Volume 5 Flashcards
FG-88 When a street or roadway or portion of a roadway is not marked for lanes, the unmarked portion of each half of the roadway shall be divided into equal parts of not less than _____ feet in width to determine lane numbers.
ten (10)
Volume 5 - It shall be the ____ of all members to be thoroughly familiar with all forms which they may be required to use.
duty
No addition to or elimination of Department records, forms, books, files, etc. will be made without the approval of the _________
Administrative Office.
The F-225 (red letterhead with boxes) is used for _______ correspondence, which is routed “through channels.”
intra-departmental
The _____ (red letterhead without boxes) is used for intra-departmental correspondence, including correspondence with the Board of Fire Commissioners, when routing “through channels” is not desired or required.
F-233
F-___ (black letterhead) is to be used for correspondence directed to elected city officials (Mayor, Councilpersons, City Attorney, Controller); correspondence with other governmental agencies (county, state, federal); and the public.
228
Typewritten, unless specifically exempted by ____ policy.
Bureau
with the permission of the Division, Battalion, Section, or Unit Commanders, reports utilized within their specific area of responsibility may be hand-printed. All carbon copies must be legible.
reference
Erasures may be made as necessary during the preparation of reports and records with the exception of the _____. When changes or corrections are made to final reports, records and journals, a line shall be drawn through the entry and the correction made in ink above or in the margin. The person making the correction shall initial it in ink.
journal
Members below the rank of ________ shall use full civil service name.
Battalion Chief
Use of rubber stamp signatures by officers for official communications requires approval of _____
Fire Chief.
A permanent Department form is a form with an “__” prefix preceding a number.
F
Occasionally it will be necessary to “field test” a form before a determination can be made to make it permanent. It will have “Temp” after the form number. The test period of a “Temp” form will be ___ months or less. If form is to become permanent the “Temp” will be removed. If form is not to be continued, notice to discard the form will be made by the Forms Control Officer.
six
Upon determining the need for a new form or a revision of an existing form: Immediately notify the ______, who is the Management Analyst II in the Manuals and Orders Unit, through channels, and apprise him/her of the need.
Forms Control Officer
Upon notification of transfer, members shall ______ their Personal Record Book, and any other pertinent documents to their new assignments, preferably before their report date.
“hand carry”
Fire Prevention files are strictly confidential. Refer any questions by citizens concerning your Fire Prevention files to the ___________.
Arson Investigation Unit
The Fire Code requires that “such records shall be open to the inspection of the Mayor, City Council, Board (Fire) and other governmental agencies having a valid reason for inspection of such records”.
reference
The Fire Code states that all fire prevention inspection records shall be maintained for a period of not less than _____ years from the date of making such record.
three
F-___ Cards for Fire Prevention Bureau Occupancies are retained by the responsible first-in Fire Station. F-___ Cards for General Occupancies and Dwelling Blocks are retained by the Station that has been assigned the inspection responsibility of the occupancy or Dwelling Block.
173A 173
When the “Map Block No.” is used for identification on folders, records, correspondence, etc., it shall be followed by the station designation, e.g., 10-FS1 means “MAP BLOCK NO.” 10, Fire Station 1,
reference
Recall printout updates will be provided each _____.
quarter
Battalion Commanders shall update the current recall printout when members are transferred or F-8 information changes. EMS District Commanders shall adhere to the same procedures as above.
reference
For the convenience of Company Commanders, a binder labeled “Company Records” (Book #___) is provided for the retention of records requiring frequent entries.
55
The F-HMIF is used to summarize the inspection information for data entry use. All Hazardous Materials exceeding ___ gal. for liquids, ___ cu. ft. for gases, or ___ Ibs. for solids are required to be disclosed.
55 200 500
Form SD, Notice to Comply, is a Department of Building and Safety form which is initiated by members of the Fire Department to require that permanently wired smoke detectors be installed in multiple unit residential occupancies containing __ or more dwelling units.
