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Volunteer Fire Company #11
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Training/Drills Record
"
*
" indicates required fields
Training Class or Drill?
*
Training Class
Drill
Agency
*
UMD Fire Protection
PGFD Training Academy
NFA Course
MIEMSS
MFRI Course
County Course
Target Solutions Class
Other (Specify in notes)
Class/Course Name
*
Target Solutions Class Name
*
Course ID Number
Date
*
MM slash DD slash YYYY
Class/Course Start TIme
*
0000
0030
0100
0130
0200
0230
0300
0330
0400
0430
0500
0530
0600
0630
0700
0730
0800
0830
0900
0930
1000
1030
1100
1130
1200
1230
1300
1330
1400
1430
1500
1530
1600
1630
1700
1730
1800
1830
1900
1930
2000
2030
2100
2130
2200
2230
2300
2330
Members Attending
*
Abecassis, Elie
Addison, Greg
Amann, Nicholas
Angel, Maria
Bailey, Charles
Baker, James
Baker, Thomas
Barnett, Matt
Barnhart, Russell
Barnie, Jamaine
Bernhard-Gove, Jonathon
Bolarum, Tanvi
Boucher, Emily
Brady, Mark
Burrier, Gary
Burrier, Michael
Castro, Anna
Cavaliere, Garrett
Chaney, Gary
Clark, William
Cole, Isaiah
Crisman, James
Crisman, Teresa Ann
Cruz, Carlos
Cruz, Amiel
Culbert, Daniel
Davage Jr, Dafonso
Daves, Derek
Dickey, Jeffrey
Diezcanseco, Salvador
Eckhart, Brandyn
Edery, Joshua
Fabrizio, Celia
Faust, Jaylah
Federman, Mitchell
Felix, Ryan
Ferreira, Thomas
Frankel, Brendon
Gardiner, Amanda
Gardiner Sr., John
Garrant, Samuel
Gill, Brandon
Gove, Eric
Grinder, Kristi
Gyabaah-Kessie, Nana
Gyimah, Davina
Hansen, Emma
Hauser, Eric
Hebert, Chris
Helt, Mark
Holliday, Robert
Hshieh, Katherine
Hu, Kevin
Hughes, John
Hughes, Michael
Iannone, Dave
Idsassi, Maha
Jimenez, Leslie
Jones, Sekai
Jordan, Terri
Jordan, Jeramie
Kestner, Jacquelyn
Khan, Mariam
Kim, Ryan
Kothari, Ravi
Kristick, Adam
Kulasinghe, Sasvi
Kulle, Linda
Lair, Sebastien
LaMar, Meagan
LaMar, Traci
Lane, Annabel
Lebovitz, Sarah
Leizear, Elizabeth
Leizear, Richard
Leizear Jr, Ronald
Leizear Sr, Ronald
Lewis, Mark
Lewis, Michael
Li, Evelyn
Liang, Winnie
Liang, Janet
Lindsey, Lani
Liu, Sophia
Lockmuller, Virginia
Lora, Sandra
Lundy, Eric
Luu, Jason
Manco, John
Manzo, Nicholas
McKenney, Andrew
McKenney, Paul
McNary, Ethan
Melnyk, Camilo
Miller, Jackson
Moreland, Robert
Norris, Edward
Oberoi, Natasha
Okyere, Nana
Oliver, Kathryn "Kitty"
Papali, Pritika
Parks, Brittany
Parks, Blicky
Patel, Radhika
Patel, Diya
Patel, Aastha
Patel, Avani
Pathy, Sushrut
Peddu, Bharat kumar
Quainoo, Brian
Raia, Peter
Robinson-Phipps, Debra
Rosenfeld, Carly
Ruiz, Ashley
Sall, Fatou
Santos, Steffen
Saunders, Orville
Scheirey, Grace
Scholl, Rosa
Scribner, Lee
Scully, Kyle
Sermeno Martinez, Denis
Shah, Pooja
Sheehan, Lily
Shou, Daniel
Sisson, John
Smith, Russell
Staub, D. Scott "Rusty"
Steffen, Shari
Stevenson, Spencer
Tanner, Thomas
Taylor, Ashlynn
test, bvfco
Testmember, Bob
Toledo, David
Travers, Alec
Tronetti, Tara
Turley, David
Umeozulu, Chidera
Underwood, Frank
Vallar, Meinhart
Vanmeter, Charlene
Velez, Balthazar
Velez Segui, Laura
Verma, Ankush
Vermillion, Susie
Villatoro, Enil
Villeda, Nora
Weatherford, Colleen
Weatherford, Victor
Whitlock, Sam
Whitney, Jessica
Wilbanks, Jennifer
Williams, Michael
Wiseman, Steven
Ying, Evan
Zell, William
Zhang, Cecilia
