Returning Firefighter

Name (required)

Phone Number (required)

Mobile Phone Number (required)

Email Address (required)

Residing Location (required)

I have all my PPE and fire gear ready?

Note: Contract crews’ flame resistant clothing may be in any colour other than red. If contract crews show up with red flame resistant clothing, they will be sent home without compensation.

Footwear appropriate for the work conditions; meeting CSA standards and displaying the appropriate label;

Belt
Leather gloves
6 point Hard hat with screen, ear muffs & chin strap for working around helicopters.
Safety glasses/goggles (for working around helicopters)
Hi Visibility Vest (for working around heavy equipment)
One 4” compress dressing
Whistle
Fireline Day pack (to carry food, water, fire equipment, sunscreen, bug spray, toilet paper, rain jacket)
Rain gear
Overnight Gear to Include: Tent, Sleeping bag, Pillow, Sleeping foam
Pocket Notebook & Pen
Gear bag/duffle bag, no suitcases to hold your gear for up to 17 days

Creature Comforts

Clothing required for up to two weeks (warm socks and wooly as you could be working at high elevation which can be cold at night; camp clothing, sleeping clothing)
Toiletries & Towel
Contacts/glasses/sunglasses
Ear plugs, any prescription medications such as an EpiPen and or allergy medication, sunscreen, insect repellent, flashlight, shower shoes, mole skin (for feet blisters this is a must if you have new boots)
Leatherman pocket tool
Cell phone/truck lighter cell phone charger/cell minute cards
Extra socks
Garbage bags/plastic bags to keep stuff dry or laundry separate.

PPE and Fire Gear

Fire Certifications (must accompany you on fireline at all times)
Nomex shirt select size SMLX-LXX-LXXX-L
Nomex pant select waist size: 283032343638404244
Select Leg Length: 303234tall
Firestorm Crews have standardized to wear Orange Nomex Shirts and Blue Nomex pants

**As Per Section 2.27 of the BC Wildfire Service Standing Offer for Wildland Fire Fighters regarding clothing:

Flame resistant clothing that meets CAN/CGSB 155.22-2014 or NFPA 1977 standards. Clothing must have tags proving they meet one of these standards and this may be checked during initial or onsite inspections.

Personal Payroll Information

Do you need to update your payroll information?

Full Name

Phone Number

Cell Phone Number

Emergency Contact Person and Phone Number

Address

Date of Birth

Social Insurance Number

Banking information; a Void cheque or your institution number, transit number and account number (all listed on a void cheque).
Upload Blank Cheque:

Do you have any pre-existing medical conditions?
Description

Are you available for Fire Deployments?YesNo

Date Available:

Are you available for Standby?YesNo

Date Available:

Have you read our Company Drug & Alcohol zero tolerance policy and agree to our terms?: YesNo

Read company drug & alcohol zero tolerance policy form here

Have you completed your PAR-Q (Physical Activity Readiness Questionnaire)?: YesNo

Employee Name

For most people physical activity should not pose any problem or hazard. PAR-Q has been
designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

Common sense is your best guide in answering these few questions. Please read them carefully and check the yes or no opposite the question if it applies to you.

Please answer the following questions with a YES or NO:

Has your doctor ever said you have heart trouble?YesNo

Do you frequently have pains in your heart and chest?YesNo

Do you often feel faint or have spells of severe dizziness?YesNo

Has a doctor ever said your blood pressure was too high?YesNo

Has your doctor ever told you that you have a bone or joint problem such as arthritis that has
been aggravated by exercise, or might be made worse with exercise?YesNo

Is there a good physical reason not mentioned here why you should not follow an activity
program even if you wanted to?YesNo

Are you over age 65 and not accustomed to vigorous exercise?YesNo

If you answered YES to one or more questions...
If you have not recently done so, consult with your personal physician by telephone or in person
before increasing your physical activity and/or taking a fitness test.

If you answered NO to all questions...
If you answered PAR-Q accurately, you have reasonable assurance of your present suitability for
exercise.

Only if you answered no to all of the above then answer the following with a brief
description:

Do you exercise regularly?
What methods do you do for exercise?
How many times a week and for how long each time?

Please sign your signature:

Date:

Upload PAR-Q questionnaire form:

ARE YOU Fire Ready?YesNo
Have you submitted all your training records? YesNo
Don't have required training certificates? Click Here

I have read and agree to the above terms and conditions in the PAR-Q and Company & Alcohol Policy
Please sign your signature:

Returning Firefighter

Firestorm Enterprises Ltd. Returning Firefighter