2
F-8
Roster change Copies - 3 Forward - 24 hrs after any changes, through channels to Personnel Services Exception to forwarding: verbally notify on duty station commander Changes; underline in red ink
F-18A/B
A-Request for transfer B ““Primary vacancies Copies - 2 Retained - end of calendar year Routing - Original to Bureau, Duplicate back to member
F-41
Revision Report Copies - 1 Retain - Until planning takes action
F-70
Hydrant Test Record (cover 5 hydrant tests) Copies - 1 Retain - In Hydrant Book
F-80
Store Requisition Copies - 3 Retain - # months at assignment Retain - 3 years for medical supplies Forward - 2 copies to concerned Department, 1 copy in station folder
F-84B
Witness Card Copies - 1 Retain - Permanently Forward w/ FG-88
FG-88
Accident Report Copies - 5 Retain - Permanently Forward - w/in 24 hours to Bureau through channels then forward to Personnel Services
F-95
Fire Hydrant Record Copies - 2 Retain - Permanently Forward - when new pages are required
F-100
Suggestion Form Copies - 1 Retain - 5 years in Planning section
F-121
Hose Inventory Record (record date hose was issued, expected life is 10 yrs) Copy - 1 Retain - Until usefulness has passed
F-122
Hose and Salvage Cover Overlay Copy - 1 Kept in Book 55
F-128
Hose and Salvage Cover Record Copies - 1 Retain - 6 months Kept in Book 55
F-129
Annual Hose Test Record Copies - 2 Routing - 1 copy to Equipment Engineering Retain - Duplicate in Book 55
F-150
Accident Report Copies - 1 Forward - After obtaining all reports (225, 88, 84) Routing - Bureau Commander
DL -170
Certificate of Driving Copies - 2 Original copy - DMV Routing - In Service Training through channels Driving courses - FS 3, 40, 88
DL 170 is used for original issue of Class B or A license or if current license expires more than __ months ago
6
F-175 Tag
Material to Storeroom Tag Attach to article Print Legibly
F-181
Fuel Usage Report (daily record of fuel dispensed or delivered) Copies - 1 use for only 1 month Forward - end of month to Account Services Accounting - Figures may be rounded Prior to 0800 hrs - Commander shall review entires prior to 0800 hrs take meter reading Delivery - Add to running total, enter before and after readings
F-215
Equipment Loan Receipt Copies 2 Used when leaving equipment at the scene
F-215M
Rescue Equipment Loan receipt Copies 2 Retain - 72 hrs max or when equip is returned Forward - w/ F-225 through channels when equip is lost Used when lending equipment at medical facilities
F-340 A, B, C, E,
Fire Life Safety Violation Copies - 340 A & B ( 3 copies) 340 C & E ( 2 Copies) Retain 3 yrs Vacant Lots - Do not issue Re-Inspect: Shall not be over 30 days from issue
F-340D
Fire Protection Performance Certification (Used to inform owner of required testing, maintenance and repair) Copies 4 Retain - 5 years Routing: 1st, 2nd, & 3rd to Owner, 4th to F.S.
F-366
Private Hydrant Report Copies - 2 File in Hydrant Test Book
F-367
Fire Hydrant Report (sent to stations when installed, enlarged, relocated or removed) Copies - 2 Forward - Hydrant unit w/in 14 days of receipt
F-370
Record od Drivers Training Copies - 2 Retain - Indefinitely in a members folder & In service training
F-377
Bi Monthly Inspection Copies - 2 Retain - Last 6 copies in Log Book Forward - B/C no later than day before inspection or 15th month
F-380
Apparatus Yearly Mileage (Miles driven in Fiscal Year & total miles of vehicle) Copies - 2 Retain - 1 year Forward - S&M by 10 days after end of fiscal year
F-392
Fuel Usage Report (reflect all fuel consumed during pumping, aerial, and all off highway miles) Copies - 2 Forward - Account Services, no later than 5 days after end of each month
F-620
Accident Packet Retain - Permanently in Dept Vehicles Forms - FG-84B, FG - 88, F-150, F151
F-701
Statistical Information Copies 2, 1 in logbook, 1 S&M Retain - in logbook
F-702
Assignment Record Retain - in logbook When transferred or detailed officer will check inventory
F-704
Maintenance Record Copies - 1 Retain - Until filled, may discard one year after last entry date
F-705
Repair record Retain in logbook
F-706
Battery Record Copies - 1 Discard - When completely filled out
F-709
Truck Inventory Record Retain in logbook
F-710
