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NORTH DAKOTA FIREFIGHTERS CERTIFICATION SYSTEM NDFA FIREFIGHTER I STANDARD NFPA 1001 2013 Edition NORTH DAKOTA FIREFIGHTER’S ASSOCIATION PO BOX 6127 BISMARCK, ND 58506 NDFA Firefighter I Certification Standard Approved August 2014

NDFA FIREFIGHTER I STANDARD NFPA 1001 Fire Extinguishers 45 ... Fundamentals of Fire Fighter Skills –3rd Edition These textbooks are available from various fire service bookstores

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NORTH DAKOTA FIREFIGHTERS CERTIFICATION

SYSTEM

NDFA

FIREFIGHTER I

STANDARD

NFPA 1001

2013 Edition

NORTH DAKOTA FIREFIGHTER’S ASSOCIATION

PO BOX 6127 BISMARCK, ND 58506

NDFA Firefighter I Certification Standard Approved August 2014

2

16 Firefighter Life Safety Initiatives

1. Define and advocate the need for a cultural change within the fire service relating to safety;

incorporating leadership, management, supervision, accountability and personal responsibility.

2. Enhance the personal and organizational accountability for health and safety throughout the fire

service.

3. Focus greater attention on the integration of risk management with incident management at all

levels, including strategic, tactical, and planning responsibilities.

4. All firefighters must be empowered to stop unsafe practices.

5. Develop and implement national standards for training, qualifications, and certification

(including regular recertification) that are equally applicable to all firefighters based on the duties

they are expected to perform.

6. Develop and implement national medical and physical fitness standards that are equally

applicable to all firefighters, based on the duties they are expected to perform.

7. Create a national research agenda and data collection system that relates to the initiatives.

8. Utilize available technology wherever it can produce higher levels of health and safety.

9. Thoroughly investigate all firefighter fatalities, injuries, and near misses.

10. Grant programs should support the implementation of safe practices and/or mandate safe

practices as an eligibility requirement.

11. National standards for emergency response policies and procedures should be developed and

championed.

12. National protocols for response to violent incidents should be developed and championed.

13. Firefighters and their families must have access to counseling and psychological support.

14. Public education must receive more resources and be championed as a critical fire and life safety

program.

15. Advocacy must be strengthened for the enforcement of codes and the installation of home fire

sprinklers.

16. Safety must be a primary consideration in the design of apparatus and equipment.

3

16 Firefighter Life Safety Initiatives

The 16 initiatives, listed on the preceding page, address the 6 root causes of firefighter injuries, close

calls, and Line of Duty Death.

1. Ineffective policies and procedures. 2. Ineffective decision making. 3. Lack of preparedness. 4. Ineffective leadership. 5. Lack of personal responsibility. 6. Extraordinary and unpredictable circumstances.

For more information on the

Courage to be safe …. So everyone goes home program Contact NDFA

At: 701-222-2799

4

NDFA Firefighters Certification Committee

The NDFA Certification Committee is a 12 member committee, which consists of 9- members from the North Dakota fire service; the committee members function as liaison between the fire service and the North Dakota Firefighters Association Executive Board. Members of the committee are:

NDFA 1st Vice President

State Fire Marshal

(1) A member from the North Dakota Fire Chief’s Association that will serve a 2 year term.

(1) A member from the North Dakota Fire Prevention Association that will serve a 2 year term.

(1) A member from the North Dakota Rescue Society that will serve a 2 year term.

(4) Four NDFA members at large, one member elected from each of the 4 training regions: NW, SW,

NE, and SE: (their terms will mirror the Trustee from their region).

(1) A member of the Fargo Fire Department (Delegated Authority).

The NDFA Executive Director represents as a non-voting member of the committee. The NDFA Training Director will serve as compliance officer and serve the Certification Committee

as a non-voting member of the committee.

North Dakota Firefighter’s Association

Please direct North Dakota Firefighter certification questions and comments to: NDFA, Training Director

Robert Knuth

PO Box 6127

6909 Aurora Loop

Bismarck, North Dakota 58506

PH: (701) 222-2799 CP: (701) 516-4457 FAX: (701) 222-2899

Please visit our Web site at: www.ndfa.net

5

TABLE OF CONTENTS

Introduction 7

Certification Requirements for Firefighter I 8

Entrance Requirements 8

Physical Fitness Requirements 8

Emergency Medical Care Requirements 8

Department Training 9 Written Objective 9

Manipulative Objectives 9

Department Training Officers 10

Department Training Records 10

Department In-House Comprehensive Examination 10

Certification Examinations 11

Written Examinations 11

Manipulative Skills “Spot” Examination 12

Prerequisites for Certification 13

Firefighter I Certification Checklist 15

Firefighter I Manipulative Skill Objectives 16 Personal Protective Equipment 17

Ropes 18

Radios and Phones 19

Self-Contained Breathing Apparatus 22

Emergency Response – Apparatus 26

Forcible Entry 28

Exit Hazardous Area 31

Ladders 32

Search & Rescue 33

Overhaul Operations 36

Salvage Operations 37

Water Supply 43

Portable Fire Extinguishers 45

Fire Ground Support Activities 46

Preparedness and Maintenance 48

Firefighter I Fire Ground Evolutions 59 Vehicle Fire 60

Exterior Class A Fire 61

Interior Class A Fire 62

Ventilation 64

Ground Cover fire 65

Appendix A – Training Record 66 Firefighter I – In House Training Record 67

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Appendix B - In-House Proctor Instructions 72 Tester Instructions for “In-House” Comprehensive Examination 73

Examination and Certification Request Form 74

7

INTRODUCTION

The world we live in is changing so fast, and the many phases of the fire service are becoming so technical and complex that fire service training must be utilized to its maximum potential. Any overlap, fragmentation, and lack of basic structure must be eliminated. Standardization is the natural complement and necessity.

The fire service in North Dakota, through a state certification program, can meet the needs of future growth and establish uniformity through certification. We will then have more effective and efficient utilization of resources so as to provide the best possible fire protection service for all the citizens throughout the state of North Dakota.

The following certification requirements are based on the objectives listed in the National Fire Protection Association (NFPA) 1001 Standard for Fire Fighter Professional Qualifications, as verified and adopted by the NDFA Firefighters Certification Committee.

Through these national standards and certification, firefighters and fire departments have a tool to measure specific levels of skills, abilities and knowledge. The NDFA Firefighters Certification Committee believe by participating in this certification program, firefighters and fire departments will be better prepared to provide quality life safety and fire protection for their communities.

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CERTIFICATION REQUIREMENTS

Entrance Requirements: In order to certify within the NDFA Firefighter I program, departments/firefighters must fulfill the following requirements:

1. Complete the department entrance requirements.

2. Set up and maintain department records.

3. Train on the required written and practical objectives.

4. Pass a department “In-House” comprehensive examination.

5. Meet any other training requirements/prerequisites as defined by NDFA.

6. Pass both written and practical skills examination administered by NDFA.

7. Request Firefighter I certification.

The NDFA acknowledges the importance of and need for entrance requirements as listed in the NFPA 1001, Standard on Fire Fighter Professional Qualifications. Many agencies and departments have existing policies, regulations, etc. already in place regarding these requirements. The handling of entrance requirements is a LOCAL MATTER, outside the authority and jurisdiction of the NDFA. The NDFA will not check, test, evaluate or determine how individual agencies meet these requirements. Some departments have found it necessary to waive any type of entrance requirements due to their own special needs. As a local decision, this is permitted. However, due to the amount of physical, mental and emotional stress inherent in this profession, the NDFA strongly recommends

careful evaluation before altering or doing away with any existing entrance requirements.

Physical Fitness Requirements: The requirements listed in NFPA 1001, Chapter 4 are:

1. Meet the minimum educational requirements established by the authority having jurisdiction.

2. Meet the medical requirements of NFPA 1582, Standard on Comprehensive Occupational

Medical Program for Fire Departments. 3. Physical fitness requirements for entry-level personnel shall be developed and validated by the

authority having jurisdiction. Physical fitness requirements shall be in compliance with applicable Equal Employment Opportunity regulations and other legal requirements.

Emergency Medical Care Requirements: The following additional training requirements must be met before certification at the Firefighter I Level will be issued by the NDFA.

Emergency Medical Care – Candidates for state certification at the Firefighter I level must hold a current CPR certification and have received training in first aid. First aid training should include infection control, bleeding control and shock management.

This training may be obtained through any organization that trains medical responders for CPR

and first aid. A qualified instructor should teach these courses. Copies of the CPR cards (both

sides) must be documented in the participants training record.

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DEPARTMENT TRAINING The position of a Firefighter I is one which requires a high level of skill and knowledge. The training given to and received by firefighter candidates should be of the highest quality and degree. All training received must meet the requirements of NFPA 1001, Chapter 5 and the skills as approved by the NDFA contained within the North Dakota Standard. All training received must be documented and recorded on a training record (Appendix A). All testing for Firefighter I will be conducted following the policies and procedures of the NDFA.

Training for Firefighter I is conducted at the department level or could be received through a joint training agreement between departments on a regional level. Regardless of where the training is received, it must prepare the candidate to be a competent and effective firefighter.

(NFPA 1001, 2013 Edition, 1.3.8): The fire fighters at all levels of progression shall remain current with fire protection technology, fire suppression practices, fire and life safety initiatives, and applicable standards as determined by the AHJ.

The course material should be referenced to the following textbook to prepare the candidate to successfully pass the state certification examination.

Written Objectives:

The written objectives for Firefighter I are covered in the following text:

1. IFSTA - Essentials of Firefighting 6th Edition. 2. Jones and Bartlett - Fundamentals of Fire Fighter Skills – 3rd Edition

These textbooks are available from various fire service bookstores. A current list of textbook sources is available by calling the NDFA at (701) 222-2799.

There are numerous methods departments have used to help prepare their personnel for the written examination. Considering the high level of skill and knowledge required for Firefighter I, the NDFA recommends the candidate participates in a comprehensive class and receive instruction on both manipulative and written requirements.

Manipulative Objectives: Each candidate must be trained and evaluated in the performance of all manipulative skills (pg. 9-57) and fire ground evolutions (pg. 58-64) objectives. Each of the manipulative skill and evolution objectives shall be completed swiftly, safely and with competence as defined below:

• Swiftly – Each manipulative skill objective must be completed within the allotted time.

• Safely – Each manipulative skill objective must be completed safely. Actions that could injure individual or damage equipment are unacceptable. Equipment should be checked prior to skill testing or training to see that it is safe and functional.

• Competence – Each manipulative skill objective is performed in accordance with the North Dakota

Standard. This includes performing the proper steps in sequence. Competence will be measured in accordance with the NDFA manipulative skill objectives.

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Department Training Officers:

For departments to enroll in the certification process, it is necessary for the department to assign training officers. It is recommended the department assign at least two personnel as training officers to coordinate and provide certification training.

Department training officers should be State Certified at the level they are teaching. In addition, the NDFA strongly recommends training officers be state certified at the Instructor I level.

Department training officers will be responsible for certification training. Their primary responsibility will be to teach, evaluate, and “In-House” test department personnel on the manipulative skill and evolution requirements for each level of certification training.

Departments who do not have certified personnel to act as training officers for certification training should contact the NDFA-Training Director at (701) 222-2799 for assistance in setting up and monitoring certification training.

Department Training Records:

Each candidate shall have a training record on file with the department, which indicates whether he/she has trained on all manipulative skill objectives. This record shall be signed off or initialed by a department training officer. Training records must indicate the date, instructor, and total number of hours trained for each manipulative skill objective. Departments shall use the one provided in Appendix A.

Department "In-House" Comprehensive Examination:

At the completion of the department’s manipulative skills training, the department is required to hold an “in-house” comprehensive examination for the level being trained. This is a comprehensive “In-House” test conducted by the department training officers or course instructors. This test is to ensure that skill mastery has been obtained from the beginning to the end of the training process, and to prepare participants for the state examination. Training officers may utilize other personnel to assist in administering the exam; however, all personnel assisting with the testing should be certified at the level they are “In-House” testing.

In-House testers shall follow the Tester Instruction sheet to provide for uniformity and fairness during the exam. It is recommended candidates be given two attempts at any skill. If they fail on

the second try, then they have failed the evaluation and are required to go through additional training by the department trainer. No training, teaching, or coaching is allowed during the test. After the evaluation, using the test to teach and train is recommended.

If manipulative skill weaknesses are evident, the department shall conduct additional training and hold a new department “In-House” comprehensive examination. Only those candidates who successfully pass the department’s skills and fire ground evolutions “In-House” test will be allowed to participate in the state certification exam. Department training records must show all candidates have successfully passed the “In-House” examination.

CERTIFICATION EXAMINATIONS

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After completion of the training process, the Fire Chief/Head of Department can request testing for the department. Using the “Request Examination” form in Appendix B. The Fire Chief/Head of Department may request a written examination and manipulative test for certification. A testing fee may be charged at the time of certification. A separate application must be sent to the NDFA for each attempt. Request forms must reach the NDFA no later than 30 days prior to the examination date. The entire examination process must be completed within 1 year of the first

written exam date.

Written Examinations: The written examination is a randomly generated 100-question test covering the written objectives of the Firefighter I standard. A minimum score of 70% is required to pass the certification examination. Firefighters failing the first attempt of the written exam will be permitted to retest up to three times. After the third failed attempt the candidate cannot test any earlier than 3 months from the date of the third attempt. A testing fee of $20.00 per retest attempt will be charged.

