VOLUME V Flashcards

1
Q

It shall be the duty of _______ to be thoroughly familiar with all forms they may be required to use.

A

All members

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2
Q

No addition or elimination of Department records, forms, books, files, etc. will be made without the approval of who?

A

The Administrative Office

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3
Q

Officers will coordinate the preparation of reports to avoid submitting them on identical subjects unless what?

A

Unless it is necessary to do so

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4
Q

What shall be done for unusual or extraordinary circumstances affecting the operation of the Department or the welfare of members?

A

It shall be telephoned through channels without delay. There shall be filed, immediately thereafter, written reports incorporating all essential facts

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5
Q

Reports and records shall be:

A

1) Forwarded on form provided
2) Typewritten
3) Limited to one subject
4) Single-spaced (double-spaced between paragraphs

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6
Q

Reports shall contain truthful and accurate statements, with to attempt to what?

A

With no attempt tot glorify or conceal facts

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7
Q

Officers who make or forward reports shall do what?

A

Shall incorporate recommendations when required by the nature of the subject

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8
Q

For the purpose of uniformity, names in reports shall be written how?

A

1) Member’s name shall be entered by - Last Name, First Name, and Initial
2) In a long list of names, arrange names alphabetically by last name, first name and initial

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9
Q

Erasures may be made as necessary during the preparation of reports and records with the exception of what?

A

With the exception of the journal

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10
Q

How shall changes or corrections to final reports, record and journals be made?

A

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

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11
Q

Unless otherwise specifically designated or provided, the following provisions shall apply with respect to signatures on intra-depapprtmental reports:

A

1) Members below the rank of BC shall use full civil service name
2) Multiple-copy reports may be signed through carbon copy, provided all copies are legible
3) Signature indicates approval unless otherwise noted
4) Use of rubber stamp signatures by officers for official communications requires approval of the Fire Chief

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12
Q

What US Supreme Courts decision established that it is a violation of federal law for employee unions to use and employer’s internal mail system to conduct union business?

A

Regents of the University of California vs PERB, April 1988

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13
Q

Unless otherwise specified, reports and records shall be forwarded how?

A

Shall be forwarded in single copy, either flat or loosely rolled and shall be forwarded, through channels, without unnecessary delay

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14
Q

Who does the overall responsibility for the control and maintenance of Department forms rest with?

A

With the Forms Control Officer

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15
Q

For Department purposes, wha is a form?

A

A form is a medium of communication that is a printed, typed, or reproducible document on which information is to be entered or where data appears for information

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16
Q

A permanent Department form is a form with a ____ prefix preceding a number.

A

With a “F”. These forms may have varied retention periods. The form maybe reproduced by Department equipment or purchased from City Printing Bureau or a commercial supplier

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17
Q

Occasionally it will be necessary to “field test” a form before a determination can be made to make it permanent. It will have ______ after the form number.

A

It will have “Temp” after the form number

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18
Q

The test period of a “Temp” form will be how long?

A

Will be six months or less

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19
Q

What should a member do upon determining the need for a new form or a revision of an existing form?

A

1) Immediately notify the Forms Control Officer, through channels, and apprise hime of the need
2) Prepare a rough sketch of the proposed form or revision of a form
3) The Forms Control Officer shall submit the new or revised form, through channels, for approval as a permanent form

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20
Q

How shall entries in Personal Record Books be made?

A

Shall be typewritten or neatly printed in ink

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21
Q

Who shall be responsible for the accuracy and completeness of information contained the Personal Record Books of subordinates under their command?

A

Commanding officers

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22
Q

It shall be the _______ responsibility to notify his commanding officer of those items affecting the information in his Personal Record Book which are usually reported verbally.

A

The subordinates

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23
Q

Unless directed otherwise on the page itself, filled pages are to be retained in the member’s Personal Record Book. When necessary to insert a new page, it will be place _______ of the filled pages.

A

It will be placed in front

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24
Q

Personal Record Books of members below the rank of captain shall be kept where?

A

Shall be kept on file at their place of assignment and entries shall be made by the commanding officer

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25
Q

Officers shall retain their own Personal Record Books and make entries which shall be approved by who?

A

Shall be approved by their Commanding Officers

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26
Q

Upon notification of transfer, members shall _____ their Personal Record Book, and any other pertinent documents to their new assignments, preferably ______________.

