VOLUME V Flashcards
It shall be the duty of _______ to be thoroughly familiar with all forms they may be required to use.
All members
No addition or elimination of Department records, forms, books, files, etc. will be made without the approval of who?
The Administrative Office
Officers will coordinate the preparation of reports to avoid submitting them on identical subjects unless what?
Unless it is necessary to do so
What shall be done for unusual or extraordinary circumstances affecting the operation of the Department or the welfare of members?
It shall be telephoned through channels without delay. There shall be filed, immediately thereafter, written reports incorporating all essential facts
Reports and records shall be:
1) Forwarded on form provided
2) Typewritten
3) Limited to one subject
4) Single-spaced (double-spaced between paragraphs
Reports shall contain truthful and accurate statements, with to attempt to what?
With no attempt tot glorify or conceal facts
Officers who make or forward reports shall do what?
Shall incorporate recommendations when required by the nature of the subject
For the purpose of uniformity, names in reports shall be written how?
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
Erasures may be made as necessary during the preparation of reports and records with the exception of what?
With the exception of the journal
How shall changes or corrections to final reports, record and journals be made?
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
Unless otherwise specifically designated or provided, the following provisions shall apply with respect to signatures on intra-depapprtmental reports:
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
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?
Regents of the University of California vs PERB, April 1988
Unless otherwise specified, reports and records shall be forwarded how?
Shall be forwarded in single copy, either flat or loosely rolled and shall be forwarded, through channels, without unnecessary delay
Who does the overall responsibility for the control and maintenance of Department forms rest with?
With the Forms Control Officer
For Department purposes, wha is a form?
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
A permanent Department form is a form with a ____ prefix preceding a number.
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
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.
It will have “Temp” after the form number
The test period of a “Temp” form will be how long?
Will be six months or less
What should a member do upon determining the need for a new form or a revision of an existing form?
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
How shall entries in Personal Record Books be made?
Shall be typewritten or neatly printed in ink
Who shall be responsible for the accuracy and completeness of information contained the Personal Record Books of subordinates under their command?
Commanding officers
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.
The subordinates
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.
It will be placed in front
Personal Record Books of members below the rank of captain shall be kept where?
Shall be kept on file at their place of assignment and entries shall be made by the commanding officer
Officers shall retain their own Personal Record Books and make entries which shall be approved by who?
Shall be approved by their Commanding Officers
Upon notification of transfer, members shall _____ their Personal Record Book, and any other pertinent documents to their new assignments, preferably ______________.
“hand carry”; preferably before their report date
On duty Station Commanders shall do what when the transferred member will “hand carry” documents to new place of assignment?
On duty Station Commanders shall make a journal entry
At time of separation from the Department, the officer having custody of the member’s Personal Record Book shall what?
Shall complete necessary entries and forward the book to Personnel Services Section without delay
At the time of retirement, each members Personal Record Book will be presented to him as a ___________.
Permanent job record
Battalion and Section Commanders shall maintain a Personnel File. This file shall contain what?
1) Roster of personnel assigned (F-9)
2) Medical examinations (F-10)
3) Recall cards
Space permitting, stationary supplies may be kept in the ________.
Metal file
Fire Prevention file are ___________.
Strictly confidential
Refer any questions by citizens concerning you Fire Prevention files to the _________.
Arson Investigating Unit
The Fire Code requires that “such records shall be open to the inspection of _____________________”
Of the Mayor, City Council, Board (Fire) and other governmental agencies having a valid reason for inspection of such records.”
The Fire Code states that all fire prevention inspection records shall be maintained for a period of not less than what?
For a period of not less than three years from the date of making such record
Fire prevention inspection records which are older than three years may be discarded if what?
If they have no further value to the Fire Department
The Occupancy Record File is composed primarily of three sections:
1) Pending File
2) Occupancy Records
3) Brush Clearance Program
Pending file is divided for A, B and C Platoons. What does it contain?
It contains information for future firer prevention activities, i.e., complaints, investigations notices for inspection, correspondence and any other pertinent material
Occupancy records contains the ____________ Cards.
Contains the F-173 and F-173A Cards, completed noticed and other material pertinent to the occupancy or Dwelling Block
Brush Clearance Program section of the file need be maintained only by who?
Only by statins which have occupancies and lots that are included within the scope of the “Brush Clearance Program”
The Pre-Fire Planning file is composed of two principal sections in the following order:
1) Maps
2) Inspections outside a Station’s first-in district
All maps used for prefer planning shall be what?
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
A map of the station’s first-in district showing the map block numbers shall be filed where?
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.
For practical reasons and ready reference, maps may be placed __________.
Maps may be placed on a board or wall
Every block or area in a station’s first-in district shall be what?
Shall be identified numerically
When large areas are later sub-divided, assign additional numbers to the by the use of _________.