Zhang, Daniel
Zhao, Celestine
Hold "Crtl" to select multiple members
Course Hours
*
Total Course Hours
*
Number of people x hours
Notes
Drill Type
*
Company
County/Combined
Drill Subject
*
Date of Drill
*
Month
Day
Year
Drill Start TIme
*
0000
0030
0100
0130
0200
0230
0300
0330
0400
0430
0500
0530
0600
0630
0700
0730
0800
0830
0900
0930
1000
1030
1100
1130
1200
1230
1300
1330
1400
1430
1500
1530
1600
1630
1700
1730
1800
1830
1900
1930
2000
2030
2100
2130
2200
2230
2300
2330
Members Attending
*
Abecassis, Elie
Addison, Greg
Amann, Nicholas
Angel, Maria
Bailey, Charles
Baker, James
Baker, Thomas
Barnett, Matt
Barnhart, Russell
Barnie, Jamaine
Bernhard-Gove, Jonathon
Bolarum, Tanvi
Boucher, Emily
Brady, Mark
Burrier, Gary
Burrier, Michael
Castro, Anna
Cavaliere, Garrett
Chaney, Gary
Clark, William
Cole, Isaiah
Crisman, James
Crisman, Teresa Ann
Cruz, Carlos
Cruz, Amiel
Culbert, Daniel
Davage Jr, Dafonso
Daves, Derek
Dickey, Jeffrey
Diezcanseco, Salvador
Eckhart, Brandyn
Edery, Joshua
Fabrizio, Celia
Faust, Jaylah
Federman, Mitchell
Felix, Ryan
Ferreira, Thomas
Frankel, Brendon
Gardiner, Amanda
Gardiner Sr., John
Garrant, Samuel
Gill, Brandon
Gove, Eric
Grinder, Kristi
Gyabaah-Kessie, Nana
Gyimah, Davina
Hansen, Emma
Hauser, Eric
Hebert, Chris
Helt, Mark
Holliday, Robert
Hshieh, Katherine
Hu, Kevin
Hughes, John
Hughes, Michael
Iannone, Dave
Idsassi, Maha
Jimenez, Leslie
Jones, Sekai
Jordan, Terri
Jordan, Jeramie
Kestner, Jacquelyn
Khan, Mariam
Kim, Ryan
Kothari, Ravi
Kristick, Adam
Kulasinghe, Sasvi
Kulle, Linda
Lair, Sebastien
LaMar, Meagan
LaMar, Traci
Lane, Annabel
Lebovitz, Sarah
Leizear, Elizabeth
Leizear, Richard
Leizear Jr, Ronald
Leizear Sr, Ronald
Lewis, Mark
Lewis, Michael
Li, Evelyn
Liang, Winnie
Liang, Janet
Lindsey, Lani
Liu, Sophia
Lockmuller, Virginia
Lora, Sandra
Lundy, Eric
Luu, Jason
Manco, John
Manzo, Nicholas
McKenney, Andrew
McKenney, Paul
McNary, Ethan
Melnyk, Camilo
Miller, Jackson
Moreland, Robert
Norris, Edward
Oberoi, Natasha
Okyere, Nana
Oliver, Kathryn "Kitty"
Papali, Pritika
Parks, Brittany
Parks, Blicky
Patel, Radhika
Patel, Diya
Patel, Aastha
Patel, Avani
Pathy, Sushrut
Peddu, Bharat kumar
Quainoo, Brian
Raia, Peter
Robinson-Phipps, Debra
Rosenfeld, Carly
Ruiz, Ashley
Sall, Fatou
Santos, Steffen
Saunders, Orville
Scheirey, Grace
Scholl, Rosa
Scribner, Lee
Scully, Kyle
Sermeno Martinez, Denis
Shah, Pooja
Sheehan, Lily
Shou, Daniel
Sisson, John
Smith, Russell
Staub, D. Scott "Rusty"
Steffen, Shari
Stevenson, Spencer
Tanner, Thomas
Taylor, Ashlynn
test, bvfco
Testmember, Bob
Toledo, David
Travers, Alec
Tronetti, Tara
Turley, David
Umeozulu, Chidera
Underwood, Frank
Vallar, Meinhart
Vanmeter, Charlene
Velez, Balthazar
Velez Segui, Laura
Verma, Ankush
Vermillion, Susie
Villatoro, Enil
Villeda, Nora
Weatherford, Colleen
Weatherford, Victor
Whitlock, Sam
Whitney, Jessica
Wilbanks, Jennifer
Williams, Michael
Wiseman, Steven
Ying, Evan
Zell, William
Zhang, Cecilia
Zhang, Daniel
Zhao, Celestine
Hold "Crtl" to select multiple members
Drill Hours
*
Total Drill Hours
*
Number of people x hours
Notes
Hidden
Date of Class - OLD HIDDEN
Month
Day
Year
Phone
This field is for validation purposes and should be left unchanged.