A

“hand carry”; preferably before their report date

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27
Q

On duty Station Commanders shall do what when the transferred member will “hand carry” documents to new place of assignment?

A

On duty Station Commanders shall make a journal entry

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28
Q

At time of separation from the Department, the officer having custody of the member’s Personal Record Book shall what?

A

Shall complete necessary entries and forward the book to Personnel Services Section without delay

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29
Q

At the time of retirement, each members Personal Record Book will be presented to him as a ___________.

A

Permanent job record

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30
Q

Battalion and Section Commanders shall maintain a Personnel File. This file shall contain what?

A

1) Roster of personnel assigned (F-9)
2) Medical examinations (F-10)
3) Recall cards

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31
Q

Space permitting, stationary supplies may be kept in the ________.

A

Metal file

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32
Q

Fire Prevention file are ___________.

A

Strictly confidential

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33
Q

Refer any questions by citizens concerning you Fire Prevention files to the _________.

A

Arson Investigating Unit

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34
Q

The Fire Code requires that “such records shall be open to the inspection of _____________________”

A

Of the Mayor, City Council, Board (Fire) and other governmental agencies having a valid reason for inspection of such records.”

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35
Q

The Fire Code states that all fire prevention inspection records shall be maintained for a period of not less than what?

A

For a period of not less than three years from the date of making such record

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36
Q

Fire prevention inspection records which are older than three years may be discarded if what?

A

If they have no further value to the Fire Department

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37
Q

The Occupancy Record File is composed primarily of three sections:

A

1) Pending File
2) Occupancy Records
3) Brush Clearance Program

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38
Q

Pending file is divided for A, B and C Platoons. What does it contain?

A

It contains information for future firer prevention activities, i.e., complaints, investigations notices for inspection, correspondence and any other pertinent material

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39
Q

Occupancy records contains the ____________ Cards.

A

Contains the F-173 and F-173A Cards, completed noticed and other material pertinent to the occupancy or Dwelling Block

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40
Q

Brush Clearance Program section of the file need be maintained only by who?

A

Only by statins which have occupancies and lots that are included within the scope of the “Brush Clearance Program”

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41
Q

The Pre-Fire Planning file is composed of two principal sections in the following order:

A

1) Maps

2) Inspections outside a Station’s first-in district

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42
Q

All maps used for prefer planning shall be what?

A

Shall be Department issue and labeled as to the purpose and station identity. The identification and purpose shall appear in the legend box of the map or in one of the corners of the map

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43
Q

A map of the station’s first-in district showing the map block numbers shall be filed where?

A

In the map portion of the file. If the Station’s inspection responsibility is not located in their own first-in district, additional maps shall be obtained showing the map block numbers and the identification number of the station in whose first-in district the blocks are located.

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44
Q

For practical reasons and ready reference, maps may be placed __________.

A

Maps may be placed on a board or wall

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45
Q

Every block or area in a station’s first-in district shall be what?

A

Shall be identified numerically

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46
Q

When large areas are later sub-divided, assign additional numbers to the by the use of _________.

A

By the use of the decimal system

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47
Q

What shall the Second Portion of the Pre-Fire Planning Inspection file contain?

A

It shall contain folders of occupancies inspected for pre-firer planning purposes which are outside of the Station’s first-in district

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48
Q

A recap printout shall be retained in the following locations:

A

1) All members - At Department Headquarters in the Master Recall File and at MFCS
2) Battalion members - At respective Battalion Office
3) Division and Battalion Commanders - At respective Division Office
4) Fire Prevention Bureau personnel - At Bureau Office
5) EMS personnel - at District Office and Bureau Office

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49
Q

Who shall update the current recall printout when members are transferred or F-8 information changes?

A

Battalion Commanders

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50
Q

For the convenience of Company Commanders, a binder labeled ____________ is provided for the retention of records requiring frequent entries.

A

Company Records (Book 55)

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51
Q

The Hydrant Test Record Book shall contain those forms necessary for the maintenance of hydrants. It is the responsibility of __________ to properly maintain this book.

A

Station Commanders

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52
Q

How long shall teletype messages which are pertinent to the station be retained for?

