Fws Form 3 2267 PDF Details

Understanding the intricacies of the FWS 3-2267 form is crucial for anyone involved in the operation of motor vehicles or equipment within certain jurisdictions. Designed as an Authorization for Operation of Motor Vehicles and/or Equipment, this document serves as a comprehensive tool for managers or supervisors to certify that an operator is fully trained and qualified. The form requires detailed information about the operator, including their name, station name, and the type of authorization being requested, which can either be new, updated, or reinstated following a suspension. It mandates the attachment of a valid state driver's license and, if applicable, specifies the class of the license along with any endorsements. Furthermore, the document seeks confirmation on the completion of defensive driver training, the possession of a valid agency identification card or document, and the physical and medical qualifications of the operator. The form also intricately lists the types of motor vehicles and equipment the operator is authorized to use, highlighting the necessity for safety training documentation for certain classes of vehicles. Supervisors are tasked to endorse the operator’s qualifications and authorize their operation, ensuring adherence to safety protocols. This authorizing document underscores the organization's commitment to operational safety and regulatory compliance, playing a pivotal role in mitigating risks associated with vehicle and equipment operation.

QuestionAnswer
Form NameFws Form 3 2267
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesrevocations, fdws 3 2267, form fws 3 2267, Draglines

Form Preview Example

AUTHORIZATION FOR OPERATION OF MOTOR VEHICLES AND/OR EQUIPMENT

(Manager or supervisor completes this form). This authorization must be supported by additional training documentation as appropriate for each type

of motor vehicle or equipment the operator is authorized to operate.

Operator Name:

 

 

 

 

 

Station Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Authorization:

New

Updated

 

 

 

*Suspended/Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Explanation of suspension:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operator must be either:

Service Employee

Volunteer

 

 

 

Partner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Does operator carry a valid State driver's license?

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of State driver's license required:

(Attach a copy of license)

Regular (or)

Commercial Driver's License (CDL)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class of State's driver's license (List CDL endorsements if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date(s) defensive driver training completed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Does operator carry a valid agency identification card or document?

Yes

No *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Explain:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is operator physically and medically qualified as required?

 

 

 

 

Yes

No *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Explain:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Types of motor vehicles and motor equipment authorized to operate (check those that apply). Attach safety training

documentation. Unless required by a supervisor, items marked with a (*) do not require safety training other than the possession of a valid State license for that vehicle class.

 

 

STATE LICENCE REQUIRED*

 

 

 

 

HEAVY EQUIPMENT SAFETY TRAINING REQUIRED

 

 

 

ORUV/OTHER EQUIPMENT TRAINING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sedans

 

 

 

Agricultural Tractors

 

 

 

Forklift (PIT)

 

 

 

Off-Road Utility Vehicles (ORUV)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station Wagons

 

 

 

Crawler Loaders

 

 

Forklift Class:

 

 

Type ORUV:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vans: less than 15 passengers

 

 

 

Crawler Dozers

 

 

 

Scraper Pans

 

 

Type ORUV:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trucks: under 8500 GVW

 

 

 

Backhoe/Loaders

 

 

 

Draglines

 

 

Type ORUV:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trucks: 8500-26000 GVW

 

 

 

Motor Graders

 

 

 

Cranes

 

 

Type ORUV:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trucks: > 26001 GVW (CDL)

 

 

 

Skid Steers

 

 

Crane Ton Rating:

 

 

 

Riding Lawn Mower less than 35 HP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Truck/Trailer: >26001 GVW (CDL)

 

 

 

Excavators

 

 

 

Other:

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Buses/Trams/Shuttles (CDL)

 

 

 

4 Wheel Drive Loaders

 

 

 

Other:

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motorcycles

 

 

 

Specialty Tracked Equipment (STE)

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other:

 

List STE:

 

 

 

 

 

Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Comments:

Supervisor's Authorization: I conclude that this employee/volunteer/partner is fully trained and otherwise qualified to operate the motor vehicles or motor equipment checked above in a safe and effective manner. I hereby authorize such operations subject to the following conditions:

Conditions:

Supervisor Name (print):

 

 

 

 

 

Supervisor Signature:

Date:

 

 

 

* Employee/Volunteer/Partner Signature:

Date:

* By my signature, I confirm there are no active or pending suspensions or revocations against my personal State driver's license.

FWS Form 3-2267 REV 04/11

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The way to fill in ORUV stage 1

2. Once your current task is complete, take the next step – fill out all of these fields - STATE LICENCE REQUIRED, HEAVY EQUIPMENT SAFETY TRAINING, ORUVOTHER EQUIPMENT TRAINING, Sedans, Agricultural Tractors, Forklift PIT, OffRoad Utility Vehicles ORUV, Station Wagons, Crawler Loaders, Forklift Class, Vans less than passengers, Crawler Dozers, Scraper Pans, Trucks under GVW, and BackhoeLoaders with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Agricultural Tractors, ORUVOTHER EQUIPMENT TRAINING, and OffRoad Utility Vehicles ORUV in ORUV

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