Δ
Driver Checklist
"
*
" indicates required fields
Date of Checkoff
*
Date Checkoff Performed
MM slash DD slash YYYY
Time of Checkoff
*
24 Hour Format (Ex. 0328 or 1528)
Hours
:
Minutes
Driver
*
The Driver Performing Checkoff
Choose Driver
Abecassis, Elie
Addison, Greg
Amann, Nicholas
Angel, Maria
Bailey, Charles
Baker, James
Baker, Thomas
Barnett, Matt
Barnhart, Russell
Barnie, Jamaine
Bernhard-Gove, Jonathon
Bolarum, Tanvi
Boucher, Emily
Brady, Mark
Burrier, Gary
Burrier, Michael
Castro, Anna
Cavaliere, Garrett
Chaney, Gary
Clark, William
Cole, Isaiah
Crisman, James
Crisman, Teresa Ann
Cruz, Carlos
Cruz, Amiel
Culbert, Daniel
Davage Jr, Dafonso
Daves, Derek
Dickey, Jeffrey
Diezcanseco, Salvador
Eckhart, Brandyn
Edery, Joshua
Fabrizio, Celia
Faust, Jaylah
Federman, Mitchell
Felix, Ryan
Ferreira, Thomas
Frankel, Brendon
Gardiner, Amanda
Gardiner Sr., John
Garrant, Samuel
Gill, Brandon
Gove, Eric
Grinder, Kristi
Gyabaah-Kessie, Nana
Gyimah, Davina
Hansen, Emma
Hauser, Eric
Hebert, Chris
Helt, Mark
Holliday, Robert
Hshieh, Katherine
Hu, Kevin
Hughes, John
Hughes, Michael
Iannone, Dave
Idsassi, Maha
Jimenez, Leslie
Jones, Sekai
Jordan, Terri
Jordan, Jeramie
Kestner, Jacquelyn
Khan, Mariam
Kim, Ryan
Kothari, Ravi
Kristick, Adam
Kulasinghe, Sasvi
Kulle, Linda
Lair, Sebastien
LaMar, Meagan
LaMar, Traci
Lane, Annabel
Lebovitz, Sarah
Leizear, Elizabeth
Leizear, Richard
Leizear Jr, Ronald
Leizear Sr, Ronald
Lewis, Mark
Lewis, Michael
Li, Evelyn
Liang, Winnie
Liang, Janet
Lindsey, Lani
Liu, Sophia
Lockmuller, Virginia
Lora, Sandra
Lundy, Eric
Luu, Jason
Manco, John
Manzo, Nicholas
McKenney, Andrew
McKenney, Paul
McNary, Ethan
Melnyk, Camilo
Miller, Jackson
Moreland, Robert
Norris, Edward
Oberoi, Natasha
Okyere, Nana
Oliver, Kathryn "Kitty"
Papali, Pritika
Parks, Brittany
Parks, Blicky
Patel, Radhika
Patel, Diya
Patel, Aastha
Patel, Avani
Pathy, Sushrut
Peddu, Bharat kumar
Quainoo, Brian
Raia, Peter
Robinson-Phipps, Debra
Rosenfeld, Carly
Ruiz, Ashley
Sall, Fatou
Santos, Steffen
Saunders, Orville
Scheirey, Grace
Scholl, Rosa
Scribner, Lee
Scully, Kyle
Sermeno Martinez, Denis
Shah, Pooja
Sheehan, Lily
Shou, Daniel
Sisson, John
Smith, Russell
Staub, D. Scott "Rusty"
Steffen, Shari
Stevenson, Spencer
Tanner, Thomas
Taylor, Ashlynn
test, bvfco
Testmember, Bob
Toledo, David
Travers, Alec
Tronetti, Tara
Turley, David
Umeozulu, Chidera
Underwood, Frank
Vallar, Meinhart
Vanmeter, Charlene
Velez, Balthazar
Velez Segui, Laura
Verma, Ankush
Vermillion, Susie
Villatoro, Enil
Villeda, Nora
Weatherford, Colleen
Weatherford, Victor
Whitlock, Sam
Whitney, Jessica
Wilbanks, Jennifer
Williams, Michael
Wiseman, Steven
Ying, Evan
Zell, William
Zhang, Cecilia
Zhang, Daniel
Zhao, Celestine
Unit
*
Choose Apparatus
Engine 111
Engine 113
Ambulance 117
Ambulance 118
Ambulance 119
Unit Mileage
*
Engine Hours
*
Ambulance Maintenance Information
This section is for maintenance-related aspects with the ambulance and inspection should be completed by the incoming driver. Any issues that cannot be resolved should be documented in the Apparatus & Equipment Maintenance Request" form.