SAMPLE WRITTEN EXAMINATION QUESTIONS:

The transfer of heat by the movement of air or liquid would be considered? a. Conduction c. Convection

b. Radiation d. Direct-flame contact

What is a good, two-firefighter method for breaking a tight coupling without a spanner wrench? a. Stiff-arm c. Knee-press

b. Foot-tilt d. Coupling tilt

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Manipulative Skills “Spot Check” Examination: This is a two-step examination. The first step is a department records check and the second step is a manipulative skills “spot check” examination. Certification testers appointed by the NDFA conduct the examination. Training records are checked. If records are inadequate, corrective action must be taken before proceeding to the next step. The records must meet minimum requirements and are checked for the following:

1. Candidate has been trained in each manipulative skill and fire ground evolution for the level being evaluated.

2. A department training officer has signed off each manipulative skill and fire ground evolution.

3. The total number of hours trained on each manipulative skill and fire ground evolution is listed.

4. Each participant has passed a department “in-house” comprehensive examination.

The manipulative skills and fire ground evolution “spot check” examination is graded on a 100% pass/fail basis. The test is graded in the following three areas:

• Swiftly – Each manipulative skill objective must be completed within the allotted time.

• Safely – Each manipulative skill objective must be completed safely. Actions that could injure individual or

damage equipment are unacceptable. Equipment should be checked prior to skill testing or training to see that it is safe and functional.

• Competence – Each manipulative skill objective is performed in accordance with the NDFA Standard. This

includes performing the proper steps in sequence. Competence will be measured in accordance with the NDFA manipulative skill objectives.

Candidates are “spot checked” on ONE (1) fire ground evolution and SIX (6) individual manipulative skills.

No prior notification of the skills or the evolution being tested will be given. No training, teaching, or coaching

is allowed during this state test.

Each Individual Skill and Fire Ground Evolution has a skill sheet assigned listing the required competencies. Each skill sheet identifies how many competencies must be successfully completed to pass the skill station. It is HIGHLY RECOMMENDED that candidates are trained using these skill sheets as the certification testers will use these during the evaluation.

Fire ground evolution: Candidates will test one evolution. This is a 100% pass/fail test. The candidate that missed a skill during the evolution will be tested individually on the missed skill(s). This would be considered the second attempt for that skill. If a candidate fails this second attempt, they have failed the evolution.

Individual Skills: Candidates will be given six individual skills to complete and are given two attempts if necessary to perform each skill. If they fail on the second attempt, they have failed the individual skills portion of the examination.

Candidates who fail either the evolution or individual skills part of the manipulative examination will be permitted to retest up to three times. A testing fee of $20.00 per retest attempt will be charged. Candidates taking third attempts will test on the evolution or the skill they failed plus ONE additional skill from the section of the standard they failed in the previous attempts. Candidates who have failed the third attempt of the manipulative skills examination have failed the certification process and must wait 30 days from the date of the failed third attempt.

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FIREFIGHTER I CERTIFICATION PREREQUISITES:

When all requirements for certification have been met, candidates are eligible to be certified. The Fire Chief/Head of Department may apply to the NDFA for certification for those candidates who have successfully completed the certification training/testing process. Request for state certification will be submitted to the NDFA using the “Request for Certification” form provided in Appendix B. The names are then checked against the official state records to ensure each individual listed has met all requirements.

Those candidates who have met the requirements are issued a certificate and patch. These are sent to the Fire Chief/Head of the Department for disbursement.

Prerequisites for Firefighter I “Legacy” Certification:

o General Knowledge Requirements of NFPA 1001, Section 5.1.1. 1. The organization of the fire department;

2. the role of the Fire Fighter I in the organization; 3. the mission of fire service; 4. the fire department’s standard operating procedures (SOPs) and rules and regulations as

they apply to the Fire Fighter I; 5. the value of fire and life safety initiatives in support of the fire department mission and to

reduce fire fighter line-of-duty injuries and fatalities; 6. the role of other agencies as they relate to the fire department; 7. aspects of the fire department’s member assistance program; 8. the importance of physical fitness and a healthy lifestyle to the performance of the duties

of a fire fighter; 9. the critical aspects of NFPA1500, Standard on Fire Department Occupational Safety and

Health Program.

These requirements can be fulfilled by attending the Courage to Be Safe class offered by

NDFA.

o NIMS 700

o ICS100

o ICS200 o Emergency Medical Care – Candidates for state certification at the Firefighter I level must hold

a current CPR certification and have received training in first aid. First aid training should include infection control, bleeding control and shock management. This training may be obtained through any organization that trains medical responders for CPR and first aid. A qualified instructor should teach these courses. Copies of the CPR cards (both sides) must be documented in the participants training record.

o Hazardous Materials Operations (HMO) - Prior to certification at the Firefighter I level, firefighters must be state certified through the NDFA at the Hazardous Materials First Responder-Operations level. This eight (8) hour course is available through the NDFA.

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Prerequisites for Firefighter I Pro Board (NPQS) Certification:

o General Knowledge Requirements of NFPA 1001, Section 5.1.1.

1. The organization of the fire department;

2. the role of the Fire Fighter I in the organization;

3. the mission of fire service;

4. the fire department’s standard operating procedures (SOPs) and rules and regulations as

they apply to the Fire Fighter I;

5. the value of fire and life safety initiatives in support of the fire department mission and to

reduce fire fighter line-of-duty injuries and fatalities;

6. the role of other agencies as they relate to the fire department;

7. aspects of the fire department’s member assistance program;

8. the importance of physical fitness and a healthy lifestyle to the performance of the duties

of a fire fighter;

9. the critical aspects of NFPA1500, Standard on Fire Department Occupational Safety and

Health Program.

These requirements can be fulfilled by attending the Courage to Be Safe class offered by

NDFA.

o NIMS 700

o ICS100

o ICS200 o Emergency Medical Care – Candidates for state certification at the Firefighter I level must hold

a current CPR certification and have received training in first aid. First aid training should include infection control, bleeding control and shock management. This training may be obtained through any organization that trains medical responders for CPR and first aid. A qualified instructor should teach these courses. Copies of the CPR cards (both sides) must be documented in the participants training record.

o Hazardous Materials Operations (HMO) – Candidates must successfully pass a written and manipulative “Spot Check” exam conducted by a Certification Tester. A written exam for Hazardous Materials Awareness (HMA) is a prerequisite for HMO. Refer to the NDFA Hazardous Materials Standard for further information.

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FIREFIGHTER I CERTIFICATION CHECKLIST:

ENTRANCE REQUIREMENTS:

Each candidate has met requirements listed in NFPA 1001, Chapter 4 or those established by the authority

having jurisdiction. Each candidate has met the additional requirements of CPR and Advanced First Aid or BEC, and a copy

of the CPR or BEC card (front and back), is with record.

DEPARTMENT TRAINING RECORDS: Each participant has a training record on file with the department that shows:

o A learning experience in each manipulative skill objective. o Dates of training. o Initials of instructors. o Total number of hours trained in each manipulative skill objective.

DEPARTMENT “IN-HOUSE” MANIPULATIVE SKILLS EXAMINATION: Each candidate has successfully completed an “In-House” comprehensive examination for Firefighter I.

ADDITIONAL TRAINING/PREREQUISITE REQUIREMENTS:

Each participant is certified at the Hazardous Materials Operations level. Complete NIMS-700: National Incident Management System. Complete ICS-100: Introduction to ICS. Complete ICS-200: Basic ICS.

o A copy of your ICS course completion certificates must accompany your request for certification. Complete the General Knowledge Requirements of NFPA 1001, Section 5.1.1 or has taken the Courage

to be Safe class.

CERTIFICATION EXAMINATIONS:

Each participant has passed the NDFA written examination. Each participant has passed the NDFA manipulative skill “Spot Check” examination administered by an

approved Certification Tester.

FIREFIGHTER I – CERTIFICATION:

Fire Chief/Head of Department request certification for participants using the “Request for Certification” form.

o NOTE: The original” Training Record” of the individuals must be sent with this form - if the “Training Record” has not been presented to the NDFA during a “Spot Check Skills” testing event. Please keep a copy of the “Training Record” for your files.

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FIREFIGHTER I

MANIPULATIVE SKILL SHEETS

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Fire Fighter I - Skills Assessment Skill Sheet #1

DON AND DOFF PERSONAL PROTECTIVE CLOTHING

JPR: NFPA 1001-2013, Section 5.1.2.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 6-I-1

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 3 (p. 51) Skill Drill 3-1, 3-2 (p. 52 – 53)

Candidate Equipment Required: Full Personal Protective Clothing and SCBA.

Evaluator Equipment Required: Stopwatch.

Read To Candidate: For this skill event, you will be required to don personal protective clothing within one (1) minute, twenty (20) seconds. The method

and exact sequence of donning the personal protective clothing is not graded. When you have completed all donning procedures, raise

your hands and I will stop your time. Once you have raised your hands indicating you are done, do not touch your gear until I have

checked it. You will start this event wearing your event uniform and shoes. Once you have been checked, you are required to doff the

personal protective clothing, clean and service as needed according to manufacturer’s guidelines, and prepare it for reuse.

The donning portion of this skill is a timed event. To pass this station, you must successfully complete 100% of the critical steps (steps

in BOLD). You must complete the donning portion within the allotted time. The doffing portion is not timed.

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Donned boots, turnout pants, and suspenders. (Check to Ensure: All fasteners are secured)

____ ____ 2. Donned protective hood. (Check to Ensure: Hood is around neck and under coat)

____ ____ 3. Donned turnout coat. (Check to Ensure: All fasteners (including collar) are secured)

____ ____ 4. Donned helmet. (Check to Ensure: Chin strap is secured)

____ ____ 5. Donned gloves.

____ ____ 6. Donned PPE within one (1) minute, (20) seconds.

END TIME HERE

____ ____ 7. Doffs PPE and prepares for reuse. (Not timed.)

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

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Fire Fighter I Skills Assessment

Skill Sheet #2

HOIST TOOLS AND EQUIPMENT

JPR: NFPA 1001-2013, Section 5.3.20.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: Skill Sheets 8-I-2 thru 8-I-18

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 10, Skill Drills 10-5 thru 10-21 (p. 272-274, 276-293)

Candidate Equipment Required: Full Personal Protective Clothing.

Evaluator Equipment Required: Utility rope (½ inch diameter); 100 feet of 1½” hose with nozzle; pick-head or flat-head axe; pike

pole; roof ladder; chain or vent saw.

Read To Candidate: For this skill event, you will be required to prepare tools and equipment to be hoisted to the roof of a building. I will select two tools or

other fire service items for you to hoist. You may use any fire service knot you want to hoist the items as long as your choice is

appropriate for the tool or equipment to be hoisted. If two ropes are used (one to hoist and one for a tag line) for hoisting, you must use

a safety knot on both ropes. You do not need a safety knot if you tie the knot in the middle of the rope (for simultaneous hoisting and a

tag line). After you have prepared and hoisted the two selected items, I will ask you to tie one additional knot not used for hoisting. You

must tie all knots while wearing structural firefighting gloves.

This is not a timed event. However, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD).

P-Pass / F-Fail: 1st Attempt 2nd attempt

Hoist TWO of the following:

____ ____ 1. Hoist an axe. (Check to Ensure: Head is down)

____ ____ 2. Hoist a pike pole. (Check to Ensure: Pike is up)

____ ____ 3. Hoist a roof ladder. (Check to Ensure: Roof hooks are up)

____ ____ 4. Hoist an uncharged line. (Check to Ensure: Line is folded over 2’-5’)

____ ____ 5. Hoist a charged hoseline. (Check to Ensure: Rope is through nozzle bail so that it cannot open accidentally

during hoisting)

____ ____ 6. Hoist a vent saw. (Check to Ensure: Saw is securely held)

Tie ONE of the following knots not previously demonstrated:

____ ____ 7. Connect two ropes of unequal diameter to make a single, longer line. (Check to Ensure: Becket (Sheet) Bend

is used and there is a safety knot on each rope)

____ ____ 8. Bowline. Check to Ensure: there is a safety knot)

____ ____ 9. Clove hitch. Check to Ensure: there is a safety knot)

____ ____ 10. Figure-8-on-a-bight. Check to Ensure: there is a safety knot)

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

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Fire Fighter I Skills Assessment

Skill Sheet #3

INITIATE RESPONSE TO AN EMERGENCY

JPR: NFPA 1001-2013, Section 5.2.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 3-I-1

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 4 (p.93-96, 98-99, 102, 111)

Candidate Equipment Required: Station uniform clothing.

Evaluator Equipment Required: Telephone, notepad, pen or pencil.

Read To Candidate: For this skill event, you will receive a call from a citizen to report an emergency and you MUST relay the information to the

communications center so an emergency response can be initiated. You will be required to record the information, appropriately, operate

the communications equipment, and relay the information in an appropriate manner. I will serve as the citizen and the telecommunicator

for the assessment.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD).

P-Pass / F-Fail: 1st Attempt 2nd attempt

Telephone Report:

____ ____ 1. Answered fire department telephone. (Identified: fire department name and their name)

____ ____ 2. Recorded type of incident being reported.

____ ____ 3. Recorded address of incident.

____ ____ 4. Requested caller’s name and telephone number.

____ ____ 5. Relayed information to communications center (dispatch agency).

____ ____ 6. Provided communications center (dispatch agency) with accurate data.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

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Fire Fighter I Skills Assessment Skill Sheet #4

TRANSMIT AND RECEIVE RADIO MESSAGES

JPR: NFPA 1001-2013, Section 5.2.3.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 3-I-2

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 4 ((p. 103-108) Skill Drill 4-3 (p. 107)

Candidate Equipment Required: Station uniform clothing.

