Listing of HFD Forms Flashcards
HFD 001
Hydrant Reports
As soon as possible after a hydrant is used.
By Company Commander
HFD 002
Compensatory Time Earned Record
To the extent possible, no later than the beginning of the next work day or shift.
By Employee
HFD 004B
Request for Substitution
Seven calendar days prior to requested substitution.
Employee requesting substitution
(Can be submitted just prior to substitution)
HFD 005
Authorization for Meals
To the Administrative Services Bureau within seven calendar days after the purchase date.
Incident Commander
HFD 005A
American Red Cross Meal Request Count
When a request for meals from the ARC is made through the FCC
Incident Commander
HFD 005B
Dinner Meals Monthly Expenditure Report
The second work shift after receipt of the monthly bank statement
Company Commander
HFD 005C
Dinner Meals Quarterly Expenditures Report
The second work shift after the end of the quarter.
Company Commander
HFD 005D
Report of Financial Review
Upon receipt of HFD 005B and HFD 005C forms from the Fund Custodian
Supervising Chief Officer
HFD 005E
Meal Reimbursement Allowance (MRA) Account Change and Transfer of Custody Form
The Second work shift after the account change
Company Commander or Fire Fighter III
HFD 006
City and County of Honolulu - Waiver
Prior to flight
City Agency or Helicopter Pilot
HFD 007
Request for Helicopter Transportation
At least ten days prior to flight
City Agency Making Request
HFD 009
Quick Pre-Plan Form
Entered in HOSES by end of month or upon completion.
Company Commander
HFD 009A
Plot Plan - Visio if used, with HFD 009
Company Commander
HFD 009AW
Plot Plan (Wide View) - Visio
If used, with HFD 009
Company Commander
HFD 009B
Floor Plan - Visio
IF used, with HFD 009
Company Commander
HFD 009C
Digital Pictures
If used, with HFD 009
Company Commander
HFD 009LR
Rescue Watercraft Launch and Recovery site Pre-Plan
Entered in HOSES by end of month or upon completion
Company Commander or Designee Performing Plan
HFD 009W
Occupancy Module Worksheet
Worksheet, not submitted
Company Commander
HFD 010
Gas/Diesel Fuel Slip
1st of each month (for previous month’s compiled slips).
Company Commander
HFD 010A
Fuel Slips Transmittal Form
The 1st day of the month (for the previous month’s accumulation).
Company Commander
HFD 011
Monthly Consumption of Fuel and Oil
The first day of the month (for the previous month’s activities).
Company Commander
HFD 011C
Semi-Monthly Fuel Leak Detection Monitoring
On the fifteenth and last day of the month.
Company Commander
HFD 012
Certificate for clearance of obligations
Prior to finalization of separation
Administrative Services Bureau
HFD 021
Daily Apparatus Report & Battery Record
The first day of the month (for the previous month’s Form).
Assigned Operator or Assigned Station Personnel
HFD 021A
Monthly Auxiliary Vehicle Report
The first day of the month (for the previous month’s activities).
Assigned Operator or Assigned Station Personnel
HFD 021B
Daily Boat Maintenance Report & Battery Record
The first day of the month (for the previous month’s activities).
Assigned Operator or Assigned Station Personnel
HFD 021M
Daily Auxiliary Vehicle Usage Report
1st of each month (for previous month’s form).
Company Commander
HFD 021P
Trailer Pump Maintenance Battery Record
1st of each month (for previous month’s form).
Assigned FF3
HFD 021R
Relief Apparatus Checklist
Whenever reponsibility for apparatus is transferred.
Company Commander
HFD 021RWC
Daily Watercraft Maintenance Report
1st of each month (for previous month’s form).
Designee
HFD 022
Receipt for loan of HFD Equipment
Prepared at time of loan
Company Commander
HFD 024
Inventory, PPE, License Certificate Report
Following change of command; following change of apparatus; following major working incident.
Company Commander
HFD 028A
Personnel Resource Report
Daily By 0800
Battalion Commander
HFD 032
Monthly Supplies Request
5th or the month; as need arises (Supplemental).
