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COMMERCE AND INSURANCETennessee Commission on Fire Fighting500 James Robertson Parkway, Suite 630Nashville, TN 37243 – 615-741-6780Live Fire Training Requirements1. This standard shall be used to conduct all live fire training concerning acquired structuresand/or training center buildings by definition of NFPA 1403.2. The lead instructor and the incident commander shall share equal responsibility for all aspectsof any live fire training.3. All students will meet the prerequisites defined in NFPA 1403.4. All persons participating in training shall meet OSHA 1910-134.5. Any instructor wishing to teach live fire training in this State which will receive Commissioncredit, shall have to participate in a Live Fire Training Instructors course which has beenapproved by the Commission and pass a written test at the end of this class with a minimumpassing score of 70%.6. This class will be taught by personnel approved by the Commission on Fire Fighting PersonnelStandards and Education with the only exceptions being the Tennessee Fire Academy on sitefacility.7. The instructor in charge and the incident commander must attend and successfully complete aTennessee Fire Fighting Commission-approved live fire training course and be a certifiedInstructor I by the Commission. All other instructors must be certified as Fire DepartmentInstructor I by the Commission.8. Departments must submit a completed application for live fire training for acquired structures tothe Commission office 15 working days prior to training.9. Any instructor that fails to meet any and all of these requirements shall be given written noticeto appear in front of the Tennessee Commission on Fire Fighting for a disciplinary hearing. Theinstructors will be notified in writing of this hearing within accordance of Chapter 0360-5-1-.01.10. No alcoholic beverages or drugs shall be on the training grounds at any time.11. Any students participating in a live fire training exercise and appearing under the influence ofdrugs or alcohol shall not be permitted to participate in the exercise.IN 1647 (rev. 12/2009)Page 1 of 18

Rec’dTennessee Commission on Fire FightingPersonnel Standards and EducationApp. Ltr. Sent500 James Robertson Parkway, Suite 630Nashville, TN 37243-0579Live Burn #Application for Live Fire TrainingThis completed Application must be submitted to the address above 15 workingdays prior to any live fire training being conducted for Commission creditName of Fire Department/Agency Conducting the Training:Address of Department/Agency:Location of Training:County of Training:Date of Training:Time of Training:Instructor In Charge:Live Burn 1403 Class Cert #:Incident Commander:Live Burn 1403 Class Cert #:List all Instructors that will be assisting In this training (attach additional sheets if necessary):1.2.3.4.5.6.7.8.9.Each Department/Agency Shall Maintain Copies of the Following Documentation:1.2.3.4.5.6.7.Copies of all paperwork submitted to the Tennessee Division For Air Quality.All reports and documents required in Chapter 9 of NFPA 1403Copy of Permission to Burn The StructureCopy of Proof of a Clear Title.Copy of Certificate of Insurance Cancellation.Asbestos Abatement (If Required).Copy of approval letter from the CommissionBy signing this application I attest, to the best of my knowledge, that NFPA 1403 will be followedduring this live fire training exercise.Instructor in ChargeDateFire Chief or Training OfficerDateAll Live Fire Training Is Subject To Inspection from the Fire Fighting CommissionIN 1647 (rev. 12/2009)Page 2 of 18

Address:Date:TN Commission on Fire FightingLive FireAccountability ChecklistInstructor in Charge:Instructor Live Burn Number:Incident Commander:PSID#Instructor In-Charge:PSID#Safety Officer(s):Ignition Officer:Accountability Officer:Engineer on Primary Engine:Engineer on Secondary Engine:Inside Instructors:RIT Team:Incident Rehabilitation Officer:Secondary Instructors:IN 1647 (rev. 12/2009)Time:Page 3 of 18

Address:Date:Time:Instructor in Charge:TN Commission on Fire FightingLive Fire ChecklistInstructor Live Burn NumberPermits, Documents, Notifications, InsuranceWritten Documentation Received From the YESYESYESN/AN/AN/AN/AYESN/AYESN/AYESN/AIN 1647 (rev. 12/2009)Permission to Burn StructureProof of Clear TitleCertification of Insurance CancellationAcknowledgement of Post-burn Property ConditionLocal Burn Permit ReceivedPermission Obtained to Utilize Fire HydrantsNotification Made to Appropriate Dispatch Office ofDate, Time, and Location of BurnNotification Made to All Affected Police AgenciesReceived Authority to Block Off RoadsReceived Assistance in Traffic ControlNotification Made to Owners and Users of AdjacentProperty of Date, Time, and Location of BurnLiability Insurance Obtained Covering Damage to OtherPropertyWritten Evidence of Prerequisite Training ObtainedFrom Participating Students From Outside AgenciesProper Paper Work Sent of Division of Air Quality andFire Fighting Commission OfficePage 4 of 18

