1. INCIDENT NAME

2. CHECK-IN LOCATION

3. DATE/TIME

CHECK-IN LIST ICS 211 – EPA
CHECK-IN INFORMATION
4. LIST PERSONNEL (OVERHEAD) BY AGENCY NAME –

OR LIST EQUIPEMENT BY THE FOLLOWING FORMAT:

S=Supplies H=Helicopter

O=Overhead VL=Vessels

E=Equipment C=Crew

A=Aircraft VH=Vehicle	5.

ORDER/

NUMBER	6.

DATE/TIME

CHECK-IN	7.

LEADER’S

NAME	8.

TOTAL NO.

PERSONNEL	9.

INCIDENT

CONTACT

INFORMATION	10.

INCIDENT LODGING

INFO/CONTACT INFO	11.

HOME

UNIT	12.

METHOD

OF

TRAVEL	13.

INCIDENT

ASSIGNMENT	14.

SENT TO

RESTAT

TIME/INT.
AGENCY	RESOURCE

IDENTIFIER	KIND
15.

ICS 211- EPA PAGE of	PREPARED BY (Name and Position) USE BACK FOR REMARKS OR COMMENTS

CHECK-IN LIST
ICS 211- EPA (Rev 4/07)

CHECK-IN LIST

s.eddy

2013-06-26

Great Lakes Commission