Evaluator Equipment Required: Fire department radio.

Read To Candidate: For this skill event, you will be required to receive and transmit OR transmit and receive a message via fire department radio. You will

be required to discriminate between routine and emergency traffic and act appropriately. I will serve as the receiver/transmitter for the

skill.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Received/transmitted OR transmitted/received message via FD radio. (Followed/Used: IMS

communications model)

____ ____ 2. Held radio/microphone correctly, spoke clearly, calmly and distinctly.

____ ____ 3. Correctly operated equipment (e.g., channel selector, volume knob, squelch, etc.).

____ ____ 4. Discriminated between routine and emergency traffic.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

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Fire Fighter I Skills Assessment Skill Sheet #5

COMMUNICATE THE NEED FOR ASSISTANCE

JPR: NFPA 1001-2013 edition, Section 5.2.4.

Reference: IFSTA, Essentials of Fire Fighting © 6th edition, 2013

Skill SHEET: 9-I-8 (p. 954)

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 4 (p. 109)

Required Candidate Equipment: Full Personal Protective Clothing, SCBA, and Portable Radio

Required Instructor Equipment: Fire Department Incident Scenario

Read To Candidate: For this skill event, you will be required to communicate the need for team or individual assistance (Mayday). You will be required to

use a fire department radio to communicate a Mayday (need for assistance). I will provide the nature of the assistance need and

information regarding your location.

This is not a timed event. To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in italics).

P-Pass / F-Fail 1st Attempt 2nd attempt

____ ____ 1. Recognized the need for team/individual assistance.

____ ____ 2. Operated communications equipment to request assistance.

____ ____ 3. Depressed the transmit button and held it down until transmission was complete.

____ ____ 4. Held microphone 1 to 2 inches from mouth while transmitting message.

____ ____ 5. Announced “Mayday” traffic.

____ ____ 6. Transmitted “Mayday” information.

____ ____ 7. After message transmission is complete, activated PASS.

____ ____ 8. Followed IC’s orders or department guidelines.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

22

Fire Fighter I Skills Assessment Skill Sheet #6

DON, USE, AND DOFF SCBA

JPR: NFPA 1001-2013, Section 5.3.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 6-I-2 thru 6-I-5

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 3 (p. 70) Skill Drill 3-3 thru 3-8

Candidate Equipment Required: Full Personal Protective Clothing and SCBA.

Evaluator Equipment Required: Stopwatch and spare air cylinder.

Read To Candidate: For this skill event, you will be required to demonstrate donning and doffing self-contained breathing apparatus (SCBA) and replacement

of the SCBA air cylinder. You will also be required to perform either Skill Sheet 6A or Skill Sheet 6B as part of Skill Sheet 6

assessment.

DONNING: The SCBA must be donned within one (1) minute, (20) seconds. You must begin donning the SCBA while wearing all

personal protective clothing (not including gloves) and your helmet. The helmet can be removed prior to donning the SCBA back-pack

harness assembly. Time will start when I say GO (I will check for readiness prior to saying go). The method and exact sequence of

donning the SCBA is not a component of the assessment. However, when you have completed donning the SCBA all harness straps

must be connected and secured; the facepiece must be properly positioned and not leaking; and the air cylinder must be fully turned on.

Time will be stopped when you raise your hands. Prior to raising your hands, you must have taken a breath from the SCBA and completed

donning your protective ensemble including hood, helmet, and gloves. When completed, your SCBA and protective clothing must be

appropriate for entry into a hazardous environment. Once you have raised your hands indicating you are done, do not touch your

protective ensemble or SCBA until I have checked it.

DOFFING & AIR CYLINDER REPLACEMENT: After completing the donning portion of this skill event, you will be required to

demonstrate doffing the SCBA, replacing the air cylinder, and preparing the SCBA for reuse.

Only the donning portion of this skill event IS TIMED. The demonstration of SCBA doffing, air cylinder replacement, and preparing

the SCBA for reuse ARE NOT TIMED, but must be done in a reasonable period of time. To pass this station, you must successfully

complete 100% of the critical steps (steps in BOLD) in all skill demonstration areas and a majority of the non-critical steps (steps in

ITALICS), in addition to donning the SCBA within the allotted time.

23

P-Pass / F-Fail: 1st Attempt 2nd attempt

Donning:

____ ____ 1. Cylinder valve fully opened and gauges checked.

____ ____ 2. Safety: prior to placing SCBA on back checked to ensure adequate safety zone

____ ____ 3. Placed SCBA on back; fastened & tightened all straps. (Check to Ensure: All fasteners are fastened and straps

are tight)

____ ____ 4. Donned and checked facepiece for seal.

____ ____ 5. Pulled hood over facepiece straps. (Check to Ensure: No skin is exposed around facepiece)

____ ____ 6. Replaced helmet & fastened chinstrap. (Check to Ensure: Airline must not be caught under chinstrap or a

back-pack harness assembly strap)

____ ____ 7. Regulator correctly mounted to facepiece and locked in.

____ ____ 8. Breathed air from the SCBA.

____ ____ 9. Donned gloves.

____ ____ 10. SCBA donned within one (1) minute (20) seconds.

Doffing and Cylinder Replacement:

____ ____ 10. Removed and maintained control of SCBA.

____ ____ 11. Closed cylinder valve.

____ ____ 12. Bled air from system.

____ ____ 13. Replaced SCBA air cylinder.

____ ____ 14. Checked for damage and need for cleaning (NOTE: this demonstration does not require actual cleaning, only check for need)

____ ____ 15. Returned SCBA to ready state.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

24

Fire Fighter I Skills Assessment Skill Sheet #6A

USE SCBA

JPR: NFPA 1001-2013, Section 5.3.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 9-I-11, 9-I-12

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 3 (p. 62, 72) Skill Drill 18-4, 18-5

Candidate Equipment Required: Full Personal Protective Clothing and SCBA.

Evaluator Equipment Required: Diminishing clearance prop/arrangement.

Read To Candidate: For this skill event, you will be required to demonstrate use of self-contained breathing apparatus (SCBA).

USE: After donning the SCBA, you will be directed to enter a restricted passage where you will maneuver through while using the

SCBA. Prior to entering the area, you must ensure all protective equipment and SCBA are properly donned and operational, including

adequate air supply. You will enter the area as part of a team. While in the restricted passage, you must control your breathing. If you

actually deplete your air supply prior to exiting the restricted passage, you will fail this skill event.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) in all skill demonstration areas.

P-Pass / F-Fail: 1st Attempt 2nd attempt

Use SCBA (after donning):

____ ____ 1. Prepared to enter area requiring SCBA use, including checking air supply and regulator properly

connected. (Check to Ensure: Adequate air supply and regulator properly connected)

____ ____ 2. Controlled breathing by taking normal breaths, while using SCBA in restricted passage.

____ ____ 3. Exited restricted passage prior to depleting air supply.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

25

Fire Fighter I Skills Assessment Skill Sheet #6B

RECOGNITION OF SCBA EMERGENCY

JPR: NFPA 1001-2013, Section 5.3.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013. Skill SHEETS: 9-I-9

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013 Chapter 3 (p. 62, 72)

Candidate Equipment Required: Full Personal Protective Clothing and SCBA.

Evaluator Equipment Required: SCBA search area.

Read To Candidate: For this skill event, you will be required to demonstrate recognition of a self-contained breathing apparatus (SCBA) emergency and

procedures for handling the emergency.

EMERGENCY PROCEDURES: While maneuver through the restricted passage, I will advise you of an emergency involving your

SCBA. Based on the emergency described by me, you must initiate and complete appropriate emergency procedures. To pass this station,

you must successfully complete 100% of the critical steps (steps in BOLD) in all skill demonstration areas and a majority of the non-

critical steps (steps in ITALICS).

P-Pass / F-Fail:

1st Attempt 2nd attempt Recognition of SCBA Emergency: SCBA Regulator Failure:

____ ____ 1. Recognized SCBA emergency due to SCBA regulator failure.

____ ____ 2. Notifies team members of emergency.

____ ____ 3. Checks regulator pressure gauge reading.

____ ____ 4. Checks to ensure that cylinder valve is fully open.

____ ____ 5. Opens purge (bypass) valve slowly, takes a breath, and closes valve.

____ ____ 6. Kept facepiece on at all times.

____ ____ 7. Call Mayday.

____ ____ 8. Activates PASS device.

____ ____ 9. Exits hazardous area immediately with team members.

____ ____ 10. Notifies Command upon exiting the hazardous area.

____ ____ 11. Doffs SCBA and removes from service.

Recognition of SCBA Emergency: SCBA Air Depletion:

____ ____ 12. Recognized SCBA emergency due to air depletion.

____ ____ 13. Notifies team members of emergency.

____ ____ 14. Checks regulator pressure gauge reading.

____ ____ 15 Checks to ensure that cylinder valve is fully open.

____ ____ 16. Calls Mayday.

____ ____ 17. Activates PASS device.

____ ____ 18. Kept facepiece on at all times.

____ ____ 19. Exits hazardous area immediately with team members.

____ ____ 20. Notifies Command upon exiting the hazardous area.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

26

Fire Fighter I Skills Assessment Skill Sheet #7

RESPOND ON APPARATUS

JPR: NFPA 1001-2013, Section 5.3.2.

Reference: IFSTA, Essentials of Fire Fighting © 6th edition, 2013

Skill SHEET: 2-I-1

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 11 (p. 302-303)

Required Candidate Equipment: Full Personal Protective Clothing

Required Instructor Equipment: Apparatus.

Read To Candidate: For this skill event, you will be required to simulate an emergency response as a member of the apparatus’ crew. You are required to

safely mount the apparatus, assume a seated position in the cab, and prepare to depart. When you are completely prepared to depart on

the simulated emergency run, tell me so that I may check you. Once I have completed checking you, I will direct you to dismount the

apparatus as part of the skill assessment. You will dismount as if you had arrived on-scene.

This is not a timed event, however, you should complete this event within a time considered reasonable for fireground operations. To

pass this station, you must successfully complete 100% of the critical steps (steps in BOLD).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Safely mounted the apparatus, using available hand-holds and steps.

____ ____ 2. Assumed seated position and fastened seatbelt.

____ ____ 3. Donned intercom headset or hearing protection. (if provided)

____ ____ 4. Checked for on-coming traffic before dismounting.

____ ____ 5. Safely dismounted the apparatus, using available hand-holds and steps.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

27

Fire Fighter I Skills Assessment Skill Sheet #8

ESTABLISH AND OPERATE IN WORK AREAS AT EMERGENCY SCENES

JPR: NFPA 1001-2013, Section 5.3.3.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEET: 2-I-2

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 11 (p. 303-306)

Required Candidate Equipment: Full Personal Protective Clothing

Required Instructor Equipment: Apparatus, Traffic Cones, & Reflective Traffic Vest

Read To Candidate: For this skill event, you will be required to respond on this apparatus as a member of its crew to the simulated scene of a motor vehicle

accident. Upon arrival, you will dismount the apparatus and set out traffic control devices to establish a safe work area in which to

conduct vehicle extrication operations, and then prepare to participate in those operations. I will act in the role of your company officer.

This is not a timed event. However, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and a half of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Confirmed order to operate in work area.

____ ____ 2. Used personal protective clothing. (Check to Ensure: All personal protective clothing is worn properly)

____ ____ 3. Donned Reflective Traffic Vest.

____ ____ 4. Checked for on-coming traffic and then safely dismounted the apparatus.

____ ____ 5. Deployed traffic/scene control devices appropriately.

____ ____ 6. Operated within the defined work area as ordered.

____ ____ 7. Reported completion of assignment to company officer.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

28

Fire Fighter I Skills Assessment Skill Sheet #9A

FORCE ENTRY INTO STRUCTURE – DOOR

JPR: NFPA 1001-2013, Section 5.3.4.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 11-I-3 thru 11-I-12

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 12, Skill Drills 12-1 thru 12-3 (p. 327-332) 12-7 thru 12-9 (p. 342-343)

Candidate Equipment Required: Full Personal Protective Clothing (Including Safety Glasses or Goggles.)

Evaluator Equipment Required: Door Prop, Rotary Saw, Chain Saw, Axe, Pike Pole, Halligan Bar, Through-the-Lock Tools,

Bolt Cutters.

Read To Candidate: For this skill event, you will be required force entry into a building, through a door. There are two parts to this Skill Event. I will give

you your specific assignment. This skill event assessment will begin after I give you your assignment. For PART I, you must select

appropriate tools for the assignment and transport them safely to the door to be forced. For PART II, you must observe all safety

precautions for forcing entry through a door and demonstrate proper use of the tools when forcing entry through the door. When you

indicate you have finished, the opening must be ready for entry. Do not skip steps or assume anything; verbalize as you perform this

skill assessment.

IF REQUIRED TO SIMULATE FORCIBLE ENTRY, READ THE FOLLOWING: To prevent actual property damage to the building,

you will simulate the skill. Make certain to state verbally out loud each step as you simulate the actions including applicable safety

precautions, indicated proper use of tools and when the opening is in safe condition and ready for entry.

This is not a timed event; however, you should complete this station within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and half of the non-critical steps (steps in ITALICS) in both Part I

and Part II.