Address:Date:Time:Instructor in Charge:TN Commission on Fire FightingLive Fire ChecklistInstructor Live Burn NumberPre-Burn PlanningPre-Burn plans made, showing the /AN/AN/AN/AN/AN/AN/AN/AN/AYES N/A YES N/AYESYESYESYESN/AN/AN/AN/ASite Plan Drawing, Including All ExposuresBuilding Plan, Including Overall DimensionsFloor Plan Detailing All Rooms, Hallways, and Exterior OpeningsLocation of Command PostPosition of All ApparatusPosition of All Hoses, Including Backup LinesLocation of Emergency Escape RoutesLocation of Emergency Evacuation Assembly AreaLocation of Ingress and Egress Routes for Emergency VehiclesAvailable Water Supply DeterminedRequired Fire Flow Determined for the Burn Building andExposure Buildings: Critical Flow Building Length X Width X Height /100 GPMRequired reserve Flow Determined (50 Percent of Fire Flow)GPMSeparate Water Sources Established for Attack and BackupHose LinesPeriodic Weather Reports ObtainedParking Areas Designated and MarkedOperations Area Established and Perimeter MarkedCommunications Frequencies Established, Equipment ObtainedFrequency and Channel Including PLIN 1647 (rev. 12/2009)Page 5 of 18

Address:Date:Time:Instructor in Charge:Instructor Live Burn NumberTN Commission on Fire FightingLive Fire ChecklistPre-Burn ProceduresYESN/AParticipants Briefed on Building LayoutYESN/AAll Participants Briefed on Crew and Instructor AssignmentsYESN/AAll Participants Briefed on Safety RulesYESN/AAll Participants Briefed on Building Evacuation ProcedureYESN/AAll Participants Briefed on Evacuation Signal and it is DemonstratedYESN/AAll Hoselines Checked for Sufficient Size for the Area of Fire InvolvementYESN/AAll Hoselines Charged and Test FlowedYESN/AAll Hoselines Supervised by Qualified InstructorsYESN/AAll Hoselines Have an Adequate Number of PersonnelYESN/ANecessary Tools and Equipment PositionedYESN/AParticipants Checked for Approved Full Protective ClothingYESN/AParticipants Checked for Self-Contained Breathing ApparatusYESN/AParticipants Checked for Adequate SCBA Air VolumeYESN/AParticipants Checked for all Equipment Properly DonnedYESN/AAll Participants Including Instructors Placed Through Incident Rehabilitation for aBaseline Set of Vital SignsIN 1647 (rev. 12/2009)Page 6 of 18

Address:Date:Time:Instructor in Charge:TN Commission on Fire FightingLive FireAccountability ChecklistInstructor Live Burn NumberPost-Burn ProceduresYESN/APersonnel Accounted ForYESN/ARemaining Fires Overhauled, as NeededYESN/ABuilding Inspected for Stability and Hazards Where More Training isto FollowYESN/ATraining Critique ConductedYESN/ARecords and Reports Prepared as RequiredYESN/AAccount of Activities ConductedYESN/AList of Instructors and AssignmentsYESN/AList of Other participantsYESN/ADocumentation of Unusual Conditions or EventsYESN/ADocumentation of Injuries Incurred and Treatments RenderedYESN/ADocumentation of Changes or Deterioration of Training Center BurnBuilding YESN/AYESN/AAcquired Building ReleaseYESN/AStudent Training RecordsYESN/ACertification of CompletionYESN/ABuilding and Property Released to OwnerYESN/ARelease Document SignedYESN/AIncident RehabilitationIN 1647 (rev. 12/2009)Page 7 of 18

