PRACTICAL SKILL EVALUATION SHEET CHAPTER 7 SCBA Competency PRACTICAL SKILL: Donning Self-Contained Breathing Apparatus (SCBA) Skill Level: Firefighter I Objective: Don Self-Contained Breathing Apparatus (SCBA) 2008 Edition, NFPA 1001 5.3.1, 5.5.1 The student will Don an SCBA using the overcoat method while verbalizing the safety check as they are performed as prescribed in the Delmar Firefighter s Handbook Chapter 7 within 2 minutes. The face piece must be charged with air for the time to stop. Safety checks must be performed and verbalized throughout. Materials Needed: Instructions: Complete Set of Personal Protective Equipment (includes Self-Contained Breathing Apparatus (SCBA) with Personal Alert Safety System (PASS) Device) To maintain consistency please judge the skill demonstration closely and solely by the criteria set out in this form. Provide written feedback comments at the end of the form. Debrief the outcome with the Probationary Firefighter, letting them know what they did correctly and how they can improve. If any element is not performed correctly assign them a FAIL and sign the bottom of the evaluation form. If they perform all elements correctly and you are confident they can repeat this performance to the same level, assign them a PASS and sign the bottom of the evaluation sheet. Record each attempt to demonstrate this competency in the Firefighter s training diary. Once completed, the evaluation form is directed to the District Fire Chief and a copy goes to the Probationary Firefighter Students will: Don Self-Contained Breathing Apparatus (SCBA), within 2 minutes The student will use the overcoat method for donning the SCBA and must be on air for the time to stop. Safety checks must be performed/verbalized throughout. Note: For SCBA without integrated PASS device, the time will not stop until the accessory PASS device has been enabled. Safety: Required Time: Allow several feet of space between students to prevent injuries. (as specified by NFPA 1001 Standard) 1 Minute to Don SCBA (2 minutes at orientation or pre-hire) References: Canadian Firefighter s Handbook, Chapter 7, pages 163 168. 1 of 2
PRACTICAL SKILL EVALUATION SHEET CHAPTER 7 SCBA Competency PRACTICAL SKILL: Donning Self-Contained Breathing Apparatus (SCBA) Objective: Donning Self-Contained Breathing Apparatus (SCBA) 2008 Edition, NFPA 1001 5.3.1, 5.5.1 Name: Date: Criteria: While wearing PPE Incorrect Correct 1. Check both demand valve and emergency bypass are closed 2. Read cylinder pressure, open valve fully, 3. Compare cylinder reading to harness gauge, PASS device activated (if equipped) 4. Grasp harness with right hand and slide on to left shoulder, slides right arm into harness (right strap on right shoulder) 5. Fasten Waist strap and tighten, tighten shoulder straps, clip chest strap, tuck strap ends in 6. Don SCBA face piece and Flash hood, neck strap around neck ( hood over spider/hair net) 7. Dock air supply to face piece (ensure latched) Fails to check either valve or both Fails to read cylinder Pressure, open valve Fails to check harness gauge or pass activation Fails to place harness strap on shoulder Harness straps undone or not checked Flash hood under face piece harness Fails to Dock or check lock Checks both valves Reads pressure, opens valve Checks gauge and pass is active Straps are on and in position All straps fastened, tightened and checked in order Flash hood covering fully and in position Air supply docked and locked 8. Check bypass function Fails to check Checked 9. Helmet (chin strap cinched/under chin) 10. Don Gloves (wristlets used with gauntlet style (short) glove, no skin exposed) Helmet or strap out of position Fails to Don gloves & cover 11. Buddy Check (No Exposed skin ) Fails to check buddy Helmet and strap in position Dons gloves, fully covered Buddy check and correction 12. Lapsed time < two minutes Over stated time Stated time or less Overall Time: Outcome: (circle one) All elements must be correct to achieve a pass. Fail Pass Evaluator Notes Evaluating Officer Signature Probationary Firefighter Signature Evaluating Officer Name 2 of 2
PRACTICAL SKILL: One Firefighter Extension Ladder Carry and Raise Skill Level: Firefighter I Objective: One Firefighter Extension Ladder Carry and Raise 2008 Edition, NFPA 1001, 5.3.6 Materials Provided: Materials Needed: Instructions: Fire Department Approved Extension Ladder Complete Set of Personal Protective Clothing and Self-Contained Breathing Apparatus To maintain consistency please judge the skill demonstration closely and solely by the criteria set out in this form. Provide written feedback comments at the end of the form. Debrief the outcome with the Probationary Firefighter, letting them know what they did correctly and how they can improve. If any element is not performed correctly assign them a FAIL and sign the bottom of the evaluation form. If they perform all elements correctly and you are confident they can repeat this performance to the same level, assign them a PASS and sign the bottom of the evaluation sheet. Record each attempt to demonstrate this competency in the Firefighter s training diary. Once completed, this form is directed to the District Fire Chief and a copy is given to the Probationary Firefighter. Probationary Firefighter must complete all steps correctly to achieve a pass. The student shall: carry an extension ladder to a point of service, as indicated by the evaluator. raise (for the purpose of rescue) the extension ladder. spot and secure the extension ladder for climbing. verbalize any/all ladder commands. ascend the extension ladder to the midpoint employ a leg lock. continue to the top of the ladder and descend to the ground. return the ladder to the pumper. Note: The student is not permitted to run at any time and must climb the ladder in a slow, safe, and controlled manner to avoid causing excessive bounce whilst climbing. Safety: Always have students use proper lifting techniques to prevent back injuries. Make sure the ladder is butted/heeled. References: Canadian Firefighter s Handbook, Chapter 14, pages 401 411.
