Wednesday, September 8th, 2021
picture
Please consider donating either on Paypal via our donations link or on our go fund me campaign as we rebuild from the flooding, Any amount helps. All donations are tax deductible.Go Fund Me
Tuesday, August 3rd, 2021
picture
National Night Out 2021
picture
SOMERVILLE – A multi-alarm fire Friday morning severely damaged an unoccupied building in the Somerville Parc Apartments complex on James Street.The fire appeared to have started in the at...
picture
SOMERVILLE – The borough's emergency responders have begun the planning process for the long-awaited emergency services complex on Gaston Avenue.In late February and early March, repre...
Technical Rescue Standby


 
Technical Rescue Standby Request Form
 
Please complete the form below and click submit. Someone will be in contact with you shortly. If you do not receive a response within 24 hours, please resubmit the form.
Technical Rescue Standby Request Form
Requesting Agency:
Contractor Making Entry:
Purpose Of Entry:
Location Of Entry:
Date Of Entry:
Start Time Of Entry:
End Time Of Entry:
Total Duration Of Entry:
On-Site or Off-Site Standby
Will there be a permit for this entry? (If No, Please Explain)
Is there a pre-existing IDLH atmosphere? (If Yes, Please Explain)
Will there be a potential of an IDLH atmosphere? (If Yes, Please Explain)
Will the entrant be on breathing air during entry? (If Yes, Please Explain)
Are there any second points for access/egress?
Will there be a safety/haul line and tripod attached to the entrant(s)?
Diameter, shape, orientation of access/egress point(s):
Total depth (horizontal/vertical) of space:
Means of access (i.e. man-way, tripod, ladder, etc.):
How many entrants will be entering simultaneously?
Other comments/descriptions:
Form Completed By (print name)
Facility Entry Supervisor (name)
Facility Entry Supervisor (phone number)
Contractor Foreman (name)
Contractor Foreman (phone number)
Chief Officer of In-House Rescue Team (name)
Chief Officer of In-House Rescue Team (phone number)
Enter PIN
PIN =
Enter the answer to the math problem to submit this form.
This helps prevent spam.

© 2022 The First Aid and Rescue Squad of Somerville NJ Inc.