EXPERIENCE RECORD - WILDLAND & PRESCRIBED FIRE. ALL-HAZARD. PROJECTS BOISE DISTRICT BLM 2018 YEAR: First Name Last Name Employee Number Employment Kind: PFT. CS. Seasonal. AD IQCS # - ON QUAL CARD Management TYPE Incident Incident Name INC Fire Size Fuel Operational Type or POSITION OF INC – Arrival Incident Order # UNIT Class Type Periods - Complexity QUALIFICATION WF Date Fire Code ID SEE SEE QUAL OR TRAINEE #Shifts Level RX BELOW BELOW Project/Daily Job MM/DD/YY ST-XXX PROJECT SEE BELOW type of qualification - inc START UNIT # DRIVE FIRE SIZE FUEL INC NAME / INC ORDER# / MGT TYPE - UTV WF DATE ID HOURS CLASS TYPE FIRE CODE/ project COMPLEXITY MOTORCYCLE rX PROJECT ICS Management Types – Wildland Fire Complexity Levels - RX Fires Fire Size - ACRES Fuel Type/ Model # - Select PRIMARY carrier 01 Short Grass (1 Foot) TYPE A - National Area Command Team assigned TYPE 1 A 0.10-0.25 02 Timber (Grass & Understory) TYPE 1 - National Type 1 Team assigned TYPE 2 B 0.26-9.9 03 Tall Grass (2.5 Feet) TYPE 2 - Regional Type 2 Team assigned TYPE 3 C 10-99.9 04 Chaparral (6 Feet) TYPE 3 - Extended attack with multiple resources D 100-299 05 Brush (2 Feet) TYPE 4 - Initial attack E 300-999 06 Dormant Brush , Hardwood Slash TYPE 5 - Initial attack with very few resources F 1000-4999 07 Southern Rough G 5000+ 08 Closed Timber Litter 09 Hardwood Litter 10 Timber (Litter & Understory) 11 Light Logging Slash 12 Medium Logging Slash 13 Heavy Logging Slash EMPLOYEE SIGNATURE DATE SUPERVISOR DATE Employee & Supervisor MUST sign before it is entered in for currency
EXPERIENCE RECORD - WILDLAND & PRESCRIBED FIRE. ALL-HAZARD. PROJECTS BOISE DISTRICT BLM YEAR: 2018 First Name Last Name Employee Number IQCS # - ON QUAL CARD Employment Kind: PFT. CS. Seasonal. AD POSITION QUALIFICATION QUAL OR TRAINEE TYPE OF INC – WF RX PROJECT Incident Arrival Date MM/DD/YY INC UNIT ID ST-XXX Operational Periods - #Shifts Management Type or Complexity Level SEE BELOW Fire Size Class SEE BELOW Fuel Type SEE BELOW Incident Name Incident Order # Fire Code Project/Daily Job qualification - UTV MOTORCYCLE type of inc WF rX PROJECT START DATE UNIT ID # DRIVE HOURS MGT TYPE - COMPLEXITY FIRE SIZE CLASS FUEL TYPE INC NAME / INC ORDER# / FIRE CODE/ project ICS Management Types – Wildland Fire Complexity Levels - RX Fires Fire Size - ACRES Fuel Type/ Model # - Select PRIMARY carrier 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 A 0.10-0.25 B 0.26-9.9 C 10-99.9 D 100-299 E 300-999 F 1000-4999 G 5000+ 01 Short Grass (1 Foot) 02 Timber (Grass & Understory) 03 Tall Grass (2.5 Feet) 04 Chaparral (6 Feet) 05 Brush (2 Feet) 06 Dormant Brush , Hardwood Slash 07 Southern Rough 08 Closed Timber Litter 09 Hardwood Litter 10 Timber (Litter & Understory) 11 Light Logging Slash 12 Medium Logging Slash 13 Heavy Logging Slash EMPLOYEE SIGNATURE DATE SUPERVISOR DATE Employee & Supervisor MUST sign before it is entered in for currency
FIRE_EXP_FORM_BLANK_2018.docx