NZ USAR - Team Fact Sheet

• Audit Title

• Country deployed to

• Deployment date

  Date

• Prepared by

• Team ID (Olympic code format)

  NZL 10

• A1 - Team Name

  NZ USAR TF1

• A2 - Home Country

  New Zealand

• A3 - Number of Persons

• A4 - Number of Dogs

• A5 - Team Type Responding

  light

  medium

  heavy

  other

• Enter other details

• A6 - INSARAG Classification

  Heavy

  Medium

  None

• A7 - Technical Search

  Yes

  No

  N/A

• A8 - Canine Search

  Yes

  No

  N/A

• A9 - Rescue

  Yes

  No

  N/A

• A10 - Medical

  Yes

  No

  N/A

• A11 - Hazmat Detection

  Yes

  No

  N/A

• A12 - Structural Engineers

  Yes

  No

  N/A

• A13 - RDC/OSOCC Support

  Yes

  No

  N/A

• A14 - UC Support

  Yes

  No

  N/A

• A15 - Other Capabilities

• A16 - Self Sufficiency (water) days

• A17 - Self Sufficiency (Food) days

• A18 - Expected Arrival Date (DD-MMM)

  Date

• A19 - Expected Arrival Time

  Date

• A20 - Point of Arrival

• A21 - Aircraft Type

Transport for:

• B1 - Persons (Number)

• B2 - Dogs (Number)

• B3 - Equipment (Ton)

• B4 - Equipment (Cubic Metres)

Supplies:

• B5 - Gasoline (Litres per Day)

• B6 - Diesel (Litres per Day)

• B7 - Cutting Gas (Cylinders)

Cutting Gas

• Cutting Gas (Type)

  Oxygen

  Propane

  Acetylene

• Number (of cylinders)

• Size (of cylinders)

  Small

  Medium

  Large

• B8 - Medical Oxygen (Cylinders) Number

• Small

  Medium

  Large

• B9 - BoO Space Requirements (m3)

• B10 - Other Logistical Needs

Contacts

• Contact(s)

Contacts

• C1/5 - contact name

• C2/6 - Mobile Phone

• C3/7 - SAT phone

• C4/8 - Email

• C10 - BoO address (if known)

• C11 BoO GPS (decimal format) if known

• C11 BoO GPS (Other formats) if known

Form Completed by:

• Name

• Title/Position

  TASK-FORCE LEADER

  DEPUTY TASK-FORCE LEADER

• Date

  Date