Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PRESCRIPTION PARTICULARS
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Prescription Number
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Location
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Tenure
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Site Plan
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Proposed Date and Start Time
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Proposed Date and Finish Time
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Typical Fuel Load on Site
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Permit Required?
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Burn Controller
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Burn Controller Brigade
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Burn Controller Rank
- CBFCO
- DCBFCO
- FCO
- Captain
- Lieutenant
- Leading Firefighter
- Firefighter
AUTHORISATION AND SIGN OFF
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Prepared By Sign
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Approved By Sign
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Burn Controller Sign
OBJECTIVES
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Burn Primary Objective
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Detailed Objectives
WEATHER CONDITIONS REQUIRED
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Maximum FDR
- Low Moderate
- High
- Very High
- Severe
- Extreme
- Catastrophic
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Weather Forecast
NOTIFICATIONS
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CBFCO (Greg Whip) 0417 961 541
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DCBFCO (Scott Jones) 0401 699 858
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Baldivis FCO (Warren Schofield) 0408 610 546
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Singleton FCO (Kynan Ridley) 0429 613 621
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Adjoining Property Owners
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DEC
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FESA Communications 1800 198 140
RESOURCING REQUIREMENTS
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Primary Brigade
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ICV Required
LIGHTING PROCEDURE AND METHOD
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Execution Plan
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Lighting Method
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Lighting Squence
TRAFFIC MANAGEMENT PLAN
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Traffic Management Plan Required
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Traffic Management Plan Details
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Traffic Sign Locations
EXPOSURES AND RISKS
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Life
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Properties
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Environment
POST BURN COMMENTS AND SIGN-OFF
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Completion Date
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Area of Planned Burn Completed
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Weather Observations
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Typical Fire Activity
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Effectiveness of Prescription
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Post Burn Photo
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Additional Comments
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Burn Controller Sign Off