Forms Flashcards
(126 cards)
1
Q
F-377
A
Bi-Monthly Preventive Inspection Record
2
Q
F-701
A
Statistical Information
3
Q
F-702
A
Assignment Record
4
Q
F-704
A
Apparatus Maintenance Record
5
Q
F-705
A
Repair Record
6
Q
F-706
A
Battery Record
7
Q
F-709
A
Inventory of Equipment Firefighting
8
Q
F-710
A
Tire Record
9
Q
F-976
A
Annual Ground Ladder Inspection Record
10
Q
F-977
A
Bi-Monthly Apparatus Inspection Checklist
11
Q
F-978A
A
Heavy Apparatus Undercarriage Inspection Checklist
12
Q
F-978B
A
Heavy Apparatus Undercarriage Inspection Report
13
Q
F-121
A
Hose Inventory Record
14
Q
F-122
A
Overlay Form - Hose and Salvage Cover Records
15
Q
F-128
A
Hose and Salvage Cover Record
16
Q
F-129
A
Annual Hose Test Record
17
Q
F-973W
A
Weekly Apparatus and Equipment Check Record
18
Q
F-973M
A
Monthly Apparatus and Equipment Check Record
19
Q
F-975
A
Lifeline and Rescue Kit Inspection
20
Q
F-979
A
Self Contained Breathing Apparatus Inspection Checklist
21
Q
FG-84B
A
Witness Card
22
Q
FG-88
A
Automobile Accident Report
23
Q
DL-170
A
Certificate of Driving
24
Q
F-370
A
Record of Drivers Training
25
F-380
Apparatus Yearly Mileage
26
F-392
Monthly Gasoline and Diesel Fuel Report
27
F-377
How many copies and how long do you retain it?
- Bi-monthly Inspection Record
- 2 copies
- Retain last 6 copies (1year)
28
F-701
How many copies and how long do you retain it?
- Statistical Information
- 2 copies
- Original Retain Permanently in logbook
29
F-702
How many copies and how long do you retain it?
- Assignment Record
- 1 copy
- Retain Permanently in logbook
30
F-704
How many copies and how long do you retain it?
- Maintenance Record
- 1 copy
- Retain 6 copies (1 year) (FORMS SAYS DISCARD SHEET WHEN FILLED)
31
F-705
How many copies and how long do you retain it?
- Repair Record
- 1 copy
- Retain Permanently in logbook
32
F-706
How many copies and how long do you retain it?
- Battery Record
- 1 copy
- Retain until full
33
F-709
How many copies and how long do you retain it?
- Inventory of Equipment Firefighting
- 1 copy
- Retain Permanently
34
F-710
How many copies and how long do you retain it?
- Tire Record
- 1 copy
- Retain Permanently in logbook
35
F-972
How many copies and how long do you retain it?
- Daily Pre-Trip Inspection Record
- 1 copy
- Retain 1 month
36
F-972
Daily Pre-Trip Inspection Record
37
F-974
Reserve Apparatus Condition Inventory Record
38
F-974
How many copies and how long do you retain it?
- Reserve Apparatus Condition Inventory Record
- 1 copy
- Retain 1 year from last entry in logbook
39
F-976
How many copies and how long do you retain it?
- Annual Ground Ladder Inspection Record
- 1 copy
- Retain Permanently, forward to S&M when ladder removed from service
40
F-977
How many copies and how long do you retain it?
- Bi-Monthly Apparatus Inspection Checklist
- 1 copy
- Retain 3 years
41
F-978A
How many copies and how long do you retain it?
- Heavy Apparatus Undercarriage Inspection Checklist
- 2 copies
- Retain 3 years
42
F-978B
How many copies and how long do you retain it?
- Heavy Apparatus Undercarriage Inspection Report
- 2 copies
- Retain 3 years (form says 1 year)
43
F-121
How many copies and how long do you retain it?
- Hose Inventory Record
- 1 copy
- Retain until usefulness has passed
44
F-122
How many copies and how long do you retain it?
- Overlay Form - Hose and salvage cover records
- 1 copy
- Retain Permanently
45
F-128
How many copies and how long do you retain it?
- Hose and Salvage cover record
- 1 copy
- Retain 6 months after date last entry
46
F-129
How many copies and how long do you retain it?
- Annual Hose test record
- 2 copies
- Retain until hose removed from service
47
F-973 W&M
How many copies and how long do you retain it?
- Weekly/Monthly Apparatus and Equipment checks
- 1 copy
- Retain 1 month
48
F-975
How many copies and how long do you retain it?
- Lifeline and Rescue kit inspection record
- 1 copy in book 55
- Retain until no longer in service, forward to S&M with rope
49
F-975
How many operations do you enter per line?
one, If used for more than one operation, make a separate entry for each operation
50
F-975
What does the member making the entry put in the initial and assignment box?
