Incident Qualification and Certification

/

Incident Qualification and Certification

Individual Employee Update

/ (Note: this form is to be used only for updating employee records that are already established in the IQCS)

Calendar Year 2012

First Name / Last Name
Employment Kind (Career, Career Seasonal, Casual Hire) / Unit (Supervisor’s Office or District)
Qualified Jobs / Trainee Jobs
Job Code / Job Code / Job Code
EXAMPLE-TFLD / EXAMPLE-DIVS (t)

Employee Training Entry

Course Code / Date Completed (MM/YY) / Course Code / Date Completed (MM/YY)
EXAMPLE- S260 / 06/01/2009

Instructor Experience

Course Code / Date of Instruction (MM/DD/YY) / Instructor Level
L=lead U=Unit
EXAMPLE- S290 / 07/01/2009 / U
EMPLOYEE SIGNATURE / DATE
SUPERVISOR/FMO / DATE
EMPLOYEE WILDLAND AND PRESCRIBED FIRE EXPERIENCE - 2010
Qual / Event Code / Incident
Date
MM/DD/YY / State / Operational Periods
(Shifts) / Management Type or
Complexity Level / Fuel Type / Fire Size / Incident Name/
Unit Identifier
DIVS T / WF / 1/3/2009 / TX / 14 / T2 / 3 / D / EXAMPLE – East Texas IA
TX-TXS-060008
ICS Management Types / Complexity Levels / Fuel Type/ Model #
(select primary carrier code 1-4) / Fire Sizes (in acres)
TYPE A - national area command team assigned
TYPE 1 - national type 1 team assigned
TYPE 2 - regional type 2 team assigned
TYPE 3 - extended attack with multiple resources
TYPE 4 - initial attack
TYPE 5 - initial attack with very few resources / TYPE 1
TYPE 2
TYPE 3
(For Prescribed Fires) / 1 – grass/1-3
2 – shrub/4-7
3 – timber/8-10
4 – slash/11-13 / A
B
C
D
E
F
G / .1 - .25
.26 - 9.9
10 - 99.9
100 - 299.9
300 - 999.9
1,000 - 4,999.9
5,000 +
Initiated Task Books in 2010
Event Code / Job Code / Initiated Date / Event Code / Job Code / Initiated Date
Example - WF / FFT1 / 06/01/2010
ATTACH THE FIRST EVALUATIONS FROM ANY OPEN TASK BOOKS TO THIS UPDATE … THIS WILL RECALULATE THE PTB EXPIRATION DATES.

Task Books – Certified in 2010

Job Code / Initiated Date
Example: HECM / 06/01/2008 / Job Code / Initiated Date / Job Code / Initiated Date
Final Evaluator
Example: Last Name, First Name / Final Evaluator / Final Evaluator
Final Evaluator Title
Example: Helicopter Manager / Title / Title
Final Evaluator Home Unit
Example: Payette NF / Home Unit / Home Unit
Phone Number
Example: 208-634-2800 / Phone Number / Phone Number
Agency Certifier
Example: Ross Williams / Agency Certifier / Agency Certifier
Certifier Title
Example: FFMO / Title / Title
Certifier Home Unit
Example: Salmon Challis NF / Home Unit / Home Unit
Phone Number
Example: 208-756-5158 / Phone Number / Phone Number
Certification Date
Example: 06/20/2009 / Certification Date / Certification Date