appendix b: helibase management forms and checklists · appendix b: helibase management forms and...

34
Interagency Helicopter Operations Guide - June 2009 Appendix B B-1 APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS I. Introduction and Purpose. This appendix provides standardized for the management and operation of helibases. A discussion of helibase-related (ICS) Incident Command System forms, checklists, evaluations, and job aids, is also included. Such standardization helps to implement common procedures among participating agencies to meet mutual safety, efficiency, fiscal management, and contract administration objectives. The forms also provide a basis for training development and presentation. II. Applicability. The forms in this appendix are to be utilized by Helibase Managers, whereas those in Appendix A are utilized by Helicopter Managers in the management and operation of a single helicopter. However, several of the Helicopter Management (HCM-series) forms contribute to the informational needs of the Helibase Management (HBM-series) forms. It is therefore essential that Helicopter Managers use these forms as appropriate or required when operating as part of a helibase organization, and that Helibase Managers ensure that appropriate HCM forms are completed timely and accurately. Some of the forms are required for all helibase operations, some are required only for incident operations. Others are optional and may be used at the discretion of the Helibase Manager. Certain optional forms may be required by the air operations staff at an incident or project due to a specific management informational need. Chart B-1 on the following pages is a summary listing of the HBM-series and other checklists and job aids. Included is information concerning the purpose of the form, the HBM form number, whether a form is optional or required for all or only certain situations, responsibility for completion, and frequency of completion. The Helibase Manager may use this chart as a quick- reference guide to form requirements. The pages following the chart contain a comprehensive discussion of each form. All Helibase Managers should obtain sets of all forms so that they may respond to different management requirements encountered. Recognizing that at most incidents, or prior to a project’s start that copies may be reproduced, Chapter 9 provides recommendations concerning the number of forms to carry in the Helibase Manager’s Kit.

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Page 1: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-1

APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS

I. Introduction and Purpose. This appendix provides standardized for the management and operation of helibases. A discussion of helibase-related (ICS) Incident Command System forms, checklists, evaluations, and job aids, is also included.

Such standardization helps to implement common procedures among participating agencies to meet mutual safety, efficiency, fiscal management, and contract administration objectives. The forms also provide a basis for training development and presentation.

II. Applicability. The forms in this appendix are to be utilized by Helibase Managers, whereas those in Appendix A are utilized by Helicopter Managers in the management and operation of a single helicopter.

However, several of the Helicopter Management (HCM-series) forms contribute to the informational needs of the Helibase Management (HBM-series) forms.

It is therefore essential that Helicopter Managers use these forms as appropriate or required when operating as part of a helibase organization, and that Helibase Managers ensure that appropriate HCM forms are completed timely and accurately.

Some of the forms are required for all helibase operations, some are required only for incident operations. Others are optional and may be used at the discretion of the Helibase Manager. Certain optional forms may be required by the air operations staff at an incident or project due to a specific management informational need.

Chart B-1 on the following pages is a summary listing of the HBM-series and other checklists and job aids. Included is information concerning the purpose of the form, the HBM form number, whether a form is optional or required for all or only certain situations, responsibility for completion, and frequency of completion. The Helibase Manager may use this chart as a quick-reference guide to form requirements. The pages following the chart contain a comprehensive discussion of each form.

All Helibase Managers should obtain sets of all forms so that they may respond to different management requirements encountered. Recognizing that at most incidents, or prior to a project’s start that copies may be reproduced, Chapter 9 provides recommendations concerning the number of forms to carry in the Helibase Manager’s Kit.

Page 2: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-2

Table B-1

Form

Nam

eP

urpo

seIH

OG

For

m #

Req

uire

d or

O

ptio

nal

Indi

vidu

al R

espo

nsib

le

for C

ompl

etio

nFr

eque

ncy

Rem

arks

All

requ

ired

form

s m

ust b

e co

mpl

eted

and

impl

emen

ted

by th

e st

art o

f the

sec

ond

oper

atio

nal s

hift

whe

n tw

o or

mor

e he

licop

ters

are

ass

igne

d to

an

inci

dent

bas

e. O

n pr

ojec

t hel

ibas

es

whe

re tw

o or

mor

e he

licop

ters

are

ass

igne

d, th

ey m

ust b

e co

mpl

eted

or i

mpl

emen

ted

at th

e st

art o

f the

firs

t ope

ratio

nal s

hift.

Hel

ibas

e O

rgan

izat

iona

l Cha

rtTo

iden

tify

by n

ame

thos

e pe

rson

s fil

ling

posi

tions

on

the

helib

ase.

HB

M-1

Req

uire

d

Hel

ibas

e M

anag

er o

r D

eck

Coo

rdin

ator

Upd

ated

dai

lyO

btai

n in

form

atio

n on

qua

lifica

tions

from

H

CM

-7 H

elic

opte

r Cre

w In

form

atio

n S

heet

Avia

tion

Loca

tions

S

umm

ary

To p

rovi

de in

form

atio

n on

hel

ispo

ts,

dips

ites,

and

oth

er lo

catio

ns p

ertin

ent

to th

e av

iatio

n op

erat

ion

HB

M-2

Req

uire

d

Hel

ibas

e M

anag

erU

pdat

ed d

aily

Brie

f all

new

pilo

ts a

nd m

anag

ers

as

appr

opria

te

Hel

ibas

e A

ircra

ft In

form

atio

n S

umm

ary

To p

rovi

de A

ir O

pera

tions

sta

ff w

ith a

su

mm

ary

on a

ssig

ned

airc

raft

HB

M-3

Req

uire

d

Hel

ibas

e M

anag

erU

pdat

e as

new

ai

rcra

ft ar

e as

sign

edC

opie

s to

Air

Sup

port

Gro

up S

uper

viso

r (A

SG

S) a

nd A

ir O

pera

tions

Bra

nch

Dire

ctor

(A

OB

D)

Allo

wab

le P

aylo

ad

Cha

rtTo

pro

vide

hel

ibas

e m

anag

emen

t pe

rson

nel a

mea

ns to

pla

n m

issi

on

load

s sa

fely

and

effi

cien

tly

HB

M-4

Opt

iona

l

Hel

ibas

e M

anag

erU

pdat

e as

new

ai

rcra

ft or

avi

atio

n lo

catio

ns a

re

assi

gned

.

