After Action Report

• Report No.

• Report Title

• Agency Name

• Conducted on

  Date

• Prepared by

Event Logistics

• Event/Incident Name

• Photograph that Represents Event/Incident

  Media
• Event/Incident Map
  Address

• Event/Incident Date & Time

  Date

• Brief Description of Event/Incident (Scenario)

• Event/Incident Objectives

• Event/Incident Command Structure

• Weather Conditions During Operational Period

PERSONNEL ON SCENE (Name & Agency)

• EMS Agency

• Police Agency

• Fire Agency

• Search & Rescue Agency

• Government Agency

• Agency, Other

• Total Number of Event/Incident Responders on Scene

Operations

• Time & Date Event/Incident Command Began Operations

  Date

• How Many Operational Periods Were Needed For This Event/Incident?

  1

  2

  3

  4

  5 or more

• Operational Actions That Took Place (Narrative Log)

• Event/Incident Areas of Concern

• Drawing if Needed

  Drawing

• Drawing if Needed

  Drawing

• Drawing if Needed

  Drawing

• Photograph if Needed

  Media

• Photograph if Needed

  Media

• Photograph if Needed

  Media

• Photograph if Needed

  Media

• Photograph if Needed

  Media

• Time & Date Event/Incident Command Closed Operations

  Date

Hot Wash

• Are any Action Items Needed?

  Yes

  No

• Immediate Action Items

• Team Debriefing Given

  Date

• Paperwork, Other Attached to this Report

  Yes

  No

• NIMS Paperwork Attached to this Report?

  Yes

  No

• NIMS ICS 202 (Incident Objectives)

• NIMS ICS 203 (Organization Assignment List)

• NIMS ICS 204 (Assignment List)

• NIMS ICS 205 (Incident Radio Communications Plan)

• NIMS ICS 205A (Communications List)

• NIMS ICS 206 (Medical Plan)

• NIMS ICS 207 (Incident Org Chart)

• NIMS ICS 208 (Safety Message/Plan)

• NIMS ICS 211 (Incident Check-In)

• NIMS ICS 214 (Activity Log)

• NIMS ICS 215 (Operational Planning Worksheet)

• Person Preparing This Report

  Sign