Checklist 2.1

Title Page

Conducted on
Location
Personnel

TYPE OF CALL
- BRUSH FIRE
- CO ALARM
- CONFINED SPACE
- HAZMAT
- HELICOPTER LANDING ZONE
- MEDICAL DISASTER
- MISSING PERSON
- MOTOR VEHICLE
- ROPE RESCUE
- STRUCTURE FIRE
- TRENCH RESCUE
- TELEMETRY LOGIN PROCEDURE
2718 to the Head of the Fire
Date and Time
2717 Establishes an Advantageous Anchor Point of the Fire
Date and Time
Cover All Exposures
Date and Time
Assign Deputy Command or Operations Chief
Date and Time
Water Re-Supply of Brush Trucks
Date and Time
Establish Personnel Rehab Area D3-7.1 The Incident Commander shall establish a rehabilitation sector at each incident lasting more than thirty minutes. The IC shall appoint a Rehab Group Officer at his discretion.
Date and Time
Establish Personnel Staging Area D5-3.1 A personnel staging area shall be established for all companies that do not immediately receive an assignment at an incident. The area shall be assigned by the Incident Commander and shall typically be near the incident command post. If there is no obvious command post, the staging area shall be at the location of the first-in engine.
Date and Time
Personnel Accountability D3-4.4 The Incident Commander shall appoint an Incident Personnel Accountability & Staging Officer at every 2nd and greater alarm incident. The Personnel Accountability & Staging Officer shall retrieve the accountability tags from the 1st alarm apparatus as one of his first tasks.
Date and Time
Initiate Cause & Origin Investigation C3-1.4 The Incident Commander may conduct the investigation personally, delegate it to qualified Department members, request assistance from qualified investigators from mutual aid fire departments, and/or request assistance from the Office of the State Fire Marshal Division of Arson Investigation. The Division of Arson Investigation shall be notified and requested in each of the listed circumstances. 1. A Fire Resulted in Any Fire Service or Civilian Injuries or Fatalities 2. The Cause of a Fire Is Determined by Local Investigation to be Arson 3. The Cause of a Fire Is Suspected by Local Investigation to be Arson 4. Explosive Detonation 5. A Fire Is of Undetermined Origin and Resulted In a Significant Monetary Loss
Date and Time

Questions to ask occupants:

Headache
A “YES” response requires an EMS evaluation by paramedics.
Date and Time
Nausea
A “YES” response requires an EMS evaluation by paramedics.
Date and Time
Shortness of Breath
A “YES” response requires an EMS evaluation by paramedics.
Date and Time
Fatigue
A “YES” response requires an EMS evaluation by paramedics.
Date and Time
Confusion
A “YES” response requires an EMS evaluation by paramedics.
Select date
Dizziness
A “YES” response requires an EMS evaluation by paramedics.
Date and Time
Do they feel better when away from the house?
A “YES” response requires an EMS evaluation by paramedics.
Date and Time
List Other Illnesses

Gas Detection Meter Checklist

What appliances were on at time of activation?
What appliances were in use for the last 24 hours?
Outside Reading PPM
Upon Entering PPM
Space Heater PPM
Hot Water Heater PPM
Gas Refrigerator PPM
Stove / Oven PPM
Gas Dryer PPM
Garage PPM
Furnace PPM
Chimney PPM
Fireplace PPM
CO Detector PPM

CO Detector Information

Serial Number
Brand of Detector
- First Alert
- Honeywell
- Kidde
- Nest
- Nighthawk
- Other
Brand Name
Model

Size Up / Assessment

Establish Command Post & Level One Staging Location • F2-1.2 Organize KVTF Personnel • D5-3.1 A personnel staging area shall be established for all companies that do not immediately receive an assignment at an incident. The area shall be assigned by the Incident Commander and shall typically be near the incident command post.
Date and Time
Assign Deputy Command/Operations
Date and Time
Assign Safety Officer • D3-2.1 The Incident Commander shall appoint an Incident Safety Officer at each incident with more than three companies operating.
Date and Tim,e
List Contents of Space
Is MSDS available?
Is there an existing permit?
Number of Victims
When were the victims last seen?
Is this a rescue or recovery

Isolate Hazards

Mechanical Hazards
Hazard has been blocked or disconnected
Electrical Hazards
Hazard has been locked out and tagged or disconnected.
Pneumatic Hazards
Hazards has been locked out, tagged, and bled or disconnected.
Hydraulic Hazards
Hazards has been locked out, tagged, and bled or disconnected.
Temperature Hazard
Start Ventilation
Engulfment Hazards
Reduce the hazards of engulfment.
Eliminate the ignition sources.