Use

info

rmat

ion

from

Avi

atio

n Lo

catio

ns

Sum

mar

y, L

oad

Cal

cula

tions

, and

H

elic

opte

r Loa

d C

apab

ility

Sum

mar

y

Flig

ht F

ollo

win

g Lo

gTo

ena

ble

the

Airc

raft

Bas

e R

adio

O

pera

tor t

o re

cord

flig

ht fo

llow

ing

info

rmat

ion

so th

e lo

catio

n of

an

airc

raft

is im

med

iate

ly k

now

n

HB

M-5

Opt

iona

l - s

ee

rem

arks

Airc

raft

Bas

e R

adio

O

pera

tor

As

need

edIn

form

atio

n fro

m th

e fo

rm is

requ

ired,

but

ot

her f

orm

s m

ay b

e us

ed

Flig

ht H

ours

Tr

acki

ng (M

ultip

le

Hel

icop

ters

)

To a

llow

trac

king

of h

elic

opte

r flig

ht

time

over

the

cour

se o

f the

day

HB

M-5

A

Opt

iona

l

Airc

raft

Tim

ekee

per

or A

ircra

ft B

ase

Rad

io

Ope

rato

r

As

need

ed

Ens

ures

ther

e w

ill b

e su

ffici

ent fl

ight

tim

e fo

r req

uire

d m

issi

ons

and

enab

les

fligh

t tim

e to

be

spre

ad e

quita

bly

over

all

assi

gned

airc

raft.

Hel

ibas

e M

issi

on

Req

uest

Log

To e

stab

lish

an o

rder

ly m

issi

on re

ques

t pr

oces

s fo

r use

by

the

Hel

ibas

e M

anag

er in

prio

ritiz

ing

and

assi

gnin

g he

licop

ter m

issi

ons

HB

M-6

Req

uire

d

Airc

raft

Bas

e R

adio

O

pera

tor

As

need

edE

nter

initi

al m

issi

on a

ssig

nmen

ts fr

om

curr

ent I

CS

-220

Hel

ibas

e D

aily

Use

an

d C

ost S

umm

ary

To tr

ack

cost

and

use

on

an in

cide

nt

or p

roje

ctH

BM

-7

Req

uire

d

Hel

ibas

e M

anag

er o

r A

ircra

ft Ti

mek

eepe

rA

t end

of o

pera

tiona

l sh

iftC

opie

s to

Cos

t Uni

t and

AS

GS

/AO

BD

Hel

ibas

e C

omm

unic

atio

ns

Pla

n

To tr

ack

curr

ently

ass

igne

d fre

quen

cies

be

ing

used

by

the

helib

ase

HB

M-8

Opt

iona

l

Hel

ibas

e M

anag

erA

s ch

ange

s oc

cur

Ens

ure

upda

tes

are

com

plet

ed a

s ch

ange

s oc

cur

Hel

icop

ter

Dem

obili

zatio

n In

form

atio

n

Pro

vide

s in

form

atio

n on

dem

obili

zatio

n tim

es, r

oute

s, s

tops

, and

layo

vers

HB

M-9

Opt

iona

l

Hel

icop

ter M

anag

erA

s he

licop

ters

are

de

mob

edC

opy

to A

OB

D a

nd D

emob

e U

nit

Hel

icop

ter F

light

S

ched

ule

Pro

vide

flig

ht it

iner

ary

info

rmat

ion

to

disp

atch

sys

tem

HB

M-9

A

Opt

iona

l

Hel

icop

ter M

anag

erA

s he

licop

ters

are

de

mob

edC

opy

to A

OB

D a

nd lo

cal d

ispa

tch

cent

er

Hel

ibas

e D

iagr

amP

rovi

des

helib

ase

layo

ut a

nd lo

cal fl

ight

ha

zard

, and

flig

ht ro

ute

info

rmat

ion

HB

M-1

0

Opt

iona

l

Dec

k C

oord

inat

orC

ompl

ete

as n

eede

dIf

used

, ens

ure

haza

rd in

form

atio

n an

d fli

ght r

oute

s ar

e de

pict

ed

Page 3: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-3

Table B-1 (Continued)Fo

rm N

ame

Pur

pose

IHO

G F

orm

#

Req

uire

d or

O

ptio

nal

Indi

vidu

al R

espo

nsib

le

for C

ompl

etio

nFr

eque

ncy

Rem

arks

All

requ

ired

form

s m

ust b

e co

mpl

eted

and

impl

emen

ted

by th

e st

art o

f the

sec

ond

oper

atio

nal s

hift

whe

n tw

o or

mor

e he

licop

ters

are

ass

igne

d to

an

inci

dent

bas

e. O

n pr

ojec

t hel

ibas

es

whe

re tw

o or

mor

e he

licop

ters

are

ass

igne

d, th

ey m

ust b

e co

mpl

eted

or i

mpl

emen

ted

at th

e st

art o

f the

firs

t ope

ratio

nal s

hift.