Tire Record Copies - 1 Retain - Permanently in Logbook
F-972
Daily Pre-Trip inspection Record Copies - 1 Retain - 1 month after last entry in logbook
F-973
Apparatus/Equipment Check Record (weekly and monthly check record, 973w, 973m) Copies - 1 Retain - Month after last entry in log book
F-974
Reserve Apparatus Condition & Inventory Record Copies - 1 Retain - In logbook 1 year from last entry
F-975
Lifeline/Rescue Kit (Document date of use, usage and monthly inspection) Enter - 1 operation per line Retain - Book 55
F-976
Annual Ground Ladder Inspection Record Copies - 1 Retain - In logbook Forward - S and M when ladder is removed from service
F-977
Apparatus Inspection Checklist (Used by company commanders and B/C to document Bi-Monthly inspection of apparatus) Copies - 1 Retain - 3 years in Logbook Signature - B/C & Company Commander
F-978A
Heavy Apparatus Undercarriage Inspection Checklist (Used by Company Commander and B/C to document 4-month inspection of apparatus undercarriage) Copies - 1 Retain - 3 years in Logbook Signature - B/C and Company Commander
F-978B
Heavy Apparatus Undercarriage Inspection Record (Used by B/C to document 4-month inspection of undercarriage) Copies - 2, 1 to S&M, 1 to Logbook Retain - 1 years in Logbook only B/C signs
F-979
SCBA inspection checklist (used to document bi-monthly inspection of SCBA) Copies - 1 Retain - 3 years in Book 55 Signature - B/C and Company Commander
F - 1109A `Visitor Waiver
Signs Prior to use of facility or equipment Copies - 2 Retain - 1 year Forward - B/C
F1109B
Indemnity Agreement Used before visitors uses facility/equipment not employed by City, Use with 1109A
F-1122
Performance Evaluation (To record employee performance of duties) Copies - 1 Retain - Permanently Routing - Personnel Services Section Copy - Given to employee
DWC Form 1, claim form shall be provided to members when there is a work related injury or illness within?
24 hours
What is form F-23
Emergency overtime
Where do you forward an F-85
Request for legal action to FP Bureau, Legal
F-165, Duty certificate is used to document?
Return to duty status
How long shall the F-170 be retained for
Permanently
F-226A-B-C
226A Informal grievance 226B Grievance formal 226C reply to grievance
An F-338 interdepartmental referral shall be retained for how long?
3 years
What is F-341 called
Noncompliance Fee Form
What is F-591 used for
SOD request
What is F-592 used for
SOD notification
What is F-666 called
Resource and Situational Status
Where shall you retain the F-973
Book 55
Who signs the F-977
B/C and Company Commander
Who signs the F-978A
B/C and Company Commander
How many copies do you print and sign of the F-978B
2
Where do you retain the F-978B?
S&M and log book
Who signs the F-979
B/C and Company Commander
Inspection cycles are determined by?
Pump/Aerial Ladder test
Where is F-1104 Notice to improve filled
Members file
How many copies of F-1122 are retained
1
what is F-1150
Outside employment
Type of forms stored in Log book vs Book 55
Log Book - forms related to apparatus plus F-976 ladders Book 55 - Tools/Equipment, Training, Fire prevention, Time sheets 351
Company commander (not station commander) signs all 900 series forms
reference
F340A - General - Annual Inspection (3 yrs) F340B - Night inspection (E,L,F) exit, lighting, Fire alarm F340C - Blank FPOS F340D - Performance certificate (5 yrs) F340E - Overcrowding F340FW - Fire watch
reference
Following procedures to be used when ordering map prints
A - 800’ scale map book pages or standard First-In Maps
First-In and 800’ scale pages are updated periodically with boundaries changes and/or updates to data
1) 1-10 copies total - Forward a GIS request form to GIS in person, email or fax
2) 11 or more - Forward a GIS request form, approved by Captain or above, to GIS in person, email or fax
reference
Volume 5
Non-medical F-80’s shall be retained for 3 months (medical 3 years). How many copies are generated?
3 copies
F-393 training activity redcord shall be retained infinitely. How many copies shall you retain?
1 member file
Who will sign the F-972?
No signature
Volume 5
F-1104 Notice to Improve - 2 copies in member folder
1104 Repremand 3 copies to PSD
reference
F-1122 - one copy retained
reference
