Attachment 4_PAL_Checklist.doc

Project Activity Level Variance Check List

Project Name: Wooded Hill Whole Tree Chipping Contract Number: __________________________ Purchaser/Contractor Name: _______________________________

Request #__, for period: __________________________________

Units/Subdivisions Affected: _______________________________

Location of operation:

Slope

Aspect

Elevation

Fuels on site

Fuels in surrounding area

10 day Forecast

Short range predictions (Red Flags)

Fuel Moistures

Response time of suppression resources

Potential for ignition

RAWS location

Current Fire Situation:

Draw down information

National Readiness Level

Contractual considerations:

Operating Season

Frequency of recent contract fires in area

Type of operation

Purchaser/Contractors past performance

Other site specific mitigation or precaution (i.e. Purchaser/Contractors proposals)

Social & Community Considerations:

Proximity of high value resources

Sensitivity of location

Remarks:

I have considered the above items and have determined the following actions must be implemented to continue operations in Project Activity Levels ________ through EV Fire Management Consulted _______________________________________________

Name

Line Officer Concurred____________________________________________________

Name

Contracting Officer or Delegated Representative ___________________________________

Date:_________________________________

Purchaser/Contractor Rep.__________________________ Date_______________________

Instructions for Determining Variances for Continued Operations Within Specific Units and With a Specific Time Frame

1. Variances are in addition to the stated requirements for the Predicted Activity Level.

2. The Line Officer in consultation with the Forest Fire Management Officer or his/her representative will evaluate the items in the above check list as they relate to the existing and planned activities, add any mitigation measures as needed and the Line Officer will advise the Contracting Officer to execute the variance. The name of the Fire Management Representative and the Line Officer involved must be filled in but a signature is not required.

3. The delegated authority can be at the FSR/COR level since they would usually have more knowledge of the ground and access to the District Ranger.

4. The project area should be evaluated for differences in potential fire activity if a fire starts. This could necessitate the use of multiple forms. Examples of this would be units on a north slope near riparian areas vs. those on south slopes that would be dryer and expected to have more severe fire conditions or there is a significant difference from the predicted PAL and the actual conditions.

5. The Purchaser/Contractor or their representative should be consulted when determining types of variances that are being considered. They might be able to come up with other options.

6. Examples of written variances are:

A. Local assessment determines that existing precautions are adequate

B. Use of specialized detection equipment such as an infrared detection device for locating heat sources is required

C. Provide additional fire suppression resources ( i.e. crews, equipment etc.) to achieve shorter response time.

7/14/2011