P-Pass / F-Fail:

1st Attempt 2nd attempt Skill Demonstration: Part I Select and Transport Tools

____ ____ 1. Confirmed order to force entry through door.

____ ____ 2. Properly wore personal protective ensemble, including eye protection.

____ ____ 3. Selected appropriate tool(s) to force door.

____ ____ 4. Properly transported tool(s) to door to be forced.

Skill Demonstration: Part II Force Entry: Door

____ ____ 5. Checked if door was unlocked.

____ ____ 6. Correctly used tool(s) to force door.

____ ____ 7. Secured door in open position.

____ ____ 8. Observed all applicable safety precautions.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

29

Fire Fighter I Skills Assessment Skill Sheet #9B

FORCE ENTRY INTO STRUCTURE – WINDOW

JPR: NFPA 1001-2013, Section 5.3.4.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 11-I-13 thru 11-I-15

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 12, Skill Drills 12-4 thru 12-6 (p. 334-338)

Candidate Equipment Required: Full Personal Protective Clothing (Including Safety Glasses or Goggles.)

Evaluator Equipment Required: Window Prop, Rotary Saw, Chain Saw, Axe, Pike Pole, Halligan Bar.

Read To Candidate: For this skill event, you will be required force entry into a building, through a window. There are two parts to this Skill Event. I will

give you your specific assignment. This skill event assessment will begin after I give you your assignment. For PART I, you must select

appropriate tools for the assignment and transport them safely to the window to be forced. For PART II, you must observe all safety

precautions for forcing entry through a window and demonstrate proper use of the tools when forcing entry through the window. When

you indicate you have finished, the opening must be ready for entry. Do not skip steps or assume anything; verbalize as you perform

this skill assessment.

IF REQUIRED TO SIMULATE FORCIBLE ENTRY, READ THE FOLLOWING: To prevent actual property damage to the building,

you will simulate the skill. Make certain to state verbally out loud each step as you simulate the actions including applicable safety

precautions, indicated proper use of tools and when the opening is in safe condition and ready for entry.

This is not a timed event; however, you should complete this station within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and half of the non-critical steps (steps in ITALICS) in both Part I

and Part II.

P-Pass / F-Fail: 1st Attempt 2nd attempt

Skill Demonstration: Part I Select and Transport Tools

____ ____ 1. Confirmed order to force entry through window.

____ ____ 2. Properly wore personal protective ensemble, including eye protection.

____ ____ 3. Selected appropriate tool(s) to force window.

____ ____ 4. Properly transported tool(s) to door to be forced.

Skill Demonstration: Part II Force Entry: Window

____ ____ 5. Checked if window was unlocked.

____ ____ 6. Correctly used tool(s) to force window lock or remove glass.

____ ____ 7. If opened, secured window pane in open position.

____ ____ 8. Observed all applicable safety precautions.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

30

Fire Fighter I Skills Assessment Skill Sheet #9C

FORCE ENTRY INTO STRUCTURE – WALL

JPR: NFPA 1001-2013, Section 5.3.4.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 11-I-16 thru 11-I-20

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 12, Skill Drills 12-10 thru 12-12 (p. 345-347)

Candidate Equipment Required: Full Personal Protective Clothing (Including Safety Glasses or Goggles.)

Evaluator Equipment Required: Door Prop, Rotary Saw, Chain Saw, Axe, Pike Pole, Halligan Bar, Sledge Hammer, TNT Tool.

Read To Candidate: For this skill event, you will be required force entry into a building, through a wall. There are two parts to this Skill Event. I will give

you your specific assignment. This skill event assessment will begin after I give you your assignment. For PART I, you must select

appropriate tools for the assignment and transport them safely to the wall to be forced. For PART II, you must observe all safety

precautions for forcing entry through a wall and demonstrate proper use of the tools when forcing entry through the wall. When you

indicate you are finished, the opening must be ready for entry. Do not skip steps or assume anything; verbalize as you perform this skill

assessment.

IF REQUIRED TO SIMULATE FORCIBLE ENTRY, READ THE FOLLOWING: To prevent actual property damage to the building,

you will simulate the skill. Make certain to state verbally out loud each step as you simulate the actions including applicable safety

precautions, indicated proper use of tools and when the opening is in safe condition and ready for entry.

This is not a timed event; however, you should complete this station within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and half of the non-critical steps (steps in ITALICS) in both Part I

and Part II.

P-Pass / F-Fail: 1st Attempt 2nd attempt

Skill Demonstration: Part I Select and Transport Tools

____ ____ 1. Confirmed order to force entry through wall.

____ ____ 2. Properly wore personal protective ensemble, including eye protection.

____ ____ 3. Selected appropriate tool(s) to force wall.

____ ____ 4. Properly transported tool(s) to wall to be forced.

Skill Demonstration: Part II Force Entry: Wall

____ ____ 5. Identified wall support members and successfully breached wall.

____ ____ 6. Correctly used tool(s) to breach wall without compromising structural integrity.

____ ____ 7. Observed all applicable safety precautions.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

31

Fire Fighter I Skills Assessment Skill Sheet #10

EXIT A HAZARDOUS AREA

JPR: NFPA 1001-2013, Section 5.3.5.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 9-I-10.

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 18 (p. 588-589, 596-600)

Candidate Equipment Required: Full Personal Protective Clothing and SCBA.

Evaluator Equipment Required: Vision obscured conditions, charged hoseline, and portable radio.

Read To Candidate: For this skill event, you will be required to operate in hazardous area where vision-obscured conditions exist. Prior to entering the vision-

obscured conditions, you must verbalize your evaluation of the hazards and identify any potential safe havens. After you enter the vision-

obscured conditions, you must locate and follow a guideline (rope or hoseline) or wall. If a hoseline is located, the team must determine

the direction to the exit. You must conserve your air supply. If you deplete your air supply prior to exiting the hazardous area, you will

fail this skill event. If you become separated both physically and verbally from your partner (your fault/your partners fault) in the

hazardous area, you will fail this event. If the team becomes lost in the vision-obscured conditions, you will fail this skill event. I will

assume you are lost if you are following the hoseline in the wrong direction for more than 50’.

This event is not timed, but it must be completed on a single tank of air. To pass this station, you must successfully complete 100% of

the critical steps (steps in BOLD) and at least half of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Confirmed order to operate in hazardous area where vision-obscured conditions exist.

____ ____ 2. Evaluated area for hazards and identified a safe haven.

____ ____ 3. Entered and operated as part of a team in the vision-obscured area.

____ ____ 4. Team integrity was maintained throughout the operation.

____ ____ 5. Team located and followed a guideline or wall to the exit. (Team DID NOT get lost)

____ ____ 6. Conserved air supply. (Candidate DID NOT deplete air supply prior to exiting hazardous area)

____ ____ 7. Notified Command upon exiting the hazardous area.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

32

Fire Fighter I Skills Assessment Skill Sheet #11

SET UP GROUND LADDERS

JPR: NFPA 1001-2013, Section 5.3.6.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013. Skill SHEETS: 12-I-2 thru 12-19

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013 Chapter 13, Skill Drills 13-2 thru 13-20 (p. 371-395)

Candidate Equipment Required: Full Personal Protective Clothing

Evaluator Equipment Required: Roof ladder; 24’ extension ladder; 35 foot extension ladder.

Read To Candidate: For this skill event, you will operate individually OR as a member of a team, demonstrating the ability to carry; place, and raise ladder(s);

judge correct angle for climbing; and judge extension ladder height requirements. You will be required to assess overhead hazards,

strength of structural support components, and any other existing hazards. You must verbalize conscious decisions, such as assessment

of hazards, you are making so I know your actions are not coincidental. The skill event assessment will begin after I give you the

assignment.

You will carry the ladder from the start point to a location appropriate to perform the operation required. You are required to observe

all safety precautions when moving the ladder. You must use a fire service accepted ladder carry technique. You must use a fire service

accepted method of raising the ladder to a position appropriate for the given assignment. You must use proper climbing technique and

be properly secured to the ladder when required. You MUST advise me when the ladder is in position. After I assess placement, I will

direct you to perform the operation for which the ladder was placed. After you perform the operation, return the ladder to its original

start point. This skill event will be concluded when the ladder has been returned to its original start point.

For this skill, you will only be assessed on carrying, raising, placement, and returning the ladder to the start location. This is not a timed

event; however, you should complete this event within a reasonable fireground time. To pass this station, you must successfully complete

100% of the critical steps (steps in BOLD) and half of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail:

1st Attempt 2nd attempt Carry, Raise, and Placement ____ ____ 1. Confirmed order to ladder structure.

____ ____ 2. Select appropriate length ladder for assignment.

____ ____ 3. Carried the ladder correctly.

____ ____ 4. Checked for hazards & overhead wires.

____ ____ 5. Confirmed that wall/roof will support the ladder.

____ ____ 6. Raised ladder to vertical position safely.

____ ____ 7. (Extension ladder only) Extended ladder to proper height for assigned scenario.

____ ____ 8. (Extension ladder only) Confirmed all ladder fly locks were locked & tied off halyard.

____ ____ 9. (Roof ladder only) Roof hook deployed properly.

____ ____ 10. (Roof ladder only) Roof placed properly for roof operation.

____ ____ 11. Ladder set up safely to avoid obvious hazards, stable, at correct climbing angle, tip location

appropriate for assigned operation.

____ ____ 12. Used proper climbing technique and secured self to ladder properly.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

33

Fire Fighter I Skills Assessment Skill Sheet #12

SEARCH AND RESCUE – FIREFIGHTER WITH FUNCTIONING SCBA

JPR: NFPA 1001-2013, Section 5.3.9.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 9-I-1, 9-I-2

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 14 (p. 404-407, 413-414), Skill Drills 14-3 thru 14-19

Candidate Equipment Required: Full Personal Protective Clothing, SCBA, PASS Alarm

Evaluator Equipment Required: Firefighter with functioning SCBA; Search Line or Hose; Vision Obscured Area.

Read To Candidate: For this skill event, you will be required to demonstrate skills for conducting a search and rescue, within a structure, in a vision obscured

environment. In this scenario, the victim is a firefighter. You will need to determine if the victims SCBA is functioning or not functioning

and take action to rescue the victim accordingly.

You will operate as a member of a team and conduct a primary search. You will select the search pattern. You must maintain your

chosen search pattern throughout the search. You must search until the victim is located or you have completed your search. If you

locate a victim, you are required to remove the victim from the hazardous environment. You may use any method to remove the victim

as long as it does not harm the victim and you are successful in removing the victim. You must maintain communication with your

partner throughout the search.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and half of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Assessed area to determine tenability for both rescuer and victim.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Crawled low during search and rescue.

____ ____ 4. Maintained selected search pattern completely searching area.

____ ____ 5. Communicated with partner & maintained contact (verbal and/or physical contact).

____ ____ 6. Notified Command upon locating victim.

____ ____ 7. Rescued a firefighter with functioning respiratory protection.

____ ____ 8. Operated as a member of a team.

____ ____ 9. Notified Command upon completing assignment.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

34

Fire Fighter I Skills Assessment Skill Sheet #13

SEARCH AND RESCUE – FIREFIGHTER WITH NONFUNCTIONING SCBA

JPR: NFPA 1001-2013, Section 5.3.9.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 9-I-1, 9-I-2

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 14 (p. 404-407, 413-414), Skill Drills 14-3 thru 14-19

Candidate Equipment Required: Full Personal Protective Clothing, SCBA, PASS Alarm

Evaluator Equipment Required: Firefighter with nonfunctioning SCBA; Search Line or Hose; Vision Obscured Area; RIT Pack.

Read To Candidate: For this skill event, you will be required to demonstrate skills for conducting a search and rescue, within a structure, in a vision obscured

environment. In this scenario, the victim is a firefighter. You will need to determine if the victims SCBA is functioning or not functioning

and take action to rescue the victim accordingly.

You will operate as a member of a team and conduct a primary search. You will select the search pattern. You must maintain your

chosen search pattern throughout the search. You must search until the victim is located or you have completed your search. If you

locate a victim, you are required to remove the victim from the hazardous environment. You may use any method to remove the victim

as long as it does not harm the victim and you are successful in removing the victim. You must maintain communication with your

partner throughout the search.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Assessed area to determine tenability for both rescuer and victim.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Crawled low during search and rescue.

____ ____ 4. Maintained selected search pattern completely searching area.

____ ____ 5. Communicated with partner & maintained contact (verbal and/or physical contact).

____ ____ 6. Notified Command upon locating victim.

____ ____ 7. Connected RIT air pack to victim’s SCBA or placed RIT facepiece on victim.

____ ____ 8. Rescued a firefighter whose respiratory protection is not functioning.

____ ____ 9. Operated as a member of a team.

____ ____ 10. Notified Command upon completing assignment.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

35

Fire Fighter I Skills Assessment Skill Sheet #14

SEARCH AND RESCUE – PERSON WITHOUT RESPIRATORY PROTECTION

JPR: NFPA 1001-2013, Section 5.3.9.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 9-I-1, 9-I-2

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 14 (p. 404-407, 413-414), Skill Drills 14-3 thru 14-19

Candidate Equipment Required: Full Personal Protective Clothing, SCBA, PASS Alarm

Evaluator Equipment Required: Firefighter with functioning SCBA; Search Line or Hose; Vision Obscured Area.

Read To Candidate: For this skill event, you will be required to demonstrate skills for conducting a search and rescue, within a structure, in a vision obscured

environment. In this scenario, the victim is an occupant. Once you locate the victim, take appropriate action to rescue the victim.