Engine Maintenance Information
This section is for maintenance-related aspects with the engine and inspection should be completed by the incoming driver. Any issues that cannot be resolved should be documented in the Apparatus & Equipment Maintenance Request" form.
Fluids
Fuel Level
*
Choose Fuel Level
Full
3/4 Full
1/2 Full
1/4 Full
Empty
DEF Level
*
Choose DEF Level
Full
3/4 Full
1/2 Full
1/4 Full
Empty
Oil Level
*
Choose Oil Level
Full
3/4 Full
1/2 Full
1/4 Full
Empty
Transmission Level
*
Choose Transmission Level
Full
3/4 Full
1/2 Full
1/4 Full
Empty
Radiator Level
*
Choose Radiator Level
Full
3/4 Full
1/2 Full
1/4 Full
Empty
Power Steering Level
*
Choose Power Steering Level
Full
3/4 Full
1/2 Full
1/4 Full
Empty
Brake Level
*
Choose Brake Level
Full
3/4 Full
1/2 Full
1/4 Full
Empty
Tires
Recommended pressures are found on the driver's side door jamb.
All Tires at Proper Pressure?
*
Yes
No
Sufficient Tread Depth?
*
Yes
No
Lights
All Brake Lights Working
*
Yes
No
All Turn Signals Working
*
Yes
No
All Head Lights Working
*
Yes
No
Flood Lights Working & Pointed Correctly?
*
Yes
No
Running Lights Working?
*
Yes
No
Engine Compartment
All Hoses/Belts Attached & Free of Cracks?
*
Yes
No
Battery Terminals Free of Corrosion?
*
Yes
No
All Electrical Connections Attached?
*
Yes
No
Emergency Equipment
Emergency Lights Illuminated & Working?
*
Yes
No
Sirens Working?
*
Yes
No
Federal Q Working?
*
Yes
No
Air Horn Working?
*
Yes
No
Pumping
Water Tank Full?
*
Yes
No
Additional Notes
Notes
Name
This field is for validation purposes and should be left unchanged.
Δ
Building Pre-Plan
Building Information
Building Name
Building Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Site Access & Restrictions
Knox Box
Fire Alarm Panel
Fire Command Center
Remote Annunciator
Life Safety & Occupancy
Total Number of Apartments
Handicapped/Special Needs
Area of Refuge (Defend in Place Strategy)
Site Emergency Response Plan
Building Manager
First
Last
Phone
Building Construction
Building Access
Length/Width/Height
Number of Stories
Roof & Roof Covering
Smoke Management
Stairwells
Elevators
Electricity
Emergency Power
Natural Gas
Domestic Water
Steam
Protection System
Hydrant #1
Hydrant #1 GPM
Hydrant #2
Hydrant #2 GPM
FD Connection
Standpipes
Automatic Sprinklers
Water Supplies
Special Protection Systems
Occupancy or Special Hazards
Type of Hazard & Location:
Special Notes & Considerations:
File/Image
Drop files here or
Select files
Max. file size: 200 MB.
Upload any relevant images here.
Name
This field is for validation purposes and should be left unchanged.
Δ
Station Maintenance & Repair Request
"
*
" indicates required fields
Problem Description
Problem Type
Choose One
Alerting System
Backup Generator
Bay Door
Computer/Internet Issue
Electrical
Exterior Issue
Heating/AC
Interior Issue
Other
Other Building Issue
Parking Lot
Plumbing
Rodent
Date Problem Was Identified
*
MM slash DD slash YYYY
Problem Description
*
Please describe problem in as much detail as possible.
