HomeMy WebLinkAbout106.074 - FD-85, 2-Out Deviation Form Section 106.074
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ADMINISTRATIVE MANUAL
FORMS
106.074 2-OUT DEVIATION FORM FD-85
EFFECTIVE: JUNE 2018
Current Revision Date: 9/7/18 Next Revision Date: 9/7/19
Author’s Name/Rank: John Pepper, Fire Captain Review Level: 1
PURPOSE
The purpose of this form is to document any deviations from OSHA 29 CFR 1910.134,
for Fresno Fire Department (FFD or Department).
APPLICATION
This form is to be completed on any incident where a deviation from 2 -out has occurred.
This form is not required when 2-out laws have been followed in accordance with OSHA
29 CFR 1920.134.
OPERATIONAL POLICY
The reporting officer (initial Incident Commander) will complete this form on any incident
where a deviation from 2-out has occurred.
OPERATIONAL GUIDELINE
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PROCESS
A paper copy of this form can be completed on scene and then entered into Tiburon.
The digital version of this form is located in Tiburon under the “favorites” tab.
INFORMATION
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Section 106.074
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DEFINITIONS
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CROSS REFERENCES
OSHA 29 CFR 1910.134
Section 106.074
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FRESNO FIRE DEPARTMENT
2-OUT DEVIATION FORM FD-85
Incident Date: ___________________ Incident Location: _______________________
Incident Number: ________________ Initial Incident Commander: ________________
Reason for 2-Out Deviation: Rescue Mode
Incipient Phase
Non-Compliant
Were incoming crews notified of the entry/rescue mode established? Yes
No
Explanation:
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Prepared by: ____________________________ Date: __________________________
Incident Commander Signature
Reviewed by: ____________________________ Date: _________________________
Battalion Chief Signature