You will operate as a member of a team and conduct a primary search. You will select the search pattern. You must maintain your

chosen search pattern throughout the search. You must search until the victim is located or you have completed your search. If you

locate a victim, you are required to remove the victim from the hazardous environment. You may use any method to remove the victim

as long as it does not harm the victim and you are successful in removing the victim. You must maintain communication with your

partner throughout the search.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and half of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Assessed area to determine tenability for both rescuer and victim.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Crawled low during search and rescue.

____ ____ 4. Maintained selected search pattern completely searching area.

____ ____ 5. Communicated with partner & maintained contact (verbal and/or physical contact).

____ ____ 6. Notified Command upon locating victim.

____ ____ 7. Rescued a person who has no respiratory protection.

____ ____ 8. Operated as a member of a team.

____ ____ 9. Notified Command upon completing assignment.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

36

Fire Fighter I Skills Assessment

Skill Sheet #15

OVERHAUL A FIRE SCENE

JPR: NFPA 1001-2013, Section 5.3.13.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 18-I-12

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapters 17, 19, 38 (p. 552-553, 636-638, 683-684, 1077-1078, 1080-1083)

Candidate Equipment Required: Full Personal Protective Clothing and SCBA.

Evaluator Equipment Required: Pumper; Water Source; Hose & Nozzle; Axe; Pike Pole.

Read To Candidate: For this skill event, you will be required to demonstrate the overhaul of a fire scene so that all hidden fires are exposed and extinguished.

Full personal protective clothing including SCBA, must be worn during this evaluation. You are responsible for recognizing and

preserving obvious signs of area of origin and/or arson. Void spaces should be exposed while maintaining structural integrity. Water

must be applied for maximum effectiveness and the entire fire scene should be evaluated for complete extinguishment.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps

(steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Confirmed order to perform overhaul.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Selected appropriate power and/or hand tools for overhaul tasks.

____ ____ 4. Advanced attack line to overhaul area.

____ ____ 5. Removed flooring, ceiling, and wall components to expose void spaces without compromising structural

integrity. ____ ____ 6. Stood between overhaul work area and safe means of exit.

____ ____ 7. Exposed and extinguished hidden fires in walls, ceilings, & sub-floors spaces.

____ ____ 8. Applied water for maximum effectiveness.

____ ____ 9. Recognized and preserved obvious signs of area of origin and arson.

____ ____ 10. Evaluated fire scene for complete extinguishment.

____ ____ 11. Notified Command upon completing assigned overhaul.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

37

Firefighter I Skills Assessment

Skill Sheet #16

CONSERVE PROPERTY – SALVAGE COVER

JPR: NFPA 1001-2013, Section 5.3.14.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 17-I-4 thru 17-I 6, 18-I-2 thru 18-I-7

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 19, Skill Drill 19-11 thru 19-14 (p. 628-632)

Required Candidate Equipment: Full Personal Protective Clothing and Eye Protection.

Required Instructor Equipment: Furniture, Salvage Cover, Mop, Squeegee, Sprinkler Valves, Open Sprinkler Head Connected

to Water Supply, and Sprinkler Wedges & Tongs.

Read To Candidate: For this skill event, you will perform property conservation operations as assigned. There are two parts in this skill assessment. In both

parts, you must wear full personal protective clothing. SCBA is not required, but eye protection is required.

In Part I, I will direct you to deploy a salvage cover by yourself or as a member of a two person team and remove any “standing” water

in the area while protecting the area I identify as the point of origin. After completing the property conservation actions, you are required

to prepare the salvage cover for reuse.

In Part II, you are required to stop the flow from a sprinkler head and operate the main control valve (either the PIV or the OS&Y) to

stop the flow in the sprinkler system.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps

(steps in ITALICS) in both Part I and Part II.

P-Pass / F-Fail: 1st Attempt 2nd attempt

Skill Demonstration: Part I Protect Property – Deploy Salvage Cover

____ ____ 1. Confirmed order with officer to perform property conservation.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Arranged furnishings in a clustered fashion.

____ ____ 4. Deployed salvage cover.

____ ____ 5. Used appropriate methods to remove water.

____ ____ 6. Separated, removed, and relocated charred material to a safe location while protecting the area of origin

for cause determination. ____ ____ 7. Closed up building openings to protect it from further damage.

____ ____ 8. Operated as a member of a team.

____ ____ 9. Notified Command upon completing property conservation assignment.

____ ____ 10. Prepared salvage covers for reuse (used roll OR fold).

38

Skill Demonstration: Part II Sprinkler System

____ ____ 11. Confirmed order with officer to stop flow from sprinkler system.

____ ____ 12. Used main control valve for sprinkler system to stop flow.

____ ____ 13. Used wedges to stop flow from sprinkler head.

____ ____ 14. Notified Command upon stopping flow from sprinkler system.

____ ____ 15. Remained at sprinkler valve until ordered to leave.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

39

Firefighter I Skills Assessment Skill Sheet #17

CONSERVE PROPERTY – WATER CHUTE

JPR: NFPA 1001-2013, Section 5.3.14.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 17-I-4 thru 17-I 6, 18-I-8 thru 18-I-9

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 19, Skill Drill 19-11 thru 19-14 (p. 628-632)

Required Candidate Equipment: Full Personal Protective Clothing and Eye Protection.

Required Instructor Equipment: Furniture, Salvage Cover, 2 Pike Poles (8’ to 12’ long), Single Ladder, Mop, Squeegee,

Sprinkler Valves, Open Sprinkler Head Connected to Water Supply, and Sprinkler Wedges &

Tongs.

Read To Candidate: For this skill event, you will perform property conservation operations as assigned. There are two parts in this skill assessment. In both

parts, you must wear full personal protective clothing. SCBA is not required, but eye protection is required.

In Part I, I will direct you to construct a water chute as a member of a two person team and remove any “standing” water in the area

while protecting the area I identify as the point of origin. After completing the property conservation actions, you are required to prepare

the salvage cover for reuse.

In Part II, you are required to stop the flow from a sprinkler head and operate the main control valve (either the PIV or the OS&Y) to

stop the flow in the sprinkler system.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps

(steps in ITALICS) in both Part I and Part II.

P-Pass / F-Fail: 1st Attempt 2nd attempt

Skill Demonstration: Part I Protect Property – Construct Water Chute

____ ____ 1. Confirmed order with officer to perform property conservation.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Arranged furnishings in a clustered fashion.

____ ____ 4. Constructed a water chute.

____ ____ 5. Used appropriate methods to remove water.

____ ____ 6. Separated, removed, and relocated charred material to a safe location while protecting the area of origin

for cause determination. ____ ____ 7. Closed up building openings to protect it from further damage.

____ ____ 8. Operated as a member of a team.

____ ____ 9. Notified Command upon completing property conservation assignment.

____ ____ 10. Prepared salvage covers for reuse (used roll OR fold).

40

Skill Demonstration: Part II Sprinkler System

____ ____ 11. Confirmed order with officer to stop flow from sprinkler system.

____ ____ 12. Used main control valve for sprinkler system to stop flow.

____ ____ 13. Used wedges to stop flow from sprinkler head.

____ ____ 14. Notified Command upon stopping flow from sprinkler system.

____ ____ 15. Remained at sprinkler valve until ordered to leave.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

41

Firefighter I Skills Assessment Skill Sheet #18

CONSERVE PROPERTY – CATCHALL

JPR: NFPA 1001-2013, Section 5.3.14.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 17-I-4 thru 17-I 6, 18-I-10 thru 18-I-11

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 19, Skill Drill 19-11 thru 19-14 (p. 628-632)

Required Candidate Equipment: Full Personal Protective Clothing and Eye Protection.

Required Instructor Equipment: Furniture, Salvage Cover, Mop, Squeegee, Sprinkler Valves, Open Sprinkler Head Connected

to Water Supply, and Sprinkler Wedges & Tongs.

Read To Candidate: For this skill event, you will perform property conservation operations as assigned. There are two parts in this skill assessment. In both

parts, you must wear full personal protective clothing. SCBA is not required, but eye protection is required.

In Part I, I will direct you to construct a catchall as a member of a two person team and remove any “standing” water in the area while

protecting the area I identify as the point of origin. After completing the property conservation actions, you are required to prepare the

salvage cover for reuse.

In Part II, you are required to stop the flow from a sprinkler head and operate the main control valve (either the PIV or the OS&Y) to

stop the flow in the sprinkler system.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps

(steps in ITALICS) in both Part I and Part II.

P-Pass / F-Fail: 1st Attempt 2nd attempt

Skill Demonstration: Part I Protect Property – Construct Catchall

____ ____ 1. Confirmed order with officer to perform property conservation.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Arranged furnishings in a clustered fashion.

____ ____ 4. Constructed a catchall.

____ ____ 5. Used appropriate methods to remove water.

____ ____ 6. Separated, removed, and relocated charred material to a safe location while protecting the area of origin

for cause determination. ____ ____ 7. Closed up building openings to protect it from further damage.

____ ____ 8. Operated as a member of a team.

____ ____ 9. Notified Command upon completing property conservation assignment.

____ ____ 10. Prepared salvage covers for reuse (used roll OR fold).

42

Skill Demonstration: Part II Sprinkler System

____ ____ 11. Confirmed order with officer to stop flow from sprinkler system.

____ ____ 12. Used main control valve for sprinkler system to stop flow.

____ ____ 13. Used wedges to stop flow from sprinkler head.

____ ____ 14. Notified Command upon stopping flow from sprinkler system.

____ ____ 15. Remained at sprinkler valve until ordered to leave.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

43

Fire Fighter I Skills Assessment

Skill Sheet #19

CONNECT A FIRE DEPARTMENT PUMPER TO A HYDRANT

JPR: NFPA 1001-2013, Section 5.3.15.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 14-I-1, 14-I-2, 15-I-12

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 16 (p. 505-506, 508-512, 523-537)

Candidate Equipment Required: Full Personal Protective Clothing.

Evaluator Equipment Required: Pumper, Fire Hydrant, Hydrant Wrench, 2-1/2” (or Larger) Supply Hose, Various Adapters

(Double Male, Double Female, Reducers, etc.).

Read To Candidate: For this skill event, you will operate as a member of a team to connect a pumper to a residual water supply (hydrant). You are required

to advance (at least 200 feet) the supply hose I identify from the pumper to the hydrant. You must “charge” the supply hose when I

direct you to do so. The team is required to connect the supply hose to the pump. The assessment will be considered complete when the

team advises me the assignment is complete. After completing the assignment, I will direct you to return the hydrant to a ready state.

You will not be assessed on returning the supply hose to a ready state.

Prior to beginning the assessment, I will give you an opportunity to check to ensure everything is in a ready state.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

Hand Lay Supply Hose from Hydrant:

____ ____ 1. Confirmed order to make hydrant connection using a reverse lay.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Hand laid supply hose from pumper to hydrant.

____ ____ 4. Connected supply hose to hydrant.

____ ____ 5. Connected supply hose to pumper intake.

____ ____ 6. Supply hose laid and connection to hydrant completed within a “reasonable” time frame.

____ ____ 7. Operated as a member of a team.

____ ____ 8. Returned hydrant to ready state.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

44

Fire Fighter I Skills Assessment

Skill Sheet #20

CONNECT A FIRE DEPARTMENT PUMPER TO A STATIC WATER SUPPLY

JPR: NFPA 1001-2013, Section 5.3.15.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 14-I-3, 14-I-4

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 16 (p. 505-506, 508-512, 523-537)

Candidate Equipment Required: Full Personal Protective Clothing.

Evaluator Equipment Required: Pumper, Portable Water Tanks, Hard Suction Supply Hose, Intake Devices, 1-1/2” or 1-3/4”

Hose.

Read To Candidate: For this skill event, you will operate as a member of a team to establish a water supply from a static water supply (portable water tanks).

The team is required to deploy portable water tanks, hose for drafting, hose for transferring water from a portable water tank to the

portable water tank to be used for the drafting operation, and appropriate devices required for the transfer and drafting operation. The

team is not required to fill the portable water tanks or operate the pump. The assessment will be considered to be complete when the

team advises me the assignment has been completed. You will not be assessed on returning the equipment to a ready state.

Prior to beginning the assessment, I will give you an opportunity to check to ensure everything is in a ready state.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

Set-up for Static Water Source:

____ ____ 1. Confirmed order to set-up for static water source using a portable tank.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Properly deployed portable water tank.

____ ____ 4. Properly deployed equipment necessary to transfer water between portable water tanks (when portable

water tanks are used as the static water source).

____ ____ 5. Connected strainer to hard suction.

____ ____ 6. Connected hard suction hose to pumper.

____ ____ 7. Properly positioned hard hose in static water source for drafting operation.

____ ____ 8. Set-up for static water source completed within a “reasonable” time frame.

____ ____ 9. Operated as a member of a team.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

45

Fire Fighter I Skills Assessment Skill Sheet #21

EXTINGUISH INCIPIENT CLASS A; CLASS B; AND CLASS C FIRES

WITH PORTABLE FIRE EXTINGUISHERS

JPR: NFPA 1001-2013, Section 5.3.16.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 7-I-1, 7-I-2, 7-I-3

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 8, Skill Drills 8-1 thru 8-9 (p. 216, 218-226)

Candidate Equipment Required: Full Personal Protective Clothing and SCBA.

Evaluator Equipment Required: Class A/B/C Fire Extinguishers; Class A Combustibles & Burn Pan; Propane Simulator (for

Class B & C Fires).