PRACTICAL SKILL: One Firefighter Extension Ladder Carry and Raise Objective: One Firefighter Extension Ladder Carry and Raise 2008 Edition, NFPA 1001, 5.3.6 Name: Date: Critical Criteria: Incorrect Correct 1. Any unsafe act or operation while carrying, raising, or operating on the ladder Examples: Running, excessive ladder bounce while ascending/descending, improperly secured ladder, and improperly donned protective equipment, etc. Criteria: Performs unsafe act Completes evolution safely 1. Name four ladder safety considerations ((pg. 427 to 457, no chocking, used only for designed use, look straight ahead while climbing, look for overhead obstructions, watch for electric wires, do not overload, hand placement when extending/retracting.) Names two or fewer considerations Names four considerations 2. Ladder carry (low shoulder and butt-end forward) Fails to remove ladder from apparatus 3. Ladder raise (uses building to butt, fly section in, and flush to building) Fails to butt ladder against building and raise to vertical 4. Ladder placement (rolls ladder to put fly side out) Fly is on building side 5. Spotting of ladder (1/4 of used length from building, 75 deg. Angle, just below sill or 3 to 5 rungs above roof) 6. Tie off the lanyard (clove hitch with overhand safety) Butt is too close to or too far from wall Not tied correctly 7. Ladder is Butted / Heeled (allowed to use assistant to do so) Out of position or not done 8. Climbing method (smoothly and rhythmically, hands and feet movement, eyes front) Climb causes instability 9. Correct leg lock dependant on working side Not able to leg lock. 10. Returns ladder to the designated location (properly and safely) Fails to return ladder Removes ladder using correct hand placement Ladder is butted against building and raised correctly Fly is on outside Butt is placed ¼ of used length from wall Tied correctly Assistant positioned correctly Smooth climb stable ladder Leg locked on the correct side Returns ladder using approved method Outcome: (circle one) All elements must be correct to achieve a pass. Evaluator Notes Fail Pass Evaluating Officer Signature Probationary Firefighter Signature Evaluating Officer Name
PRACTICAL SKILL: Horizontal Ventilation Positive Pressure Skill Level: Firefighter I Objective: Horizontal Ventilation Positive Pressure 2008 Edition, NFPA 1001, 5.3.11 Materials Provided: Materials Needed: Instructions: Positive Pressure Ventilation Fan. Complete Set of Personal Protective Equipment and Self-Contained Breathing Apparatus (SCBA) To maintain consistency please judge the skill demonstration closely and solely by the criteria set out in this form. Provide written feedback comments at the end of the form. Debrief the outcome with the Probationary Firefighter, letting them know what they did correctly and how they can improve. If any element is not performed correctly assign them a FAIL and sign the bottom of the evaluation form. If they perform all elements correctly and you are confident they can repeat this performance to the same level, assign them a PASS and sign the bottom of the evaluation sheet. Record each attempt to demonstrate this competency in the Firefighter s training diary. Once completed, this form is directed to the District Fire Chief and a copy is given to the Probationary Firefighter. The student will be provided a simulated fire situation. Based on the situation the student, wearing complete PPE (including SCBA), shall demonstrate the proper placement and operation of the equipment for positive pressure ventilation. Safety: Students should use proper lifting techniques to prevent back injuries. Air quality may need to be monitored if gasoline powered fans are used. References: Canadian Firefighter s Handbook, Chapter 18, pages 590 592
PRACTICAL SKILL: Horizontal Ventilation Positive Pressure Objective: Horizontal Ventilation Positive Pressure 2008 Edition, NFPA 1001, 5.3.11 Student Name: Date: Critical Criteria: Incorrect Correct 1. PPE (Don complete PPE including SCBA) 2. SCBA ( On air when operating inside hazardous atmosphere) 3. Operation of equipment (familiar with start up and operation) Criteria: PPE Missing or not worn correctly Fails to wear SCBA inside hazard zone Unable to start/operate equipment PPE Complete and Donned to specifications Wear SCBA inside hazard zone Operates equipment without coaching 1. Equipment Checks (Check oil and fuel levels in gasoline powered equipment) Does not check Does check 2. Obstructions (Clears door(s) and/or window(s) of screens curtains or other obstructions.) 3. Fan Placement (Initial positioning of fan 90 degrees to opening, several feet from point of entry and air cone covers opening, uses back of hand to check air seal) 4. Windows (Opens and/or closes window(s) to ensure controlled ventilation of structure as per orders (must demonstrate or articulate)) Outcome: (circle one) All elements must be correct to achieve a pass. Does not check Does not check air Cone (fan to close or fan too far away and not at 90 degrees) Does not control the air flow Fail Does check Does check air Cone Positioned at 90 degrees at startup Controls the air flow Pass Evaluator Notes Evaluating Officer Signature Probationary Firefighter Signature Evaluating Officer Name