Operation Check List All items below must be complete this before entry.

Confirm that lock-out, tag-out has been done.
Date and Time
Completion of Site Safety & Control Plan (ICS 208 form)
Date and Time
If needed, has rope rigging has been set up.
Date and Time
Ignition sources have been eliminated.
Date and Time
Provide lighting if needed.
Date and Time
Continue atmospheric monitoring.
Date and Time
Continue ventilation if needed.
Date and Time
Personal protective equipment has been provided.
Radio channel: (only use VHF or SOA channels)
- RED
- White
- Blue
- Gold
- Black
- SOA 1
- SOA 2
- SOA 3
- Other
Name of Radio Channel
All rescuers and victims must have retrieval lines.
Victim packaging is available .
- Stokes
- Half Back
- SKED
- Harness
- Reeves Sleeve
- Yates
- Other
What is the name of the victim packaging device?
Provided respiratory protection for rescuers and victims (SCBA or Supplied Air).
Date and Time
Assign RIT Team • E1-2.1 A rapid intervention crew consisting of at least two firefighters that are equipped with complete protective gear and tools shall be available for emergency rescue operations when firefighters are operating at structural fire incidents. The first arriving mutual aid company shall typically be assigned to this function when possible.
Date and Time
Decon line has been set up if needed. • F2-6.1 Establish a decontamination corridor if an NFPA 704 Health Hazard of 2 or more are present.
Date and Time
Pre-entry safety briefing has taken place.
Date and Time
Completion of Site Safety & Control Plan (ICS 208)
Time and Date
Log Weather Information
Time and Date
Look Up Known Hazardous Materials in Reference Manuals (minimum of three references)
Time and Date
Reference Pre-Incident Plans and Other Mapped Information
Date and Time
Approach the Scene and Stage Upwind/Uphill
Establish Command Post & Level One Staging Location • F2-1.2 Organize KVTF Personnel • D5-3.1 A personnel staging area shall be established for all companies that do not immediately receive an assignment at an incident. The area shall be assigned by the Incident Commander and shall typically be near the incident command post.
Date and Time
Assign Deputy Command/Operations
Date and Time
Assign Safety Officer • D3-2.1 The Incident Commander shall appoint an Incident Safety Officer at each incident with more than three companies operating.
Date and Time
Confirm Product Identification
Date and Time
Establish an Initial Isolation Zone and begin any necessary evacuation. • Request law enforcement assistance with civilian evacuation and isolation zone maintenance. • Request EMA assistance with evacuee shelters.
Date and Time
Establish Control Zones- Hot, Warm, and Cold
Date and Time
Air Sampling/Monitoring Started
Date and Time
Assign a Response Level • Level I- An incident which can be controlled by the initial responding compliment of personnel and apparatus. • Level II- An incident which involves a greater hazard than a Level I or which poses a potential threat to life or property. This incident may require a limited evacuation of surrounding areas. • Level III- An incident involving a severe hazard or large area. This incident poses an extreme risk to life and property and will most likely require large scale evacuations and/or multi-agency response.
Response Level
Strike a 2nd Alarm on the Hazardous Materials Response Call Type for a Level II or Level III Incident
Date and Time
Emergency Notification to the Facility Owner/Occupant or Material Shipper
Date and Time
Do any of the flowing conditions exist?
- • A member of the general public is killed or hospitalized.
- • A radiological or etiological agent is involved.
- • Any portion of the general public is evacuated.
- • A release occurs which may equal or exceed the Reportable Quantity for any designated material.
- • A spill contaminates or threatens to contaminate surface waters.
- • A placarded container is damaged to the point where a release is likely to occur that could cause any of the above criteria to be met.
- • A placarded motor vehicle has overturned on a public highway.
- • A rail car containing hazardous materials has sustained or may sustain visible damage as a result of an accident.
Notify The Illinois Emergency Management Agency @ 217/782-7860.
Date and Time
• Confirm that IEMA will contact The Illinois Environmental Protection Agency and have a field representative make an emergency response to the scene.
Victim Rescue • F2-5.2 KVTF Personnel Make Assessment per Hazmat IQ System
Date and Time
Assign RIT Team • E1-2.1 A rapid intervention crew consisting of at least two firefighters that are equipped with complete protective gear and tools shall be available for emergency rescue operations when firefighters are operating at structural fire incidents. The first arriving mutual aid company shall typically be assigned to this function when possible.
Date and Time
Product Control Actions