Hel

ibas

e C

umul

ativ

e C

ost S

umm

ary

Allo

ws

track

ing

of h

elib

ase

cost

s ov

er

the

cour

se o

f an

inci

dent

or p

roje

ctH

BM

-11

Opt

iona

l

Hel

ibas

e M

anag

erU

pdat

e da

ilyU

se in

form

atio

n fro

m H

BM

-7

Hel

itack

Cre

ws

Per

form

ance

Rat

ing

Allo

ws

a m

echa

nism

to ra

te h

elita

ck

crew

on

helic

opte

r/hel

ibas

e sp

ecifi

c m

issi

ons

HB

M-1

2

Opt

iona

l

Hel

ibas

e M

anag

erA

t end

of a

ssig

nmen

tC

opie

s sh

ould

be

kept

from

hel

ibas

e re

cord

and

a c

opy

shou

ld b

e se

nt to

cre

w’s

ho

me

unit

Hel

ibas

e P

erso

nnel

P

erfo

rman

ce R

atin

gA

llow

s a

mec

hani

sm to

rate

sin

gle

reso

urce

hel

icop

ter p

erso

nnel

on

helic

opte

r/hel

ibas

e sp

ecifi

c m

issi

ons

HB

M-1

3

Opt

iona

l

Hel

ibas

e S

uper

viso

rA

t end

of a

ssig

nmen

tC

opie

s sh

ould

be

kept

for h

elib

ase

reco

rd

and

a co

py s

houl

d be

sen

t to

the

crew

’s

hom

e un

it

Two-

For-

One

CW

N

Man

agem

ent a

nd/o

r S

tand

ard

to L

imite

d R

eque

st

An

appr

oval

sys

tem

to a

llow

a

man

ager

to m

anag

e tw

o lim

ited

or

rest

ricte

d ca

tego

ry h

elic

opte

rs, o

r de

sign

ate

a st

anda

rd c

ateg

ory

airc

raft

as li

mite

d us

e

HB

M-1

4

Opt

iona

l

Sta

te o

r reg

iona

l lev

el

Avia

tion

Man

ager

Eac

h oc

curr

ence

Oth

er m

etho

ds o

f app

rova

l may

be

used

, de

pend

ing

on a

genc

y po

licy

Dai

ly H

elic

opte

r O

pera

tions

Brie

fing

Che

cklis

t

Ena

bles

the

Hel

ibas

e M

anag

er to

re

view

all

appl

icab

le p

roce

dure

s an

d po

licie

s ar

e in

pla

ce fo

r a s

afe

and

effic

ient

hel

icop

ter o

pera

tion

HJA

-1

Req

uire

d

Hel

ibas

e M

anag

erD

aily

See

App

endi

x F

for t

he c

heck

list a

nd fo

r fu

rther

info

rmat

ion

Hel

ibas

e M

anag

er

Rem

inde

r Lis

tE

nabl

es th

e H

elib

ase

Man

ager

to

revi

ew it

ems,

sys

tem

s, a

nd p

roce

dure

s ap

plic

able

to h

elib

ase

oper

atio

ns

HJA

-2

Opt

iona

l

Hel

ibas

e M

anag

erD

aily

or a

s ne

eded

See

App

endi

x H

for t

he c

heck

list a

nd fo

r fu

rther

info

rmat

ion

Rem

ote

Fuel

Site

R

emin

der L

ist

Ena

bles

the

Hel

ibas

e M

anag

er to

re

view

item

s, s

yste

ms,

and

pro

cedu

res

appl

icab

le to

rem

ote

fuel

site

op

erat

ions

HJA

-3

Opt

iona

l

Hel

ibas

e M

anag

erD

urin

g in

itial

es

tabl

ishm

ent

of h

elib

ase

and

upda

ted

as

nece

ssar

y

See

App

endi

x I f

or th

e ch

eckl

ist a

nd fo

r fu

rther

info

rmat

ion

Cra

sh R

escu

e/M

ediv

ac/E

vacu

atio

n P

lan

Pro

vide

s pr

oced

ures

and

pro

toco

ls fo

r cr

ash

resc

ue, m

ediv

ac a

nd h

elib

ase

evac

uatio

n m

issi

ons.

HJA

-4

*Opt

iona

l

Hel

ibas

e M

anag

erD

urin

g in

itial

es

tabl

ishm

ent

of h

elib

ase

and

upda

ted

as

nece

ssar

y

See

App

endi

x C

for P

lan.

A c

rash

resc

ue

and

med

ivac

pla

n is

requ

ired

for a

ll he

libas

es. O

ther

form

ats

may

be

used

Em

erge

ncy

Res

cue

Info

rmat

ion

Iden

tifies

ass

igne

d m

ediv

ac

helic

opte

rs, m

edic

al fa

cilit

y in

form

atio

n,

and

air a

mbu

lanc

e/lif

e fli

ght i

nfor

mat

ion

HJA

-4A

Req

uire

d

Hel

ibas

e M

anag

erD

urin

g in

itial

es

tabl

ishm

ent

of h

elib

ase

and

upda

ted

as

nece

ssar

y

See

App

endi

x C

for f

urth

er in

form

atio

n

Em

erge

ncy

Med

ivac

an

d M

edic

al

Tran

spor

t Req

uest

To p

rovi

de a

dditi

onal

info

rmat

ion

for

airc

raft

resp

ondi

ng to

a m

ediv

ac o

r m

edic

al tr

ansp

ort

HJA

-4B

*Opt

iona

l

Airc

raft

Bas

e R

adio

O

pera

tor

As

med

ical

inci

dent

oc

cur

See

App

endi

x C

for f

urth

er in

form

atio

n

* O

ptio

nal i

nfor

mat

ion

mus

t be

docu

men

ted,

oth

er fo

rmat

s are

acc

epta

ble.

Page 4: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-4

III. Helibase Management (HBM) Forms.

IMPORTANT NOTE: The Helibase Management (HBM) forms or checklists that are required must be completed or implemented by the second operational period on incident helibases or helispots to which two or more helicopters are assigned.

On project helibases with two or more helicopters assigned, the required forms must be completed or implemented prior to the start of the first day’s operations. The requirement for project helibases is stricter than that for incidents due to the ability of the project’s Helibase Manager to plan in advance of the operation.