Initials and NORMAL work assignment
51
F-976
How many ladders can be put on one sheet?
"A separate form shall be maintained for each ground ladder"
Form provides for 5 separate annual inspections of ladder
52
F-979
How many copies and how long do you retain it?
- SCBA Inspection Record
- 1 copy
- Retained for 3 years
53
F-979
How many SCBA's can be put on one form?
6
54
F-979
Who signs?
Company Commander and Battalion Commander
55
F-972
How many (*) Immediate Repairs are on the form?
11
Horn/Siren
Brakes/Rotors/Hoses
Air Brake Test COLA
Parking Brake
Emergency Lights
Headlights (low/high beams)
Brake Lights
Tired CID
Wheels/Wheel Lugs
Suspension/Axles
Steering Components
56
F-972 how many Steps are on the form?
6 (36 total boxes)
Step 1 General Overview
Step 2 Engine Compartment
Step 3 Cab Check
Step 4 Brakes
Step 5 Lights
Step 6 Walk Around Inspection
57
F-978B
Who signs it?
Battalion Commander
58
F-978A
Who signs it?
Company Commander and Battalion Commander
59
F-978B
What are 3 parts to the form?
Cleaning, Lubrication, Documentation
60
F-978A
What are the 4 parts to the form?
Battery Compartments
Undercarriage
Engine compartment
Yard areas
61
F-377
When and who do you forward it to?
One copy to Battalion Commander within the first 2 weeks of the month. Copy to arrive in the Battalion Office no later then the day before Battalion Inspection or the 15th of appropriate month whichever comes first
62
F-377
Who shall establish schedules for reserve apparatus assigned to their stations and forward to their Battalion Commanders for approval?
Station Commanders
63
F-377
The Preventative Maintenance Form applies to what apparatus?
all light and heavy apparatus and trailers that are serviced by field personnel.
64
F-377
Items that are in good condition and not in need of service, repair, etc., shall be marked how in the designated column?
O.K.
65
F-377
Members calling in needed repairs shall log what on the F-377?
- name of the person contacted
- instructions received
- date
66
F-377
If a reserve apparatus has had limited use within the two-month period, what do you feel out?
It is not necessary to fill out entire F-377, only checks you feel are necessary and those listed in Vol. 3, 7/1-48.84 and 48.86, of the Manual of Operations. Entire F-377 shall be completed on those apparatus at each six month oil change.
67
F-705
Repair Record. Make entries as indicated. If repaired in QUARTERS, enter what in column?
mechanic's name in "repaired by" column
68
F-705
Repair Record. Make entries as indicated. If repaired at the Supply and Maintenance Division, enter what in the column?
"Shops"
69
F-977
Who signs it?
Company commander and Battalion commander
70
F-977
What are 6 parts to the form?
- logbook
- outside
- cab
- compartments
- topside
- aerial ladder
71
FG-88
How many copies and who do you forward to?
- 5 copies
- within 24 hours, through channels to bureau for forwarding to personnel services section
72
FG-84
How many copies and who do you forward to?
- 1 copy
- Retained permanently
- Forward with FG-88 and all documents within 24hrs, through channels to bureau for forwarding to personnel services section
73
DL 170
How many copies and who do you forward to?
- 2 copies
- both forwarded to ISTS through channels, original returned to member to be taken to DMV
74
F-370
How many copies and who do you forward to?
- 2 copies
- Retained permanently
- forward as needed to ISTS and duplicate in personal file at work location
75
F-380
How many copies and who do you forward to?
- 2 copies
- Retained 1 year station file
- forward original by 10th day after end of fiscal year
76
F-392
How many copies and who do you forward to?
- 2 copies
- Retain 1 year
- Forward to battalion, to accounting services section direct. To reach them no later than 5 days after end of each month.
77
F-377
Where is it kept?
Logbook
78
F-701
Where is it kept?
Logbook
79
F-702
Where is it kept?
Logbook
80
F-704
Where is it kept?
Logbook
81
F-705
Where is it kept?
Logbook
82
F-706
Where is it kept?
Logbook
83
F-709
Where is it kept?
Logbook
84
F-710
Where is it kept?
Logbook
85
F-972
Where is it kept?
Logbook
86
F-974
Where is it kept?
Logbook
87
F-976
Where is it kept?
Logbook
88
F-977
Where is it kept?
Logbook
89
F-978A&B
Where is it kept?
Logbook
90
F-121
Where is it kept?
Book 55
91
F-122
Where is it kept?
Book 55
92
F-128
Where is it kept?
Book 55
93
F-129
Where is it kept?
Book 55
94
F-973W&M
Where is it kept?
Book 55
95
F-975
Where is it kept?
Book 55
96
F-979
Where is it kept?
Book 55
97
F-370
Where is it kept?
Station Files
98
F-380
Where is it kept?
