equipment, etc.):

5. Ready Alert Aircraft:

6. Temporary Flight Restriction Number:

Medivac:

Altitude:

New Incident:

Center Point:

8. Frequencies:

AM

FM

9. Fixed-Wing (category/kind/type, make/model, N#, base):

Air/Air Fixed-Wing

Air Tactical Group Supervisor Aircraft:

7. Personnel:

Name:

Phone Number:

Air/Air Rotary-Wing – Flight Following

Air Operations Branch Director

XXX-XXX-XXXX

Air/Ground

Air Support Group Supervisor

XXX-XXX-XXXX

Command

Other Fixed-Wing Aircraft:

Air Tactical Group Supervisor

XXX-XXX-XXXX

Deck Coordinator

Helicopter Coordinator

XXX-XXX-XXXX

Take-Off & Landing Coordinator

Helibase Manager

XXX-XXX-XXXX

Air Guard

10. Helicopters (use additional sheets as necessary):

FAA N#

Category/Kind/Type

Make/Model

Base

Available

Start

Remarks

11. Prepared by:

Name:

Position/Title:

Signature:

ICS 220, Page 1

Date/Time: Date

Air Operations Summary (ICS 220)

1. Incident Name:

2. Operational Period: Date From: Date Date To: Date Time From: HHMM Time To: HHMM

3. Sunrise: HHMM Sunset: HHMM

12. Task/Mission/Assignment (category/kind/type and function includes: air tactical, reconnaissance, personnel transport, search and rescue, etc.):

Category/Kind/Type and Function

Name of Personnel or Cargo (if applicable) or Instructions for Tactical Aircraft

Mission Start

Fly From

Fly To

11. Prepared by:

Name:

Position/Title:

Signature:

ICS 220, Page 2

Date/Time: Date

ICS 220

Air Operations Summary

Purpose. The Air Operations Summary (ICS 220) provides the Air Operations Branch with the number, type, location, and specific assignments of helicopters and air resources.

Preparation. The ICS 220 is completed by the Operations Section Chief or the Air Operations Branch Director during each Planning Meeting. General air resources assignment information is obtained from the Operational Planning Worksheet (ICS 215), which also is completed during each Planning Meeting. Specific designators of the air resources assigned to the incident are provided by the Air and Fixed-Wing Support Groups. If aviation assets would be utilized for rescue or are referenced on the Medical Plan (ICS 206), coordinate with the Medical Unit Leader and indicate on the ICS 206.

Distribution. After the ICS 220 is completed by Air Operations personnel, the form is given to the Air Support Group Supervisor and Fixed-Wing Coordinator personnel. These personnel complete the form by indicating the designators of the helicopters and fixed-wing aircraft assigned missions during the specified operational period. This information is provided to Air Operations personnel who, in turn, give the information to the Resources Unit.

Notes:

1. If additional pages are needed for any form page, use a blank ICS 220 and repaginate as needed.

Block Number

Block Title

Instructions

1

Incident Name

Enter the name assigned to the incident.

2

Operational Period

Date and Time From

Date and Time To

Enter the start date (month/day/year) and time (using the 24-hour clock) and end date and time for the operational period to which the form applies.

3

Sunrise/Sunset

Enter the sunrise and sunset times.

4

Remarks (safety notes, hazards, air operations special equipment, etc.)

Enter special instructions or information, including safety notes, hazards, and priorities for Air Operations personnel.

5

Ready Alert Aircraft

Medivac

New Incident

Identify ready alert aircraft that will be used as Medivac for incident assigned personnel and indicate on the Medical Plan (ICS 206). Identify aircraft to be used for new incidents within the area or new incident(s) within an incident.

6

Temporary Flight Restriction Number

Altitude

Center Point

Enter Temporary Flight Restriction Number, altitude (from the center point), and center point (latitude and longitude). This number is provided by the Federal Aviation Administration (FAA) or is the order request number for the Temporary Flight Restriction.

7

Personnel

Name

Phone Number

Enter the name and phone number of the individuals in Air Operations.

Air Operations Branch Director

Air Support Group Supervisor

Air Tactical Group Supervisor

Helicopter Coordinator

Helibase Manager

Block Number

Block Title

Instructions

8

Frequencies

AM

FM

Enter primary air/air, air/ground (if applicable), command, deck coordinator, take-off and landing coordinator, and other radio frequencies to be used during the incident.

Air/Air Fixed-Wing

Air/Air Rotary-Wing – Flight Following

Flight following is typically done by Air Operations.

Air/Ground

Command

Deck Coordinator

Take-Off & Landing Coordinator

Air Guard

9

Fixed-Wing (category/kind/type, make/model, N#, base)

Enter the category/kind/type based on NIMS, discipline, or jurisdiction guidance, make/model, N#, and base of air assets allocated to the incident.

Air Tactical Group Supervisor Aircraft

Other Fixed-Wing Aircraft

10

Helicopters

Enter the following information about the helicopter resources allocated to the incident.

FAA N#

Enter the FAA N#.

Category/Kind/Type

Enter the helicopter category/kind/type based on NIMS, discipline, or jurisdiction guidance.

Make/Model

Enter the make and model of the helicopter.

Base

Enter the base where the helicopter is located.

Available

Enter the time the aircraft is available.

Start

Enter the time the aircraft becomes operational.

Remarks

11

Prepared by

Name

Position/Title

Signature

Date/Time

Enter the name, ICS position, and signature of the person preparing the form. Enter date (month/day/year) and time prepared (24-hour clock).

12

Task/Mission/Assignment (category/kind/type and function includes: air tactical, reconnaissance, personnel transport, search and rescue, etc.)

Enter the specific assignment (e.g., water or retardant drops, logistical support, or availability status for a specific purpose, support backup, recon, Medivac, etc.). If applicable, enter the primary air/air and air/ground radio frequency to be used. Mission assignments may be listed by priority.

Category/Kind/Type and Function

Name of Personnel or Cargo (if applicable) or Instructions for Tactical Aircraft

Mission Start

Fly From

Enter the incident location or air base the aircraft is flying from.

Fly To

Enter the incident location or air base the aircraft is flying to.