PRACTICAL SKILL SHEETS CHAPTER 15 PRACTICAL SKILL: Tying Knots and Hitches Skill Level: Firefighter I Objective: Tying Knots and Hitches 2008 Edition, NFPA 1001 5.1.1 While wearing gloves, the student shall tie the prescribed knot(s) to secure or hoist the assigned object. Materials Provided: Materials Needed: Instructions: Two (2) Lengths of Different Diameter Rope and One (1) Length of Webbing Firefighting Gloves To maintain consistency please judge the skill demonstration closely and solely by the criteria set out in this form. Provide written feedback comments at the end of the form. Debrief the outcome with the Probationary Firefighter, letting them know what they did correctly and how they can improve. If any element is not performed correctly assign them a FAIL and sign the bottom of the evaluation form. If they perform all elements correctly and you are confident they can repeat this performance to the same level, assign them a PASS and sign the bottom of the evaluation sheet. Record each attempt to demonstrate this competency in the Firefighter s training diary. Once completed, the evaluation form is directed to the District Fire Chief and a copy goes to the Probationary Firefighter The student shall tie the required knots for four (4) of the six (6) objects listed on the attached sheet. Prior to the evaluation, each object will be randomly assigned a number between one (1) and six (6) and recorded in a list. The student will choose two (2) numbers between one (1) and six (6). The objects corresponding to the chosen numbers shall be removed from the list. The student shall tie the four (4) remaining objects. As the student completes each knot(s) for each object, the instructor will identify which object is to be tied next. The evaluation is complete when all four (4) objects have been tied correctly. Six (6) required knots and hitches: Overhand Safety Knot Half Hitch Clove Hitch Figure-Eight Follow Through (with two (2) half hitches) Figure-Eight on a Bight Becket Bend (Sheet Bend) Safety: Gloves shall be worn when tying knots for safety. When applicable, all knots shall include a safety knot. References: Canadian Firefighter s Handbook, Chapter 15, pages 436 484,
PRACTICAL SKILL SHEETS CHAPTER 15 PRACTICAL SKILL: Tying Knots and Hitches Objective: Tying Knots and Hitches 2008 Edition, NFPA 1001 5.1.1 Student Name: Date: Object: Incorrect Incorrect Correct 1. Item with Handle (pail, hand pump, chainsaw) 2. Long tool (pike pole, crow bar, pry bar) Fails to tie a figure-eight follow through Fails to tie tip up, or ½ hitches Figure-eight follow through, no safety knot Fails to leave sufficient tag end Figure-eight follow through, with safety knot Ties tip-up, clovehitch, and two half hitches and tag end 3. Axe, Sledgehammer Fails to tie figureeight on a bight Fails to tie a safety knot Ties figure-eight on a bight, safety and 2 ½ hitches 4. Hoist empty line Fails to tie clove hitch around nozzle or 2 ½ hitches Fails to leave adequate tag end Ties clove hitch around nozzle and 2 ½ hitches with tag end 5. Hoist a ladder Fails to tie figureeight on a bight or traced eight Fails to tie safety, fails to use top 1/3 of ladder, ladder not away from building Ties figure-eight on a bight with a safety in top 1/3 of ladder and tip away from building 6. Join two ropes Fails to join two ropes using sheet bend with safety knots Joins two ropes using sheet bend but no safety knots Joins two ropes with sheet bend and safety knots Outcome: (circle one) All elements must be correct to achieve a pass. Fail Pass Evaluator Notes Evaluating Officer Signature Probationary Firefighter Signature Evaluating Officer Name
