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Volumes - Newman > Forms > Flashcards

Forms Flashcards

1
Q

Forms

F- 377

Name ______

Copies _____

Signed by _____

Retain (how long and where) ______

Forward _____

A

F- 377

Name - Preventive Maintenance Record Bi-Monthly

Copies - 2

Signed by - Station Commander and B/C

Retain - 6 copies in Log Book

Forward - One to B/C office first two weeks of even month

Note - Copy to arrive at B/C office no later than the day before inspection or the 15th of even month, whichever comes first

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2
Q

Forms

F- 701

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 701

Name - Statistical Information

Copies - 2

Retain - Permanently in Log Book

Forward - 1 at S and M

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3
Q

Forms

F- 702

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 702

Name - Assignment Record

Copies - 1

Retain - Permanently in Log Book

Forward - N/A

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4
Q

Forms

F- 704

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 704

Name - Apparatus Maintenance Record

Copies - 1

Retain - Retain until filled; one year after date of last entry may be discarded - In Log Book

Forward - N/A

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5
Q

Forms

F- 705

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 705

Name - Repair Record

Copies - 1

Retain - Permanently in Log Book

Forward - N/A

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6
Q

Forms

F- 706

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 706

Name - Battery Record

Copies - 1

Retain - Until Full, In Log Book

Forward - N/A

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7
Q

Forms

F- 709

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 709

Name - Inventory of Equipment Fire Fighting

Copies - 1

Retain - Permanently in Log Book

Forward - N/A

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8
Q

Forms

F- 710

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 710

Name - Tire Record

Copies - 1

Retain - Permanently in Log Book

Forward - N/A

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9
Q

Forms

F- 972

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 972

Name - Daily Pre-Trip Inspection Record

Copies - 1

Retain - 1 month after last entry, in Log Book

Forward - N/A

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10
Q

Forms

F- 974

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 974

Name - Reserve Apparatus Condition Inventory Record

Copies - 1

Retain - 1 year from last entry, in Log Book

Forward - N/A

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11
Q

Forms

F- 976

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 976

Name - Annual Ground Ladder Inspection Record

Copies - 1

Retain - Permanently in Log Book

Forward - To S and M when removed from service

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12
Q

Forms

F-977

Name ______

Copies _____

Signed by _____

Retain (how long and where) ______

Forward _____

A

F- 977

Name - Apparatus Inspection Checklist
(items to be checked during Bi-Monthly inspection)

Copies - 1

Signed by - Company Commander and B/C

Retain - 3 years in Log Book

Forward - N/A

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13
Q

Forms

F- 978A

Name ______

Copies _____

Signed by _____

Retain (how long and where) ______

Forward _____

A

F- 978A

Name - Heavy Apparatus Undercarriage Inspection Checklist

Copies - 1

Signed by - Company Commander and B/C

Retain - 3 years in Log Book

Forward - N/A

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14
Q

Forms

F- 978B

Name ______

Copies _____

Signed by _____

Retain (how long and where) ______

Forward _____

A

F- 978B

Name - LAFD Heavy Apparatus Undercarriage Inspection Form

Copies - 2

Signed by - Company Commander and B/C

Retain - 1 year in Log Book (per bottom of form)

Forward - 1 to S and M or hand carry to Annual Test

(old hard copies say 3 years)

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15
Q

Forms

F- 122

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 122

Name - Over Lay Hose and Salvage Cover

Copies - 1

Retain - Permanently in Book 55

Forward - N/A

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16
Q

Forms

F- 128

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 128

Name - Hose and Salvage Cover Record

Copies - 1

Retain - 6 months after last entry, in Book 55

Forward - N/A

17
Q

Forms

F- 129

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 129

Name - Annual Hose Test Record

Copies - 2

Retain - For life of hose, in Book 55

Forward - 1 to S and M when test complete

18
Q

Forms

F- 973

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 973

Name - Apparatus and Equipment Check Record
(W - Weekly and M - Monthly)

Copies - 1

Retain - I month after last entry, in Book 55

Forward - N/A

19
Q

Forms

F- 975

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 975

Name - Lifeline and Rescue Kit Inspection

Copies - 1

Retain - Until Full, in Book 55

Forward - To S and M with lifeline when sent in for testing or repair

20
Q

Forms

F- 979

Name ______

Copies _____

Signed by _____

Retain (how long and where) ______

Forward _____

A

F- 979

Name - SCBA Inspection Checklist

Copies - 1

Signed by - Company Commander and B/C

Retain - 3 years in Book 55

Forward - N/A

21
Q

Forms

FG- 84B

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 84B

Name - Witness Card

Copies - 1

Retain - Permanently, in Station Files

Forward - Within 24 hours with FG 88 Bureau Commander to Personnel Services (Per Volume 5)

22
Q

Forms

FG- 88

Name ______

Copies _____

Signed by _____

Retain (how long and where) ______

Forward _____

A

F- 88

Name - Automative Accident Report

Copies - 5
1 - Permanently - legal liability section, City Attorney Office
2 and 3 - Apparatus and Equipment Division
4 - Accident File
5 - Permanently member personal file

Signed by - Employee and Supervisor

Retain - Permanently

Forward - Within 24 hours with FG 88 Bureau Commander to Personnel Services (Per Volume 5)

23
Q

Forms

DL 170

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

Dl 170

Name - Certificate of Driving

Copies - 2

Retain - Permanently

Forward - As needed - DMV and In-Service

24
Q

Forms

F- 370

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 370

Name - Record of Drivers Training

Copies - 2

Retain - Permanently

Forward - As needed - Member and In-Service

25
Q

Forms

F- 380

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 380

Name - Apparatus Yearly Mileage

Copies - 2

Retain - I year, Station File

Forward - To S and M, Original by concerned members by the 10th day after the end of the fiscal year. (July)

26
Q

Forms

F- 392

Name ______

Copies _____

Retain (how long and where) ______

Forward _____

A

F- 392

Name - Monthly Gasoline and Diesel Fuel Report

Copies - 2

Retain - By Battalion for 1 year

Forward - Station to Battalion to Accounting Services Section

—No later than 5 days after end of each month

Volumes - Newman (8 decks)

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