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HomeMy WebLinkAboutFD-22 - Shift Replacement and Overtime Report FD-22 Name:Employee ID:Date : Rank:Station Assignment : Total Hours Worked 56 Hour Paid Beginning Date : Beginning Time : 56 Hour Comp Lunch :40 Hour Paid Ending Date :Ending Time :40 Hour Comp Reason for SR/OT: Location Worked: Employee Signature : North Central Fitness & Health Committee JAC SART Suppression GIS LMC Supply Apparatus Committee Hazmat LODD Committee Training - Drill School ARFF - 22044 Honor Guard OES Training - External Classes Business & Fiscal Services Injury & Accident Committee Other Training - Instructors CISM Team Inspection Personnel - Recruitment Training - MCD Communications Investigations - Call Out PIO Training - Other Constant Staffing Committee Investigations - PBI Repair & Maintenance Facilities Uniform & PPE Committee Equipment Committee Investigations - SR Repair & Maintenance Shop USAR Explorer Investigations - Training Safety Committee Wildland Advisory FD22 Revised 1/5/2018 FRESNO CITY FIRE DEPARTMENT SHIFT REPLACEMENT / OVERTIME REPORT CONVERSION 1-6 0.1 31-36 0.6 7-12 0.2 37-42 0.7 13-18 0.3 43-48 0.8 19-24 0.4 49-54 0.9 25-30 0.5 55-60 1.0 1. Hours should be in tenths. Please use the conversion table at right. 2. Shift Replacement is any partial shift filling a vacant position (no regularly assigned person). For example, Shift Replacement includes, but is not limited to, filling in for someone on Vacation , Out Sick, or on Injury Leave. Overtime includes, but is not limited to, coverage of Special Assignment, Hold Over and Recall or two members for one spot. IE: On duty training, etc. 3. Must be filled out for all reimbursable overtime. IE: Out of County, OES, Strike Team, & Backfill. Reason for SR / OT entry will state the reason for the vacancy or purpose for OT (Ex: Smith SP or Evaluating Firefighter Exam) Stating “Vacancy” or “Overtime” is unacceptable. BC Verification of Telestaff Entry Reviewed and Entered by Payroll TOTAL HOURS WORKED & COMPENSATION OVERTIME or SPECIAL ASSIGNMENT BACKFILL VERIFICATION OF OVERTIME WORKED & PAYMENT AUTHORIZATION Immediate Supervisor / Title Date Authorized By Date