Posted: April 24th, 2025

d Mitchell

 Attached are examples of real life ICS 214 forms from disaster incidents  as well as planned events such as memorial services. Please remember  that while these are not secret documents they are “responder Sensitive”  which means we do not share them with the general public. Please complete empty journal

 

video directions for ICS 214 

 Links to an external site.

Here find a video showing how to fill out an ICS 214 form for class. 

ACTIVITY LOG (ICS 214)
1. Incident Name:

2. Operational Period:

  • Date From:
  • Date To:
  • Time From:
  • Time To:
  • 3. Name:

    4. ICS Position:

    5. Home Agency (and Unit):

    6. Resources Assigned:
    Name ICS Position Home Agency (and Unit)

    7. Activity Log:
    Date/Time Notable Activities

    8. Prepared by: Name: Position/Title: Signature:

    ICS 214, Page 1 Date/Time:

    ACTIVITY LOG (ICS 214)
    1. Incident Name: 2. Operational Period: Date From: Date To:

    Time From: Time To:

    7. Activity Log (continuation):
    Date/Time Notable Activities

    8. Prepared by: Name: Position/Title: Signature:

    ICS 214, Page 2 Date/Time:

    ICS 214
    Activity Log

    Purpose. The Activity Log (ICS 214) records details of notable activities at any ICS level, including single resources,
    equipment, Task Forces, etc. These logs provide basic incident activity documentation, and a reference for any after-
    action report.

    Preparation. An ICS 214 can be initiated and maintained by personnel in various ICS positions as it is needed or
    appropriate. Personnel should document how relevant incident activities are occurring and progressing, or any notable
    events or communications.

    Distribution. Completed ICS 214s are submitted to supervisors, who forward them to the Documentation Unit. All
    completed original forms must be given to the Documentation Unit, which maintains a file of all ICS 214s. It is
    recommended that individuals retain a copy for their own records.

    Notes:
    • The ICS 214 can be printed as a two-sided form.
    • Use additional copies as continuation sheets as needed, and indicate pagination as used.

    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 Name Enter the title of the organizational unit or resource designator (e.g.,
    Facilities Unit, Safety Officer, Strike Team).

    4 ICS Position Enter the name and ICS position of the individual in charge of the Unit.
    5 Home Agency (and Unit) Enter the home agency of the individual completing the ICS 214. Enter

    a unit designator if utilized by the jurisdiction or discipline.
    6 Resources Assigned Enter the following information for resources assigned:

    • Name Use this section to enter the resource’s name. For all individuals, use at
    least the first initial and last name. Cell phone number for the individual
    can be added as an option.

    • ICS Position Use this section to enter the resource’s ICS position (e.g., Finance
    Section Chief).

    • Home Agency (and Unit) Use this section to enter the resource’s home agency and/or unit (e.g.,
    Des Moines Public Works Department, Water Management Unit).

    7 Activity Log
    • Date/Time
    • Notable Activities

    • Enter the time (24-hour clock) and briefly describe individual notable
    activities. Note the date as well if the operational period covers
    more than one day.

    • Activities described may include notable occurrences or events such
    as task assignments, task completions, injuries, difficulties
    encountered, etc.

    • This block can also be used to track personal work habits by adding
    columns such as “Action Required,” “Delegated To,” “Status,” etc.

    8 Prepared by
    • Name
    • Position/Title
    • Signature
    • Date/Time

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

    1. 1 Incident Name_19:
    2. 3 Name:
    3. 4 ICS Position:
    4. 5 Home Agency and Unit:
    5. NameRow1_3:
    6. ICS PositionRow1:
    7. Home Agency and UnitRow1:
    8. NameRow2_3:
    9. ICS PositionRow2:
    10. Home Agency and UnitRow2:
    11. NameRow3_3:
    12. ICS PositionRow3:
    13. Home Agency and UnitRow3:
    14. NameRow4_3:
    15. ICS PositionRow4:
    16. Home Agency and UnitRow4:
    17. NameRow5_3:
    18. ICS PositionRow5:
    19. Home Agency and UnitRow5:
    20. NameRow6_3:
    21. ICS PositionRow6:
    22. Home Agency and UnitRow6:
    23. NameRow7:
    24. ICS PositionRow7:
    25. Home Agency and UnitRow7:
    26. NameRow8:
    27. ICS PositionRow8:
    28. Home Agency and UnitRow8:
    29. DateTimeRow1:
    30. Notable ActivitiesRow1:
    31. DateTimeRow2:
    32. Notable ActivitiesRow2:
    33. DateTimeRow3:
    34. Notable ActivitiesRow3:
    35. DateTimeRow4:
    36. Notable ActivitiesRow4:
    37. DateTimeRow5:
    38. Notable ActivitiesRow5:
    39. DateTimeRow6:
    40. Notable ActivitiesRow6:
    41. DateTimeRow7:
    42. Notable ActivitiesRow7:
    43. DateTimeRow8:
    44. Notable ActivitiesRow8:
    45. DateTimeRow9:
    46. Notable ActivitiesRow9:
    47. DateTimeRow10:
    48. Notable ActivitiesRow10:
    49. DateTimeRow11:
    50. Notable ActivitiesRow11:
    51. DateTimeRow12:
    52. Notable ActivitiesRow12:
    53. DateTimeRow13:
    54. Notable ActivitiesRow13:
    55. DateTimeRow14:
    56. Notable ActivitiesRow14:
    57. DateTimeRow15:
    58. Notable ActivitiesRow15:
    59. DateTimeRow16:
    60. Notable ActivitiesRow16:
    61. DateTimeRow17:
    62. Notable ActivitiesRow17:
    63. DateTimeRow18:
    64. Notable ActivitiesRow18:
    65. DateTimeRow19:
    66. Notable ActivitiesRow19:
    67. DateTimeRow20:
    68. Notable ActivitiesRow20:
    69. DateTimeRow21:
    70. Notable ActivitiesRow21:
    71. DateTimeRow22:
    72. Notable ActivitiesRow22:
    73. DateTimeRow23:
    74. Notable ActivitiesRow23:
    75. DateTimeRow24:
    76. Notable ActivitiesRow24:
    77. 8 Prepared by Name:
    78. PositionTitle_15:
    79. DateTime_15:
    80. 1 Incident Name_20:
    81. Date From:

