Form
Form - Wildland Deployment Briefing and Work-Rest Log
Document FSSMS-FRM-44Stage 1Revision 4Version 0.3.3
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One form per crew per engagement or operational period. Part A is read aloud before the crew engages; Part B is kept through the period; Part C closes it. Filed with the incident record and used for the exposure entry (Wildland and Interface Program).
| Field | Entry |
|---|---|
| Incident number; date; operational period | |
| Crew identifier; crew leader (role); members (IDs) | |
| Division or group; task assigned | |
| Weather: temperature; relative humidity; wind direction and speed now; forecast; time of day | |
| Heat action level for the day (Green / Yellow / Orange / Red) | |
| Fuels; slope; terrain features (chimneys, saddles, ridges); snags; power lines | |
| L Lookout: name (ID); position; can see fire and crew (Y/N); radio check (time) | |
| A Anchor point: location | |
| C Communications: crew channel; command channel; air-to-ground channel monitored by; pull-back words | |
| E Escape routes: route 1 (description, timed minutes); route 2 (description, timed minutes); marked (Y/N) | |
| S Safety zone: location; size adequate for expected flame length and slope (Y/N); time to reach | |
| Trigger points for disengagement | |
| Watch-out situations present (list) and LACES re-checked for each (Y/N) | |
| Aircraft working: type; channel; drop warning understood; clearance (Y/N) | |
| Structure protection: structures triaged (count); withdrawal trigger; driveway escape (Y/N) | |
| Apparatus parked to leave (Y/N); adapters carried (Y/N) | |
| Respiratory protection assigned for this task (none / APR / SCBA) | |
| Rehab location and who monitors; hydration carried (Y/N) | |
| “Does anyone see a reason not to go?” asked (Y/N); concerns raised and how answered | |
| Members briefed (initials); briefing time |
| Time | Activity (line, mop-up, structure prep, pump, saw, rest, rehab) | WBGT or humidex reading | Water or electrolyte taken (mL, crew) | Signs watched (cramps, dizziness, confusion, no sweating): none / member ID | Member sent to rehab (ID, time) | Lookout check (initials) | Re-brief needed (Y/N) |
|---|---|---|---|---|---|---|---|
Hydration schedule in heat: about 250 mL every 15 to 20 minutes (NFPA 1580, 2025). Work-rest cycle per the heat action level (Heat, Cold and Weather Program toolkit T2).
| Field | Entry |
|---|---|
| Disengagement: by trigger point / by order / by pull-back call (who called) / end of task | |
| Time ended; PAR complete (Y/N) | |
| Hours worked this period (per member if different) | |
| Cumulative hours this deployment (per member); day number of deployment | |
| Over shift cap or at deployment maximum (member IDs); action taken | |
| Smoke exposure: duration in smoke; intensity (light, moderate, heavy); near burning structures (Y/N); respiratory protection worn; carbon monoxide readings | |
| Heat or cold illness, near miss, drop event, vehicle incident, injury (Y/N; report number) | |
| Hose washed and dried (Y/N); ensembles inspected (Y/N); defects (corrective action number) | |
| Hot debrief held; the one question answered: “Where was our lookout, and could they see us?” | |
| Crew leader signature (role); company officer review (role, date) |
| Field | Type | Required | Who completes |
|---|---|---|---|
| Incident number, date, operational period | Text, date | Yes | Crew leader |
| Crew identifier, leader, members | Text, member IDs | Yes | Crew leader |
| Division, task | Text | Yes | Crew leader |
| Weather and heat action level | Numbers, list | Yes | Crew leader |
| Fuels, slope, terrain, snags, lines | Text | Yes | Crew leader |
| Lookout (ID, position, sees both, radio check time) | Text, Y/N, time | Yes | Crew leader |
| Anchor point | Text | Yes | Crew leader |
| Communications (channels, monitored by, pull-back words) | Text | Yes | Crew leader |
| Escape routes (two, timed, marked) | Text, minutes, Y/N | Yes | Crew leader |
| Safety zone (location, adequate, time to reach) | Text, Y/N, minutes | Yes | Crew leader |
| Trigger points | Text | Yes | Crew leader |
| Watch-outs present and re-check | List, Y/N | Yes | Crew leader |
| Aircraft | Text, Y/N | When aircraft are working | Crew leader |
| Structure protection fields | Count, text, Y/N | When structures are threatened | Crew leader |
| Apparatus parked to leave, adapters | Y/N | Yes | Driver |
| Respiratory protection assigned | List | Yes | Crew leader |
| Rehab and hydration | Text, Y/N | Yes | Crew leader |
| Reason-not-to-go question and concerns | Y/N, text | Yes | Crew leader |
| Members briefed, time | Initials, time | Yes | Each member |
| Work-rest rows | Time, text, number, mL, IDs, initials | Yes, at least hourly | Crew leader or designated member |
| Close of period fields | Text, numbers, Y/N, report numbers | Yes | Crew leader |
| Signatures | Role, date | Yes | Crew leader; company officer |
National Fire Protection Association. (2025). NFPA 1580, Standard for emergency responder occupational health and wellness (consolidates NFPA 1581, 1582, 1583 and 1584). https://www.nfpa.org/codes-and-standards/nfpa-1580-standard-development/1580