Company Commander
HFD 032A
Request for Office Supplies
5th or the month; as need arises (Supplemental).
Company Commander
HFD 033
Battalion Chief’s Report of Inspection
1st day after the end of each quarter.
Battalion Chief
HFD 034
Medical Equipment Sign-Off Sheet
Not submitted / Retained at station for 1 year
Company Commander Designee
HFD 035A
Inspection & Maintenance Checklist for Self - Contained Breathing Apparatus
1st day after the end of each quarter.
Company Commander
HFD 036
Hose Service Test Report
On the day the hoses are received and/or tested.
Company Commander
HFD 037
Portable Radio Checklist
Not submitted / Retained at the station for 1 year or longer if necessary.
Company Commander & FF3 on Tanker
HFD 042
Consent / Non-Consent Form
The day of the annual physical examination.
Employee
HFD 046
First Responder Worksheet
At scene while patient information is being gathered and treatment is being provided to the patient.
Company Commander
HFD 047
Dive Profile
At the site of the SCUBA diving mission, until recorded permanently on the form at the station.
Diver
HFD 047A
Record of Dive
Entries shall be made upon return to quarters.
Diver
HFD 048
Infectious Disease Exposure Incident Form
As soon as practicable after occurrence.
Employee
HFD 048A
Hazardous Material Exposure Incident Form
As soon as practicable after occurrence.
Employee
HFD 049
Return to Duty from Injury or Illness Leave
At examination by Health Services Division examining physician.
Employee
HFD 050
Motor Vehicle Driver’s Certification
By August 1 of each year; within 30 days of a notification of violation(s); and/or immediately after a license is revoked, suspended, or cancelled
Employee
HFD 067
Inventory Change Report: Items Missing/ Items Received / Items Relinquished
Within 10 days after an item is discovered and journalized as missing, lost, or Stolen; anytime an item is received ( without HFD 067) or relinquished.
HFD 072
Request for Transfer
As necessary.
Employee
HFD 074
Intra-Departmental Memorandum / Reporting Form
As necessary or as specified by procedure or order.
Employee
HFD 074A
Intra-Departmental Proposal Form
When submitting proposal/suggestion to the Fire Chief.
Employee
HFD 074B
Intra-Departmental Proposal Follow-up Form
When responding to HFD 74
Activity/Project Manager or Designee
HFD 074F
Notification of Warning
After warning or oral reprimand
Supervisor
HFD 075
Annual Budget Request
March 1 companies to BC; March 21 BC to AC; May 15 from Operations, Bureaus, and Shops to ASB; 1st week of June Department review; July 16 submit to Fiscal.
Company Commanders, Battalion Chiefs,
Assistant Chiefs, Bureau and Shop Heads
HFD 076
Annual Request for Repair and Maintenance
March 1 companies to BC; March 21 BC to AC; May 15 from Operations and Bureaus to ASB; 1st week of June Department review
Company Commanders, Battalion Chiefs,
Assistant Chiefs, Bureau and Shop Heads
HFD 083FF
Probationary Progress Report
As soon as practical following reporting period (full month or partial month).
Supervisor
HFD 088
Written Consent to Investigate
Consent to be obtained from owner/occupant by investigators when required.
Fire Investigator
HFD 089
Waiver of Liability Prior to General Public’s participation in activity
Company Commander
HFD 090
Request to Use the Charles H. Thurston Fire Training Center
Two weeks prior to the scheduled event.
Battalion Chief, Assistant Chief, Company Commander
HFD AT1
Field Screening Checklist for Suspicious Package/Container
Upon securing a sample on scene.
HazMat Team Officer, Assessment Team Leader, Company Commander
HFD DF88
via HFD Web Portal
Application for Leave of Absence
Refer to CBA (e.g. compensatory time off, leaves of absence, leave for death in family, leave for jury or witness duty, sick leaves, vacation, military leaves), City personnel Manual, and the HFD P&P Manual.
Employee
HFD Scholarship
HFD Scholarship
From HFD Employee to AC of ASB. Spring Semester: By June 30th of that same year; Fall Semester: by January 30th of the following year.
Employee