A. Helibase Organization Chart (HBM-1). (See Exhibit B-1)

1. Purpose. The purpose is to establish, by name, those positions filled on a helibase, as well as provide other information concerning aircraft and radio frequencies assigned.

2. Applicability. The form is required and must be initiated by the second operational period on incident helibases or helispots to which two or more helicopters are assigned. On project helibases with two or more helicopters assigned, the form must be completed prior to the start of the first day’s operations.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-1. Refer also to Chapter 15 for further information on making daily assignments.

The Helibase Manager is responsible for completion. Names are entered at the start of helibase operations. Position assignments are reviewed daily, and appropriate changes in the chart are made as needed. The Helibase Manager must ensure that personnel assigned to fulfill a function are qualified (see “Related Forms” below).

4. Routing and Filing. No routing is necessary. The form becomes part of the helibase file.

5. Posting. The form is posted on the helibase display board. Information may also be transferred to an organization board carried by many helicopter crews.

6. Related Forms. Forms HCM-7, Helicopter Crew Information Sheet, should be consulted prior to making assignments in order to ensure qualified personnel are filling positions. Frequencies are obtained from the day’s ICS-220, Air Operations Summary and the ICS-205, Incident Radio Communications Plan.

Page 5: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-5

Exhibit B-1: Helibase Organization Chart (HBM-1)

HEL

IBA

SE O

RG

AN

IZA

TIO

NA

L C

HA

RT

DA

TE:

N#

Type

Man

ager

N#

Hel

icop

ters

Ass

igne

d

Dec

k C

oord

inat

or

Type

Man

ager

Hel

ibas

e R

adio

Ope

rato

rA

ircra

ft Ti

mek

eepe

r

Mix

mas

ter

Hel

ispo

t Man

ager

sTa

keof

f and

Lan

ding

Coo

rdin

ator

Initi

al A

ttack

A/C

Spot

#N

ame

HEL

IBA

SE:

Supp

ly U

nit L

iais

on

Med

ivac

A/C

Per

sonn

el L

oadm

aste

rC

argo

Loa

dmas

ter

Cra

sh R

escu

e S

uper

viso

r

Pad

#P

arki

ng T

ende

r

Air

Sup

port

Gro

up S

up

Hel

ibas

e M

anag

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Par

king

Ten

der

Pad

#

HB

M-1

(01/

05) R

EQU

IRED

Page 6: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-6

B. Aviation Locations Summary (HBM-2 ). (See Exhibit B-2.)

1. Purpose. The purpose is to provide information concerning helispots and other landing areas (for example, dip sites) for load planning purposes, hazard identification and safety, and Pilot briefings.

2. Applicability. The form is required and must be initiated by the second operational period on incident helibases or helispots to which two or more helicopters are assigned. On project helibases with two or more helicopters assigned, the form must be completed prior to the start of the first day’s operations.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-2. Also refer to Chapters 8 and 15 for further information.

The initial reconnaissance of the incident for purposes of helispot site selection provides a timely opportunity to initiate the form.

The Helibase Manager is responsible for completion. Often the Helispot Managers and Helibase Manager will jointly complete the Summary. Pilots should always be consulted and briefed concerning the information on the Summary. It should be updated as necessary (additional helispots, helispot improvement to accommodate larger helicopters, etc.).

4. Posting. The Summary is posted on the helibase display board as soon as it is completed.

5. Routing and Filing. The Summary becomes part of the helibase file.

6. Related Forms. The Summary is supplemented by a topographic map showing the locations of all helispots, dip sites, hazards, etc.

Page 7: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-7

Exhibit B-2: Aviation Locations Summary (HBM-2)

AVI

ATI

ON

LO

CA

TIO

NS

SUM

MA

RY H

elib

ase:

Oth

er In

foLa

titud

eA

ltitu

de (P

A)

HIG

E/H

OG

ELo

ngitu

deTy

pe o

f Loc

atio

nN

ame

of L

ocat

ion

HB

M-2

(01/

05) R

EQU

IRED

Page 8: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-8

C. Helibase Aircraft Information Summary (HBM-3 ). (See Exhibit B-3.)

1. Purpose. The purpose is to provide the Helibase Manager and air operations staff with an informational summary on all aircraft assigned to the helibase(s).

2. Applicability. The form is required for fires with a Type 1 or 2 Incident Management Team assigned, and if requested by project personnel.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-3. The Helibase Manager is responsible for completion, and usually delegates this responsibility to the Aircraft Timekeeper.

Information is obtained from Forms HCM-6, Helicopter Information Sheets, and Forms HCM-7, Helicopter Crew Information Sheets, submitted by Helicopter Managers upon arrival at the incident or project.

The form should be updated as additional aircraft arrive.

4. Posting. The form is posted on the helibase display board.

5. Routing and Filing. A current copy of the form is routed to the Air Support Group Supervisor and to the Air Operations Branch Director. The form becomes part of the helibase file.

6. Related Forms. Form HCM-6, Helicopter Information Sheet, and Form HCM-7, Helicopter Crew Information Sheet, provide the necessary information.

Page 9: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-9

Exhibit B-3: Helibase Aircraft Summary (HBM-3)

HEL

IBA

SE A

IRC

RA

FT IN

FOR

MA

TIO

N S

UM

MA

RY H

elib

ase:

Oth

er c

apab

ilitie

s an

d co

mm

ents

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er c

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ilitie

s an

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ilitie

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d co

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ager

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odel

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05) R

EQU

IRED

Page 10: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-10

D. Allowable Payload Chart (HBM-4) (See Exhibit B-4)

1. Purpose. The purpose is to provide helibase management personnel with the means to plan mission loads safely and efficiently. The completed forms can quickly provide the Helibase Manager with information on which aircraft are suitable for different loads to different helispots.

