FORMS Flashcards

1
Q

What is the purpose of the “Forms Manual Sheet”?

A

These sheets will show a brief outline of what the forms are used for and how to use them.

Forms Book pg 121

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2
Q

Where are the 2 locations you should be able to find the “FORMS MANUAL”?

A

“Station library” and the COMMONSHARE DRIVE under “Publication Forms Manual”

Forms book pg 121

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3
Q

Where can you access the Forms on the Division Intranet Site?

A

Left side of the page, RESOURCES then DIVISION FORMS.

Forms Book pg 121

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4
Q

If you must complete a form that is not on the Division intranet Resouces page, what should you do?

A

Refer to the Forms Manual for instructions about how to complete the form and who it should be sent to.

Forms Book pg 121.

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5
Q

What form is to be filled out by the employee that has sustained an on-the-job injury and/or occupational illness?

A

A-1 injury form

Pg 122

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6
Q

What timeframe must the A-1 injury form be completed?

A

Within 24 hours of the injury being REPORTED.

PG 122

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7
Q

Who must the A-1 Injury Form be forwarded to after it is completed?

A

Division of Fire Human Resources.

Pg 122

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8
Q

If injured on duty, however there is no work lost and no treatment required. What should be done?

A

Complete the A-1 Injury form, make a copy and forward to CFD HR within 7 Calendar Days.

Pg 122

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9
Q

If an injury requires treatment but NO work lost… what should be done?

A

Complete and A-1
Complete the First Report of Injury (FROI)
Contact Careworks to report the injury.
Ensure the Doctor faxes FROI to Careworks.
Ensure Careworks forward FROI to BWC

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10
Q

For an injury that requires treatment WITH work lost, what should be done?

A

Complete A-1.
Complete the FROI
Complete a MEDCO14
Contact Careworks
Ensure doctor forwards these documents to Careworks
Ensure Careworks forwards to BWC and Rachel Crawford.
Rachel forwards to City of Columbus Risk.

Pg 122

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11
Q

In addition to A-1 and FROI, what else must an officer do?

A

Notify the FAO
Create firehouse report
Amend the OF237 to report injury
Document on smooth log

If FF is in the hospital, follow-up within 48 hours.

Pg 122

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12
Q

If any equipment is lost, stolen/missing destroyed or damaged, what form must be completed?

A

ET-68

PG 128

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13
Q

If equipment is lost, stolen or missing.. what must be filed when completing the ET-68?

A

A Police report must be filed and the report number written on the designated line.

Pg 129

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14
Q

What form should be completed on ALL Carbon Monoxide runs or other runs that Carbon Monoxide is detected?

A

FP-356 Form

Pg 132

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15
Q

After filling out the FP-356, what should be done with the copies?

A

White copy attached to NFIRS-1

Yellow copy to the Yellow NFIRS-1

Pink copy should be given to the occupants.

Pg 132

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16
Q

What form is to be completed by any employee who reports Late for Duty?

A

PT-20

163

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17
Q

What information should be obtained from the Carbon Monoxide detector?

A

Write the serial number of the detector.

Pg 133

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18
Q

What form is to be completed by any employee who does not notify the FAO at least 45 min prior to Roll Call of their COD?

A

PT-20

19
Q

If the gas is shut off anywhere inside or outside of the building, is it required to indicate it on the FP-356?

A

Yes. In the designated area.

Pg 133

20
Q

What is the MR-F5 form?

A

Monthly Mileage Report Form.

Pg 135

21
Q

When should the PT-20 be completed?

A

Immediately after the employee reports for duty.

163

22
Q

What is the latest a form MR-F5 can be turned in through the chain of command?

A

Form must be submitted no later than the 20th of the month that FOLLOWS the month for which the Mileage Reimbursement is requested.

Pg 135

23
Q

Late for duty should be logged in what places?

A

Rough Log (RL-104A)
Company Journal on forms RL-104 & PL-7

164

24
Q

What form is the Personnel Status Report form?

A

OF-237 Form

Pg 138

25
Q

How often should the OF-237 be completed?

A

Every Tour of Duty.

Pg 138

26
Q

What form should be filled out and submitted with the OF-237?

A

A PT-14 should be submitted for each person receiving a stipend to their pay.

Pg 138

27
Q

PT-20 line 10, Total number of lates. This is the total of lates that the employee has experienced in the last how many months?

A

12 months.

165

28
Q

Who is responsible for completing the OF-237?

A

The responsibility for completing the OF-237 belongs to the highest-ranking office below the rank of Assistant Chief in that station/office.

Pg 139

29
Q

Completed PT-20’s are sent to who?

Along with the Fire Chief’s approval, what decision is made?

A

The Executive Officer.

If the late is excusable & what disciplinary is to be taken.

164

30
Q

Time, when written on the OF-237, shall be written how? (What style/lay-out)?

A

Write all times using four-digits, hours first, separated from minutes with a colon ( ex - 4:30 )

Pg 139

31
Q

When is a PT-14 supposed to be filled out?

A

When an employee works outside their regular hours or rate of pay.

158

32
Q

On the OF-237, how is “Date” section to be filled out?

A

Full name of the month followed by the number of the month followed by the FULL number of the year.

Ex- August 21, 2022

Pg 139

33
Q

When should a PT-14 be completed?

A

Immediately after the completion of the division related business for which the compensation is being claimed.

158

34
Q

Who is responsible for filling out the PT-14?

A

The employee.

158

35
Q

When amending the OF-237, you should record ONLY _______?

A

Record ONLY the changes that were made/different from the original.

Pg 139

36
Q

If an employee is not working in their permanent assignment, who should their PT-14 be forwarded to?

A

The station or bureau where the work was performed.

159

37
Q

How shall and individuals name/information be documented/written on the OF-237

A

Last name, First name, middle initial.

Pg 140

38
Q

What format should the date be in on line 6 of a PT-14?

A

MM-DD-YY (ex. 01/01/17)

159

39
Q

On the PT-14, how many work codes can be submitted per individual?

A

4.

159

40
Q

For individuals that are on VAC or SL, what hours are to be documented on the OF-237?

A

The hours off duty while on VAC or SL should be documented.

Pg 140

41
Q

Should individuals that COD or are Late for Duty be documented on the OF-237?

A

Yes.
In the “REMARKS” section, note the individuals Name, ID, and COD call

42
Q

Do individuals with the permanent rank of BC or higher need to document their rank designation with their signature on the PT-14?

A

No.

162

43
Q

What form is to be used when an employee requests leave from duty due to illness, sick leave other than self, injury or when requesting to use FMLA?

A

PR-5.

154