Read To Candidate: For this skill event, you will be required to completely extinguish an incipient Class “A”, Class “B”, or Class “C” fire. You will be

required to select the correct portable extinguisher for the type and size of fire. Once you have selected the correct extinguisher, you are

required to carry the extinguisher safely to a position where you can safely attack the fire. Once you have carried the extinguisher to the

position where you intend to attack the fire from, you must safely approach the fire, operate the extinguisher, and extinguish the fire.

After the fire is extinguished, you must retreat to a safe position.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Confirmed order to extinguish incipient fire with fire extinguisher.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Selected appropriate extinguisher based on size and type of fire.

____ ____ 4. Checked to ensure the extinguisher is charged and ready for use.

____ ____ 5. Carried extinguisher properly.

____ ____ 6. Approached the fire properly.

____ ____ 7. Properly operated portable extinguisher (PASS method).

____ ____ 8. Completely extinguished fire.

____ ____ 9. Backed away from fire with extinguisher ready to operate.

____ ____ 10. Notified Command incipient fire extinguished.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

46

Fire Fighter I Skills Assessment Skill Sheet # 22

ESTABLISH SCENE LIGHTING

JPR: NFPA 1001-2013, Section 5.3.17

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Chapter 10

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 19 Skill Drill 19-1 (p. 614-615)

Candidate Equipment Required: Full Personal Protective Clothing (SCBA if conditions require).

Evaluator Equipment Required: Department Lighting and power equipment

Read To Candidate: For this skill event, you will be required to establish scene lighting while operating as a member of a team. You will operate department

power supply and lighting equipment, deploy cords and connectors, reset ground-fault interrupter (GFI) devices, and locate lights for

best effect. You are required to wear appropriate personal protective equipment. If it is necessary to enter a hazardous atmosphere to

accomplish your assignment, you are required to use SCBA. If you will be performing tasks around the exterior and are not wearing the

SCBA face mask, you are required wear eye protection.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To pass this station, you must

successfully complete 100% of the critical steps (steps in BOLD) and half of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt ____ ____ 1. Confirmed order to establish scene lighting.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Carried lighting equipment properly.

____ ____ 4. Deployed cords and connectors properly as needed.

____ ____ 5. Operated department power supply (generator or invertor).

____ ____ 6. Properly reset Ground Fault Interrupter (GFI) as needed.

____ ____ 7. Ensured scene is adequately and safely illuminated.

____ ____ 8. Operated as a member of a team.

____ ____ 9. Notified Command upon completing horizontal ventilation.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

47

Fire Fighter I Skills Assessment

Skill Sheet #23

TURN OFF BUILDING UTILITIES

JPR: NFPA 1001-2013, Section 5.3.18.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 17-I-3

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapters 11, 22, Skill Drills 22-13, 22-14 (p. 305, 306, 701)

Candidate Equipment Required: Full Personal Protective Clothing with SCBA.

Evaluator Equipment Required: Gas Meter Prop, Electric Panel Prop.

Read To Candidate: For this skill event, you will be required to turn off building utilities, including electric and gas utilities for the building. You must use

appropriate tools and safety precautions when performing each task. You must tell me of any (simulated) hazards associated with each

utility that could pose a safety hazard. NOTE: if you control a utility in an “unsafe” manner, it will constitute a failure of this skill

event.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps

(steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Confirmed order to control utilities.

____ ____ 2. Properly donned personal protective clothing. (SCBA must be worn when controlling gas).

____ ____ 3. Identified electrical utility control device.

____ ____ 4. Assessed for potential hazards prior to controlling electricity.

____ ____ 5. Operated electrical utility control device. (“Pulling” the electric meter constitutes failure!)

____ ____ 6. Identified gas utility control device.

____ ____ 7. Assessed for potential hazards prior to controlling gas.

____ ____ 8. Operated gas utility control device.

____ ____ 9. Notified Command after utilities are controlled.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

48

Fire Fighter I Skills Assessment Skill Sheet #24

CLEAN AND CHECK LADDERS

JPR: NFPA 1001-2013, Section 5.5.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 12-I-1

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 13 (p. 362-366) Skill Drill 13-1

Candidate Equipment Required: Station Uniform Clothing, Gloves.

Evaluator Equipment Required: Cleaning Supplies and Ladders.

Read To Candidate: For this skill event, you will be required to clean, check, and maintain ladders. You will be provided with all the necessary cleaning

supplies to accomplish your task. You must verbalize to me all the components you are checking.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority of the non-critical steps

(steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Selected correct tools and equipment for cleaning, checking, and maintaining ladders.

____ ____ 2. Checked all components for missing parts or damage.

____ ____ 3. Checked halyard & pulleys. (if applicable)

____ ____ 4. Checked for loose rungs.

____ ____ 5. Cleaned ladders with soapy water & scrub brush.

____ ____ 6. Checked need for lubrication of movable parts. (if applicable)

____ ____ 7. All cleaning and checking done according to manufacturer’s guidelines.

____ ____ 8. Completed records and reporting procedures as required.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

49

Fire Fighter I Skills Assessment Skill Sheet #25

CLEAN AND CHECK VENTILATION EQUIPMENT

JPR: NFPA 1001-2013, Section 5.5.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 11-I-2

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 9 (p. 252-253)

Candidate Equipment Required: Station Uniform Clothing, Gloves and Eye Protection.

Evaluator Equipment Required: Cleaning Supplies, Axe, Pike Pole, Ventilation Saw, and Positive

Pressure Fan.

Read To Candidate: For this skill event, you will be required to clean, check, and maintain ventilation equipment. You will be

provided with all the necessary cleaning supplies to accomplish your task. You must verbalize to me all the

components you are checking.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Selected correct tools/equipment for cleaning, checking, and maintaining

ventilation equipment.

____ ____ 2. Examined ventilation equipment for damage and missing components.

____ ____ 3. Checked oil and gasoline supply for power tools and equipment.

____ ____ 4. Checked cord and switch on electrical power tools and equipment.

____ ____ 5. Checked chain on ventilation saw.

____ ____ 6. All cleaning and checking done according to manufacturer’s guidelines.

____ ____ 7. Completed records and reporting procedures as required.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

50

Fire Fighter I Skills Assessment Skill Sheet #26

CLEAN AND CHECK SCBA

JPR: NFPA 1001-2013, Section 5.5.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 6-I-6, 6-I-7

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 3 (p. 73-75, 79-82) Skill Drill 3-10 thru 3-13, 3-15

Candidate Equipment Required: Station Uniform and Gloves.

Evaluator Equipment Required: Cleaning Supplies and SCBA.

Read To Candidate: For this skill event, you will be required to check and clean SCBA. There are two parts to this skill event. Part

I requires you to perform an inspection and Part II requires you demonstrate cleaning. You will be provided

with all the necessary equipment and supplies necessary to accomplish your task. You must verbalize to me

all the components that you are checking.

This is not a timed event; however, you should complete this event within a reasonable time. To pass this

station, you must successfully complete 100% of the critical steps (steps in BOLD) and half of the non-critical

steps (steps in ITALICS) for both Part A (inspection) and Part B (cleaning).

P-Pass / F-Fail: 1st Attempt 2nd attempt

Skill Demonstration: Part I Inspection

____ ____ 1. Identified all components of SCBA are present.

____ ____ 2. Inspected all SCBA components for cleanliness and damage.

____ ____ 3. Verified cylinder has current hydrostatic test date.

____ ____ 4. Verified cylinder is at least 90% OR GREATER filled.

____ ____ 5. Opened cylinder slowly while listening for audible air leaks. If leaking, resolved

leak(s) or removed from service.

____ ____ 6. Checked gauges and/or indicators.

____ ____ 7. Checked all PASS functions.

____ ____ 8. Donned facepiece and checked for leaks.

____ ____ 9. Checked regulator by taking several normal breaths.

____ ____ 10. Operated bypass/purge valve.

____ ____ 11. Turned cylinder off, bled pressure from system, and listened for low-air alarm.

____ ____ 12. Inspection was done according to manufacturer’s guidelines.

____ ____ 13. Returned all components & straps to a state of readiness.

51

Skill Demonstration: Part II Cleaning

____ ____ 14. Selected correct supplies for cleaning SCBA.

____ ____ 15. Cleaned SCBA with soapy water & scrub brush.

____ ____ 16. After cleaning, inspected all components for damage.

____ ____ 17. Returned all components & straps to a state of readiness.

____ ____ 18. All cleaning done according to manufacturer’s guidelines.

____ ____ 19. Completed records and reporting procedures as required by department.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

52

Fire Fighter I Skills Assessment

Skill Sheet #27

CLEAN AND INSPECT ROPES

JPR: NFPA 1001-2013, Section 5.5.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 8-I-1

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 10 (p. 268-270) Skill Drill 10-2 thru 10-4

Candidate Equipment Required: Station Uniform Clothing.

Evaluator Equipment Required: Life Safety Rope, Cleaning Supplies.

Read To Candidate: For this skill event, you will be required to clean and inspect a life safety rope. You will be provided with all

the necessary cleaning supplies to accomplish your task. You must verbalize to me all the components you are

checking.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To

pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Examined rope surface for cuts, stains, and fraying.

____ ____ 2. Examined inner components by feeling for thinness or bunching.

____ ____ 3. Cleaned rope with clear water using rope washer, front loading washer, or by hand.

____ ____ 4. Allowed rope to air dry completely.

____ ____ 5. Returned rope to storage.

____ ____ 6. All cleaning and checking done according to manufacturer’s guidelines.

____ ____ 7. Completed records and reporting procedures as required.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

53

Fire Fighter I Skills Assessment

Skill Sheet #28

CLEAN AND CHECK SALVAGE EQUIPMENT

JPR: NFPA 1001-2013, Section 5.5.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 18-I-1

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 19 (p. 628)

Candidate Equipment Required: Station Uniform Clothing and Gloves.

Evaluator Equipment Required: Cleaning Supplies and Tarp.

Read To Candidate: For this skill event, you will be required to clean and check salvage equipment. You will be provided with all

the necessary cleaning supplies to accomplish your task. You must verbalize to me all the components you are

checking.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

Salvage Tarps:

____ ____ 1. Examined salvage cover for damage, dirt, and debris.

____ ____ 2. Cleaned salvage cover with soapy water & scrub brush.

____ ____ 3. Allowed salvage cover to air dry completely.

____ ____ 4. All cleaning and checking done according to manufacturer’s guidelines.

____ ____ 5. Completed records and reporting procedures as required.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

54

Fire Fighter I Skills Assessment

Skill Sheet #29

CLEAN AND CHECK HAND TOOLS

JPR: NFPA 1001-2013, Section 5.5.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 11-I-1

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 9 (p. 252)

Candidate Equipment Required: Station Uniform Clothing, Gloves, and Eye Protection.

Evaluator Equipment Required: Cleaning Supplies and Hand Tools (Axe, Pike Pole, Wrenches,

Sledge Hammer, and etc.).

Read To Candidate: For this skill event, you will be required to clean and check various hand tools. You will be provided with all

the necessary cleaning supplies to accomplish your task. You must verbalize to me all the components you are

checking.

This is not a timed event. However, you should complete this event within a reasonable fireground time. To

pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and half of the

non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Selected correct tools/equipment for cleaning, checking, and maintaining hand

tools.

____ ____ 2. Examined handles for damage. (e.g., cracks, splits, splinters, etc.)

____ ____ 3. Examined cutting or working component for damage.

____ ____ 4. Examined striking surface for damage.

____ ____ 5. Checked tool head for tightness.

____ ____ 6. Cleaned hand tools with soapy water & scrub brush.

____ ____ 7. Put a light coat of machine oil on metal surface. (if appropriate)

____ ____ 8. All cleaning, checking, and maintenance done according to manufacturer’s guidelines.

____ ____ 9. Completed records and reporting procedures as required.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

55

Firefighter I Skills Assessment Skill Sheet #30

CLEAN, INSPECT, AND RETURN FIRE HOSE TO SERVICE – RELOAD

APPARATUS

JPR: NFPA 1001-2013, Section 5.5.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 15-I-5 thru 15-I-11

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 16 (p. 512-515, 528-532) Skill Drill 16-23, 16-24, 16-25

Candidate Equipment Required: Work station uniform.

Evaluator Equipment Required: Cleaning Supplies, Attack Hose, Supply Hose, Fire Apparatus with

Hose Bed or Hose Bed Prop.

Read To Candidate: For this skill event, you will be required to inspect, clean, and return fire hose to service. There are two Parts

to this skill event. In Part I, you are required to inspect and clean fire hose. In Part II, you are required to

load fire hose on fire apparatus.

For Part I, you will demonstrate inspection and cleaning fire hose. If you determine the hose is

damaged/defective, you must mark it and remove it from service. You will verbalize to me as you inspect and

identify any damage/defect you find. After inspecting the fire hose, you will demonstrate cleaning and drying

it.

For Part II, you will demonstrate loading fire hose. I will direct you to load a supply hose. This will be

performed as part of a team. The supply hose must be loaded so it is in a ready state for service.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

Skill Demonstration: Part I Inspecting Hose

Threaded Coupling: ____ ____ 1. Checked male coupling for damaged threads and out-of-round.

____ ____ 2. Checked female coupling for freedom of movement and out-of-round.

Storz Coupling: (if applicable) ____ ____ 3. Checked for damaged or broken lugs.

All Hose & Coupling Types: ____ ____ 4. Examined outer hose jacket for physical damage.