Date and Time
Emergency Decontamination • F2-6.1 Establish a decontamination corridor if an NFPA 704 Health Hazard of 2 or more are present.
Date and Time
Assign Ground Contact- IREACH Frequency on the VHF System
Date and Time
100’ x 100’ LZ
Avoid Brush Taller Than Knee High
Firm and Flat Surface- No More Than 5 Degree Slope
Clearance of Overhead Wires- Park Vehicles Under Lines If Possible
Shut Down Both Traffic Lanes on Roadways
Keep Vehicle Emergency Warning Lights On
Use Strobe Lights to Mark the LZ- Crossing the Headlights of Two Vehicles Can Mark the LZ Too
Attempt to Illuminate Wires, Trees, Poles, or Other Obstructions
Remove All Loose Items and Debris from the LZ
Patients Needing Decontamination Must Be Decontaminated Prior to Loading
Time and Date
Information Provided to the Pilot- Use Compass Directions 1. Landing Zone Description (Parking Lot, Roadway, Field) 2. Surroundings (Trees, Buildings, Fences) 3. Obstacles or Hazards (Wires, Poles, Towers) 4. Surface Winds (Calm, Light, Variable, Gusting) 5. Clearest Path of Approach
No Personnel Within 100’- Bystanders 200’+
Only Approach from the Front and Only When Signaled by the Crew
Hold Nothing Above the Shoulder
Do Not Attempt to Open or Close Aircraft Doors
Secure Hats and Helmets
Radio Announcement on Fireground Channel 1. Secure All Loose Items Including Hats and Helmets 2. Do Not Give Hand or Light Signals 3. Only Approach the Aircraft From the Front and Only When Signaled by the Crew
Consult the On-Scene Medical Personnel to Establish if a Mass Casualty Incident (MCI) Exists The Southwestern Illinois EMS Region’s Policy Manual categorizes a Disaster/Mass Casualty as any incident that includes any of the listed events. • Any event that will overload the Southwestern Illinois EMS System and/or receiving facilities, whether it be gradual in nature such as a pandemic influenza or sudden such as a tornado, earthquake, etc. • Any event that requires an EMS agency to contact more than one additional EMS agency for mutual aid. • Any event that requires greater than 5 ambulances. • A prolonged rescue where a victim will be entrapped 60 minutes or more. • A hazardous materials release (a chemical that is a direct life-threat to a population) with multiple patients or that involves 1 or more contaminated patients being transported to a hospital. • Any Weapons of Mass Destruction (WMD) event. • Any natural or man-made event with multiple patients (or the potential for multiple patients) that will have a prolonged EMS scene time of greater than 2 hours.
Date and Time
Strike a 4th Alarm on the Vehicle or Machinery Rescue Call Type- Special Request EMS First Responders
Date and Time
EMS Communications Shall Be Established • EMS Common 1- Primary • VHF Merci 340 (155.340)- Secondary
Date and Time
Notify the Memorial Hospital Emergency Room @ 257-5840
Date and Time
Notify CENCOM via Radio Over the Dispatch Talkback Talk Group
Date and Time
Notify Freeburg ESDA via CENCOM (Only if the Incident Lies Within the Village of Freeburg Village Limits)
Date and Time
Report the Number and Condition of Patients to Memorial Hospital and Give Updates.
Date and Time
Inquire from Memorial Hospital if the RMERT Team is responding. The RMERT Team will assume triage responsibilities upon its arrival.
Date and Time
Request Air Ambulance and Additional Ground Ambulances As Needed
Assign Ground Contact- IREACH Frequency on the VHF System
Date and Time
100’ x 100’ LZ
Avoid Brush Taller Than Knee High
Firm and Flat Surface- No More Than 5 Degree Slope
Clearance of Overhead Wires- Park Vehicles Under Lines If Possible
Shut Down Both Traffic Lanes on Roadways
Keep Vehicle Emergency Warning Lights On
Use Strobe Lights to Mark the LZ- Crossing the Headlights of Two Vehicles Can Mark the LZ Too
Attempt to Illuminate Wires, Trees, Poles, or Other Obstructions
Remove All Loose Items and Debris from the LZ
Patients Needing Decontamination Must Be Decontaminated Prior to Loading
Date and Time
Information Provided to the Pilot- Use Compass Directions 1. Landing Zone Description (Parking Lot, Roadway, Field) 2. Surroundings (Trees, Buildings, Fences) 3. Obstacles or Hazards (Wires, Poles, Towers) 4. Surface Winds (Calm, Light, Variable, Gusting) 5. Clearest Path of Approach
No Personnel Within 100’- Bystanders 200’+
Only Approach from the Front and Only When Signaled by the Crew
Hold Nothing Above the Shoulder
Do Not Attempt to Open or Close Aircraft Doors
Secure Hats and Helmets
Radio Announcement on Fireground Channel 1. Secure All Loose Items Including Hats and Helmets 2. Do Not Give Hand or Light Signals 3. Only Approach the Aircraft From the Front and Only When Signaled by the Crew
Date and Time
Establish a Medical Branch • Separate Rescue and Fire Suppression Operations from Medical Operations. • Appoint a Medical Branch Director.
Date and Time
Establish a Triage Group under the Medical Branch • Appoint a Triage Officer
Date and Time