2. Applicability. The form is optional. It may be required by the Helibase Manager to facilitate planning.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-4. The Helibase Manager is responsible for ensuring forms are initially completed and updated as new aircraft arrive on the incident or as new helibases/helispots are established. Actual completion is usually performed by the Deck Coordinator or Loadmasters.

Enter the allowable IGE/OGE loads for the range of temperatures which may be encountered at the helispot during the day. These figures may be obtained from Form HCM-11, Single Helicopter Load Capability Planning Summary - Multiple Helispots and Fuel Loads.

The form should be updated as additional aircraft arrive. A new form should be completed as additional helispots are established.

4. Posting. The form is posted on the helibase display board.

5. Routing and Filing. No routing is necessary. The form becomes part of the helibase file.

6. Related Forms. Form HCM-8, Helicopter Load Calculation; Form HCM-10, Single Helicopter Load Capability Planning Summary - Multiple Helispots and Fuel Loads; Form HBM-4, Allowable Payload Chart.

Page 11: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-11

Exhibit B-4: Allowable Payload Chart (HBM-4)

ALL

OW

AB

LE P

AYL

OA

D C

HA

RT

Coo

rdin

ates

:PA

:H

elis

pot o

r Oth

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ion:

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ad (H

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and

HO

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at V

ario

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re R

ange

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E

IGE

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IGE

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E

IGE

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50°

or 122°

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or 104°

45°

or 113°

N #

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odel

----

----

----

----

----

---

35°

or 95°

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or 77°

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or 86°

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or 59°

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or 68°

5° C or

41° F

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OG

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05) O

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Page 12: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-12

E. Helibase Flight Following Log (HBM-5 ). (See Exhibit B-5)

1. Purpose. The purpose is to enable the Helibase Radio Operator to perform helicopter flight following quickly and efficiently, with knowledge of where any given helicopter is at any time.

2. Applicability. The form is optional and should be implemented by the second operational period on incident helibases or helispots to which two or more helicopters are assigned. (It is recommended that the form be implemented on any incident helibase where flight following is being performed on-site, that is, not through the unit dispatch office.) On project helibases with two or more helicopters assigned, the form must be implemented prior to the start of the first day’s operations.

IMPORTANT NOTE: This form is for flight following purposes only; it is not intended for any other use, though information such as round-trip times and total missions for the operational period can be calculated. If additional information is relayed, the Radio Operator should utilize the appropriate format (Helibase Mission Request Log, General Message Form, Unit Log, etc.).

3. Responsibility and Instructions For Completion. Refer to Exhibit B-5. The Helibase Manager is responsible for flight following at a helibase. The Helibase Manager usually delegates this responsibility to the Aircraft Base Radio Operator, who becomes responsible for implementing and making entries on the form. The Radio Operator should inform the Helibase Manager immediately if a helicopter fails to meet a required check-in.

Completion of individual blocks on the form is self-explanatory.

4. Posting. None (the Radio Operator usually keeps the form in the helibase communications area).

5. Routing and Filing. No routing is necessary. The form becomes part of the helibase file.

6. Related forms. The form should be used in conjunctions with HBM 5 (Flight Following Log) and HBM-6 (Helibase Mission Request Log)

Page 13: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-13

Exhibit B-5: Flight Following Log (HBM-5)

FLIGHT FOLLOWING LOG

Date: Helibase:

AircraftN#

Time / Hobbs Comments / Destination / Location / etc.

HBM-5 (01/05) *OPTIONAL

Page 14: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-14

F. Flight Hour Tracking (Multiple Helicopters) (HBM-5A) (See Exhibit B-6)

1. Purpose. The purpose is to enable the Helibase Manager to track cumulative flight hours over the course of a day on multiple-aircraft projects or incidents. It ensures that there will be sufficient flight time for tasks assigned for the end of the operational period, and that flight time is spread fairly evenly among the helicopters available.

The primary intent is not to track Pilot flight time/duty day, even though this information can be entered at the top of the form.

2. Applicability. The form is optional. It may be required by the Helibase Manager or air operations staff to facilitate planning. It is recommended that it be used on helibases with a large number of helicopters where tracking of flight time is more difficult.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-6. The Helibase Manager is responsible for ensuring completion. Actual completion is usually performed by the Aircraft Timekeeper.

Entries are self-explanatory. The Helibase Manager and Helicopter Managers should make entries with whatever frequency (hourly, every four hours, etc.) that is deemed necessary.

4. Posting. None, although it may be posted on the display board. (The Aircraft Timekeeper usually keeps the form in the helibase communications area).

5. Routing and Filing. None.

6. Related Forms. Form HCM-12, Pilot Flight Time/Duty Day Cumulative Log.

Page 15: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-15

Exhibit B-6: Flight Hour Tracking (Multiple Helicopters) (HBM-5A)

FLIG

HT

HO

UR

TR

AC

KIN

G (M

ULT

IPLE

HEL

ICO

PTER

S)

A/C

N#:

A/C

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A/C

N#:

Dat

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elib

ase:

A/C

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8.0

Star

t Hob

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AL

Page 16: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-16

G. Helibase Mission Request Log (HBM-6 ). (See Exhibit B-7)

1. Purpose. The purpose is to establish an orderly and documented mission request process for use by the Helibase Manager in tracking, prioritizing, and assigning helicopter missions.

2. Applicability. The form is required and must be implemented by the second operational period on incident helibases or helispots to which two or more helicopters are assigned. On project helibases with two or more helicopters assigned, the form must be implemented prior to the start of the first day’s operations.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-7. The Helibase Manager is responsible for entering mission requests as received from personnel authorized to request them (for example, Operations Chief or Project Aviation Manager, Air Operations Branch Director, Air Tactical Group Supervisor, Incident Dispatch, etc.).

This responsibility is usually delegated to the Aircraft Base Radio Operator or Aircraft Timekeeper.

