California Standardized Emergency Management System
                                Situation Report

From County Operational Area:     

Region:        

Law Mutual Aid Region:  	       Fire Mutual Aid Region:  

1. Event Name:  

2. Date/Time of Event: 

3. Event Type: 

4. Event Location: 

5. Areas Affected: 	

6. Report as of: (date/time)

7. Weather: 

8. Current Situation: 

9. Current Situation Detail: |   Status   |             Comments
------------------------------------------------------------------------------ 
a. Significant Damage:       |(Yes/No/Unk)| 
                             |            |
b. Deaths:                   |(Yes/No/Unk)| 
                             |            |
c. Injuries:                 |(Yes/No/Unk)|	
                             |            |
d. Damaged Buildings:        |(Yes/No/Unk)|
                             |            |
e. Utility Problems:         |(Yes/No/Unk)|
                             |            |
f. Communication Problems:   |(Yes/No/Unk)|
                             |            |
g. Road Problems:            |(Yes/No/Unk)| 
                             |            |
h. Evacuations:              |(Yes/No/Unk)|
                             |            |
i. Critical Issues:          |(Yes/No/Unk)|
                             |            |
j. Other Problems:           |(Yes/No/Unk)|

               (See Individual Branch Status Reports for detailed information)

10. Response           | Status   |     Brief details, locations, comments
------------------------------------------------------------------------------
a. EOC(s) Activated:   |          |	
                       |          |
b. Care & Shelter:     |          |
                       |          |
c. Constr. & Engr:     |          |
                       |          |
d. HazMat:             |          | 
                       |          |
e. Fire & Rescue:      |          |
                       |          |
f. Law Enforcement:    |          |
                       |          |
g. Medical/Health:     |          |
                       |          |
h. Movement:           |          |
                       |          | 
i. Utilities:          |          |
                       |          |
j. Disaster assistance |          |
   programs/facilities:|          |
                       |          |
k. Mutual aid rcvd     |          | 
   in last 24 hours?   | (Yes/No) |
                       |          |
l. Mutual aid needed   |          |
   in next 24 hours?   | (Yes/No) |
                       |          |

m.  Prognosis: (No Change/Worsening/Improving)

11. Major Incidents: 

12. Response/Recovery Priorities: 

13. Proclamations/Declarations: 

a. Local: 

b. Gubernatorial Requested: 

c. Director's Concurrence: 

d. Gubernatorial Received: 

e. Presidential Requested: 

f. Presidential Received: 

14. Other Critical Information or General Comments:

15. Date/Time of Next Report: 

15a. Report Prepared By:               15b. Phone: 

16. Map Link: (type in ref only, i.e. Thomas Map ref)     

Created by:                          on: (date/time)

Last Modified by:                    on: (date/time)



Attachments: (type in ref only and send seperatly) 

                                        Attached       To follow--Date/Time
1. Map(s) - Areas Affected/Threatened   (ref only)    

2. Declaration/Proclamation(s)                         --