16- What form do I fill out Flashcards
According to the Brampton What Form Do I Complete document, What form should an employee complete when injured or suspected to be injured at work?
a. Functional Abilities Form (FAF)
b. Workplace Injury/Illness Report (WIIR)
c. Physical Demands Profile (PDP)
d. Medical Assessment Form (MAF)
B
Workplace Injury/Illness Report (WIIR):
Completed by employee when injured and/or suspected to be injured at work
Direct Supervisor is to be listed as such in report
Direct Supervisor to action report once received
If injury is sustained during a response, at an incident or while returning from an
incident, the Office of the Fire Marshall Incident and Casualty Reporting Manual
requires a CASUALTY REPORT to be completed in addition to the WIIR, this form
is directly completed in CAD
According to the Brampton What Form Do I Complete document, Who is responsible for completing the Workplace Injury/Illness Report (WIIR)?
a. Human Resources
b. Employee
c. Medical Professional
d. Direct Supervisor
B
Workplace Injury/Illness Report (WIIR):
Completed by employee when injured and/or suspected to be injured at work
Direct Supervisor is to be listed as such in report
Direct Supervisor to action report once received
If injury is sustained during a response, at an incident or while returning from an
incident, the Office of the Fire Marshall Incident and Casualty Reporting Manual
requires a CASUALTY REPORT to be completed in addition to the WIIR, this form
is directly completed in CAD
According to the Brampton What Form Do I Complete document, When is a Casualty Report required in addition to the Workplace Injury/Illness Report (WIIR)?
a. For all workplace injuries
b. Only for incidents involving fire
c. When returning to work in a modified capacity
d. If injury occurs during a response, incident, or while returning from an incident
D
Workplace Injury/Illness Report (WIIR):
Completed by employee when injured and/or suspected to be injured at work
Direct Supervisor is to be listed as such in report
Direct Supervisor to action report once received
If injury is sustained during a response, at an incident or while returning from an
incident, the Office of the Fire Marshall Incident and Casualty Reporting Manual
requires a CASUALTY REPORT to be completed in addition to the WIIR, this form
is directly completed in CAD
According to the Brampton What Form Do I Complete document, What is the purpose of the Functional Abilities Form (FAF)?
a. To report property damage
b. To request educational opportunities
c. To detail restrictions after a workplace injury
d. To request modified duties after an off-the-job injury
C
Functional Abilities Form (FAF) (Occupational Injury) (Form 8):
A FAF is to be completed by a medical professional for every Workplace
Injury/Illness Report resulting in lost time and/or medical care
If an employee is requesting to return to work in a modified capacity a FAF is
required from a medical professional detailing the restrictions of the employee
If an employee is not returning to work after a workplace injury, a FAF is required
from a medical professional with a re-assessment date
Should an employee be off for a longer duration from a workplace injury a FAF is
required monthly (every thirty days) after their first medical assessment
If an employee is returning to work in a regular capacity after a workplace injury,
a FAF with no restrictions is required
All FAFs are to be sent to the employee’s PC/DVC
According to the Brampton What Form Do I Complete document, When is the Medical Assessment Form (MAF) required for non-occupational injuries?
a. Every day off from work
b. When absent for three consecutive days or more
c. Only for motor vehicle collisions
d. When returning to work with no restrictions
D
Medical Assessment Form (MAF) (Non-Occupational Injury):
* An employee is to have a MAF completed by a medical professional under the
following criteria;
o Absent from work for three (3) consecutive days or more (Staff Divisions)
and returning to work with no restrictions
o Absent from work for thirty-six (36) consecutive hours or more
(Suppression) and returning to work with no restrictions
o When requesting modified duties after an off the job injury/illness with
restrictions listed
o When returning to full duties after an off the job injury with no restrictions
o When returning to full duties after being on modified duties due to off the
job injury with no restrictions
o When returning to full duties after suffering from chest pains
* Should an employee be off for a longer duration a MAF is required monthly (every
thirty days) after their first medical assessment
* Should an employee be on modified duties for a longer duration a MAF is required
monthly (every thirty days) after their first medical assessment
According to the Brampton What Form Do I Complete document, What is the purpose of the Physical Demands Profile (PDP) document?
a. To report communicable diseases
b. To assist in completing the FAF/MAF
c. To request educational courses
d. To assess property damage
B
Physical Demands Profile (PDP) Document:
Employees should consider bringing this form to their medical professional to assist the medical professional in completing a
FAF/MAF
According to the Brampton What Form Do I Complete document, How often is a MAF required if an employee is off for a longer duration due to a non-occupational injury?