PRACTICAL SKILL SHEET CHAPTER 10 PRACTICAL SKILL: Making the Hydrant Connection Skill Level: Firefighter I Objective: Making the Hydrant Connection 2008 Edition, NFPA 1001, 5.3.15 Given a hose load, hydrant and hydrant bag, the student shall make a hydrant connection using the prescribed method whilst wearing Full PPE less SCBA and with out coaching. Materials Provided: Materials Needed: Instructions: Fire Department Pumper (equipped with large-diameter hose), Storz to 4-1/2" Female Threaded Swivel Adapter, Two (2) Storz Spanner Wrenches, One (1) Hydrant Wrench, and Operable Fire Hydrant Complete Set of Personal Protective Equipment and Self-Contained Breathing Apparatus (SCBA) To maintain consistency please judge the skill demonstration closely and solely by the criteria set out in this form. Provide written feedback comments at the end of the form. Debrief the outcome with the Probationary Firefighter, letting them know what they did correctly and how they can improve. If any element is not performed correctly assign them a FAIL and sign the bottom of the evaluation form. If they perform all elements correctly and you are confident they can repeat this performance to the same level, assign them a PASS and sign the bottom of the evaluation sheet. Record each attempt to demonstrate this competency in the Firefighter s training diary. Once completed, the evaluation form is directed to the District Fire Chief and a copy goes to the Probationary Firefighter The student sits in the rear seat on the officer s side of the Engine. The Engine is stationary, staged approximately 3 m past the hydrant, and the order to make the hydrant is given. The assessment of the student begins when he/she leaves the jump seat. The student shall make the hydrant connection by: deploying one (1) section of Large-Diameter Hose (LDH) from the fire department Engine to the fire hydrant and making both the hydrant connection and the Engine intake connection, The evaluation will be complete when the hydrant has been opened and the hose has been charged. Upon completion, the student must close the hydrant, disconnect and drain the hose, and load the hose. The student may employ the assistance of other students and the instructor during the cleanup phase of this evaluation. Safety: Ensure student safety by encouraging proper lifting techniques. References: Firefighter s Handbook, Chapter 10, pages 260 262. 1 of 2
PRACTICAL SKILL SHEET CHAPTER 10 PRACTICAL SKILL: Making the Hydrant Connection using Large Diameter Hose Objective: Making the Hydrant Connection 2008 Edition, NFPA 1001, 5.3.15 Student Name: Date: Criteria: Incorrect Incorrect Correct 1. Steps off the Engine (3 point contact) Fails to maintain 3 point contact 2. Assembles correct tools and places at the hydrant (hydrant wrench and spanners or hydrant bag) 3. Steps onto tailboard. Places the 125 mm hose under an arm, across their chest, and over their shoulder. 4. Advance to the hydrant, and pull an additional 3 m of hose to wrap around the hydrant. 5. Places the hose halfway around the hydrant, folding the coupling back on the hose. Snub the hose with the proper foot. (Critical Safety Point) 6. Flush hydrant briefly to check for debris and adequate flow Fails to place hydrant bag at or near hydrant Fails to grab supply hose Fails to advance to the hydrant Fails to wrap hydrant or snub using correct foot Fails to signal 7. Signal the Engine operator to proceed. Fails to flush hydrant 8. Makes hydrant connection (using LD hose adapter and applying 65 mm hydrant gate to port farthest from the fire) Fails to complete 9. Removes kinks from hose section Fails to remove folds and kinks 10. Makes Engine intake connection to intake valve Fails to make Engine connection 11. Opens fire hydrant (completely and slowly Leaves hydrant wrench on spindle) 12. Removes any remaining kinks in hose & checks for leaks at hydrant connection (must check gasket if leaking) Opens hydrant without confirmation from Engine operator Fails straighten all kinks, tighten all leaks, and report to officer Hydrant bag is not placed for ease of access Fails to place hose as described Fails to pull hose to snub hydrant Signals early or late Fails to leave hydrant wrench on spindle Misses one of the three procedures Maintains 3 point contact Hydrant bag is near hydrant and allows easy access Places hose as prescribed Advances to hydrant and pulls sufficient hose Places coupling halfway around the hydrant and snubs hose Signals as prescribed Flushes hydrant briefly Hydrant connection made and 65mm hydrant gate on farthest from fire remove folds and kinks Makes Engine connection Hydrant open on confirmation and Wrench on spindle Straightens all kinks, tightens all leaks, and reports to officer Outcome: (circle one) All elements must be correct to achieve a pass. Evaluator Notes Fail Pass Evaluating Officer Signature Probationary Firefighter Signature Evaluating Officer Name 2 of 2