____ ____ 5. Checked gaskets for defects, flexibility and presence – replaced if necessary.

____ ____ 6. Identified defective hose, marked, and removed from service.

____ ____ 7. Completed records and reporting procedures as per department policy.

Cleaning Hose

____ ____ 8. Cleaned hose with soapy water and scrub brush OR operated hose washing

equipment. ____ ____ 9. Dried hose with hose drying equipment. (if applicable)

____ ____ 10. Hose cleaning and drying done according to manufacturer’s recommendations.

56

P-Pass / F-Fail:

1st Attempt 2nd attempt

Skill Demonstration: Part II Return Hose to Service: Reload Hose

____ ____ 11. Returned hose to service by reloading.

____ ____ 12. Hose reloaded properly to a state of readiness.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

57

Firefighter I Skills Assessment

Skill Sheet #31

CLEAN, INSPECT, AND RETURN FIRE HOSE TO SERVICE – ROLL HOSE

JPR: NFPA 1001-2013, Section 5.5.1.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 15-I-2, 15-I-3, 15-I-4

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 16 (p. 512-515, 517-522) Skill Drill 16-12, 16-13, 16-15, 16-16, 16-17, 16-18

Candidate Equipment Required: Work station uniform.

Evaluator Equipment Required: Cleaning Supplies, Attack Hose, Supply Hose.

Read To Candidate: For this skill event, you will be required to inspect, clean, and return fire hose to service. There are two Parts

to this skill event. In Part I, you are required to inspect and clean fire hose. In Part II, you are required to roll

fire hose for placement on rack or fire apparatus.

For Part I, you will demonstrate inspection and cleaning fire hose. If you determine the hose is

damaged/defective, you must mark it and remove it from service. You will verbalize to me as you inspect and

identify any damage/defect you find. After inspecting the fire hose, you will demonstrate cleaning and drying

it.

For Part II, you will demonstrate rolling fire hose. I will direct you to roll a length (50’ or 100’) of fire hose.

I will identify what type of hose roll to demonstrate. The fire hose must be rolled so it is in a ready state for

service.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail:

1st Attempt 2nd attempt Skill Demonstration: Part I Inspecting Hose

Threaded Coupling: ____ ____ 1. Checked male coupling for damaged threads and out-of-round.

____ ____ 2. Checked female coupling for freedom of movement and out-of-round.

Storz Coupling: (if applicable) ____ ____ 3. Checked for damaged or broken lugs.

All Hose & Coupling Types: ____ ____ 4. Examined outer hose jacket for physical damage.

____ ____ 5. Checked gaskets for defects, flexibility and presence – replaced if necessary.

____ ____ 6. Identified defective hose, marked, and removed from service.

____ ____ 7. Completed records and reporting procedures as required.

Cleaning Hose

____ ____ 8. Cleaned hose with soapy water and scrub brush OR operated hose washing

equipment. ____ ____ 9. Dried hose with hose drying equipment. (if applicable)

____ ____ 10. Hose cleaning and drying done according to manufacturer’s recommendations.

58

1st Attempt 2nd attempt

Skill Demonstration: Part II Return Hose to Service: Roll Hose

____ ____ 11. Returned hose to service by rolling.

____ ____ 12. Hose rolled properly for placement on hose rack or on apparatus.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

59

FIREFIGHTER I

FIREGROUND EVOLUTIONS

60

Fire Fighter I Skills Assessment

FGE Sheet #1

ATTACK A PASSENGER VEHICLE FIRE

JPR: NFPA 1001-2013, Section 5.3.7.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 17-I-8

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 22 (p.696-699)

Candidate Equipment Required: Full Personal Protective Clothing, SCBA, PASS Alarm.

Evaluator Equipment Required: Car Fire Prop; Pumper; Water Source; Halligan Bar; Flat Head Axe;

Hose & Nozzle (Primary & Back-up.)

Read To Candidate: For this skill event, you will be required to extinguish or control a passenger vehicle fire as a member of a

team. You will use appropriate protective equipment, fire fighting tools, and extinguishing agents. You will

be required to assess all hazards; utilize safety precautions; identify and control all fuel leaks; expose hidden

fires; provide protection for team members from flash fire while advancing an attack line; applying water with

maximum effectiveness; and extinguishing the fire.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Confirmed order to extinguish car fire.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Identified automobile fuel type. (Verbalized)

____ ____ 4. Assessed for and controlled fuel leaks. (Verbalized)

____ ____ 5. Operated nozzle correctly (open, close, flow, & pattern).

____ ____ 6. Applied water for maximum effect while maintaining flash fire protection.

____ ____ 7. Advanced attack line properly.

____ ____ 8. Searched for, exposed, & extinguished hidden fires.

____ ____ 9. Withdrew attack line properly.

____ ____ 10. Operated effectively as a member of a team.

____ ____ 11. Notified Command upon completing assignment.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

61

Fire Fighter I Skills Assessment

FGE Sheet #2

EXTINGUISH FIRES IN EXTERIOR CLASS “A” MATERIALS

JPR: NFPA 1001-2013, Section 5.3.8.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 17-I-9 thru 17-I-11

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapters 9, 22, 38 (p. 249-251, 682, 695, 1073-1074)

Candidate Equipment Required: Full Personal Protective Clothing, SCBA, PASS Alarm

Evaluator Equipment Required: Class A Material; Pumper; Water Source; Hose & Nozzle (Primary

& Backup)

Read To Candidate: For this skill event, working as a member of a team, you will extinguish a Class A fire. You will be required

to wear personal protective clothing and SCBA, use firefighting hand tools, and operate an attack line. You

must approach the fire correctly and then perform necessary overhaul and extinguishment procedures. You

should indicate to me any hazards associated with the fire.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt

____ ____ 1. Confirmed order to extinguish exterior Class A fire.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Recognized hazards from material’s configuration. (Verbalized)

____ ____ 4. Operated hose lines and other water application devices.

____ ____ 5. Evaluated & modified water application for maximum penetration.

____ ____ 6. Broke up material with hand tools and/or water streams.

____ ____ 7. Searched for and exposed hidden fires.

____ ____ 8. Evaluated for complete extinguishment.

____ ____ 9. Assessed burn patterns for origin determination.

____ ____ 10. Notified Command upon completing assignment.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

62

Fire Fighter I Skills Assessment

FGE Sheet #3

ATTACK AN INTERIOR STRUCTURE FIRE

JPR: NFPA 1001-2013, Section 5.3.10.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 15-I-26, 15-I-27, 17-I-2

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Candidate Equipment Required: Full Personal Protective Clothing, SCBA, PASS Alarm

Evaluator Equipment Required: Live Fire Burn Facility; Pumper; Water Source; Hose & Nozzle;

Ladder; Hose Tool (strap or rope); forcible entry tools; Thermal

Imaging Camera

Read To Candidate: For this skill event, you will attack an interior structure fire operating as a member of a team. This is a two

part skill event assessment. In Part I, you will be assigned to attack either a fire above grade, at grade, or

below grade. You must use appropriate protective equipment including SCBA and firefighting tools. After I

give you the assignment, the skill assessment will begin. You will be required to assess all hazards, utilize

safety precautions, and use appropriate attack line advancement techniques for either a charged or uncharged

hose line. You must determine and use an appropriate fire attack technique to control and extinguish the fire.

Prior to entry, you must verbalize your hazard assessment, safety precautions you will practice, and fire attack

technique you will use (direct, indirect, or combination). Once the fire is under control, you will be required

to verbalize how you would locate fires in void spaces, and how you would expose and extinguish those fires.

For Part II, after you have extinguished the interior fire, I will direct you to either replace a “simulated” burst

section of hose or extend your hose to a specified length.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To

pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS) in both Part I and Part II.

63

P-Pass / F-Fail: 1st Attempt 2nd attempt

Skill Demonstration: Part I Interior Fire Attack

____ ____ 1. Confirmed order to perform offensive fire attack (above grade, at grade, or below

grade fire – for fires above grade confirm use of stairs or ladder for attack).

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Sized up fire for hazards.

____ ____ 4. Advanced hose line (charged or uncharged) to fire.

____ ____ 5. Operated nozzle in a manner appropriate for the situation.

____ ____ 6. Used appropriate fire attack technique (direct, indirect, or combination).

____ ____ 7. Operated nozzle so as to prevent water hammer.

____ ____ 8. Located, exposed, and extinguished fires in void spaces (walls and subfloors).

____ ____ 9. Operated as a member of a team.

____ ____ 10. Team integrity was not compromised during Operation.

____ ____ 11. Notified Command upon controlling fire.

Skill Demonstration: Part II Replace Burst Hose:

____ ____ 12. Carried hose to location of burst hose line.

____ ____ 13. Replace burst section of hose.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

64

Fire Fighter I Skills Assessment FGE Sheet #4

PERFORM VENTILATION

JPR: NFPA 1001-2013, Section 5.3.11 – 5.3.12

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 13-I-1 thru 13-I-4

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 15 (p. 451-459)

Candidate Equipment Required: Full Personal Protective Clothing, SCBA, PASS Alarm.

Evaluator Equipment Required: As Needed - Roof/Window Prop; Pumper; Water Source; Hose &

Nozzle; Positive Pressure Fan; Ladder; Axe or Pike Pole; chain saw.

Read To Candidate: For this skill event, you will be required to perform ventilation on a smoke-filled structure while operating as

a member of a team. You will ventilate the structure using the assigned ventilation technique (horizontal or

vertical). Given the assigned technique, you will select the proper tools. You are required to wear appropriate

personal protective equipment. If it is necessary to enter a hazardous atmosphere to accomplish your

assignment, you are required to use SCBA. If you will be performing tasks around the exterior and are not

wearing the SCBA face mask, you are required wear eye protection.

This is not a timed event; however, you should complete this event within a reasonable fireground time. To

pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and half of the

non-critical steps (steps in ITALICS).

P-Pass / F-Fail: 1st Attempt 2nd attempt Ventilation - HORIZONTAL

____ ____ 1. Confirmed order to perform horizontal ventilation.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Carried ventilation tools and equipment properly.

____ ____ 4. Used ventilation tools and equipment properly.

____ ____ 5. Performed horizontal ventilation in an effective manner.

____ ____ 6. If glass was broken, it was done safely and properly.

____ ____ 7. Operated as a member of a team.

____ ____ 8. Notified Command upon completing horizontal ventilation.

Ventilation - VERTICAL

____ ____ 1. Confirmed order to perform vertical ventilation.

____ ____ 2. Properly donned personal protective clothing and SCBA.

____ ____ 3. Select, carry, deploy, and secure ground ladders for ventilation activities

____ ____ 4. Carried ventilation tools and equipment properly ascending and descending ladder.

____ ____ 5. Sounded roof prior to leaving ladder.

____ ____ 6. Deployed roof ladders properly.

____ ____ 7. Hoisted tools and equipment properly.

____ ____ 8. Used ventilation tools and equipment properly.

____ ____ 9. Performed vertical ventilation in an effective manner.

____ ____ 10. Operated as a member of a team.

____ ____ 11. Notified Command upon completing vertical ventilation.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

65

Fire Fighter I Skills Assessment

FGE Sheet #5

COMBAT A GROUND COVER FIRE

JPR: NFPA 1001-2013, Section 5.3.19.

Reference: IFSTA, Essentials of Fire Fighting©, 6th edition, 2013.

Skill SHEETS: 17-1-12.

Jones and Bartlett, Fundamentals of Fire Fighter Skills© 3rd Edition, 2013

Chapter 21 (p. 671-673)

Candidate Equipment Required: Full Personal Protective Clothing or Complete Wildland Fire

Fighting Ensemble.

Evaluator Equipment Required: Terrain Model, Hand Tools, Pumper (or Wildland fire apparatus),

Attack (or Forestry) Hose, Nozzle.

Read To Candidate: For this skill event, you will operate as a member of a team to combat a simulated ground cover fire. You will

be required to construct a fire line using hand tools. Prior to constructing the fire line, you must verbally

identify potential threats to your safety and potential threats to exposures. Once the fire line is established, you

must ensure fire line integrity is maintained. I will then ask you to extinguish fire using hand tools. Once fire

is controlled I will then direct you to use water to suppress any remaining fire. If I order you to retreat, you

must react properly. It is important you verbalize your thoughts related to hazard assessment and safety

considerations.

To pass this station, you must successfully complete 100% of the critical steps (steps in BOLD) and a majority

of the non-critical steps (steps in ITALICS).

P-Pass / F-Fail:

1st Attempt 2nd attempt Construct Fire Line:

____ ____ 1. Confirmed order to construct fire line.

____ ____ 2. Properly donned personal protective clothing and SCBA

____ ____ 3. Determined potential threats to safety.

____ ____ 4. Determined potential threats to exposures.

____ ____ 5. Protected exposures.

____ ____ 6. Constructed a fire line.

____ ____ 7. Maintained integrity of established fire lines.

____ ____ 8. Properly used hand tools.

____ ____ 9. Suppressed ground cover fire using water.

____ ____ 10. Used progressive hose lay to advance hoseline.

____ ____ 11. Ensured ground cover fire was suppressed.

____ ____ 12. If retreat was ordered, it was accomplished quickly and safely.

____ ____ 13. Operated as a member of a team.

____ ____ 14. Notified Command when fire line is completed.

Candidate’s Name: _____________________________ Station: P ____ F ____ P ____ F ____ 1st Attempt 2nd attempt

Evaluator’s Signature: ________________________________

66

APPENDIX A

FIREFIGHTER TRAINING RECORD

FIREFIGHTER TRAINING RECORD: FFI 2013 Standard

67

NAME: ____________________________________ LAST 4 of SSN: __________ DEPARTMENT: _____________________________

SECTION

TRAINING IN-HOUSE

MANIPULATIVE SKILL - DEMONSTRATE CORRESPONDING

SKILL SHEET RECORD COMP. EXAM

DATE INST HRS DATE INST P/F

Pre-Requisite Documentation of Pre-Requisite Training Completion.

