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PSTC - Location, Prop, Equipment Usage Form
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This form has been modified since it was saved. Please review all fields before submitting.
First Name
*
Last Name
*
Class/Event
*
Date
*
Date
Total Number of Students/Attendees
*
Number of Instructors
*
Octorara Use Only
AM
PM
Octorara Use Only
LE
Fire
EMS
Please indicate all locations/equipment/props utilized.
Academic Building
Conference Room
Classroom 121
Classroom 123
EMS Simulation Room
Combined 123/126
Classroom 126
Classroom 140
Breakroom
Garage
Rear Parking Lot
Law Enforcement Firing Range
Breakroom
Classroom 209
Classroom 210
Combined Classroom 209/210
Range Conference Room
Defensive Tactics Room
Driving Simulator Room
Firearms Simulator Room
Combined Sim Rooms
Shoot House
50 Yard Firing Range
100 Yard Firing Range
Tactical Village
Parking Lot
Confined Space Area
Trench Rescue Pit
Drafting/Pump Pad
Gas Props Pad
Secondary Gas Props Pad
Upper Vehicle Rescue Pad
Sapper's Tavern
Drill Tower
Combined Sappers/Drill Tower
Admin Office
Outdoor Classroom
Lower Vehicle Rescue Pad
Upper & Lower Vehicle Rescue Combined
Burn Building (Residental)
Loading Dock
Burn Building (Commercial)
Burn Building (Entire)
Rehabilitation Pavilion
Ventilation Pad
Flashover Simulator
Hazardous Materials Spillway
OC/Pepper Spray Container
Industrial Pipeline Flange Fire
Industrial Tank/Rack/Flange Prop
Wildland Simulation Area
Integrity Drive
Optimism Way
Courage Drive
Loyalty Way
Discipline Drive
Vehicles
Engine 11 (Spartan)
Rescue 11
Utility 11
Golf Cart - 6 Person
Golf Cart - Utility 1
Golf Cart - Utility 2
Forklift
Gator
Taurus
Burn Building Rooms - Live Fire
Burn Building - Burn Room 102
Burn Building - Burn Room 103
Burn Building - Burn Room 104
Burn Building - Burn Room 105
Burn Building - Burn Room 201
Burn Building - Burn Room 202
Burn Building - Burn Room 203
Burn Building - Burn Room 204
Gas Props (Ignition Box Required)
Propane Pan Fire - Portable
250 lb. Propane Tank - Portable
Pipeline Flange Portable
Car Fire Simulator
Industrial Pipeline Fire (Large Flange)
Ignition Pilot Box #1
Ignition Pilot Box #2
Ignition Pilot Box #3
Ignition Pilot Box #4
Dumpster Fire Simulator
Gas Grill Fire Simulator
Drill Tower Gas Burn Rooms
Drill Tower - Bed Fire
Drill Tower - Gas Cylinder Fire
Drill Tower - Gas Stove Fire
Drill Tower - Sofa Fire
Drill Tower/Sapper's Tavern
Breaching Door
Forcible Entry - Fixed #1
Forcible Entry - Fixed #2
Forcible Entry - Fixed #3
Smoke Generator - Drill Tower
Kidde Industrial Gas Prop
Industrial Tank Simulator
Rack Fire Simulator
Flange Fire Simulator
Stand-Alone Props
Gas Shut-off Mock-up
Hose Bed Mock-up
Leaking Tank
Industrial Pan Fire
EMS Mannequins
EMS Simulation Mannequin
CPR Mannequin
Ventilation Prop
Ventilation Simulator
Flashover Simulator
Flashover Simulator
Number of Wood Sheets Used - Ventilation Prop/Flashover
-- Select One --
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Smoke Generator - Portable
Smoke Machine #1
Smoke Machine #2
Number of Pallets Used
Number of Excelsior Bales Used
Forcible Entry Doors - Portable
Forcible Entry Doors - Portable #1
Forcible Entry Doors - Portable #2
Forcible Entry Windows – Portable
#1
#2
#3
Air Compressor Used
Air Compressor
SCBA
Number of SCBA refilled:
Other Equipment Issues
PSTC Equipment Reporting Link
If there are any equipment issues - please click here to report these issues.
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