To Be Completed by Maintenance
Repair Status
Needs Repair
Pending (See Notes)
Repaired
Other
Repairs Supervised By
Supervised By
Abecassis, Elie
Addison, Greg
Amann, Nicholas
Angel, Maria
Bailey, Charles
Baker, James
Baker, Thomas
Barnett, Matt
Barnhart, Russell
Barnie, Jamaine
Bernhard-Gove, Jonathon
Bolarum, Tanvi
Boucher, Emily
Brady, Mark
Burrier, Gary
Burrier, Michael
Castro, Anna
Cavaliere, Garrett
Chaney, Gary
Clark, William
Cole, Isaiah
Crisman, James
Crisman, Teresa Ann
Cruz, Carlos
Cruz, Amiel
Culbert, Daniel
Davage Jr, Dafonso
Daves, Derek
Dickey, Jeffrey
Diezcanseco, Salvador
Eckhart, Brandyn
Edery, Joshua
Fabrizio, Celia
Faust, Jaylah
Federman, Mitchell
Felix, Ryan
Ferreira, Thomas
Frankel, Brendon
Gardiner, Amanda
Gardiner Sr., John
Garrant, Samuel
Gill, Brandon
Gove, Eric
Grinder, Kristi
Gyabaah-Kessie, Nana
Gyimah, Davina
Hansen, Emma
Hauser, Eric
Hebert, Chris
Helt, Mark
Holliday, Robert
Hshieh, Katherine
Hu, Kevin
Hughes, John
Hughes, Michael
Iannone, Dave
Idsassi, Maha
Jimenez, Leslie
Jones, Sekai
Jordan, Terri
Jordan, Jeramie
Kestner, Jacquelyn
Khan, Mariam
Kim, Ryan
Kothari, Ravi
Kristick, Adam
Kulasinghe, Sasvi
Kulle, Linda
Lair, Sebastien
LaMar, Meagan
LaMar, Traci
Lane, Annabel
Lebovitz, Sarah
Leizear, Elizabeth
Leizear, Richard
Leizear Jr, Ronald
Leizear Sr, Ronald
Lewis, Mark
Lewis, Michael
Li, Evelyn
Liang, Winnie
Liang, Janet
Lindsey, Lani
Liu, Sophia
Lockmuller, Virginia
Lora, Sandra
Lundy, Eric
Luu, Jason
Manco, John
Manzo, Nicholas
McKenney, Andrew
McKenney, Paul
McNary, Ethan
Melnyk, Camilo
Miller, Jackson
Moreland, Robert
Norris, Edward
Oberoi, Natasha
Okyere, Nana
Oliver, Kathryn "Kitty"
Papali, Pritika
Parks, Brittany
Parks, Blicky
Patel, Radhika
Patel, Diya
Patel, Aastha
Patel, Avani
Pathy, Sushrut
Peddu, Bharat kumar
Quainoo, Brian
Raia, Peter
Robinson-Phipps, Debra
Rosenfeld, Carly
Ruiz, Ashley
Sall, Fatou
Santos, Steffen
Saunders, Orville
Scheirey, Grace
Scholl, Rosa
Scribner, Lee
Scully, Kyle
Sermeno Martinez, Denis
Shah, Pooja
Sheehan, Lily
Shou, Daniel
Sisson, John
Smith, Russell
Staub, D. Scott "Rusty"
Steffen, Shari
Stevenson, Spencer
Tanner, Thomas
Taylor, Ashlynn
test, bvfco
Testmember, Bob
Toledo, David
Travers, Alec
Tronetti, Tara
Turley, David
Umeozulu, Chidera
Underwood, Frank
Vallar, Meinhart
Vanmeter, Charlene
Velez, Balthazar
Velez Segui, Laura
Verma, Ankush
Vermillion, Susie
Villatoro, Enil
Villeda, Nora
Weatherford, Colleen
Weatherford, Victor
Whitlock, Sam
Whitney, Jessica
Wilbanks, Jennifer
Williams, Michael
Wiseman, Steven
Ying, Evan
Zell, William
Zhang, Cecilia
Zhang, Daniel
Zhao, Celestine
Repair Order Number
Repairs Performed By
Repair Completed Date
MM slash DD slash YYYY
Repairs Performed
Notes
Phone
This field is for validation purposes and should be left unchanged.
Δ
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