Personnel receiving mission requests should ensure that personnel are authorized to request them, and that the proper chain-of-command is followed.

Initial entries should be made at the morning’s briefing from the ICS-220 Air Operations Summary or project plan. If the number or scope of missions conflict with available aircraft, obtain priorities from ASGS or AOBD and enter priority in far left-hand column.

Completion of individual blocks on the form is self-explanatory.

4. Posting. None (the Aircraft Timekeeper or Radio Operator usually keeps the form in the helibase communications area).

5. Routing and Filing. No routing is necessary. The form becomes part of the helibase file.

6. Related Forms. Form ICS-220, Air Operations Summary.

Page 17: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-17

Exhibit B-7: Helibase Mission Request Log (HBM-6 )

HEL

IBA

SE M

ISSI

ON

REQ

UES

T LO

G

ofH

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ase:

Inci

dent

:Pa

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Dat

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Rec

eive

dB

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iorit

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ompl

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@H

elic

opte

rA

ssig

ned

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ecei

ved

Req

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y

HB

M-6

(01/

05) R

EQU

IRED

Page 18: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-18

H. Helibase Daily Use and Cost Summary (HBM-7). (See Exhibit B-8)

1. Purpose. The purpose is to enable the Helibase Manager to meet cost/use reporting requirements of the air operations staff on an incident and of the Project Aviation Manager on a project.

2. Applicability. The form is required on incidents to which a Type I or II Incident Management Team (IMT) is assigned. However, the air operations staff on a Type I or II Team will usually require that the Helibase Manager(s) submit summaries from the day of initial attack. Helicopter and Helibase Managers should therefore be prepared to furnish this information once an IMT is assigned.

It may also be required on projects where the Project Aviation Manager requires cost summaries.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-8. The Helibase Manager is responsible for completing this form. This responsibility is usually delegated to the Aircraft Timekeeper.

Entries are made from information provided by Helicopter Managers on Form HCM-15, Helicopter Daily Use and Cost Summary. The Helibase Manager should ensure:

If daily flight guarantees are not met on ARA helicopters, that these costs are • included on the summary.

If daily/hourly availability or guarantee costs on exclusive-use contract helicopters • are already paid from presuppression funding, that these costs are not included on the summary.

4. Posting. None.

5. Routing and Filing. The form is routed to the air operations staff on incidents or to the Project Aviation Manager on projects prior to the end of the day. It becomes part of the helibase file.

6. Related Forms. Forms HCM-15, Helicopter Daily Use and Cost Summary, submitted by each Helicopter Manager provide information on individual helicopter costs.

Page 19: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-19

Exhibit B-8: Helibase Daily Use and Cost Summary (HBM-7)

HEL

IBA

SE D

AIL

Y U

SE a

nd C

OST

SU

MM

AR

Y

Gra

nd T

otal

Cos

t of H

elib

ase

This

Ope

ratio

nal P

erio

d:

Tota

l Airc

raft

Use

and

Cos

t

Con

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tTy

peTo

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allo

ns

Foam

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ours

Indi

vidu

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ft C

ost

N #

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odel

Type

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ound

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ater

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Dat

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ame:

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anag

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uppo

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xpen

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(Item

ize

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l

HB

M-7

(01/

05) R

EQU

IRED

Page 20: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-20

I. Helibase Communications Plan (HBM-8) (See Exhibit B-9)

1. Purpose. The purpose is to provide radio frequency information to all pilots and helicopter crew.

2. Applicability. The form is optional in both incidents and projects, but may be required by Air Operations staff or local Aviation Managers.

3. Responsibility and Instructions for Completion. Refer to Exhibit B-9. The Helibase

Manager is responsible for completing the form. It is essential that the Air Operations Branch Director (AOBD) or Air Support Group Supervisor (ASGS) communicate and coordinate with the communications Unit Leader concerning frequency needs and assignments. The frequencies on the ICS-205 must match those identified on the ICS-220 Air Operations Summary and on Form HBM-1, Helibase Organization Chart.

4. Posting. A copy should be posted on the helibase display board.

5. Routing and filing. The AOBD should ensure that sufficient copies of the ICS-205 are made available for use by the Helibase Manager, Takeoff and Landing Coordinator, Radio Operator and Pilots.

HINT: To lessen the amount of paperwork the Pilot must deal with in the cockpit, it is helpful if the AOBD requests that applicable aviation radio frequencies be incorporated into a corner of the Incident or Project Map that is distributed each day. This can be accomplished by writing out the frequencies and functions (for example, Air-to-Air 122.925) on a small piece of paper, taping it to the map, and making copies for the Pilot.

6. Related Forms. As stated, frequencies and their functions must match those on the ICS-220 Air Operations Summary and on Form HBM-1 Helibase Organization Chart.

Page 21: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-21

Exhibit B- 9: Helibase Communications Plan (HBM-8)

HELIBASE COMMUNICATIONS PLAN

Incident: Helibase: Date:

Other InformationLocal Unit Dispatch

Air to Air Fixed Wing

Air to Air Rotor Wing

Air to Ground

Command

Tactical to Divisions

Deck

TOLC

Helibase Flight Following

Frequency Name TransmitReceive Tone

HBM-8 (01/05) OPTIONAL

Page 22: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-22

J. Helicopter Demobilization Information Sheet (HBM-9). (See Exhibit B-10.)

1. Purpose. The purpose is to enable the Helibase Manager to provide demobilization information on air and associated ground resources to the Planning Section so it may be relayed timely and accurately.

2. Applicability. The form is optional. It may be required by the Helibase Manager or air operations staff to facilitate timely transmittal of helicopter demobilization information.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-10. The Helibase

Manager and Helicopter Manager, along with the Pilot, are mutually responsible for completing the form when a decision to demobilize the resource has been made.

Completion is self-explanatory. Update if travel routes and times change, or decision to hold the resource is made.