Age

Select one if the person is very young or old. Select two or three if they are not.

Medical Condition

Select one or two if the person is Know to be injured or ill. Select three if they are healthy or a know fatality.

Number of Subjects

Select one if the subject is alone. Select two or three if there is more than one.

Weather Profile

Select one if you have existing hazardous weather or if there is predicted hazardous weather in less than eight hours. Select two if hazardous weather is predicted in more than eight hours and three if no hazardous weather is predicted.

Equipment Profile

Select one if their equipment is inadequate for the environment . Select two if their equipment is questionable and three if it is adequate.

Subject Experience Profile

Select one if the subject is not experienced and does not know the area. Select one or two is the subject has no experience and knows the area. Select two if the subject is experienced and is not familiar with the area. Select three if they are experienced and know the area.

Terrain and Hazards Profile

Select one if there is hazardous terrain and two or three if there is few or no hazards.

History

Select one if there is a history of incidents in this area. Select two or three if not.
Add up the sum of the questions and compare it with the chart below.
Appropriate Response to Urgency Ratings
Factor Sum Response
8-12 Emergency Response
13-18 Measured Response
19-24 Evaluated Response
25-27 Search Situation or Missing Person
Apparatus Approach & Placement G3-1.2 Engine/Rescue 2711 shall respond directly to the scene and set up in the warm zone. G3-1.3 Brush/Rescue 2718 shall respond directly to the scene but the company officer may want to consider an alternate route allowing approach from the opposite direction. On arrival the company shall stage in the warm zone.
Date and Time
Assess Hazards- Utilities, Fuel, Airbag Deployment
Date and Time
Lookup Hazards- Utilize the EX App to Identify Vehicle Hazards
Establish Rescue Priorities & Numbers
Consult the On-Scene Medical Personnel to Establish if a Mass Casualty Incident (MCI) Exists The Southwestern Illinois EMS Region’s Policy Manual categorizes a Disaster/Mass Casualty as any incident that includes any of the listed events. • Any event that will overload the Southwestern Illinois EMS System and/or receiving facilities, whether it be gradual in nature such as a pandemic influenza or sudden such as a tornado, earthquake, etc. • Any event that requires an EMS agency to contact more than one additional EMS agency for mutual aid. • Any event that requires greater than 5 ambulances. • A prolonged rescue where a victim will be entrapped 60 minutes or more. • A hazardous materials release (a chemical that is a direct life-threat to a population) with multiple patients or that involves 1 or more contaminated patients being transported to a hospital. • Any Weapons of Mass Destruction (WMD) event. • Any natural or man-made event with multiple patients (or the potential for multiple patients) that will have a prolonged EMS scene time of greater than 2 hours.
Date and Time
Is this a medical disaster or mass casualty incident
Strike a 4th Alarm on the Vehicle or Machinery Rescue Call Type- Special Request EMS First Responders
Date and Time
EMS Communications Shall Be Established • EMS Common 1- Primary • VHF Merci 340 (155.340)- Secondary
Date and Time
Notify the Memorial Hospital Emergency Room @ 257-5840
Date and Time
Notify CENCOM via Radio Over the Dispatch Talkback Talk Group
Date and Time
Notify Freeburg ESDA via CENCOM (Only if the Incident Lies Within the Village of Freeburg Village Limits)
Date and Time
Report the Number and Condition of Patients to Memorial Hospital and Give Updates.
Date and Time
Inquire from Memorial Hospital if the RMERT Team is responding. The RMERT Team will assume triage responsibilities upon its arrival.
Date and Time
Establish a Medical Branch • Separate Rescue and Fire Suppression Operations from Medical Operations. • Appoint a Medical Branch Director
Date and Time
Establish a Triage Group under the Medical Branch • Appoint a Triage Officer • The Triage Officer is responsible for identification and triage of all victims. He/she will establish a casualty collection point if the nature of the event dictates that casualties would be best served by being brought to one concise point for triage (whether due to relatively large geographic area or for scene safety).
