City of Lomita
 
 
   
   
   

 

Forms

Here are some forms relevant to CERT operations

 

Form Name Links
Assignment Status Form
Track personnel on an assignment.
Assignment-Status.pdf
Damage Assessment Form
Summary of all hazards in area.
Damage-Assessment.pdf
Equipment Resources Form
Keep track of equipment.
Equipment-Resources.pdf
Incident Briefing Form
Sketch a map of the incident area with any hazards.
Summarize the actions of your teams.
Incident-Briefing.pdf
Message Form
Use for all communications.
(assignment completed, additional resources needed, unable to complete, special information/status update)
Message.pdf
Personnel Resources Form
Staging: Have people sign in and list their skills.
Personnel-Resources.pdf
Post-Incident Status Form
Record incident assignments from Damage Assessments.
Post-Incident-Status.pdf
Victim Treatment Area Form
Document each person brought to the treatment area.
Victim-Treatment-Area.pdf