INCIDENT ACTION PLAN SAFETY ANALYSIS	1. Incident Name

2. Date

3. Time

Division or Group	Potential Hazards	Mitigations (e.g. PPE, buddy system, escape routes)

Type of Hazard:

Type of Hazard:

Type of Hazard:

:	Type of Hazard:

Type of Hazard:

Type of Hazard:

Type of Hazard:

Type of Hazard

Prepared by (Name and Position)

ICS 215A

LCES

Richard P. Horwitz

2005-02-03