A

Shall be retained as long as needed

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53
Q

The F-HMIF (Hazardous Materials Information Form) is used to summarize the inspection of information for date entry use. All Hazardous Materials exceeding ____ for liquids, _____ for gases or _____ for solids are required to be disclosed

A

55 gallons for liquids, 200 cubic feet for gases or 500 pounds for solids

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54
Q

F-2

A

Journal

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55
Q

F-3

A

Hazardous Substance Exposure Reportt

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56
Q

F-5

A

Daily Staffing Rosterr

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57
Q

F-8

A

Roster Change

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58
Q

F-9

A

Roster Card

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59
Q

F-10

A

Medical Exams

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60
Q

F-11

A

Station Exception & Overtime Schedule

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61
Q

F-13

A

On/Off Duty Checklist

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62
Q

F-16

A

Inventory of Vehicle Shop Number and Lock Box Key Assignments

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63
Q

F-17

A

Pay Grade Advancement

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64
Q

F-18

A

Transfer of Personnel

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65
Q

F-18A

A

Request for Transfer Uniformed Members

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66
Q

F-18B

A

Request for Transfer Primary Vacancies

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67
Q

F-20A

A

Evacuation Notice

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68
Q

F-20B

A

Aviso De Evacuación (Spanish)

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69
Q

F-23

A

LAFD Emergency Overtime Report

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70
Q

F-25

A

Medical Examination Schedule

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71
Q

F-26

A

Reports of Adminstrative Overtime

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72
Q

F-28

A

Record of Operation - Daily - Food Service

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73
Q

F-41

A

Recommended Revision

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74
Q

F-44

A

Intra-Departmental Memorandum

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75
Q

F-49

A

Request for City Ordinance Leave

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76
Q

F-63

A

Fire Prevention Summary

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77
Q

F-63A

A

Record of Fire Prevention Activities

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78
Q

F-63B

A

Daily Record of Training and Fire Prevention Activities

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79
Q

F-63C Temp

A

Battalion/Division Summary of Fire Prevention and Training

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80
Q

F-70

A

Fire Hydrant Test Record

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81
Q

F-80

A

Stores Requisition

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82
Q

F-81

A

Accounting Services Section Recap Work Forrm

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83
Q

F-85

A

Requests for Legal Ownership

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84
Q

F-86

A

Humanitarian Member Visitation

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85
Q

F-91A

A

Bureau Daily Staffing Form

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86
Q

F-91B

A

Division Daily Staffing Form

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87
Q

F-91D

A

District Staffing Form

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88
Q

F-91E

A

EMS Bureau Daily Staffing Form

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89
Q

F-95

A

Fire Hydrant Test Record

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90
Q

F-95B

A

Certificate of Occupancy Form

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91
Q

F-96ML

A

Military Leave Time off/Compensation Form

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92
Q

F-100

A

What is your suggestion?

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93
Q

F-101

A

Emergency Activity Report

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94
Q

F-109

A

School Visitation Report

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95
Q

F-113

A

Analysis of Emergency Operations

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96
Q

F-118

A

Receipt Book

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97
Q

F-121

A

Hose Inventory Record

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98
Q

F-122

A

Overlay Form - Hose and Salvage Cover Records

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99
Q

F-126

A

Personal Equipment - Bed and Locker Assignment Record

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100
Q

F-127

A

Wiping Towel and Dust Cloth Record

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101
Q

F-128

A

Hose and Salvage Cover Record

102
Q

F-129

A

Annual Hose Test Record

103
Q

F-150

A

Accident Report

104
Q

F-151

A

Vehicular Accident Procedure

105
Q

F-166B

A

Employer’s Report of Occupations Injury or Illness NIOD

106
Q

F-173

A

Occupancy Record Card

107
Q

F-173A

A

Occupancy Record Card (FPB)

108
Q

F-173B

A

Record of Permanently Wired Smoke Detectors

109
Q

F-175

A

Material to Storeroom Tag

110
Q

F-181

A

Fuel Use Record

111
Q

F-211

A

Citation

112
Q

F-215

A

Equipment Loan Receipt

113
Q

F-215M

A

Rescue Equipment Loan Receipt

114
Q

F-221

A

Insurance Certification to Garage City-Owned Vehicle Away from Assigned Headquarters