a. Monthly (every 30 days)
b. Quarterly (every 90 days)
c. Annually (every 365 days)
d. Only after the first medical assessment
A
Medical Assessment Form (MAF) (Non-Occupational Injury):
* An employee is to have a MAF completed by a medical professional under the
following criteria;
o Absent from work for three (3) consecutive days or more (Staff Divisions)
and returning to work with no restrictions
o Absent from work for thirty-six (36) consecutive hours or more
(Suppression) and returning to work with no restrictions
According to the Brampton What Form Do I Complete document, Who completes the Designated Officer (DO) forms when an employee reports a potential exposure to a communicable disease?
a. Medical Professional
b. Investigating DO
c. Administrative staff
d. Direct Supervisor
B
Designated Officer (DO) Forms
Completed by the investigating DO when an employee reports a potential exposure
to a communicable disease
The investigating DO shall consult the reporting matrix
The investigating DO is to forward any and all related reports of the communicable
disease report to Administrative staff
According to the Brampton What Form Do I Complete document, What is consulted by the investigating DO when completing the Designated Officer (DO) forms?
a. Educational opportunities
b. Communicable disease report matrix
c. Incident and Casualty Reporting Manual
d. Physical Demands Profile (PDP)
B
Designated Officer (DO) Forms
Completed by the investigating DO when an employee reports a potential exposure
to a communicable disease
The investigating DO shall consult the reporting matrix
The investigating DO is to forward any and all related reports of the communicable
disease report to Administrative staff
According to the Brampton What Form Do I Complete document, When should an employee complete the Development and Educational Courses Approval Form?
a. After completing the educational opportunity
b. Before the educational opportunity
c. Only if the course is related to firefighting
d. Once approved by the Administrative staff
B
Development and Educational Courses Approval Form
An employee is to complete this form prior to the educational opportunity and
forward to their PC/DVC for approval when requesting to participate in an
educational opportunity under Policy 8.04
According to the Brampton What Form Do I Complete document, What form should be completed if an employee is seeking approval for an Ontario Fire College Educational Request?
a. Educational Courses Approval Form
b. Development and Educational Courses Approval Form
c. Continuing Education Form
d. Ontario Fire College Request Form
D
Ontario Fire College Educational Request
Employees are to seek prior approval from their PC/DVC prior to completing this
form
If approved, the employee is to complete the form and forward to the Admin Ast.
of Training
Note: Currently applications for Regional Training Centres (RTC) require approval from
the Deputy of the employees Division.
According to the Brampton What Form Do I Complete document, Who completes the City Property Damage Insurance Incident Report for damaged Corporation property?
a. Apparatus/vehicle driver
b. Administrative staff
c. Investigating DO
d. Supervisor (Captain/Coordinator/Ast DVC)
D
Insurance Incident Report
Completed by the Supervisor (Captain/Coordinator/Ast DVC) for damaged
Corporation property and forwarded to the PC/DVC
Completed by the apparatus/vehicle driver for motor vehicle collisions and
forward to the PC/DVC
According to the Brampton What Form Do I Complete document, What form is completed for motor vehicle collisions by the investigative Non-Union Supervisor?
a. Accident Investigation Report
b. Performance Appraisal
c. Boot Authorization Form
d. Continuing Education Form
A
Accident Investigation Report
Completed for motor vehicle collisions by the investigative Non-Union Supervisor
and forwarded to Administration
According to the Brampton What Form Do I Complete document, What form should an employee complete to request boots?
a. Boot Cleaning Form
b. Boot Authorization Form
c. Boot Reimbursement Form
d. Boot Approval Form
B
Boot Requests:
Employee requests a Boot Authorization Form from the Admin Ast. of A&M
Once received the employee is responsible for completing the form and
forwarding to their PC/DVC for approval
Once approved the employee is permitted to visit the vendor for approved
footwear
Vendor will submit the form to accounts payable at the time of purchase
According to the Brampton What Form Do I Complete document, How often is the Medical and Station Supplies (D11) form completed and submitted?
a. Daily
b. Weekly
c. Monthly
d. On demand
B
Medical and Station Supplies (D11):
Completed and submitted on Wednesdays or as supplies are required
Completed form is emailed to emailgrp_FireSEO@brampton.ca
According to the Brampton What Form Do I Complete document, What is the purpose of the Laundry Tag for bunker gear?