Date and Time
Establish a Treatment Group under the Medical Branch • Appoint a Treatment Officer • The Treatment Officer is responsible for establishing treatment areas if not already done and may delegate an individual to supervise each treatment area (RED/YELLOW/GREEN).
Date and Time
Establish a Transport Group under the Medical Branch • Appoint a Transport Officer • After initial contact with the Medical Branch Director, the Transport Officer is the only person to remain in radio contact with Memorial Hospital regarding patient destination decisions. The Transport Officer shall be identified to Memorial Hospital as soon as possible, as well as a reliable means of communication. The Transport Officer shall be Memorial Hospital’s contact person in the field. The Medical Branch Director may continue to contact the Resource Hospital for administrative needs/concerns, to request additional EMS resources, etc.
Date and Time
Establish a Patient Tracking/Accountability Group under the Medical Branch • Appoint a Patient Tracking/Accountability Officer • The function of the Accountability Officer will be to maintain accountability of all EMS personnel operating on scene and all patients, including their ultimate destination.
Date and Time
Notify Memorial Hospital When the Last Patient Is Transported
Date and Time
Is an air ambulance and additional ground ambulances needed?
Request Air Ambulance and Additional Ground Ambulances As Needed
Date and Time
100’ x 100’ LZ
Avoid Brush Taller Than Knee High
Firm and Flat Surface- No More Than 5 Degree Slope
Clearance of Overhead Wires- Park Vehicles Under Lines If Possible
Shut Down Both Traffic Lanes on Roadways
Keep Vehicle Emergency Warning Lights On
Use Strobe Lights to Mark the LZ- Crossing the Headlights of Two Vehicles Can Mark the LZ Too
Attempt to Illuminate Wires, Trees, Poles, or Other Obstructions
Remove All Loose Items and Debris from the LZ
Patients Needing Decontamination Must Be Decontaminated Prior to Loading
Date and Time
Information Provided to the Pilot- Use Compass Directions 1. Landing Zone Description (Parking Lot, Roadway, Field) 2. Surroundings (Trees, Buildings, Fences) 3. Obstacles or Hazards (Wires, Poles, Towers) 4. Surface Winds (Calm, Light, Variable, Gusting) 5. Clearest Path of Approach
No Personnel Within 100’- Bystanders 200’+
Only Approach from the Front and Only When Signaled by the Crew
Hold Nothing Above the Shoulder
Do Not Attempt to Open or Close Aircraft Doors
Secure Hats and Helmets
Radio Announcement on Fireground Channel 1. Secure All Loose Items Including Hats and Helmets 2. Do Not Give Hand or Light Signals 3. Only Approach the Aircraft From the Front and Only When Signaled by the Crew
Vehicle Stabilization
Date and Time
Rescue Tool Deployment
Date and Time
Deploy Fire Protection
Date and Time
Scene Lighting
Report EMS on the Scene
Date and Time
Report Patients Extricated and In the Hands of EMS
Date and Time
Report Law Enforcement on the Scene
Date and Time
Report Tow Service on the Scene
Date and Time
Is a personnel rehab area needed?
Establish Personnel Rehab Area D3-7.1 The Incident Commander shall establish a rehabilitation sector at each incident lasting more than thirty minutes. The IC shall appoint of a Rehab Group Officer at his discretion.
Date and Time
Is a personnel staging area needed?
Establish Personnel Staging Area D5-3.1 A personnel staging area shall be established for all companies that do not immediately receive an assignment at an incident. The area shall be assigned by the Incident Commander and shall typically be near the incident command post. If there is no obvious command post, the staging area shall be at the location of the first-in engine.
Date and Time
Confirm KV Task Force Notification
Date and Time
Establish Command Post & Level One Staging Location • F2-1.2 Organize KVTF Personnel • D5-3.1 A personnel staging area shall be established for all companies that do not immediately receive an assignment at an incident. The area shall be assigned by the Incident Commander and shall typically be near the incident command post.
Date and Time
Appoint Operations Chief Qualified to the Level of the Incident
Date and Time
Assign Safety Officer • D3-2.1 The Incident Commander shall appoint an Incident Safety Officer at each incident with more than three companies operating.
Date and Time