115
Q

F-223

A

Red Letterhead

116
Q

F-225

A

Red Letterhead

117
Q

F-226A

A

Report of Informal Grievance Discussion

118
Q

F-226B

A

Formal Statement of Grievance

119
Q

F-226C

A

Grievance Reply

120
Q

F-228

A

Black Letterhead

121
Q

F-250

A

Weekly Bulletin

122
Q

F-275

A

Intra-Departmental Cash Receipts Transmittal

123
Q

F-280

A

Division 5 Permit

124
Q

F-290

A

Request for Legal Action

125
Q

F-295

A

Hazardous Material Shipping Papers

126
Q

F-297

A

Plan Correction Requirements

127
Q

F-306

A

Declaration of Inspection

128
Q

F-315

A

Special Permit

129
Q

F-333

A

Control Record

130
Q

F-334

A

Complaint of Hazard

131
Q

F-335A

A

Notice to Abate a Public Nuisance and Fire Hazard

132
Q

F-336

A

Condemnation Tag

133
Q

F-337

A

Notice of Reinspection

134
Q

F-338

A

Interdepartmental Referral

135
Q

F-339

A

Posting Hazardous Buildings

136
Q

F-340A

A

General Fire Life Safety

137
Q

F-340B

A

Exit/Blocked Door/Signs

138
Q

F-340C

A

Blank

139
Q

F-340D

A

Fire Protection Reg 4

140
Q

F-340E

A

Overcrowding

141
Q

F-340FW

A

Fire Watch

142
Q

F-341

A

Non-Compliance Reinspection Fee Form

143
Q

F-351

A

Standard Hours & Pay Period Chart

144
Q

F-356

A

Pay Check Distribution Envelope

145
Q

F-360

A

Adjustment of Platoon Duty Schedule

146
Q

F-361

A

Request for Time Off Orr Vacation Time

147
Q

F-366

A

Report of Private Hydrants

148
Q

F-367

A

Fire Hydrant Report

149
Q

F-370

A

Record of Drivers Training

150
Q

F-377

A

Bi-Monthly Preventative Maintenance Record

151
Q

F-380

A

Apparatus Yearly Mileage

152
Q

F-392

A

Monthly Gasoline and Diesel Fuel Report

153
Q

F-393

A

Training Activity Record

154
Q

F-394

A

Hazardous Material Task Force Training Record

155
Q

F-398

A

Weekly Crew Time Sheets - Correction Needed

156
Q

F-400

A

Community Directory

157
Q

F-420

A

Communicable Disease Exposure and Notification Report

158
Q

F-522

A

Monthly Vehicle Activity Log Home Garaged Vehicle

159
Q

F-526

A

Request for Duplicating Services

160
Q

F-527

A

Occupant Load Sign Request

161
Q

F-535

A

Record of Battalion Vacation Selection

162
Q

F-555 Temp

A

Fire Journal Control/Records Retention

163
Q

F-579

A

Overtime Report

164
Q

F-580

A

Correction Needed

165
Q

F-590

A

Record of Overtime Card

166
Q

F-591

A

Station SOD Request Record

167
Q

F-592

A

SOD Notification

168
Q

F-620

A

Accident Procedure Packet

169
Q

F-655

A

Air Filling Station Daily Use and Check Record

170
Q

F-655A

A

Air Filling Station Maintenance Record

171
Q

F-659

A

Emergency Medical Service Disposition Notice

172
Q

F-665

A

Large Scale Emergency Work Package

173
Q

F-666

A

Resource and Situation Status Record

174
Q

F-666C

A

Hazardous Material Incident Data Sheet

175
Q

F-666E

A

Multi-Patient Incident Worksheet

176
Q

F-666S&T

A

Strike Team/Tactical Task Force Worksheet

177
Q

F-666W

A

Wildland Resource and Situation Status Record

178
Q

F-673

A

Paramedic Worksheet

179
Q

F-682

A

Personnel/Equipment Record

180
Q

F-701

A

Statistical Information

181
Q

F-702

A

Assignment Record

182
Q

F-704

A

Apparatus Maintenance Record

183
Q

F-704D

A

Small Fireboat Maintenance & Lubrication Check Record

184
Q

F-705

A

Repair Record

185
Q

F-706

A

Battery Record

186
Q

F-709

A

Inventory of Equipment Firefighting

187
Q

F-710

A

Tire Record

188
Q

F-725

A

Personal Record Book Table of Contents

189
Q

F-726

A

Personal Record