4. Posting. None.

5. Routing and Filing. Route the form to the Air Support Group Supervisor or Air Operations Branch Director, who is responsible for ensuring the information is relayed to the Planning Section.

6. Related Forms. None.

Page 23: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-23

Exhibit B-10 Helicopter Demobilization Information Sheet (HBM-9)

HELICOPTER DEMOBILIZATION INFORMATION SHEET

Helibase: Date: Time:

I. Aircraft Information

Incident Order Project Number:

Helicopter Manager:

Release Date: Release Time: Location:

ETA to Home Base or Other Location Date: Time:

II. Chase truck Information

Chase Truck ID or Designator: License #:

Make and Model: Chief of Party:

Passengers:

Release Date: Release Time: Location:

Travel Route: (Indicate in route stops and RON's)

ETA to Home Base or Other Location Date: Time:

III. Service Truck Information

Driver Name:

License #: Make and Model:

Travel route:(Indicate enroute stops and RON's. If same as Chase Truck, enter Same)

ETA to Home Base or Other Location Date: Time:

Submitted By: Position

Aircraft FAA N#

HBM-9 (01/05) OPTIONAL

Page 24: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-24

K. Helicopter Flight Schedule (HBM-9A). (See Exhibit B-11.)

1. Purpose. The purpose is to enable the Helibase Manager to provide demobilization information on air and associated ground resources to the Planning Section so it may be relayed timely and accurately.

2. Applicability. The form is optional. It may be required by the Helibase Manager or air operations staff to facilitate timely transmittal of helicopter demobilization information.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-11. The Helibase

Manager and Helicopter Manager, along with the Pilot, are mutually responsible for completing the form when a decision to demobilize the resource has been made.

Completion is self-explanatory. Update if travel routes and times change, or decision to hold the resource is made.

4. Posting. None.

5. Routing and Filing. Route the form to the Air Support Group Supervisor or Air Operations Branch Director, who is responsible for ensuring the information is relayed to the Planning Section and/or local dispatch center.

6. Related Forms. HBM-9A Helicopter Fight Schedule.

Page 25: APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS · APPENDIX B: HELIBASE MANAGEMENT FORMS AND CHECKLISTS ... forms also provide a basis for training development and presentation

Interagency Helicopter Operations Guide - June 2009Appendix B

B-25

Exhibit B-11 Helicopter Flight Schedule (HBM-9A)

HEL

ICO

PTER

FLI

GH

T SC

HED

ULE

Car

go

NIC

C F

light

Fol

low

ing

Tim

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ate

ToFr

om

Initi

al R

eque

st In

form

atio

nC

harg

e C

ode

Vend

or

Airc

raft

Info

rmat

ion

FAA

N#

Flig

ht S

ched

ule

Num

ber

Mis

sion

Det

ails

Tele

phon

e N

umbe

r

Mak

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odel

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Interagency Helicopter Operations Guide - June 2009Appendix B

B-26

L. Helibase Diagram (HBM-10). (See Exhibit B-12.)

1. Purpose. The purpose is to enable the Helibase Manager to brief Pilots and other personnel on the location of helibase facilities, touchdown pads, and flight routes inbound to and outbound from the helibase.

2. Applicability. The form is optional and should be completed by the second operational period on incident helibases or helispots to which two or more helicopters are assigned. On project helibases with two or more helicopters assigned, the form should be completed prior to the start of the first day’s operations.

3. Responsibility and Instructions For Completion. Refer to Exhibit B-12. Also refer to Chapters 8 and 15 for further information.

The Helibase Manager is responsible for completion. The Helibase Manager usually delegates this responsibility to the Takeoff and Landing Coordinator (TOLC) and the Deck Coordinator. Pilots should always be consulted concerning flight routes and location of facilities, landing pads, etc.

The map should include, but is not limited to, the following:

• Inbound/Outbound Flight routes

• Location of all landing pads (designate as “personnel,” “cargo” {both internal and sling/longline}, and “fueling”)

• Location of hazards on and around the helibase

• Vehicle parking (fuelers, helibase personnel, crews, cargo)

• Location of helibase operations and communications area

The map should be updated as necessary (realignment of helibase, addition of landing pads, whenever locations change, facilities are added, etc.). An update date/time should be indicated on the map.

4. Posting. The map is posted on the helibase display board as soon as it is completed.

5. Routing and Filing. Pilots should be briefed utilizing the latest map. No additional routing is necessary. The map becomes part of the helibase file.

6. Related Forms. The Incident Map showing helispot locations and incident area hazards is a separate map.

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Interagency Helicopter Operations Guide - June 2009Appendix B

B-27

Exhibit B-12: Helibase Diagram (HBM-10)H

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ASE

DIA

GR

AM

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-10

(01/

05) R

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Interagency Helicopter Operations Guide - June 2009Appendix B

B-28

M. Helibase Cumulative Cost Summary (HBM-11). (See Exhibit B-13)

1. Purpose. The purpose is to ensure accurate cost tracking over the course of an incident or project.

2. The form is optional for fire and project use. Air operations staff should request its completion if required by them.

3. Responsibility and instructions for completion. The helibase manager is responsible for completing this form, but may be delegated to other helibase staff. Entries are made from the individual HBM-7 forms.

4. Posting. None

5. Routing and Filing. The form should become part of the Helibase documentation file on large fires, and give to the project manager for projects.

6. Related Forms. Forms HBM-7 Helibase Daily Use and Cost Summary.

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Interagency Helicopter Operations Guide - June 2009Appendix B

B-29

Exhibit B-13: Helibase Cumulative Cost Summary (HBM-11)

HELIBASE CUMULATIVE COST SUMMARY

Helibase:

Support

Totals

WaterDATE PAX Cargo Retardant Foam F/T Total Cost

HBM-11 (01/05) *OPTIONAL

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Interagency Helicopter Operations Guide - June 2009Appendix B

B-30

N. Helitack Crew Performance Rating (HBM-12) and Helibase Personnel Performance Rating (HBM-13) (See Exhibits B-14 and B-15)

1. Purpose. Use to rate crews and single resources in performance of duties on the helibase.

2. Applicability. The forms are required on all incidents where an incident management team is assigned and optional on projects.