      Date To:

      Time From:

      Time To:

    82. DateTimeRow1_2:
    83. Notable ActivitiesRow1_2:
    84. DateTimeRow2_2:
    85. Notable ActivitiesRow2_2:
    86. DateTimeRow3_2:
    87. Notable ActivitiesRow3_2:
    88. DateTimeRow4_2:
    89. Notable ActivitiesRow4_2:
    90. DateTimeRow5_2:
    91. Notable ActivitiesRow5_2:
    92. DateTimeRow6_2:
    93. Notable ActivitiesRow6_2:
    94. DateTimeRow7_2:
    95. Notable ActivitiesRow7_2:
    96. DateTimeRow8_2:
    97. Notable ActivitiesRow8_2:
    98. DateTimeRow9_2:
    99. Notable ActivitiesRow9_2:
    100. DateTimeRow10_2:
    101. Notable ActivitiesRow10_2:
    102. DateTimeRow11_2:
    103. Notable ActivitiesRow11_2:
    104. DateTimeRow12_2:
    105. Notable ActivitiesRow12_2:
    106. DateTimeRow13_2:
    107. Notable ActivitiesRow13_2:
    108. DateTimeRow14_2:
    109. Notable ActivitiesRow14_2:
    110. DateTimeRow15_2:
    111. Notable ActivitiesRow15_2:
    112. DateTimeRow16_2:
    113. Notable ActivitiesRow16_2:
    114. DateTimeRow17_2:
    115. Notable ActivitiesRow17_2:
    116. DateTimeRow18_2:
    117. Notable ActivitiesRow18_2:
    118. DateTimeRow19_2:
    119. Notable ActivitiesRow19_2:
    120. DateTimeRow20_2:
    121. Notable ActivitiesRow20_2:
    122. DateTimeRow21_2:
    123. Notable ActivitiesRow21_2:
    124. DateTimeRow22_2:
    125. Notable ActivitiesRow22_2:
    126. DateTimeRow23_2:
    127. Notable ActivitiesRow23_2:
    128. DateTimeRow24_2:
    129. Notable ActivitiesRow24_2:
    130. DateTimeRow25:
    131. Notable ActivitiesRow25:
    132. DateTimeRow26:
    133. Notable ActivitiesRow26:
    134. DateTimeRow27:
    135. Notable ActivitiesRow27:
    136. DateTimeRow28:
    137. Notable ActivitiesRow28:
    138. DateTimeRow29:
    139. Notable ActivitiesRow29:
    140. DateTimeRow30:
    141. Notable ActivitiesRow30:
    142. DateTimeRow31:
    143. Notable ActivitiesRow31:
    144. DateTimeRow32:
    145. Notable ActivitiesRow32:
    146. DateTimeRow33:
    147. Notable ActivitiesRow33:
    148. DateTimeRow34:
    149. Notable ActivitiesRow34:
    150. DateTimeRow35:
    151. Notable ActivitiesRow35:
    152. DateTimeRow36:
    153. Notable ActivitiesRow36:
    154. 8 Prepared by Name_2:
    155. PositionTitle_16:
    156. DateTime_16:

    Emergency and Disaster Preparedness

    Group 1 Alpha Group 2 Gamma
    Janiece Austin-Lindsey Caszhmere Chaison
    Katrina Aydlett-White Reagan Charlton
    Elizabeth Beadle Harley Chivers
    Victoria Blount Steven Clark
    Caroll Boykins Jr. William Conaway
    Charli Brooks Keegan Massey

    Group 3 Delta Group 4 Sigma
    Evan Cox Cyna Hudson
    Marame Dai Anita Hurrdle
    Jazmine Dunham Rodney Jones
    Rose Frederick Dennis Lassiter IV
    Marcia Gallop Caleb Dolan
    Tyra Gutierrez Destini Mitchell

    Group 5 Beta Group 6 Sigma
    Jade Mitchell McKenzye Smalls
    Sydney Moore Etavian Stokes
    Joseph Morris Jalen Thompson
    Johnny Neal Nigel Trafton
    Nyla Phillips Addison Travis
    Danielle Silver Jakari Washington

    Group 7 Omega
    Juanita Wiggins
    David Wilkerson
    Adrionna Williams
    Kyl Williams
    General Xo
    D’angelo Mosby

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