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United Firefighters’ Union of Australia Union of Employees Queensland The Union is engaged with the QFRS in the Queensland Industrial Relations Commission on the issue of crewing levels. In order to assist the Union with gathering important information essential to its arguments, would you please complete and email to the Union Office ufu@ufuq.com.au or (FAX 3844 0367) one of these forms on each occasion that any first responding pumper responds with a crew of less than 1 Officer and 3 Firefighters or other appliance is dropped from the run to maintain 1+3 on the first responding pumper.

1. Date: ………………………………. Station: …………………………….

Shift: …………….

Reason for reduction of crew to less than 1+3 ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. Was crew maintained at 1+3 by dropping other appliance from run?

Yes/No

If crew maintained 1+3 no further detail required. If crew not maintained, please complete section 2.

2. Please provide details of incident/s responded to during shift with reduced crewing level e.g. A23 “Building Fire with A24 “Extinguishment, MVA etc. ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. If crew response only 1+2, was an additional appliance/s (additional to normal response) responded as back up? If not, why not? ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..


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