By the use of the decimal system
What shall the Second Portion of the Pre-Fire Planning Inspection file contain?
It shall contain folders of occupancies inspected for pre-firer planning purposes which are outside of the Station’s first-in district
A recap printout shall be retained in the following locations:
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
Who shall update the current recall printout when members are transferred or F-8 information changes?
Battalion Commanders
For the convenience of Company Commanders, a binder labeled ____________ is provided for the retention of records requiring frequent entries.
Company Records (Book 55)
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.
Station Commanders
How long shall teletype messages which are pertinent to the station be retained for?
Shall be retained as long as needed
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
55 gallons for liquids, 200 cubic feet for gases or 500 pounds for solids
F-2
Journal
F-3
Hazardous Substance Exposure Reportt
F-5
Daily Staffing Rosterr
F-8
Roster Change
F-9
Roster Card
F-10
Medical Exams
F-11
Station Exception & Overtime Schedule
F-13
On/Off Duty Checklist
F-16
Inventory of Vehicle Shop Number and Lock Box Key Assignments
F-17
Pay Grade Advancement
F-18
Transfer of Personnel
F-18A
Request for Transfer Uniformed Members
F-18B
Request for Transfer Primary Vacancies
F-20A
Evacuation Notice
F-20B
Aviso De Evacuación (Spanish)
F-23
LAFD Emergency Overtime Report
F-25
Medical Examination Schedule
F-26
Reports of Adminstrative Overtime
F-28
Record of Operation - Daily - Food Service
F-41
Recommended Revision
F-44
Intra-Departmental Memorandum
F-49
Request for City Ordinance Leave
F-63
Fire Prevention Summary
F-63A
Record of Fire Prevention Activities
F-63B
Daily Record of Training and Fire Prevention Activities
F-63C Temp
Battalion/Division Summary of Fire Prevention and Training
F-70
Fire Hydrant Test Record
F-80
Stores Requisition
F-81
Accounting Services Section Recap Work Forrm
F-85
Requests for Legal Ownership
F-86
Humanitarian Member Visitation
F-91A
Bureau Daily Staffing Form
F-91B
Division Daily Staffing Form
F-91D
District Staffing Form
F-91E
EMS Bureau Daily Staffing Form
F-95
Fire Hydrant Test Record
F-95B
Certificate of Occupancy Form
F-96ML
Military Leave Time off/Compensation Form
F-100
What is your suggestion?
F-101
Emergency Activity Report
F-109
School Visitation Report
F-113
Analysis of Emergency Operations
F-118
Receipt Book
F-121
Hose Inventory Record
F-122
Overlay Form - Hose and Salvage Cover Records
F-126
Personal Equipment - Bed and Locker Assignment Record
F-127
Wiping Towel and Dust Cloth Record
F-128
Hose and Salvage Cover Record
F-129
Annual Hose Test Record
F-150
Accident Report
F-151
Vehicular Accident Procedure
F-166B
Employer’s Report of Occupations Injury or Illness NIOD
F-173
Occupancy Record Card
F-173A
Occupancy Record Card (FPB)
F-173B
Record of Permanently Wired Smoke Detectors
F-175
Material to Storeroom Tag
F-181
Fuel Use Record
F-211
Citation
F-215
Equipment Loan Receipt
F-215M
Rescue Equipment Loan Receipt
F-221
Insurance Certification to Garage City-Owned Vehicle Away from Assigned Headquarters
F-223
Red Letterhead
F-225
Red Letterhead
F-226A
Report of Informal Grievance Discussion
F-226B
Formal Statement of Grievance
F-226C
Grievance Reply
F-228
Black Letterhead
F-250
Weekly Bulletin
F-275
Intra-Departmental Cash Receipts Transmittal
F-280
Division 5 Permit
F-290
Request for Legal Action
F-295
Hazardous Material Shipping Papers
F-297
Plan Correction Requirements
F-306
Declaration of Inspection
F-315
Special Permit
F-333
Control Record
F-334
Complaint of Hazard
F-335A
Notice to Abate a Public Nuisance and Fire Hazard
F-336
Condemnation Tag
F-337
Notice of Reinspection
F-338
Interdepartmental Referral
F-339
Posting Hazardous Buildings
F-340A
General Fire Life Safety
F-340B
Exit/Blocked Door/Signs
F-340C
Blank
F-340D
Fire Protection Reg 4
F-340E
Overcrowding
F-340FW
Fire Watch
F-341
Non-Compliance Reinspection Fee Form
F-351
Standard Hours & Pay Period Chart
F-356
Pay Check Distribution Envelope
F-360
Adjustment of Platoon Duty Schedule
F-361
Request for Time Off Orr Vacation Time
F-366
Report of Private Hydrants
F-367
Fire Hydrant Report
F-370
Record of Drivers Training
F-377