Address:Date:TN Commission on Fire FightingLive Fire ChecklistResponsibilities of PersonnelTime:Instructor in Charge:Instructor Live Burn NumberResponsibilities of /AN/AYESYESN/AN/AIN 1647 (rev. 12/2009)Plan and Coordinate All Training ActivitiesMonitor Activities to Ensure Safe PracticesInspect Building Integrity Prior to Each FireAssign Instructors to Attack Hose LinesAssign Instructors to Backup Hose LinesAssign Instructors to Functional AssignmentsAssign Instructors to Teaching AssignmentsBrief Instructors on Responsibilities of Accounting for Assigned StudentsBrief Instructors on Responsibilities of Assessing Student PerformanceBrief Instructors on Responsibilities of Clothing and Equipment InspectionBrief Instructors on Responsibilities of Monitoring SafetyBrief Instructors on Responsibilities of Achieving Tactical andTraining ObjectivesAssign Coordinating Personnel as NeededTo EMSCommunicationsWater SupplyApparatus StagingBreathing ApparatusIncident RehabilitationPublic RelationsEnsure Adherence to This Standard by All Persons Within the TrainingAreaNo Alcohol Consumption at Any TrainingNo Persons Under the Influence of Drugs or Alcohol Allowed to ParticipatePage 8 of 18

Safety ESYESN/AN/AN/AN/AYES N/AYES N/APrevent Unsafe ActsEliminate Unsafe ConditionsIntervene and Terminate Unsafe ActsSupervise Additional Safety Personnel, as NeededCoordinate Lighting of Fires With Instructor-In-ChargeEnsure Compliance of Participants Personal Equipment WithApplicable StandardsProtective ClothingSCBAPersonal Alarm DevicesEnsure That All Participants Are Accounted for, Both Before andAfter, Each EvolutionNo Alcohol Consumption at Any TrainingNo persons under the influence of drugs or Alcohol Allowed N/AMonitor and Supervise Assigned Students (No More Than Five PerInstructor)Inspect Students Protective Clothing and EquipmentAccount for Assigned Students, Both Before and After EvolutionsNo Alcohol Consumption at Any TrainingNo Persons Under the Influence of Drugs or Alcohol Allowed to AN/AYESYESN/AN/AIN 1647 (rev. 12/2009)Acquire Prerequisite TrainingBecome Familiar With Building LayoutWear Full Protective ClothingWear Approved Self-Contained Breathing ApparatusObey All Instructions and Safety RulesProvide Documentation of Prerequisite Training, Where From anOutside AgencyNo Alcohol Consumption at Any TrainingNo Persons Under the Influence of Drugs or Alcohol Allowed to ParticipatePage 9 of 18

Address:Date:TN Commission on Fire FightingLive Fire ChecklistEvolution ObjectivesInstructor in Charge:Instructor Live Burn NumberObjective 1:Objective 2:Objective 3:Objective 4:Objective 5:Objective 6:IN 1647 (rev. 12/2009)Page 10 of 18Time:

IN 1647 (rev. 12/2009)Page 11 of 18

Address:Date:TN Commission on Fire FightingLive Fire ChecklistEvolution ObjectivesInstructor in Charge:Instructor Live Burn NumberObjective 7:Objective 8:Objective 9:Objective 10:Objective 11:Objective 12:IN 1647 (rev. 12/2009)Page 12 of 18Time:

Address:Date:TN Commission on Fire FightingLive Fire ChecklistStudent Group AssignmentsInstructor in Charge:Instructor Live Burn NumberStudent Group AssignmentsGroup 11. Team Leader:2.3.4.5.Group 21. Team Leader:2.3.4.5.Group 31. Team Leader:2.3.4.5.IN 1647 (rev. 12/2009)Page 12 of 18Time:

Address:Date:TN Commission on Fire FightingLive Fire ChecklistStudent Group AssignmentsInstructor in Charge:Instructor Live Burn NumberStudent Group AssignmentsGroup 41. Team Leader:2.3.4.5.Group 51. Team Leader:2.3.4.5.Group 61. Team Leader:2.3.4.5.IN 1647 (rev. 12/2009)Page 13 of 18Time:

Address:Date:Instructor in Charge:TN Commission on Fire FightingLive Fire ChecklistInstructor Live Burn Number:Student Group AssignmentsStudent Group AssignmentsGroup 71. Team Leader:2.3.4.5.Group 81. Team Leader:2.3.4.5.Group 91. Team Leader:2.3.4.5.IN 1647 (rev. 12/2009)Page 14 of 18Time: