HomeMy WebLinkAboutAgenda - 02-19-2008-4eORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: February 19, 2008
Action Agenda
Item No. 4 -- E
SUBJECT: NC State Firemen's and Rescue Squad Annual Certification Roster
DEPARTMENT: Emergency Services . PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): INFORMATION CONTACT:
Certification Form Mike Tapp, 968-2050
Roster
Training Records Database
PURPOSE: To approve the certification requirements for the fire marshal and staff to
participate in the North Carolina State Firemen's Association for the year 2007.
BACKGROUND: The North Carolina State Firemen's Association requirements are that in
order to be eligible to participate in Association, members must attend thirty-six (36) hours of
training in each calendar year. The Fire Marshal received eighty-nine (89) hours of training in
fire/arson investigations, multi-hazard planning for schools and terrorism public safety
awareness. The Assistant Fire Marshal received two hundred fifteen (215) hours of training in
fire/arson investigations, fire prevention and emergency medical services. A training records
database of hours and training topics are included with the agenda abstract.
North Carolina General Statute 58-86-25 requires submission of a complete and certified roster
of eligible staff annually. The governing body, the County Commissioners, must certify the
annual certification roster. The certified roster and minimum training requirements determine
eligibility for benefits through the Association, including line of duty death benefits, accidental
death and dismemberment benefits and participation in the pension fund. The certification roster
is attached and lists two individuals. As an additional point of information, individual County fire
departments submit their own certification rosters based on approval by their respective boards
of directors and signature of approval by the board's president.
FINANCIAL IMPACT: The County provides funds through the annual budget for associated
costs for staff to attend seminars to maintain certification and membership in the NC State
Firemen's Association.
RECOMMENDATION(S): The Manager recommends that the Board approve the certification
roster and authorize the Chair to sign the certification documents.
Q
North Carolina State Firemen's Association
323 West Jones Street, Suite 401
Raleigh, NC 27603
1-800-253-4733
2007
ANNUAL CERTIFICATION OF FIREMEN
North Carolina General Statute 58-86-25 requires that all certified fire departments submit a complete roster of*
its eligible firemen annually.. This certified list determines eligibility for the $50,000 line-of-duty death
benefit as well as eligibility for Pension Fund credit. Failure to accurately and promptly report this
information is violation of G.S. 58-86-25 and will automatically result in a loss or reduction of benefits.
REPORT BY FIRE DEPARTMENT CHIEF
As Fire Department Chief, I have determined that the attached roster is a valid and accurate list of all eligible
firemen, within the definition contained in North Carolina General Statute 58-86-25..
Name of Fire Department QjA/46,F a UN Ty /l12? M4R S A'It S D 4r-yfCe-
Fite Department Mailing Address PC). -Rtix 9 19 r
City (ct-sao je ou i* State Zip Code ?a
Name of Fire Chief' -7Y l / Ke
(Please print or type)
Signature of Fire Chief' 0 ?LG 16wln?
Date C9/4/0 O Daytime T elephone
County 00W GA5- '
CERTIFICATION BY GOVERNING BODY
Pursuant to G.S.. 58-86-25, the governing body of•a fire department operated by (i) a county is the county board
of commissioners, (ii) a city is the city council, (iii) a sanitary district is the sanitary, district board, (iv) a
corporation, whether profit or nonprofit, is the corporation's board of'directors and (v) any other entity is that
group designated by the board.. Therefore, in our capacity as the governing body of the above-named fire
department, we certify and find that the attached roster is a valid and accurate list of all eligible firemen in
accordance with G.S.. 58-86-25.
Name of Governing Body 04Ai., C- Car??V ?"? ?j?/-?12? D? U?yat'T ?o rn /n l S-s l?? EQS
Name of Governing Body Official ,G R-V J AQ /-& 5
(Please print or type)
Authorized Signature
ritle L'GIAazz.,,
Date . Daytime Telephone( q[ o'?11-5' - 02f ' 0
11/15/200 2008 Fire Department Roster Page 1 of 1
ORANGE CO. FIRE MARSHAL .0
This Roster was last
updated on 7/24/2006
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asses
Orange
NC State Fireman's Association
323 West Jones Street, Suite 401
Raleigh, NC 27603
800-253-4733
919-821-9382
Mike Tapp Day Phone# 919-968-2050
ORANGE CO.. FIRE MARSHAL Secretary.
