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Ver. 6       OREGON EMERGENCY MANAGEMENT      Ver. 6

SEARCH AND RESCUE INCIDENT SUMMARY

OEM Number                           County Case Number                             Date of Incident                  

Report prepared by                                                                               Phone                                

County                                                  

WAS ASSISTANCE PROVIDED

¨ By another Agency, County, or State to you?   Which one(s)?                                                                                      

¨ By you to another Agency, County, or State?   Which one(s)?                                                                                      

SAR INCIDENT TYPE - What type of incident did this involve?

¨ This mission involved more than one type of incident

¨ Aviation                                   ¨ Beacon searches                    ¨ False - callout reason                                              

¨ Missing person (land)                    ¨ Evidence search (land)           ¨ Rescue (land)                               ¨ Body recovery from

¨ Missing person (water)   ¨ Evidence search (water)   ¨ Rescue (water)        ¨ land        ¨ water

¨ Training                                  ¨ Public event        ¨ Other water incident

¨ Emergency Management (disasters)                                         ¨ Other (specify)                                                        

SUBJECT ACTIVITY - What was the subject doing?

¨ Helicopter                               ¨ Fixed wing                               ¨ Other aviation                                ¨ Military aircraft?

¨ ATV                                         ¨ Motor vehicle - Intentions                                                                                           

¨ Caving                                    ¨ Climbing                                  ¨ Hiking / camping

¨ Government work                   ¨ Other work                              ¨ Bicycling                                        ¨ Horseback riding

¨ Mushroom picker                    ¨ Other picker                            ¨ Other forest activity                                                 

¨ Fishing                                    ¨ Hunting (game)                       ¨ Hunting (bird)

¨ Cross country skiing               ¨ Snowboarding                         ¨ Snowmobile                                   ¨ Other snow sports

¨ Powered watercraft                 ¨ Non-powered watercraft:  What type?                                                   

¨ SCUBA / snorkeling                 ¨ Swimming                                ¨ Other water activity                                                  

¨ Suicide                                    ¨ Wandering                              ¨ Criminal                                         ¨ Unknown

¨ Any other activities                                                                                                                                                        

LAND USE - On whose land did the incident initiate?

¨ Private                 ¨ County          ¨ State       ¨ ODF        ¨ Parks & Rec.       ¨ Native

¨ Dept. of Interior    ¨ USFS             ¨ BLM        ¨ Other (specify)                                                                                  

SIGNALING - What did the subject use?

¨ ELT                      ¨ EPIRB            ¨ PLB         ¨ MLU        ¨ Cell Phone           ¨ Radio      ¨ Mirror

¨ Fire/smoke           ¨ Flare/pyro     ¨ Sound (gun, whistle)  ¨ Visual (markers, flags)

SUBJECT DATA AND MISSION RESULTS

Age(s): Males                                                             Females                                                        

¨ Oregon resident?             Home county:                                                               or  Home state:                                       

Results:

Recovered:     Alive                                           Deceased                                          Remains missing                         

Found by:  Self-recovered:                                        Ground SAR:                                    Air SAR:                                       

Family / friends:                                SAR dogs:                                         Other:                                          

Distance traveled on foot from PLS:                                       

MENTAL STATE - Describe the mental status of the subject (if applicable)

For multiple subjects with different status, identify by age and sex:     subject 1                    subject 2                   subject 3                 

^{1  2  3}  Alzheimer’s           ^{1  2  3}  Mental illness              ^{1  2  3}  Autism            ^{1  2  3}  Mood disorder

^{1  2  3}  Dementia type             ^{1  2  3}  Mental handicaps        ^{1  2  3}  Other                         

^{1  2  3}  Alcohol                  ^{1  2  3}  Methamphetamine             ^{1  2  3}  Cocaine          ^{1  2  3}  Opiate      ^{1  2  3}  Marijuana

^{1  2  3}  Hallucinogen         ^{1  2  3}  Other                                

Date and time: Overdue:                                  Reported:                                         Found:                                        

SAR ASSETS USED

TRANSPORTATION (Circle h (hours) or m (miles))

[            ] h   m    Helicopter                       [            ] h   m    Fixed wing                      [            ] h   m    ATVs

[            ] h   m    Helicopter(military)         [            ] h   m    Fixed wing (military)       [            ] h   m    Motorcycle

[            ] h   m    Snowmobile             [            ] h  m    Snow-Cat                       [            ] h  m    Watercraft

[            ] h   m    4-wheel drive                 [            ] h   m    Specialized vehicles       [            ] h   m    2-wheel drive

[            ] h   m    Other