190
Q

F-726A

A

Notification Record

191
Q

F-727

A

Address - Telephone Number

192
Q

F-728

A

Appointments - Record of Performance Evaluation Reports

193
Q

F-729

A

Assignments and Transfers

194
Q

F-730

A

Details

195
Q

F-731

A

Drivers License - Apparatus Operator Qualification

196
Q

F-732

A

Skills and Training

197
Q

F-733

A

Medical, Fitness and Immunization Record

198
Q

F-734

A

Illness or Injury - Continue Duty

199
Q

F-735

A

Leaves

200
Q

F-736

A

Protective and Personal Equipment Issue Receipt

201
Q

F-737

A

Record of College/University Education

202
Q

F-741

A

Probationary Firefighter Orientation Chart

203
Q

F-743

A

Medical Training Record

204
Q

F-745

A

Hazardous Substance/Communicable Disease Exposure Record

205
Q

F-863

A

Barbecue Permit Instructions

206
Q

F-902

A

Field Incident Report

207
Q

F-902M

A

City of Los Angeles Emergency Medical Service Report

208
Q

F-903

A

Control Medication Inventory Record

209
Q

F-904

A

Situation Report

210
Q

F-907

A

EMT-B Defibrillation Recertification Skill Sheet

211
Q

F-907A

A

EMT-B Defibrillation Recertification Skill Document

212
Q

F-915

A

Photo Fact Sheet

213
Q

F-916A

A

Request for Photographic Services

214
Q

F-916B

A

Request for Audio/Video Duplication

215
Q

F-955

A

Post Fire Information Pamphlet “What to do after a Fire”

216
Q

F-957

A

Company Activity Schedule

217
Q

F-971

A

Report of Community Relations Activities, Report of Fire Station Visitors or CPR Training

218
Q

F-972

A

Daily Pre-Trip Inspection Record

219
Q

F-973M

A

Monthly Aerial Apparatus and Equipment Check Record

220
Q

F-973W

A

Weekly Aerial Apparatus and Equipment Check Record

221
Q

F-974

A

Reserve Apparatus Condition Inventory Record

222
Q

F-975

A

Lifeline and Rescue Kit Inspection

223
Q

F-976

A

Annual Ground Ladder Inspection Record

224
Q

F-977

A

Bi-Monthly Apparatus Inspection Checklist

225
Q

F-978A

A

Heavy Apparatus Undercarriage Inspection Checklist

226
Q

F-978B

A

Heavy Apparatus Undercarriage Inspection Report

227
Q

F-979

A

Self Contained Breathing Apparatus Inspection Checklist

228
Q

F-1000

A

Injury Status Form

229
Q

F-1000 MRSA

A

MRSA Injury Status Form

230
Q

F-1001

A

Physician’s Work Status/Limitation Notification Uniformed Employees

231
Q

F-1002

A

Budget Request

232
Q

F-1104

A

Personnel Notice

233
Q

F-1106

A

Change of Status

234
Q

F-1107

A

Report of Injury Notification to the MLU

235
Q

F-1109A

A

Waiver of Claims for Damages

236
Q

F-1109B

A

Indemnity Agreement

237
Q

F-1109C

A

New Releases, Publications, Endorsements

238
Q

F-1117

A

Notice of Promotion

239
Q

F-1120

A

Notice of Intention to Apply for Service Pension

240
Q

F-1122

A

Performance Evaluation

241
Q

F-1132

A

Officers Performance Evaluation

242
Q

F-1142

A

Probationary Firefighter 10-shift Performance Evaluation Report

243
Q

F-1142A

A

Probationary Firefighter Daily Observation Report

244
Q

F-1142C

A

Probationary Firefighter Performance Log

245
Q

F-1150

A

Outside Employment Activity Report

246
Q

F-1202

A

Weight Control Progress Report

247
Q

F-1307

A

Brush Clearance Cleaned by Owner Inspection Record

248
Q

F-1308

A

Brush Clearance Notice of Noncompliance

249
Q

F-1309

A

Brush Clearance Information Sheet

250
Q

F-3000

A

Supervisor’s Report of Employee’s Physical Charateristics/Behavior

251
Q

F-3001

A

Order For Urine Sample

252
Q

F-3002

A

Employee’s Voluntary Urine Sample