Contract_Engine_Personnel_Summary.pdf
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Contract Engine Personnel Summary
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CONTRACT FIRE EQUIPMENT, ENGINES – PERSONNEL SUMMARY
ENGINE STAFFING, QUALIFICATIONS, TRAINING and RECORDS
Reference: D.3.1.1, D.16, D.16.4, Exhibit N, Exhibit O
Date: Agreement # .
Company Name: .
Company Representative:
Name: Title: .
Phone: .
Quantity and Types of Engines: .
Company Qualified Engine Personnel Roster (spread sheet) attached: Yes: No: .
Total: Qualified ENGB’s ENGB (T)’s .
Total: Qualified FFT1’s FFT1 (T)’s .
Total: Qualified FFT2’s .
Review Exhibit F – Safety Standards: www.NWCG.gov
Review Exhibit C – Harassment Free Workplace Policy:
Per Company Representative – all qualified employees have passed 2019 WCT and completed 2019 Fire
Refresher. And all qualified hold current Incident Identification and Qualification Card
Yes: No: .
Remarks:
Company Representative (Print Name and Title): .
Company Representative (Signature): Date: .
Agency Representative (Print and Sign) Date: .
http://www.nwcg.gov/pms/pubs/PMS310-1.pdf
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