Bi-Monthly Preventative Maintenance Record
F-380
Apparatus Yearly Mileage
F-392
Monthly Gasoline and Diesel Fuel Report
F-393
Training Activity Record
F-394
Hazardous Material Task Force Training Record
F-398
Weekly Crew Time Sheets - Correction Needed
F-400
Community Directory
F-420
Communicable Disease Exposure and Notification Report
F-522
Monthly Vehicle Activity Log Home Garaged Vehicle
F-526
Request for Duplicating Services
F-527
Occupant Load Sign Request
F-535
Record of Battalion Vacation Selection
F-555 Temp
Fire Journal Control/Records Retention
F-579
Overtime Report
F-580
Correction Needed
F-590
Record of Overtime Card
F-591
Station SOD Request Record
F-592
SOD Notification
F-620
Accident Procedure Packet
F-655
Air Filling Station Daily Use and Check Record
F-655A
Air Filling Station Maintenance Record
F-659
Emergency Medical Service Disposition Notice
F-665
Large Scale Emergency Work Package
F-666
Resource and Situation Status Record
F-666C
Hazardous Material Incident Data Sheet
F-666E
Multi-Patient Incident Worksheet
F-666S&T
Strike Team/Tactical Task Force Worksheet
F-666W
Wildland Resource and Situation Status Record
F-673
Paramedic Worksheet
F-682
Personnel/Equipment Record
F-701
Statistical Information
F-702
Assignment Record
F-704
Apparatus Maintenance Record
F-704D
Small Fireboat Maintenance & Lubrication Check Record
F-705
Repair Record
F-706
Battery Record
F-709
Inventory of Equipment Firefighting
F-710
Tire Record
F-725
Personal Record Book Table of Contents
F-726
Personal Record
F-726A
Notification Record
F-727
Address - Telephone Number
F-728
Appointments - Record of Performance Evaluation Reports
F-729
Assignments and Transfers
F-730
Details
F-731
Drivers License - Apparatus Operator Qualification
F-732
Skills and Training
F-733
Medical, Fitness and Immunization Record
F-734
Illness or Injury - Continue Duty
F-735
Leaves
F-736
Protective and Personal Equipment Issue Receipt
F-737
Record of College/University Education
F-741
Probationary Firefighter Orientation Chart
F-743
Medical Training Record
F-745
Hazardous Substance/Communicable Disease Exposure Record
F-863
Barbecue Permit Instructions
F-902
Field Incident Report
F-902M
City of Los Angeles Emergency Medical Service Report
F-903
Control Medication Inventory Record
F-904
Situation Report
F-907
EMT-B Defibrillation Recertification Skill Sheet
F-907A
EMT-B Defibrillation Recertification Skill Document
F-915
Photo Fact Sheet
F-916A
Request for Photographic Services
F-916B
Request for Audio/Video Duplication
F-955
Post Fire Information Pamphlet “What to do after a Fire”
F-957
Company Activity Schedule
F-971
Report of Community Relations Activities, Report of Fire Station Visitors or CPR Training
F-972
Daily Pre-Trip Inspection Record
F-973M
Monthly Aerial Apparatus and Equipment Check Record
F-973W
Weekly Aerial Apparatus and Equipment Check Record
F-974
Reserve Apparatus Condition Inventory Record
F-975
Lifeline and Rescue Kit Inspection
F-976
Annual Ground Ladder Inspection Record
F-977
Bi-Monthly Apparatus Inspection Checklist
F-978A
Heavy Apparatus Undercarriage Inspection Checklist
F-978B
Heavy Apparatus Undercarriage Inspection Report
F-979
Self Contained Breathing Apparatus Inspection Checklist
F-1000
Injury Status Form
F-1000 MRSA
MRSA Injury Status Form
F-1001
Physician’s Work Status/Limitation Notification Uniformed Employees
F-1002
Budget Request
F-1104
Personnel Notice
F-1106
Change of Status
F-1107
Report of Injury Notification to the MLU
F-1109A
Waiver of Claims for Damages
F-1109B
Indemnity Agreement
F-1109C
New Releases, Publications, Endorsements
F-1117
Notice of Promotion
F-1120
Notice of Intention to Apply for Service Pension
F-1122
Performance Evaluation
F-1132
Officers Performance Evaluation
F-1142
Probationary Firefighter 10-shift Performance Evaluation Report
F-1142A
Probationary Firefighter Daily Observation Report
F-1142C
Probationary Firefighter Performance Log
F-1150
Outside Employment Activity Report
F-1202
Weight Control Progress Report
F-1307
Brush Clearance Cleaned by Owner Inspection Record
F-1308
Brush Clearance Notice of Noncompliance
F-1309
Brush Clearance Information Sheet
F-3000
Supervisor’s Report of Employee’s Physical Charateristics/Behavior
F-3001
Order For Urine Sample
F-3002
Employee’s Voluntary Urine Sample
