Incident Media Worksheet


Released by Incident Commander
WHENDate/Day of Week
Dispatch/Reported Time
FD/EMS Arrival Time
Other Pertinent Times
WHATType Incident
Facility/Equipment Involved
Actions Taken
Special Considerations
WHEREIncident Location
WHO
Do Not Release
Specific personal Info
Unless Authorized
by Appropriate
Personnel.
Owner
Occupant (Names or Numbers)
Victims (Numbers or Conditions Only)
WHY
Releasable
Reasons
Only
Why did the incident happen?
How
Releasable
Reasons
Only
How did the incident happen?
Focus
Public
Education
Opportunity
Seat Belts, Smoke Detectors, CO Detectors, Car Seats, etc
Responding
Agencies
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Use Reverse For Additional Entries and Draft Media Brief