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Prepared by Name ICS 208 Position/Title IAP Page Date/Time Signature Purpose. The Safety Message/Plan ICS 208 expands on the Safety Message and Site Safety Plan. Preparation. The ICS 208 is an optional form that may be included and completed by the Safety Officer for the Incident Action Plan IAP. All completed original forms must be given to the Documentation Unit. Notes The ICS 208 may serve optionally as part of the IAP. Use additional copies for continuation sheets as needed and indicate pagination as used. Block Number Block Title Instructions Enter the name assigned to the incident. Date and Time From 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. SAFETY MESSAGE/PLAN ICS 208 2. Operational Period Date From Time From 1. Incident Name Date To Time To 3. Safety Message/Expanded Safety Message Safety Plan Site Safety Plan 4. Site Safety Plan Required Yes No Approved Site Safety Plan s Located At 5. Distribution* The ICS 208 if developed will be reproduced with the IAP and given to all recipients as part of the IAP. All completed original forms must be given to the Documentation Unit. Notes The ICS 208 may serve optionally as part of the IAP. Use additional copies for continuation sheets as needed and indicate pagination as used* Block Number Block Title Instructions Enter the name assigned to the incident. Date and Time From 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. Enter clear concise statements for safety message s priorities and key command emphasis/decisions/directions. Enter information such as known safety hazards and specific precautions to be observed during this operational period. If needed additional safety message s should be referenced and attached* Yes Check whether or not a site safety plan is required for this incident. Located At Enter where the approved Site Safety Plan s is located* Prepared by Name Enter the name ICS position and signature of the person preparing the form* Enter date month/day/year and time prepared 24-hour clock. SAFETY MESSAGE/PLAN ICS 208 2. Operational Period Date From Time From 1. Incident Name Date To Time To 3. Safety Message/Expanded Safety Message Safety Plan Site Safety Plan 4. Site Safety Plan Required Yes No Approved Site Safety Plan s Located At 5. Distribution* The ICS 208 if developed will be reproduced with the IAP and given to all recipients as part of the IAP. All completed original forms must be given to the Documentation Unit. Notes The ICS 208 may serve optionally as part of the IAP. All completed original forms must be given to the Documentation Unit. Notes The ICS 208 may serve optionally as part of the IAP. Use additional copies for continuation sheets as needed and indicate pagination as used* Block Number Block Title Instructions Enter the name assigned to the incident. Use additional copies for continuation sheets as needed and indicate pagination as used* Block Number Block Title Instructions Enter the name assigned to the incident. Date and Time From 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..

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