P o Box 8181 Number Paid
Hillsborough, NC 27278 Number Volunteer
.?S
NCSFA Member 3T Certification Letter -M Email V-pp a ra4l9G• #1 e,
Name on Credit Card Credit Card#
Expiration Date Signature
SSN NAME/ DOB ADDRESS PHONE# / EMAIL GEN MAR P/V/R CERT
1 xxx-xx- David S .Merritt 4751 NC Hwy 54 West 919-942-6510 M M P Y/ N
Chapel Hill, NC 27516
2 xaot xx- Mike Iapp P O Box 8181' 919-968-2050 M M P (q/ N
Hillsborough, NC 27278 mtapp@co..orange nc.us
Chief
Date
ORANGE CO. FIRE MARSHAL
Emex-gency Management
Participation Detail by Staff
Training Participation Available Attended Percent
Staff Id/ Name Cnt Hours Cnt Hours Cnt Hours
4585 Tapp, Mike 6 89..00 6 97.00 100..00% 108..99%
Date Category Description Hours
* 02/05/2007 FV01 General Fire Investigation 3..00
* 02/21/2007 GANG Gang Awareness 3..00
* 05/07/2007 CON06 NCIAAI Fire/Arson.Investigation Conferen 32.00
* 08/27/2007 WEBEOC Web EOC 7 00
* 10/22/2007 CONO6 NCIAAI Fire/Arson Investigation Conferen 32.00
* 11/01/2007 FI71 Fire Inspections Upgrade 12.00
.Participation Summary for: Tapp, Mike
Total Available 6 Total Attended 6 Participation Percentage Luu..uu-6
----------------------- - - - - - - - - - - - - - -
Qrand Total Participation:
Total Available 56 Total Attended 56 Participation Percentage 100.,000
i
k=Denotes Participation
12/19/2007 14:59
Page 4
Emezgency Management
Participation Detail by Staff
O
Training Participation Available Attended Percent
Staff Id/ Name Cat Hours Cnt Hours Cnt Hours
8065 Merritt, Scott 41 215.00 41 280..00 100..00% 130.,23%
Date Category Description Hours
* 01/12/2007 SPRINK FF I & II Sprinklers 15..00
* 01/16/2007 EMS32 Musculoskeletal Anatomy 2.00
* 02/05/2007 FV01 General Fire Investigation 3.00
* 02/08/2007 CON08 Best Safety Conference 8.00
* 02/10/2007 CERT Cert Review 4 00
* 02/14/2007 FE01 Portable Fire Extinguishers 2 50
* 02/15/2007 EMS43 Bloodborne Pathogens 3.00
* 02/21/2007 GANG Gang Awareness 3.00
* 03/05/2007 AD10 Management Topics 16..00
* 06/19/2007 FI01 Fire Inspections 8..00
* 07/25/2007 FE01 Portable Fire Extinguishers 1.,50
* 08/10/2007 FI01 Fire Inspections
r
9.00
* 08/11/2007 FI01 Fire Inspections 9••00 i
* 08/12/2007 FI01 Fire Inspections 9••00
* 08/21/2007 EMS63 Scene Responsibilty 4..00
* 08/23/2007 EMS30 BCLS Certification/CPR 2.00
* 08/23/2007 EMS38 Wellness 2.00
* 08/27/2007 WEBEOC Web EOC 7••00
* 08/28/2007 EMS30 BCLS Certification/CPR 4.00 I
* 08/30/2007 EMS30 BCLS Certification/CPR 4.00
* 09/04/2007 EMS15 Patient Assessment 4 00
* 09/06/2007 EMS01 Airway and Ventilation 4 00
* 09/11/2007 EMS01 Airway and Ventilation 4..00
1
* 09/13/2007 EMS01 Airway and Ventilation 4.00
* 09/18/2007 EMS36 Burns 4.00
* 09/20/2007 EMS83 Airway Skills 4.00
* 09/22/2007 EMS35 Spinal Injuries/General-C-Spine 8.00
* 09/25/2007 EMS99 EMS - Other topics, not specified above 2.00
* 09/27/2007 EMS66 Radio/Communication 4.00
10/02/2007 EMS11 General Pharmacology 4.00
i
* 10/02/2007 PRINEM Principles of Emergency Management 4.00
*
10/03/2007
PRINEM
Principles of Emergency Management i
9.00
* 10/04/2007 PRINEM Principles of Emergency Management 3.00
* 10/04/2007 EMS18 Respiratory Emergencies 4.00
* Denotes Participation
12/19/2007 14:59 Page 2
Emergency Management ((0)
Participation Detail by Staff
* 10/23/2007 EMS46 Outdoor Emergencies 2. .00 .
* 10/29/2007 PRINEM Principles of Emergency Management 8 .50
* 10/30/2007 PRINEM Principles of Emergency Management 8 .50
* 11/01/2007 EMS14 OB / GYN / Neonatal Emergencies 4 .00
* 11/06/2007 EMS21 Trauma: Patient Assessment 4 .00
* 11/10/2007 EMS27 BLS Skills Test/Scope of Practice 6 .00
* 11/20/2007 EMS24 Trauma: Other 4 .00
-
----------------------------------------
Participation Summary for:Merritt, Scott ---- -----
Total Available 41 Total Attended 41 Participation Percentage 100.00%
* Denotes Participation
12/19/2007 14:59 Page 3