Determination of the Scope, Magnitude, and Nature of Incident
The Exact Location of Incident
Is this a rescue or a recovery?
Date and Time
Available and Needed Resources- Consider 2nd Alarm Response
Identification of Scene Access
Identification of Environmental Factors
Determine the Ability to Contact Victim
Identify and Remove Hazards
Rescue patient and turn them over to EMS for evaluation.
Date and Time
Engine & Aerial Placement E2-2.4 The ladder/tower shall respond directly to the fire scene and park, if possible, in a position allowing aerial operation from two sides of the building.
Primary Search Initiated
Date and Time
Primary Search/Rescue Completed
Date and Time
Is the fire attack offensive or defensive?
E3-2.3 Hose lines of 1¾” in diameter shall typically be used on structure fires where suppression operations are in offensive mode.
E3-2.3 Although hose lines of 1¾” in diameter may be used, hose lines of 2½” in diameter shall typically be used when structural fire suppression operations are in defensive mode.
Assign Deputy Command/Operations
Date and Time
Water Supply E2-2.3 If 2711 has not laid its own supply line and smoke is showing, 2717 shall lay a four-inch supply line to a nearby hydrant or static water source and establish water supply. It shall be at the engineer's discretion about whether to relay pump to 2711 but if there is any doubt, always relay.
Date and Time
Is there a sprinkler system in this building?
Fire Department Connection E3-9.1 Engine/Tanker 2717 shall proceed directly to the sprinkler system fire department connection and identify the most appropriate hydrant available for water supply. If there is smoke showing or a confirmed fire, 2717 shall establish water supply by forward hose lay and charge the sprinkler system at 150 psi.
Check & Cover Exposures
Date and Time
Assign Safety Officer D3-2.1 The Incident Commander shall appoint an Incident Safety Officer at each incident with more than three companies operating. The first arriving mutual aid Chief Officer shall typically be assigned as Incident Safety Officer.
Date and Time
Assign RIT Team E1-2.1 A rapid intervention crew consisting of at least two firefighters that is equipped with complete protective gear and tools shall be available for emergency rescue operations when firefighters are operating at structural fire incidents. The first arriving mutual aid company shall typically be assigned to this function when possible.
Date and Time
Secondary Search Initiated
Date and Time
Secondary Search Completed
Date and Time
Exterior Lighting
Establish Personnel Rehab Area D3-7.1 The Incident Commander shall establish a rehabilitation sector at each incident lasting more than thirty minutes. The IC shall appoint of a Rehab Group Officer at his discretion. D3-6.1 New Athens EMS and MedStar EMS shall be assigned to all second alarm incidents and all hazardous materials incidents for stand-by and to assist with firefighter rehab. EMS shall be summoned for standby at any other time at the discretion of the Incident Commander.
Date and Time
Establish Personnel Staging Area D5-3.1 A personnel staging area shall be established for all companies that do not immediately receive an assignment at an incident. The area shall be assigned by the Incident Commander and shall typically be near the incident command post. If there is no obvious command post, the staging area shall be at the location of the first-in engine.
Date and Time
Personnel Accountability D3-4.4 The Incident Commander shall appoint an Incident Personnel Accountability & Staging Officer at every 2nd and greater alarm incident. The Personnel Accountability & Staging Officer shall retrieve the accountability tags from the 1st alarm apparatus as one of his first tasks.
Date and Time
Is the MSA Telemetry system needed?
Are you using the Telemetry system on 2711 or 2719
Confirm that iPad is connected to apparatus wireless network on 2711, if not go to settings on iPad and select apparatus wireless network. If network isn’t listed, on iPad turn Wi-Fi off, then back on and the network should appear*.
The telemetry unit needs to be powered up by turning on the switch inside cab and the MSA A1 program needs to be opened on the computer in the cab.
Confirm that iPad is connected to apparatus wireless network on 2719, if not go to settings on iPad and select apparatus wireless network. If network isn’t listed, on iPad turn Wi-Fi off, then back on and the network should appear*.