Completed Structural Based Live Fire Training

General Care/Inspection/Maintenance of protective clothing. 1

Don and doff structural firefighter protective clothing. 1

Fire Department

Communications

Receive a report from a telephone. 3

Demonstrate receiving business call from the public. 3

Demonstrate the use of portable radio equipment. 3

Communicate the need for assistance (MAYDAY). 5

SCBA's

Identify/describe components of SCBA. 26

Demonstrate donning/doffing an SCBA. 6

Use SCBA in Restricted passage. 6a

Conservation of air, skip breathing. 6b

Emergency procedures - face piece failure. 6b

Emergency procedures – interruption of air. 6b

Emergency procedures – "free-flow" of air. 6b

Emergency procedures – exhalation valve being seared shut. 6b

Doff and perform a check of an in-service SCBA without

cylinder change. 6

Doff and perform a check of an in-service SCBA with

cylinder change. 6

Inspect/clean/sanitize SCBA. 26

ER Response Demonstrate safety while responding on apparatus. 7

Establish and operate in work areas at emergency scene 8

FIREFIGHTER TRAINING RECORD: FFI 2013 Standard

68

SECTION

TRAINING IN-HOUSE

MANIPULATIVE SKILL - DEMONSTRATE CORRESPONDING

SKILL SHEET RECORD COMP. EXAM

DATE INST HRS DATE INST P/F

Forcible Entry

Proper care, maintenance of forcible entry hand

tools/equipment. 29

Force entry on swinging door. 9a

Force entry on sliding door. 9a

Force entry on overhead door. 9a

Force entry on sliding window. 9b

Force entry on double hung window. 9b

Force entry on casement window. 9b

Force entry on masonry wall. 9c

Force entry on metal wall. 9c

Force entry on wood wall. 9c

Safety Demonstrate exiting using a hose/tag line. 10

Demonstrate exiting using a wall. 10

Ladders

Demonstrate carry/position/raise/lower ladders/24' & 35' 11

Demonstrate climbing, working on and descending ladder. 11

Demonstrate bringing a victim down a ladder. 11

Deploy roof ladder on pitched roof. 11

Inspect, maintain, and clean aerial or ground ladder. 24

FIREFIGHTER TRAINING RECORD: FFI 2013 Standard

69

SECTION

TRAINING IN-HOUSE

MANIPULATIVE SKILL - DEMONSTRATE CORRESPONDING

SKILL SHEET RECORD COMP. EXAM

DATE INST HRS DATE INST P/F

Hose, Nozzles,

Appliances

Demonstrate set-up a Master stream device. FGE 2

Demonstrate proper method for extending a charged line. FGE 3

Demonstrate proper method for replacing burst section. FGE 3

Couple/uncouple hose: foot-tilt method. FGE 3

Couple/uncouple hose: two-firefighter method. FGE 3

Advance attack line into structure. FGE 3

Advance attack line up ladder: second floor window or roof. 11/FGE 3

Advance attack line up/down, inside/outside stairway. FGE 3

Single section drain and carry. 30

Accordion shoulder carry. 30

Load supply hose using flat or accordion hose loads. 30

Load attack hose lines using flat, triple layer, minuteman. 30

Demonstrate a straight roll. 31

Demonstrate a donut roll. 31

Demonstrate cleaning, inspecting, maintaining fire hose. 30/31

Demonstrate cleaning, inspecting, maintaining nozzles. 30/31

Search & Rescue

Search for victim in structure and remove. 14

Move victim 40' using extremities carry. 14

Move an unconscious victim 40' using a blanket drag. 14

Remove unconscious firefighter with functioning SCBA

using appropriate carry/drag. 12

Remove unconscious firefighter with non-functioning SCBA

using appropriate carry/drag. 13

FIREFIGHTER TRAINING RECORD: FFI 2013 Standard

70

SECTION

TRAINING IN-HOUSE

MANIPULATIVE SKILL - DEMONSTRATE CORRESPONDING

SKILL SHEET RECORD COMP. EXAM

DATE INST HRS DATE INST P/F

Ventilation

Clean and inspect ventilation equipment. 25

Determine integrity of a roof by sounding. FGE 4

Break glass while working from ground. FGE 4

Break glass while working from ladder. FGE 4

Open ventilation on a pitched/flat roof. FGE 4

Open ventilation on a floor. FGE 4

Set-up smoke ejector using "negative" pressure. FGE 4

Set-up blower fan for "positive" pressure. FGE 4

Overhaul Expose and extinguish hidden fires in walls, ceilings, and

floors. 15

Salvage

Fold/roll salvage cover for one-firefighter spread. 16

Fold/roll salvage cover for two-firefighter spread. 16

Demonstrate One-firefighter deployment. 16

Demonstrate Two-firefighter deployment (balloon throw). 16

Construct water chute. 17

Construct catchall. 18

Cover/close building openings. 16

Separate charred from uncharred material. 16

Stop flow from discharging sprinkler head. 16

Operate main control valve. 16

Inspect/clean/maintain salvage cover. 28

Water Supply

Hydrant-to-pumper connection-forward hose lay. 19

Hydrant-to-pumper connection-reverse hose lay. 19

Demonstrate hand lay of 200' 2 ½" hose, pumper to water. 19

Assemble equipment for drafting operation-static source. 20

Assemble equipment for drafting operation-portable tank. 20

FIREFIGHTER TRAINING RECORD: FFI 2013 Standard

71

SECTION

TRAINING IN-HOUSE

MANIPULATIVE SKILL - DEMONSTRATE CORRESPONDING

SKILL SHEET RECORD COMP. EXAM

DATE INST HRS DATE INST P/F

Extinguishers Use a portable fire extinguisher on Class A, B, and C fires. 21

Fire Ground

Demonstrate use of lighting equipment. 22

Demonstrate shutting off propane or natural gas valve. 23

Secure power to structure: shut off main power breaker. 23

Ropes and Knots

Demonstrate how to clean, inspect and store rope. 27

Demonstrate how to tie a clove hitch. 2

Demonstrate how to tie a Becket Bend. 2

Demonstrate how to tie a Bowline. 2

Demonstrate how to tie a figure eight. 2

Demonstrate how to tie a figure eight on a bight. 2

Demonstrate how to tie a figure eight follow through. 2

Demonstrate how to tie a rescue knot. 2

Demonstrate how to tie a girth hitch 2

Demonstrate how to tie a running bowline. 2

Demonstrate how to tie and hoist a pike pole. 2

Demonstrate how to tie and hoist an axe. 2

Demonstrate how to hoist a dry line. 2

Demonstrate how to hoist a charged line. 2

Demonstrate how to tie and raise a vent saw. 2

Demonstrate how to tie and raise a ladder 2

Fire Ground

Evolutions

Demonstrate an offensive attack on a vehicle fire. FGE 1

Demonstrate an offensive attack on an exterior Class A fire FGE 2

Demonstrate an offensive attack on an interior structure fire FGE 3

Demonstrate an offensive attack on a ground cover fire. FGE 5

Demonstrate horizontal ventilation. FGE 4

Demonstrate vertical ventilation. FGE 4

72

APPENDIX B

IN-HOUSE PROCTOR

INSTRUCTIONS AND REQUEST

FOR CERTIFICATION FORMS

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Tester Instructions for “In-House”

Comprehensive Examination

As the training officers for your department you are authorized by NDFA to conduct the 100% skills test for

this level of certification. You must be certified to the level you are testing, i.e., if you’re FF2 you can test FF1

and FF2, Awareness and HM Operations.

*PRIOR TO CONDUCTING TEST, REVIEW TRAINING RECORDS

It is important that before doing this “In-House” exam that the candidate has completed training in all areas for

the level being tested.

*SAFETY OFFICER SELECTED AND BRIEFED

Select a Safety Officer to assist you during the test. This person, if possible, should not be taking the same test

that is being given. The Safety Officer will not assist with the testing process. The Safety Officer is there to

protect the CANDIDATES from injury during the testing process. The Safety Officer shall be in a position to

observe all students and ensure their safety at all times during the testing procedure. By using the following

instructions you will be able to evaluate the skill being tested and determine the candidate’s readiness for the

State “Spot Check” exam.

1. Keep in mind this is a test and there should be no coaching or training during the testing process. If a

candidate fails to perform a skill, it will count as a first attempt failure and they will be given a second

attempt. If they fail a second time they need to be retrained on that skill and tested again. Only

qualified candidates that have passed with 100% should be allowed to take the State SPOT CHECK

exam. Before beginning the testing process meet with all candidates and review the testing process.

Explain that this is a test and that the same process being used for the “In-House” will be used during the

state exam.

2. Designate a secure location for the candidates to remain in while the “In-House” exam is conducted.

This location should be away from the area where the exam is being conducted.

3. If possible, separate your testing stations so candidates cannot observe each other during the test.

4. To evaluate a candidate’s performance, use the following as a guide.

a. the skill is completed in the allotted time,

b. competence is shown by completing all performance criteria,

c. safety is shown while completing the skill.

At each test station the tester will read the SKILL to be demonstrated, the CONDITIONS to be met and the

TIME limit to complete each skill. This information is contained in the skill section of each standards packet.

Do this with each student as they come to each testing station. Ask for any questions. As each skill is tested

and completed sign it off in the section provided on the candidates training record. By conducting the “In-

House” test in this manner, you will prepare your candidates to successfully pass the state “spot check” exam.

This will also assure training records are current and that only those who are truly prepared take the state

certification examination.

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North Dakota Firefighter’s Association

EXAMINATION REQUEST / CERTIFICATION REQUEST FORM

Please complete all information on BOTH sides of this form and return to the NDFA at least 30 days prior to the requested

examination date. A separate request MUST be made for each level of certification exam desired and for each exam date.

Phone Number: 701-222-2799. FAX: 701-222-2899.

Examination Request for Written / Skills – Circle the appropriate level

WRITTEN Examination: Firefighter I Firefighter II HMA HMO Curriculum Used: ___________________________________

MANIPULATIVE Examination: Firefighter I Firefighter II HMO

____________________________________________________________________________________________________________

Number Taking Written Examination: __________ Number Taking Manipulative exam: __________

Department Name: __________________________ Department Address: _______________________________________

Contact Phone Number: ______________________ _______________________________________

Requested Date and Time: ____________________________________________________________

Examination Location: ______________________________________________________________

By the signature below we acknowledge that training records exist to support that each individual who will attend the exam has received a learning

experience in each subject area required for testing and has met all other requirements for the level being examined for as specified in the

Certification Policy and Procedures. Department requesting the above exam, will have appropriate space and safe accommodations and equipment

for all written and manipulative skills.

________________________________________________________________________________________________________

Fire Chief/Head of Department (Signature) Training Officer (Signature)

Fire Chief/Head of Department (typed/printed) Training Officer (type/printed)

Certification Request

The following department or agency requests that the North Dakota Firefighters Association certify the individuals listed on reverse side of

this form. NOTE: The original” Training Record” of the individuals must be sent with this form - if the “Training Record” has not

been presented to the NDFA during a “Spot Check Skills” testing event. Please keep a copy of the “Training Record” for your files.

By my signature below, I attest that the individuals listed on the reverse side of this form have completed all requirements for certification as defined

in the North Dakota Firefighters Association Certification Policy and Procedures Manual.

Fire Chief/Head of Department (Signature) Fire Chief/Head of Department (typed/Printed)

Department Name: Date:

Department Mailing Address Daytime Phone Number Second contact number

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Type or print names of participants who will be taking the examination.

Candidates Printed Name Last Four of SSN Certification Requested Circle One

1. XXX-XX-_________ Legacy Pro Board

2. XXX-XX-_________ Legacy Pro Board

3. XXX-XX-_________ Legacy Pro Board

4. XXX-XX-_________ Legacy Pro Board

5. XXX-XX-_________ Legacy Pro Board

6. XXX-XX-_________ Legacy Pro Board

7. XXX-XX-_________ Legacy Pro Board

8. XXX-XX-_________ Legacy Pro Board

9. XXX-XX-_________ Legacy Pro Board

10. XXX-XX-_________ Legacy Pro Board

11. XXX-XX-_________ Legacy Pro Board

12. XXX-XX-_________ Legacy Pro Board

13. XXX-XX-_________ Legacy Pro Board

14. XXX-XX-_________ Legacy Pro Board

15. XXX-XX-_________ Legacy Pro Board

16. XXX-XX-_________ Legacy Pro Board

17. XXX-XX-_________ Legacy Pro Board

18. XXX-XX-_________ Legacy Pro Board

19. XXX-XX-_________ Legacy Pro Board

20. XXX-XX-_________ Legacy Pro Board

21. XXX-XX-_________ Legacy Pro Board

22. XXX-XX-_________ Legacy Pro Board

23. XXX-XX-_________ Legacy Pro Board

24. XXX-XX-_________ Legacy Pro Board

Send Request form to:

North Dakota Firefighter’s Association

PO Box 6127; 6909 Aurora Loop Bismarck, ND 58506

FAX: (701) 222-2899