Station Files
99
F-392
Where is it kept?
Station Files
100
DL 170
Where is it kept?
Station Files
101
F-44
Intra-Departmental Memo
-3 copies
- 2 copies forwarded to Originating Unit, discard 3rd when returned
102
F-44
When is it used?
Used by the Fire Prevention Bureau or field officers for written communication between them
103
F-70
Hydrant Test Record
- 1 copy
- Retain 1 year
- Form is made to cover 5 hydrant tests
104
F-95
Fire Hydrant Record
- 2 copies
- Retained permanently
- Duplicate forwarded to Hydrant Office when new pages are required in Hydrant Test Book
- Private hydrants listed as "Pvt. Hyd."
105
F-366
Report of Private Hydrants
- Used to notify companies of private hydrant installation and type of water system is connected
- 2 copies
- Retain Permanently by Hydrant office and Company
106
F-367
Hydrant Report
- Sent to company though channels, when a hydrant in first-in is installed, enlarged, relocated, or removed.
-2 copies
- Retained by Maps & Drafting as long as value and forwarded to Hydrant Unit within 14 days of receipt
- all company commanders sign
107
How is the F-128 filled out?
Used to denote the location of covers by use of the following symbols: LR, LS, RR, RS, or other.The top line on F-128 is to be used to denote a complete change of hose or covers in a location on an apparatus. For example, if a complete change of covers is made on the right side, an entry will be made on the top line using the symbol "R" with a corresponding date on the line below. An entry will be made for each cover removed from and placed on the apparatus. The purpose of the top line is to show at a glance the date of the last complete change.
108
F-215
What is it, how many copies and how long is it retained?
Equipment loan receipt. Made in duplicate by member leaving equipment at scene of an incident.
2 copies - one retained by company until equipment returned, other left with responsible party
109
How often is F-377 completed on Reserve Apparatus?
every 4 months
110
When do light apparatus - front line and relief - receive F-377?
Every other month on Odd months (January, March, May, July, September, November).
111
When you forward the original copy of the F-377 to Battalion before the 15th or day before inspection, what else goes with it?
a requisition listing all needed repairs, BC will forward it to S&M
111
When you forward the original copy of the F-377 to Battalion before the 15th or day before inspection, what else goes with it?
a requisition listing all needed repairs, BC will forward it to S&M
112
When apparatus is transferred, a copy of the last F-380 must be forwarded with the log book. If vehicle was not issued a log book, a copy of the F-380 will be secured where?
in the glove box.
113
This form shall be used to record the miles driven in a fiscal year and the total mileage of the vehicle. There shall be one forwarded for each station or unit. Station Commanders and Unit Commanders shall locate and record the mileage for all apparatus assigned to their command. This includes reserve apparatus in relief at other assignments and apparatus that has been sent to Supply and Maintenance.
F-380
114
F-620
Accident procedure Packet
115
Used to keep statistical information on various types of apparatus. This information is used by personnel to familiarize themselves with the pertinent information on various types of equipment.
F-701
116
When do you fill out an F-710?
Used to record the tires that are mounted on all apparatus.
- Make additional entries each time a tire is replaced.
117
F-731
Driver License - Apparatus Operator Qualification
one copy permanently in RPB
118
Who makes entries on F-731 to show member is certified on apparatus?
Officer responsible for apparatus
-The certification will only apply to the apparatus listed.
119
If a member is certified on page F-731 of PRB upon new assignment is it valid?
Officers must certify members of their commands regardless of previous certifications on same apparatus.
120
On F-731 is a member is restricted from driving department apparatus, what shall be done?
it shall be noted in red ink.
If this restriction is rescinded at a later date, member's supervisor shall draw a line through the entry and place their initials and date next to the deleted entry.
121
F-731
On certain occasions, a representative from the Training Division will qualify members on a specific piece of apparatus. Under these circumstances, a form will be forwarded to the Station Commander listing the member(s) so certified. Upon receipt of this form, a certification entry will be made in each member's Personal Record Book. In the company commander column, enter the word "________" and the date of certification.
Training
122
When filling out the F-973, if the check is O.K., what is entered in appropriate column? What if it is not O.K.?
If the check is O.K., the initials of the member will be entered in the appropriate column. If the check is not O.K., a journal entry shall be made and the page number entered in the column instead. Exception: enter the weight, instead of the initials, when checking the CO2 extinguisher.
123
When filling out F-976 If components are satisfactory mark what in status column? If not mark what?
If satisfactory mark status column "OK"
If not mark "R&R"(Repair/Replace), Under repairs needed column indicate specific repairs and date entry
124
F-976
What parts are inspected for Miscellaneous?
Miscellaneous includes ladder parts not categorized, such as: tormentors, guides, stops, reflective tape, company identification, etc.
125
What forms are reviewed on the F-977?
F-377, F-972, F-704, F-705