*If prompted for login credentials for apparatus wireless the user name and password for the respective wireless networks is the apparatus number repeated two times so 2711 USER and PW is 27112711 and 2719 USER and PW is 27192719
Exit iPad settings
Open RD client and select appropriate Telemetry desktop (2711 or 2719) at the “Credentials” pop-up select DONE (upper right)
• Selecting the “Save user & PW” may not prevent this pop-up from reoccurring at each login.
At the REJECT/ACCEPT prompt select ACCEPT
• Note: selecting “Don’t ask me again” may stop the REJECT/ACCEPT pop-up from appearing.
SCBA’s are grouped by default according to apparatus number they were removed from
Ventilation
Date and Time
Utility Companies Notification
Date and Time
Control of Utilities
Date and Time
Report Fire Under Control
Date and Time
Assess CO Levels E1-3.1 At structural fire incidents, the Incident Commander shall assign one company to monitor air quality within the structure after fire control is achieved and during the overhaul and salvage process. Firefighters may discontinue use of SCBA only when air monitoring indicates no dangerous levels of carbon monoxide or other gases are present.
Date and Time
Interior Lighting
Assign Salvage Operations E3-10.1 Salvage operations in structures shall commence as soon as a fire is considered under control, the building is determined to be sound, and companies are available.
Date and Time
Initiate Cause & Origin Investigation C3-1.4 The Incident Commander may conduct the investigation personally, delegate it to qualified Department members, request assistance from qualified investigators from mutual aid fire departments, and/or request assistance from the Office of the State Fire Marshal Division of Arson Investigation. The Division of Arson Investigation shall be notified and requested in each of the listed circumstances. 1. A Fire Resulted in Any Fire Service or Civilian Injuries or Fatalities 2. The Cause of a Fire Is Determined by Local Investigation to be Arson 3. The Cause of a Fire Is Suspected by Local Investigation to be Arson 4. Explosive Detonation 5. A Fire Is of Undetermined Origin and Resulted In a Significant Monetary Loss
Date and Time
Confirm KV Task Force Notification
Available and Needed Resources- Consider 2nd Alarm Response
Limit Access to the Trench
Do NOT Allow Personnel to Enter the Trench
Approach the Trench from Ends to Recon
Place a Ladder in the Trench for Victims to Self-Rescue
Beware Of Secondary Collapses
Stop All Sources of Vibration within 300’
Set Up Ground Pads to Stand On Around the Trench Lip
Move Spoils Pile At Least 2’ Back From the Trench Lip
Locate the Victims’ Position
Mark the Victims’ Location- Score Ground on Both Sides
Estimate or Measure Depth of the Victims
Interview Co-Workers to Determine the Victims’ Last Position
Appoint Operations Chief & Safety Officer- Qualified to the Level of the Incident
Date and Time
Are you using the Telemetry system on 2711 or 2719
Confirm that iPad is connected to apparatus wireless network on 2711, if not go to settings on iPad and select apparatus wireless network. If network isn’t listed, on iPad turn Wi-Fi off, then back on and the network should appear*.
The telemetry unit needs to be powered up by turning on the switch inside cab and the MSA A1 program needs to be opened on the computer in the cab.
Confirm that iPad is connected to apparatus wireless network on 2719, if not go to settings on iPad and select apparatus wireless network. If network isn’t listed, on iPad turn Wi-Fi off, then back on and the network should appear*.
*If prompted for login credentials for apparatus wireless the user name and password for the respective wireless networks is the apparatus number repeated two times so 2711 USER and PW is 27112711 and 2719 USER and PW is 27192719
Exit iPad settings
Open RD client and select appropriate Telemetry desktop (2711 or 2719) at the “Credentials” pop-up select DONE (upper right)
• Selecting the “Save user & PW” may not prevent this pop-up from reoccurring at each login.
At the REJECT/ACCEPT prompt select ACCEPT
• Note: selecting “Don’t ask me again” may stop the REJECT/ACCEPT pop-up from appearing.
SCBA’s are grouped by default according to apparatus number they were removed from
Do you want to send this check list to the Freeburg Fire Dept. Administration?