a. To request a wash
b. To order supplies
c. To report property damage
d. To request a FAF
A
Laundry Tag
The Laundry Tag is to be placed in the outer bag of the multi-bag system. The
tag is to be enclosed with soiled bunker gear and components when requesting a
wash
Regular cleaning is done at Stations 203, 206 or 213
Laundry Tags can be ordered through the D11
Ensure to provide: whose gear, the contents and return address
According to the Brampton What Form Do I Complete document, Which form is completed and enclosed with soiled bunker gear for special cleaning and repair work?
a. Boot Authorization Form
b. Special Cleaning and Repair Work Order
c. Contaminated Gear – Red Tag
d. Laundry Tag
B
Special Cleaning and Repair Work Order
Form completed and enclosed with soiled bunker gear and components
SEOs to be notified and are to coordinate with ISP for gear pick up
According to the Brampton What Form Do I Complete document, When is the Red Tag completed and enclosed with soiled bunker gear?
a. For regular cleaning
b. For special cleaning and repair
c. To report property damage
d. To request educational opportunities
B
Contaminated Gear – Red Tag
Red Tag completed and enclosed with soiled bunker gear and components
SEOs to be notified and are to coordinate with ISP for gear pick up
Additional Red Tags can be ordered through the D11
According to the Brampton What Form Do I Complete document, Who completes the Performance Appraisals annually for staff under their command?
a. Administrative staff
b. Non-Union Supervisor
c. Human Resources
d. Supervisor
D
Performance Appraisals
To be completed annually by Supervisor for all staff under their command
Completed Performance Appraisals are to be forwarded to the Non-Union
Supervisor for review
The Non-Union Supervisor to forward to Administration for filing
According to the Brampton What Form Do I Complete document, What is the purpose of the Employee Incident Report?
a. To request a FAF
b. To document contravention of a rule/reg, policy, SOG, etc
c. To report property damage
d. To file a complaint against a coworker
B
Employee Incident Report
Completed due to a contravention of a Rule/Reg, Policy, SOG, etc. and/or other
duties
Completed by the Supervisor when a incident has occurred
Completed form is then reviewed by the Non-Union Supervisor
Completed Form is sent to Administration for filing
According to the Brampton What Form Do I Complete document, When is the Performance File completed?
a. Annually
b. Only for significant events
c. To document a training/skill deficiency
d. Whenever an employee requests it
C
Performance File
Completed to document a training/skill deficiency by a Supervisor
Completed document is forwarded to the next level Supervisor for review
Reviewed document then sent to Administration for filing
According to the Brampton What Form Do I Complete document, When is the Personnel Change Form (Employee Data Change) completed?
a. Monthly
b. Whenever there is a full-time change
c. Quarterly
d. Annually
B
Personnel Change Form (Employee Data Change)
Completed by the PC/DVC whenever there is a full-time change to staff
personnel, i.e. Platoons/Stations reassignment, promotion, etc.
Completed form to be sent to Administration for processing
Note: Processing time may take up to a month
According to the Brampton What Form Do I Complete document, Where is the Self Service IT Tickets link located?
a. In the BFES Workspace
b. On the desktop
c. In the Physical Demands Profile (PDP)
d. In the Employee Incident Report
B
When employees are encountering IT issues
Click the link on your desktop to submit IT tickets
IT tickets need to be submitted for the following:
o Access issues for the computer and printer
o Order a replacement Access Card
According to the Brampton What Form Do I Complete document, What can employees access through MeOnline?
a. Educational opportunities
b. Performance appraisals
c. Paystubs and benefit details
d. Bunker gear cleaning forms
C
Updated by employees for changes in personal information
Access to Paystubs, Benefit Details, T4 Slips, and Compensation reports
According to the Brampton What Form Do I Complete document, When should a Workplace Inspection be completed and uploaded to SharePoint?
a. Every day
b. Every Monday
c. Monthly
d. Annually
B
Station Inspection
Every Monday, a Workplace Inspection shall be completed and uploaded to the
Inspections Page on Sharepoint by the workplace Supervisor
According to the Brampton What Form Do I Complete document, According to the What forms do I fill out section, what amount of money does the corporation reimburse for educational requests
A)$1000
B)$1500
C)$2500
D)$5000
Continuing Education
The Corporation currently offers up to $1500 a year in reimbursement for
educational requests. This is a Corporation program and requires Corporate
approval.
