Urban Search Dispatch Checklist Form
Use this form to record and coordinate an urban search dispatch, including incident details, search conditions, resources, and assignment status.
Dispatch Request Details
Incident or Report Reference Number
*
Date and Time of Request or Dispatch
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Requesting Agency or Unit
*
Incident Location or Operational Area
*
Incident Type and Urgency
Incident Type
*
Structure Collapse
Search for Missing Person
Confined Space Incident
Flood Rescue
Debris Field Search
Other
Urgency Level
*
Routine
Urgent
High Priority
Immediate
Incident Summary / Dispatch Notes
Search Area and Conditions
Search Zone Description
*
Access Constraints or Hazards Observed
Unstable debris
Low visibility
Restricted access
Weather impact
Confined space
Utility risk
Other
Estimated Search Area Size
Current Environmental Conditions
Resource and Team Dispatch Checklist
Responding Team or Unit Name
*
Number of Personnel Dispatched
*
Specialized Capabilities Required or Assigned
K9
Ropes
Technical Rescue
Medical Support
Drone/UAS
Communications
Logistics
Other
Equipment or Resources Needed
Radios
Lighting
PPE
Cameras
Marking Materials
Rescue Tools
Battery Packs
Mapping Tools
Other
Availability or Status Confirmation
*
Available
En Route
On Scene
Delayed
Unavailable
Assignment Status and Follow-Up
Assigned Dispatcher or Coordinator
*
Estimated Arrival or Deployment Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Current Status
*
Not Dispatched
Dispatched
En Route
On Scene
Standby
Demobilizing
Closed
Follow-Up Instructions or Handoff Notes
Final Checklist Confirmation
*
Form completed and ready for operational use
Submit Dispatch Checklist
Should be Empty: