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22 Cards in this Set
- Front
- Back
Employee Evaluation Report FD 17 |
1. All probe's require a FD 17 filled out on the last shift of each month. 2. Each rating requires a comment. 3. Unacceptable, short of standard, standard, above standard, outstanding. |
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Employee is injured. What form required. |
FC-6 Supervisors report of injury FC-11 Medical Service order Occupational health providers list. FC-17 Employee's clam for worker's compensation benefits (DWC-1) |
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Loss of property or equipment. What form? |
FC-18. Fill out within 48 hours of loss. Include written memorandum to deputy chief through BC. Police report may be required. |
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Pre-Trip inspection report. Form #? |
FD-3 If apparatus is unsafe to operate, notify BC and shop.
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Priority Target Hazard form #? |
FD-7. Route through BC |
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Public Education Form |
FD 18. Fill one out for any pub ed event. Route to ops secretary on completion of event. |
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Tardy Report |
FD 21. Filled out as soon as sufficient information is available to complete the report. Route through superior officers to the personnel manager at HQ. |
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Hydrant repair requisition. |
FD 25. For broken hydrants. Route to station 17 captain, then to department of public utilities water division. |
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Apparatus Inventory |
FD 27 and 27A. Fill out annually on the last day of August. Route through BC to Ops chief. |
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Station Inventory |
FD 28 and 28.1 Fill out annually on last day of August. |
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Hose and Salvage cover inventory |
FD 29 Fill out last day of May annually. Route through BC to Ops chief. |
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Possible substance use incident form |
FD 31 For supervisors who observe reasonable cause for drug/alcohol testing. Two supervisors must document specific observations that constitute reasonable cause for drug/alcohol testing. Once completed, a copy of this form is provided to the member. |
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Temporary Equipment transfer checklist |
FD 34 Use when temporarily transferring equipment from on apparatus to another. |
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Projected work details |
FD 40 Shift by shift projection of monthly work details and work actually accomplished. Route to BC. Complete duplicate form and maintain at station. Complete work actually completed section and route to BC. |
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Annual station safety and maintenance inspection form. |
FD 53 Used annually for the purpose of inspecting fire stations to help maintain a safe work environment. Complete in August prior to the annual station inspection performed by BC. |
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Fuel report form |
FD 61 Report of fuel purchased when using outside vendor for refueling. Sign receipt and attach to form. Record in day book. Route to finance section. |
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Incident tracking log |
FD 64 Form will assist IC in the tracking of members and equipment moving between functional locations during large emergency incidents. |
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RIC checklist form |
FD 66 Checklist used to size up and evaluate minimum equipment needed. |
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Apparatus, equipment and office inspection form. |
FD 70A Checklist of items in need of inspection. Done annually during May. Through BC to Ops Chief. |
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Personnel inspection form |
FD 70B Check list of items in need of inspection for personnel. Annually during January Route through BC to Ops chief. |
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Station Inspection form |
FD 70C Checklist of items for station inspection Annually in september. |
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Station work schedule form |
FD 81 Daily, weekly and monthly checklist of station duties. |