3. Responsibility and Instructions for Completion. The forms will be completed by the appropriate helibase supervisor.

4. Posting. None.

5. Routing and Filing. A copy should be mailed to the employees or crews home unit supervisor, and one copy kept for the fire package.

6. Related forms. None.

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Interagency Helicopter Operations Guide - June 2009Appendix B

B-31

Exhibit B-14: Helitack Crew Performance Rating HBM-12.

HELITACK CREW PERFORMANCE RATING

1. Crew Name 2. Fire Name and Number 3. Managers Name

4. Crew Home Unit and Address 5. Agency Responsible for Fire

6. Incident Management Type 7. Helibase Type (1 or 2) 8. Dates on Incident

12. Names of Crewmembers needing Improvement 13. Areas Needing Improvement

14. Remarks

18. Incident Position

Instructions: This rating is to be used only for determining an employees firefighting qualifications. Crew will be rated by the immediate supervisor, not the Crew Representative. If deficiencies are indicated for items 9 and 10 , explain in item 13.

DeficientExcellentNeeds to Improve

Senior Firefighter(s)

Crew SupervisorAssistant Crew SupervisorSquad Leader(s)

Off Line Conduct

Rating FactorsPhysical ConditionAttitude

Crew Organization and Equipment

to

Use of Safe Practices

Team Work

Satisfactory

Helibase Operations

16. Date

19. Date

15. Crew Supervisor (signature): This rating has been discussed with me.

19. Home Unit Address 17. Rated By (signature)

10. Supervisory Performances

11. Names Of Outstanding Workers9. Crew Evaluation

HBM-12 (01/05) OPTIONAL

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Interagency Helicopter Operations Guide - June 2009Appendix B

B-32

Exhibit B-15: Helibase Personnel Performance Rating HBM-13.

HELIBASE PERSONNEL PERFORMANCE RATING

1. Name 2. Fire Name and Number

3. Home Unit Address 4. Agency Responsible for the Fire

5. Incident Position 7. Helibase Type 8. Incident Management Type

9. EvaluationEnter X under appropriate rating number and proper heading for each category listed.

0 - Deficient - Does not meet the minimum requirements of the individual statement.Deficiencies must be identified in remarks.

1 - Needs to Improve - Meets some or most of the requirements of the individual element.Identify improvement needed in remarks.

2 - Satisfactory - Employee meets all requirements of the individual element

3 - Superior - Employee consistently exceeds the performance requirements.

* - Not Applicable

0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3Knowledge of the jobAbility to obtain performanceAttitudeDecisions under stressInitiativeConsideration for personal welfareObtain equipment and suppliesPhysical ability for the jobSafetyCrash rescueOther10. Remarks

13. Rated By (signature) 16. Date

12. Date11. Crew Supervisor (signature): This rating has been discussed with me.

15. Home Unit Address 14. Incident Position

ABRO / TOLC DECK HEB1 / HEB2Rating Factors

Instructions: This rating is to be used only for determining an employees firefighting qualifications. The immediate supervisor will rate each employee. If deficiencies are indicated, explain in item 10.

Qual / Trainee Qual / Trainee Qual / Trainee Qual / Trainee Qual / Trainee Qual / TraineeHelibase Gen HECM / HESM HCWN

6. Dates on Incident

to

HBM-13 (01/05) OPTIONAL

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B-33

O. Two for One CWN Mgt and/or Standard to Limited Request (HBM-14) (See Exhibit B-16)

1. Purpose. The purpose is to document authorization from the appropriate state or regional Aviation Manager to allow one manager to manage 2 Restricted category or limited use designated helicopters, or to allow a standard category helicopter to be designated for limited use. Refer to Chapter 2 for more information.

2. Applicability. The form is optional at all levels, but authorization by the Appropriate Aviation Manager must be documented.

3. Responsibility for Completion. The form must be completed by the AOBD, ASGS, Helibase Manager, Helicopter Manager, or local Aviation Manager.

4. Posting. The Authorization should be held by the requesting official until the request is no longer needed or is no longer valid.

5. Related Forms. None

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B-34

Exhibit B-16: Two For One CWN MGT. And/Or Standard to Limited Helicopter Request HBM-14.

TWO FOR ONE CWN MGT. AND/OR STANDARD TO LIMITED HELICOPTER REQUEST

(3) Requestor will notify approving official when helicopter is removed from limited use designation.

Date:

(1) If either the Manager or Aircraft changes from the original request, a new approval will need to be obtained.

(2) Requestor will notify approving official when 2nd HCWN is filled.

Rescinded By: Title:

Date:

Disapproved By: Title: Date:

Approved By: Title:

Rational:

Helicopter Make and Model: N- # A- #

Standard Category Helicopter to be Designated as Limited Use (3)

Helicopter will be used for Buckets, External Cargo, ATGS, HLCO, PSD, IR, OR Aerial Mapping only:

Yes No

A fully qualified Helibase Manager is assigned: Yes No

The helicopters are located side by side at the same helibase: Yes No

A second HCWN is on order with active efforts to fill (2): Yes No

Manager is fully qualified and agrees to manage both helicopters: Yes No

A- #

1. Helicopter Make and Model: N- #

2. Helicopter Make and Model: N- #

One Manager to be Assigned to 2 Restricted Category / Limited Use Helicopters

HCWN Name(1): Last day of HCWN assignment: O- #

A- #

Incident Name:

Requesting Official: Title:

Date of Request:

Agency/Unit:

HBM-14 (01/05) OPTIONAL